{"id":8,"date":"2009-06-29T09:19:57","date_gmt":"2009-06-29T08:19:57","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn-confessions\/?p=8"},"modified":"2009-06-29T09:19:57","modified_gmt":"2009-06-29T08:19:57","slug":"focussed-clinical-questions","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn-confessions\/2009\/06\/29\/focussed-clinical-questions\/","title":{"rendered":"Focussed Clinical Questions"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt\"><span style=\"font-size: small;font-family: Arial\">Today I have a day off, and enthusiastically start to look for a \u2018revolutionary\u2019 piece of evidence to introduce into the day unit.<span>\u00a0 <\/span>I know that Evidence Based Nursing (http:\/\/ebn.bmj.com) and The Cochrane Library of Systematic Reviews (<span style=\"color: black\"><a href=\"http:\/\/www3.interscience.wiley.com\/cgi-bin\/mrwhome\/106568753\/HOME\"><cite><span style=\"color: black;text-decoration: none\">www.cochrane.org<\/span><\/cite><\/a><\/span>) are good places to look for quality evidence, but I don\u2019t really know what I am looking for.<span>\u00a0 <\/span>I notice that the majority of the reviews concern drug treatments, or the efficacy of certain surgical procedures and that as a student nurse I am not in a position to influence either.<span>\u00a0 <\/span>I find an article about knee surgery.<span>\u00a0 <\/span>For one awful moment I have visions of trying to confront Mr Shetland the orthopaedic surgeon with my piece of evidence.<span>\u00a0 <\/span>Mr Shetland is not an easy man to work with.<span>\u00a0 <\/span>He is an excellent surgeon I have no doubt, but I have watched him reduce his theatre staff to tears as he bombarded them with a sustained barrage of criticism.<span>\u00a0 <\/span>Rumour has it that his reg walked out on him.<span>\u00a0 <\/span>Trying to discuss my piece of evidence with him is unthinkable.<span>\u00a0 <\/span>This is an ignominious start to my aspirations to spread the word of evidence based practice.<span>\u00a0 <\/span>I have fallen before leaving the starting blocks.<span>\u00a0 <\/span>I spend another hour scanning through endless articles about the merits of using indigenous health care workers in treating indigenous children with asthma and other esoteric topics before realising I am wasting my time.<span>\u00a0 <\/span>I remember being taught at university about the necessity of a focussed clinical question, and realise that that is what I need.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Today I have a day off, and enthusiastically start to look for a \u2018revolutionary\u2019 piece of evidence to introduce into the day unit.\u00a0 I know that Evidence Based Nursing (http:\/\/ebn.bmj.com) and The Cochrane Library of Systematic Reviews (www.cochrane.org) are good places to look for quality evidence, but I don\u2019t really know what I am looking [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn-confessions\/2009\/06\/29\/focussed-clinical-questions\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1191,1192,1190],"tags":[],"class_list":["post-8","post","type-post","status-publish","format-standard","hentry","category-day-surgery","category-evidence-based-nursing","category-student-nurse"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/posts\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/posts\/8\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/media?parent=8"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/categories?post=8"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn-confessions\/wp-json\/wp\/v2\/tags?post=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}