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Nursing

Forming a Research Question

Creating a research question is an exciting and challenging exercise.  A research question gives you the opportunity to dig into a topic in which you are interested, and, to then share this information with others.

A good research question should be specific and focused. The answer should be discovered through data collection and analysis (i.e. research). The answer to a research question is NOT a simple "yes" or "no."

Follow these steps:

  1. Identify a broad topic in which you are interested.  There is little point in spending time and energy researching a topic that holds no interest for you.
  2. Start some preliminary research on the topic.  Search the library databases, Google, Google Scholar. 
  3. Brainstorm.
  4. As you become familiar with the literature, identify some key questions that come to mind.  Narrow down your topic.
    1. Is there a gap in the knowledge?  Do you want to extend the knowledge in a certain area?
  5. Recognize that your initial research question may change as you gather more information about your topic.
  6. Use FINER or PICOT or PEO or SPIDER to construct your research question.

Check out this handy Guide: North Island College Research Question Guide

 

Tips and Examples of Research Questions

Creating Quantitative and Qualitative Research Questions (Research.com)

Nursing:  Forming Questions (McMaster University)

Examples of Good and Bad Research Questons (Research.com)

 

FINER to Create a Research Question

Use the acronym FINER to help develop your research question:

  • Feasible - is the scope reasonable?  is there enough time for the research?
  • Interesting - if the topic is not interesting, there will be little motivation to do the research or read the research.
  • Novel - does the question encourage a novel approach to an existing question, or, a new question all together?
  • Ethical - the question must do no harm and must protect privacy and confidentiality of participants.
  • Relevant -  does it fill a gap in current knowledge?  does it analyze, compare, monitor or test assumptions of a topic?

For more details on FINER:  https://research.com/research/how-to-write-a-research-question

PICO (T) Format for Building Research Questions

To formulate questions in Evidence Based Practice, use the PICOT format.

PICOT stands for:

  • Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)
  • Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)
  • Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)
  • Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)
  • Time: What is the time frame? (This element is not always included.)

PICOT questions will typically fall under one of these types:

  • Therapy/Prevention: Is this intervention more effective than another
  • Diagnosis/Diagnostic test: How accurate is this diagnostic test
  • Etiology/Harm: What are the causes of this condition or state of affairs
  • Prognosis: What is a patients likely course over time

Type of Study for Question ***

Therapy: RCT (randomized controlled trial)

Diagnostic Test: independent, blind comparison to a gold standard

Harm/Etiology: RCT>cohort study.case control

Quality of Life: Qualitative Study

Cost-Effectiveness: Economic analysis

*****In each case, a systematic review  of all the available studies is better than an individual study. A systematic review will compare several RCt"s that have studied the same treatment and aggregate results.

PICO Resources

PEO Framework for Building a Research Question

Like the PICOT framework, the PEO framework is commonly used in clinical studies as well. However, this framework is more useful for qualitative research questions. This framework includes these elements:

  • P - population being studied
  • E - exposure to preexisting conditions
  • O - outcome of interest

https://research.com/research/how-to-write-a-research-question

SPIDER Tool : Building a Qualitative Research Question

Sample is similar to Patient/Population of PICO. This is the group of people you are interesting in studying qualitatively.

For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

S = Nurses


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide

The Phenomenon of Interest can be similar to Intervention of PICO. This can be viewed as the topic of the research,

For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

PI = Use of EBP


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide

Design can be viewed as the techniques used by the qualitative researchers to gather their data. Typically these are:

  • Focus Groups
  • Interviews
  • Observations

The design choice depends on what your qualitative research design plan will be. For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

D = Interviews or Focus Groups


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide

Evaluation is similar to Outcomes of PICO. 

For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

E = Barriers to use of EBP


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide

Research type can be viewed as the type of qualitative research that could have been used. The types are:

  • Phenomenology
  • Ethnography
  • Grounded theory
  • Case study

For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

R = Phenomenology


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide

Now that you have your qualitative research questions broken into SPiDER, you can now think about your search strategy.

For example, in the qualitative research question, "What are the barriers felt by nurses that lead to the reluctance to use EBP in practice?"

S = Nurses (and other possible terms)

Pi = EBP (and other possible terms)

D = Interviews or Focus Groups

E = Barriers (and other possible terms)

R = Phenomenology

Search Strategy:

Nurse AND EBP AND (Focus Groups OR Interviews) AND Barriers AND Phenomenology

Also consider possible controlled vocabulary with the understanding that literature research databases will vary with that they may have for qualitative research terms.


SPIDER Table from the Gonzaga University Evidence-Based Practice LibGuide