Exploring the Evidence: Generating a Research Question: Using the PICOT Framework for Clinical Inquiry.

The PICOT (Population, Intervention, Comparison, Out - come, Timeframe) framework succinctly gives structure to developing and solving a research or clinical question. It acts as a framework to assist a researcher or clinician to drill down to the essence of their question. This guides the researcher or clinician to formulate exact questions, identify relevant research or evidence, and tailor interventions to address the problem or challenging situation they are looking to solve or resolve. This article describes the PICOT framework and utilizes a clinical case study to illustrate its applicability and implementation.

Exploring the Evidence: Using Technology to Improve Integrated Care Coordination.

A transition of care is defined as a change in level of health care services, as patient care needs change from one location to another during acute or chronic illness. The location of services can vary from the hospital, skilled nursing facility, an outpatient setting, a primary care provider's office, or home health. Care coordination gaps can occur due to a lack of information exchange through the electronic health record, a lack of evidence-based standards, and poor communication among providers. Often, clinicians work with a silo mentality, resulting in poor health outcomes and negatively impacting the patient care experience. Patients with chronic kidney disease (CKD) are vulnerable to suboptimal integrated care coordination during transitions of care, as individuals seek treatment from diverse practitioners within multiple settings to meet their medical needs. This article discusses methods to improve integrated care, emphasizing the use of technology-based interventions to facilitate care transitions for patients with CKD.

Research and Quality Improvement: How Can They Work Together?

Research and quality improvement provide a mechanism to support the advancement of knowledge, and to evaluate and learn from experience. The focus of research is to contribute to developing knowledge or gather evidence for theories in a field of study, whereas the focus of quality improvement is to standardize processes and reduce variation to improve outcomes for patients and health care organizations. Both methods of inquiry broaden our knowledge through the generation of new information and the application of findings to practice. This article in the "Exploring the Evidence: Focusing on the Fundamentals" series provides nephrology nurses with basic information related to the role of research and quality improvement projects, as well as some examples of ways in which they have been used together to advance clinical knowledge and improve patient outcomes.