: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy. It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization. : This assignment is worth 68 points and represents 20% of your final course grade. It is graded according to the embedded rubric in this submission folder. 1. Write a PICO question based on a scenario you choose from the list of scenarios attached below. Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the “I”) that has been studied and published to solve the problem. 2. Identify the PICO elements for each question. 3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords. 4. Locate 4 articles that help answer your PICO question. The articles must meet the following requirements: · must be primary source quantitative research articles. · No article can be older than 2016. 5. Obtain pdfs of the four articles you selected from the ResU database. If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it. 6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below. 7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below. 8. Name each document (one Word doc and 4 article pdfs) as follows and upload to the appropriate submission folder in Brightspace: · Lastname PICO, · Lastname article 1, · Lastname article 2, · Lastname article 3, · Lastname article 4 (188.01 KB) (30.11 KB) (44.5 KB) Link to MeSH Terms W Criteria Please, Kindly work on Scenario 4 from the PICO and Literature Search Scenarios uploaded. Thank you.

PICO questions play a crucial role in guiding research and literature search strategies in the healthcare field. Nurses and researchers use PICO questions to develop evidence-based solutions to patient care problems. The purpose of this assignment is to create a PICO question based on a chosen scenario and then apply the PICO elements to develop a search strategy using specific keywords and MeSH terms. Additionally, students are required to locate four primary source quantitative research articles to answer the PICO question.

Scenario 4: In a hospital setting, patients with chronic pain often receive multiple pharmacological interventions to manage their symptoms. However, these interventions are not always effective in alleviating the pain, leading to increased suffering and decreased quality of life. The healthcare team is interested in exploring non-pharmacological interventions that could serve as alternative or complementary approaches to pain management.

PICO Question:
In adult patients with chronic pain (P), how does the use of non-pharmacological interventions (I) compared to pharmacological interventions (C) affect pain management outcomes (O)?

PICO elements:
– Population (P): Adult patients with chronic pain
– Intervention (I): Non-pharmacological interventions
– Comparison (C): Pharmacological interventions
– Outcome (O): Pain management outcomes

Search strategy:
To create an effective search strategy, it is important to identify relevant keywords and MeSH terms related to the PICO elements. The following search strategy includes three keywords from each PICO element, one synonym, and one MeSH term.

Keywords and MeSH terms:
Population (P):
– Chronic pain
– Persistent pain
– Long-term pain
– Prolonged pain
MeSH term:
– Pain, Chronic

Intervention (I):
– Non-pharmacological interventions
– Complementary therapies
– Alternative treatments
– Non-drug interventions
MeSH term:
– Complementary Therapies

Comparison (C):
– Pharmacological interventions
– Drug therapies
– Medications
– Drug treatments
MeSH term:
– Drug Therapy

Outcome (O):
– Pain management outcomes
– Pain relief
– Symptom control
– Pain reduction
MeSH term:
– Pain Management

Using these keywords and MeSH terms, the search strategy for the PICO question “In adult patients with chronic pain, how does the use of non-pharmacological interventions compared to pharmacological interventions affect pain management outcomes?” would include the following terms:

(P) Chronic pain OR Persistent pain OR Long-term pain OR Prolonged pain OR Pain, Chronic
(I) Non-pharmacological interventions OR Complementary therapies OR Alternative treatments OR Non-drug interventions OR Complementary Therapies
(C) Pharmacological interventions OR Drug therapies OR Medications OR Drug treatments OR Drug Therapy
(O) Pain management outcomes OR Pain relief OR Symptom control OR Pain reduction OR Pain Management

These terms will be used in combination with Boolean operators (e.g., AND, OR) to construct search queries in electronic databases.