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NURS 3030: Evidence-Based Practice in Nursing

STEP 3: Search Terms & Search Strategy

Building a Database Search Strategy for the PICOT Question: 

  • A well-built PICOT question forms the basis of a database search strategy for finding research literature.
  • Concepts from the PICOT question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICOT
  • Relevant elements of your PICOT question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICOT question for searching are the P, I, and O. 
  • After developing a list of search terms, you can then begin brainstorming your search strategy for combining terms with OR or AND (this is called Boolean logic), and using other techniques such as truncation (i.e. a keyword search for elder* will find articles with the term elder, elders, or elderly) or quotes (i.e. a keyword search for "older adult*" will find articles with that exact phrase)

PICOT Question Example: 

In community-dwelling older adults (P), what is the effect of social support (I) compared with usual care (C) on loneliness and isolation (O) within the lifespan (T)?

  PICOT Question

Search Terms

- List concepts, synonyms, related terms, broader or narrower terms, and spelling variations

 Search Strategy

- Combine Search Terms logically with Boolean operators (OR, AND)

- Incorporate other techniques such as truncation, quotes, or parentheses 

In

(P - Patient/Population/Problem)

community-dwelling older adults

community-dwelling

older adults

elderly

geriatric

community-dwelling AND ("older adult*" OR elder* OR geriatric)

  AND

what is the effect of

(I - Intervention/Variable of Interest)

social support

social support

social networks

social interaction

friendships

relationships

companionship

peers

 

"social support" OR "social network*" OR "social interact*" OR friend* OR relation* OR companion* OR peer*
  AND

compared with

C - Comparison (may be "standard care" or "usual care")

usual care Not needed as a search term N/A
  AND

on

(O - Outcome)

loneliness and isolation

loneliness

lonesome

lonely 

isolation

alone

aloneness

lone* OR isolat* OR alone*
  AND

within

(T - Time)

the lifespan? Not needed as a search term N/A