I (intervention)- administration of Ofirmev C (comparison)- patients not receiving Ofirmev O (outcome)- decreased pain and PONV T (time)- pain-management postoperatively Methodology In researching my PICO question I searched several databases in answering this question. I used the following keywords for my searches: Ofirmev, IV Tylenol (acetaminophen), decreased pain and PONV. The databases that were used were Cinahl, Pub-Med and Cochrane Reviews. I also used The Agency for Healthcare and Research Quality (AHRQ). The databases where I found articles of interest to my subject were Cinahl, Pub-Med and Cochrane Reviews. AHRQ provided no relevant information to include in my findings. I used the advance searches and narrowed my search to include research from 2008 to current. Using the databases I explored the articles that were relevant to my PICO statement. I reviewed the articles by reading the abstracts and then gathered those articles to start conducting my research on Ofirmev. I critically appraised four articles and dissected each of those articles in the design method that was used, determined quantitate or qualitative research, what kind of sample size and measurements that were used, and the findings from each article. I also reviewed each article for a level of evidence (Melnyk & Fineout-Overholt, 2011). Levels of evidence are used for articles based on the strength and quality of the research that is provided. There are many different hierarchies of level of evidence that are used in research. I used the hierarchy that Melnyk provides. There are seven levels in her pyramid that is used to rate the level for each article. The strongest level is one that uses systematic reviews and analysis of several random clinical trials. The levels of evidence range from studies that use
I (intervention)- administration of Ofirmev C (comparison)- patients not receiving Ofirmev O (outcome)- decreased pain and PONV T (time)- pain-management postoperatively Methodology In researching my PICO question I searched several databases in answering this question. I used the following keywords for my searches: Ofirmev, IV Tylenol (acetaminophen), decreased pain and PONV. The databases that were used were Cinahl, Pub-Med and Cochrane Reviews. I also used The Agency for Healthcare and Research Quality (AHRQ). The databases where I found articles of interest to my subject were Cinahl, Pub-Med and Cochrane Reviews. AHRQ provided no relevant information to include in my findings. I used the advance searches and narrowed my search to include research from 2008 to current. Using the databases I explored the articles that were relevant to my PICO statement. I reviewed the articles by reading the abstracts and then gathered those articles to start conducting my research on Ofirmev. I critically appraised four articles and dissected each of those articles in the design method that was used, determined quantitate or qualitative research, what kind of sample size and measurements that were used, and the findings from each article. I also reviewed each article for a level of evidence (Melnyk & Fineout-Overholt, 2011). Levels of evidence are used for articles based on the strength and quality of the research that is provided. There are many different hierarchies of level of evidence that are used in research. I used the hierarchy that Melnyk provides. There are seven levels in her pyramid that is used to rate the level for each article. The strongest level is one that uses systematic reviews and analysis of several random clinical trials. The levels of evidence range from studies that use
picopaperreflection.docx