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Nursing: Step 1: Your Question

Your Research Question

The first step in your research is always going to be identifying your research question. Depending on your information need, this question can often take the form of either a background question or a foreground question.

Background Questions

If you are interested in more general knowledge about a particular disease, process, treatment, etc., then you very likely have a background research question. This is usually no more than one or two sentences, and can often be pretty broad.

Frequently, background questions can be answered using Point-of-Care tools (e.g., UpToDate, VisualDX) and/or textbooks.

Examples

  • What are common treatments for adults with chronic migraines?
  • How is screening for melanoma done in adolescents?
  • What are the genetic risk factors of Type 1 diabetes?

Foreground Questions

Foreground questions are more specific, and frequently inform clinical decisions. Questions like this are typically not easily answered. They often require searching for relevant evidence in literature databases like PubMed and CINAHL Plus.

One of the common frameworks for identifying your foreground research question in health sciences is the PICO framework, also sometimes encountered as PICOt or even PICO(t). A good foreground research question will address the following components:

Explanation of the PICOt framework
Initial What it stands for What it encompasses
P Patient, Population, or Problem Who you are researching; incl. any disease or disorder
I Intervention Primary intervention or treatment you are interested in
C Comparison or Control Comparison or alternative treatment 
O Outcome Expected outcome or result
t Time Time to follow-up, time of exposure to intervention, or similar (the time component is often optional)

Examples

  • In newborns undergoing a heelstick procedure, is the use of oral sucrose more effective in reducing pain than the standard method?
    • P: newborns undergoing heelstick
    • I: oral sucrose
    • C: standard method
    • O: pain reduction
  • Is individual patient education more effective at improving diabetes-related health outcomes compared to standard follow-up care?
    • P: diabetic patients
    • I: individual patient education
    • C: standard follow-up care 
    • O: improved health outcomes (e.g., lower blood pressure, lowered risk of extremity amputation, fewer hyperglycemic emergencies)