This document provides a PICOT statement proposed by a student to address the effects of hypertension. The PICOT statement asks: What are the effects of acquiring lifestyle advice about healthy meals versus using medication to treat high blood pressure in adult males aged 40-70 with hypertension over 6 months? The population is adult males aged 40-70 with hypertension. The intervention is acquiring lifestyle advice about healthy meals. The comparison is using medication to treat high blood pressure. The outcomes are managing blood pressure and reducing risks of cardiovascular disease. The time period is 6 months.

1. Running Head: Evidence based Practice, Step by Step: Asking
the Clinical Question: A Key Step in Evidence based Practice
1
Evidence based Practice, Step by Step: Asking the Clinical
Question: A Key Step in Evidence based Practice 9
Please review APA for header sections for the title page and
subsequent pages. Thanks.
Evidence based Practice, Step by Step: Asking the Clinical
Question: A Key Step in Evidence based Practice Comment by
Doreen Farley: Please shorten your title here and in your header
section. Thank. In the header section the title cannot be greater
than 50 characters including spaces in APA.
Student’s Name:
Institution:
Abstract
The ability to evaluate the advantages of a quantitative setup
research article is an essential mastery for authorities and
investigators of all controls, including nursing, to judge the
uprightness and estimation of the evidence and conclusions
made in an article. At the point when all is said in done, this

2. aptitude is customized for a few experts and masters who
starting at now have a tolerable working data of investigation
logic, including hypothesis headway, assessing frameworks,
ponder layout, testing procedures and instrumentation, data
social occasion and data organization, estimations, and
clarification of revelations. For graduate understudies and
junior workforce who still can't seem to confront these
capacities, completing a formally made article assess can be a
significant methodology to hone such states of mind.
Nevertheless, focal data investigation techniques are as yet
required remembering the true objective to be viable. Since
there are few dispersed instances of assessing outlines, this
article gives the sound judgment reasons for coordinating a
formally created quantitative investigation article examine
while giving a handbag to show the measures and structure.
Exactly when passed on in a setting of minding and an
unfaltering authoritative culture, the most surprising nature of
thought and best patient outcomes can be accomplished. The
inspiration driving this plan is given to sustain the data and
states of mind they need to execute EBP dependably, with
additional consideration. Articles will appear predictably to
allow you a chance to intertwine information as you move in the
direction of executing EBP at your establishment. Moreover,
we've booked "Ask the Authors" call-ins predictably to give a
quick line to the pros to enable you to determine questions.
Comment by Doreen Farley: This assignment did not call
for an abstract. Just your title page, PICOT question and your
six articles with abstracts and no reference section.
Type of Clinical Question Comment by Doreen Farley: I am
not sure what all of this is. Also, just taking a quick look there
is a lot of information in this text that does not have in-text
citation. Please take this into account and ensure that when you
write your next assignments that all information is correctly
cited.
It is important to put into consideration the socio-social

3. different qualities before the configuration of strategies and
projects used in HIV/AIDS. In the treatment of HIV/AIDS,
factors like sex imbalance and sexual taboos should be avoided
in order to help out those living with HIV/AIDS. Even with the
presence of group administrators and enhanced execution of
health, persons living with HIV/AIDS continue to be exposed to
socio-social hindrances that are profound. Therefore, those in
the forefront should ensure that people living with HIV/AIDS
does not experience this kind of indifference.
The most fundamental and occasionally announced socio-social
obstacles in both low pay and high pay countries fuse anxiety of
disclosure, doubt of disfavor, confined social support, relational
viciousness, and alcohol abuse. To better appreciate the
dispersal, repeat, and potential impact that these components
may have on the masses, quantitative epidemiological audits
should ideally merge tantamount request. It is at this moment
dim to what degree socio-social determinants of access,
perceived by singular examinations, are have a tendency to in
survey focuses on. To the extent anybody is worried; there is no
orderly study of written epidemiological work available to blow
over this request. Along these lines, this article tries to answer
three inquiries: What socio-social components have been
estimated in epidemiologic investigations to assess access to
HIV/AIDS organizations? What is the differentiation between
segments estimated in low and high compensation countries?
Besides, what are the affiliations and effect sizes of these
components?
Notwithstanding the way that disrespect is seen as critical
prevention to effective responses to the HIV/AIDS scourge,
disgrace diminishment attempts are relegated to the base of
AIDS framework needs. The versatile nature of HIV/AIDS-
related degradation is much of the time eluded to as a basic
clarification behind the compelled response to this unavoidable
ponder. In this paper, we productively review the exploratory
written work on HIV/AIDS-related disgrace to report the energy
state of examination, perceive openings in the available

4. affirmation, and feature promising frameworks to address
disrespect (Chemnasiri, Beane, Varangrat, Chaikummao,
Chitwarakorn, Van Griensven, & Holtz, 2018). We focus on the
going with key troubles: describing, estimating, and diminishing
HIV/AIDS-related disgrace and assessing the impact of
corruption on the ampleness of HIV neutralizing activity and
treatment programs. In light of the written work, we near to
offering a course of action of recommendations that may
address next fundamental walks in a multifaceted response to
disgrace in the HIV/AIDS plague.
Ask the question in PICOT format
Using the PICOT format, this can be addressed appropriately. In
unveiling this, Carlos helps Rebecca in understanding the
PICOT question. Carlos uses the illustration of control of pain
to patient’s prior the operation process takes place. In the
illustration, Carlos defines that those grown-up patients to
undergo surgery is the populace (P). Guided symbolism is used
to mean the mediation of interest, (I). Composition treatment is
used to mean the examination intercession of interest, which is
(C). Agony is the result of interest (O). Finally, the time taken
to aid for the results in 24 hours post the operation is (T).
Comment by Doreen Farley: I don’t know what any of this
is when it comes to the instructions of this assignment. The
assignment calls for your PICOT question and your 6 articles. I
sent an example of how to do the assignment in the
announcements. I also sent a reminder to check the
announcements to find out how to do the assignment.
In the illustration of Carlos, guided symbolism is relied on the
influence the absence of pain causes on the patient in the 24
hours spent after the operation is carried on. However, in some
PICOT inquiries, this kind of examination is not necessary to
carry out (LoBiondo-Wood & Haber, 2017). For instance,
inquiries like those of importance questions are intended to
show the importance of some particular experience, and
therefore the factor of time is not important here.
Carlos' request to Rebecca is to think about the clinical

5. circumstances present on her unit and keep in her mind the end
goal in the decision of the group's intercession in the tending of
keenness. Reflection refers to a system that is used by clinicians
in the extrication of the necessary to use in the clinical question
3. For this matter, Rebecca and Carlos, therefore, have to make
u- turn and have a look at the clinical question that suits their
task.
This includes the quantity of the heart failures, spontaneous
ICU affirmations, the high sharpness of patients on the unit and
finally examination article on fast group reactions. Once this
issue is solved, the inquiry about PICOT can now be put down
on paper, knowing that Carlos gives Rebecca a quick response
on group intercession. Because the healing center does not have
a fast reaction group and an arrangement for tending to
keenness issues before an emergency presents itself, the
component (C), is not a quick reaction group. The results of the
research are spontaneous admissions in the ICU and heart
failures. The other results of the research are the lengths of stay
(Hudson, Oostendorp, Candy, Vickerstaff, Jones, Lakhanpaul, &
Stone, 2017).
The choice of study, in this case, took four stage processes:
technical review; full content audit and evaluation of quality.
To begin with, two of the makers openly investigated all
recognized examination claims. Duplicates and titles that did
not meet the thought criteria were removed. Similar makers at
that point uninhibitedly reviewed the changed works and a
while later the full papers of those condensations that met the
capability criteria. Finally, a quality assessment was done on
each full substance using set criteria of the STROBE rules.
STROBE is a plan of 22 things that must be tended to in the
report of observational investigations. This once-over isn't by
any extend of the creative ability a gadget to overview the idea
of observational research yet gives an essential bearing on the
idea of revealing the investigations.
Also, a balanced type of the Newcastle– Ottawa Scale (NOS)
for observational examinations were used to overview the

6. methodological quality. NOS is an instrument which is used on
the idea of non-randomized examinations to be utilized as a
piece of a precise review. Each investigation is judged with a
'star structure' on three concentrations: the decision of the study
amasses the proportionality of the get-togethers and the
ascertainment of the presentation or result. In our review, just
investigations in which five of nine things on the NOS were
regarded appealing and in which appropriate true examination
was guided were believed to be of high methodological quality
(Julien & Fourie, 2015). At each period of the quality
assessment, the reporters discussed together until the point that
an agreement on which concentrates on incorporating to.
Finally, the experts physically looked for the reference plans of
the included articles for promoting basic examinations that
could be incorporated into the examination.
Rebecca proposes the going by PICOT question: "In
hospitalized adults (P), how completes a brisk response
gathering (I) differentiated and no quick response gathering (C)
impact the number of heart disappointments (O) and off the cuff
admissions to the ICU (O) in the midst of a three-month time
traverse (T)?"Now that Rebecca has figured the clinical request,
she's set up for the accompanying step in the EBP strategy,
searching for the confirmation. Carlos compliments Rebecca on
working up an accessible, capable inquiry and driving forces to
meet with her again to mentor her in helping her find the answer
to her clinical request. The fourth article in this plan, to be
appropriated in the May issue of AJN, will focus on strategies
for looking the written work to find the affirmation to answer
the clinical question. Now that you've made sense of how to
detail a productive clinical request endeavor this movement: in
the wake of examining the two clinical circumstances in
Practice Creating a PICOT Question, select the sort of clinical
request that is most legitimate for each circumstance, and pick a
format to direct you. By then arrangement one PICOT question
for each circumstance. Prescribed PICOT request will be given
in the accompanying segment.

7. Conclusion
It is apparent from this investigation social and diverse
segments genuine affect the lived involvement and individual
fulfillment of the goal people. It is also certain that social
components may surpass restorative factors, other than in the
course of action of antiretroviral medications for these patients.
Almost certainly, like this, that understanding these parts and
the associations between them could improve nursing, and
social protection sharpens for people living with HIV/AIDS.
Regardless, this maker would similarly reason that because of
some methodological and report weaknesses in this
investigation; it is perfect to find other examination asserting
these revelations previously using it as verification for training
References
Chemnasiri, T., Beane, C. R., Varangrat, A., Chaikummao, S.,
Chitwarakorn, A., Van Griensven, F., & Holtz, T. H. (2018).
Risk Behaviors Among Young Men Who Have Sex With Men in
Bangkok: A Qualitative Study to Understand and Contextualize
High HIV Incidence. Journal of homosexuality, 1-16.
Comment by Doreen Farley: Please only capitalize the first
letter of the first word in your title which would be consistent
with APA and also with the article set-ups you have below.
Thanks.
LoBiondo-Wood, G., & Haber, J. (2017). Nursing Research-E-
Book: Methods and Critical Appraisal for Evidence-Based
Practice. Elsevier Health Sciences.
Hudson, B. F., Oostendorp, L. J., Candy, B., Vickerstaff, V.,
Jones, L., Lakhanpaul, M., ... & Stone, P. (2017). The under
reporting of recruitment strategies in research with children
with life-threatening illnesses: A systematic review. Palliative

8. medicine, 31(5), 419-436.
Julien, H., & Fourie, I. (2015). Reflections of affect in studies
of information behavior in HIV/AIDS contexts: An exploratory
quantitative content analysis. Library & Information Science
Research, 37(1), 3-9.
Kelley, A. S., & Morrison, R. S. (2015). Palliative care for the
seriously ill. New England Journal of Medicine, 373(8), 747-
755.
This work did not call for a reference section or an abstract.
Please see comments throughout this work. You will need to
send me your PICOT question, the 6 articles with their
abstracts, and let me know which articles are qualitative and
which are quantitative. Please see the announcement that has an
attachment explaining how to complete this assignment. Please
send in a word document in the individual forum so that I can
approve your PICOT and related articles. I was very lenient
here with the grading as you did not provide the correct
information. If you have any questions, please let me know.
Professor Farley
Running Head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT statement
Name of the student
University affiliation
Date of submission

9. PICOT statement
The PICOT question is what are the effects of the hypertension?
What is the population affected with hypertension, intervention
which is acquiring advice about the best meals, the comparison
with other diseases, outcomes of the findings.
Patient/population
The population that is mostly affected with hypertension
are male adults between the ages of 40 and 70 with
hypertension, and with different diseases, that shows alteration
in lifestyle for instance encouraging routinely in practice and
taking in more advantageous and sufficient dinners, appeared
differently in relation to patients who use solution to
treat/manage their high blood pressure, assist to manage their
heartbeat and lessen the threat of making cardiovascular
sicknesses in their recovery time inside a half year. The period
will be long to make a sick be able not to encounter the evil
impacts of high blood pressure and to in like manner diminish
the threats that the general population will customarily
experience.
Intervention
The important strategy for medication for ill people with
hypertension it is with no risk to position them under medicine
so that they can be restored. That is the most secure way as it
will impact the patient to have the ability to manage themselves
to the extent how they to think, what they eat and even the
activities that they endeavor to take an interest in. The age of
the patients will in like manner suggest that the sick are given
arrangement that can oversee them in the most useful means and
which they can recognize with everything taken into account.
The medicine that can be provided for this circumstance is one

10. that can diminish the brutality of a prescription. The nursing
intervention for sick with hypertension is evaluating the health
effects that sick are encountering and checking the obscured
vision in like clockwork until the point when it leaves. Another
nursing mediation is for an attendant to teach a sick on how
they counsel with their specialist before the medicine is ceased
(Dua, et.al, 2014).
Comparison
The first contrasting alternative to differentiate from the
intervention will have to do with affecting the sick to acquire
the chance to complete a large proportion of exercises. That’s
one fundamental step that will make it legal to have the ability
to deal with the issue of high blood pressure and since practices
have been shown that they function, it will then be essential for
the patient to recover from hypertension and what will suggest
that they will be restored from such sickness. Around the end,
all will have wound up being satisfied as the patient will have
the potential to acquire the right medication. Understanding
consideration to those with hypertension is to initially instruct,
measure the pulse and even offer guidance learning will involve
altering the conduct of a sick that is identified with smoking,
liquor admission and to oversee pressure (Howes, et.al. 2013).
Outcome
In this investigation and dealing with a sick it is with no
worry that there are issues that are being assumed to and which
are there to have the ability to deal with the manner in which a
sick finds the opportunity to respond to medication or even
exercise. The cerebral problems that are consistently observed
in patients with hypertension joined with the proportion of
contemplations are the status that are to be wiped out in the
patients that have high blood pressure. The various ominous
events in the sick will have decreased given the patients having
the ability to be under medical or despite partaking in practices
that are helpful for their prosperity. Social insurance
organization for thinking about patients with hypertension can
be any semblance of Intrepid USA Healthcare Services which

11. gives Hypertension Management Program that enables patients
to get and have a kept up circulatory strain that is sound
(Howes, et.al. 2013).
Time
The period that should be considered in this hypertension
condition is around half an year. Through seeking information
from the case studies and preparing questionnaires with the
medical experts of hypertension (Howes, et.al. 2013).
References
Dua, S., Bhuker, M., Sharma, P., Dhall, M., & Kapoor, S.
(2014). Body Mass Index Relates. to Blood Pressure Among
Adults. North American Journal of Medical Sciences, 6(2), 89–
95. http://doi.org/10.4103/1947-2714.127751
Howes, F., Warnecke, E., &Nelson, M. (2013). Barriers to
lifestyle risk factor assessment and management in
hypertension: A qualitative study of Australian general
practitioners. Journal of Human Hypertension, 27, 474-478
doi:10.1038/jhh.2013.9. NRS-490 PICOT Statement Paper:
Problem of Hypertension