Nitu Ghale (S00262891)
Is there any evidence that the use of a dummy may disrupt exclusive breastfeeding?
In this presentation we have to discuss each of the PICO elements from question and the choice of keywords, search terms and alternative words that were used to complete the structured search (including the use of truncation or wildcard).
What is PICO?
PICO is a process that outlined the clinical research question which accesses the framework to think more specifically about the different aspect of what you want to investigate, and it is also a fundamental part of evidence-based research. According to Trisha M. Greenhalgh Clinician use PICO terms to search for research articles about the treatment and patients that relate to the clinician’s work (Greenhalgh, 2016).
Our clinical question is quantitative research. Additionally, PICO is a clinical tool that helps to transform the information needs into the answerable question. Each of the four letters in PICO represents the common component of clinical question. Where: P stand for patients/ population/problems, I: stand for intervention/Exposure, C: stand for comparative and O: stand for an outcome.
Our initial research question is:
Is there any evidence that the use of a dummy may disrupt exclusive breastfeeding? On basis of our clinical question PICO elements stand for:
P: “Infant” OR “babies” OR “toddler” OR “children”
I: “Dummies” OR “pacifier” OR “soothers”
C: “no pacifier” OR “crawlers” OR “boilers”
O: “breastfeeding” OR “lactation”
While doing a research the PICO keywords and search terms that we have used are:
C: “no pacifier” and
The alternative words for PICO that have been used to complete the structured search are:
P: “infant” OR “toddler” OR “children”
I: “dummies” OR “soothers”
C: “crawlers” OR “boilers”
In this research, we took the data from the Cochrane review and Greenhalgh book because we find it more reliable. Furthermore, It collects the data from one trial and put them together for effective, accurate and up to date outcomes which were more suitable for our research.
In this research process, we have used the phrases to narrows our research and find more relative articles with specific information related to our clinical question. We have used the Boolean operators as well to exclude keywords in a search, to find more focused and productive results. Example: OR, AND.
Greenhalgh, T. (2016). UNDERSTANDING RESEARCH METHODS FOR EVIDENCE-BASED PRACTICE IN HEALTH 1E. Melbourne: Wiley, pp.51",52",53.
Jaafar, S., Jahanfar, S., Angolkar, M. and Ho, J. (2012). Cochrane Review: Pacifier use versus no pacifier use in breastfeeding term infants for increasing duration of breastfeeding. Evidence-Based Child Health: A Cochrane Review Journal, 7(3), pp.1157-1179.
Jaafar, S., Ho, J., Jahanfar, S., & Angolkar, M. (2016). Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding. Cochrane Database Of Systematic Reviews. doi: 10.1002/14651858.cd007202.pub4
Grocock, R., Robertson, C., & Brown, N. (2018). Dummies: A review of the evidence. Journal Of Health Visiting, 6(4), 182-184. doi: 10.12968/johv.2018.6.4.182