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Week 2 main post Literature Search Evidenced-based practice (EBP) is developed through nursing judgment, patient preferences, and the best evidence that improves patient care developed through research (Polit & Beck, 2017). To improve my research, I had to change my approach and my PICOT. My new question is “In patients with opioid addiction does the use of Methadone opioid replacement therapy, as compared to not using MAT, decrease the risk of relapse within the first year of recovery.” PICOT according to Walden Student Center for Success (2012), stands for P-Patient/Population/Problem, I-Intervention/Prognostic Factor/Exposure, C-Comparison (Optional), O-Outcome, and T-Time. My PICOT is: P-Patient with opioid addiction I-Utilizing MAT C- compared to not using MAT O-does not relapse T-During the first year of recovery I first used the Walden University library and used the Boolean/phrase opioid addiction, and methadone, and relapse prevention which generated 41 hits. Next, I used Google Scholar and when I put my question in it generated 1,400 hits. But not all were good hits and deviated off topic or included more than I wanted. I then reduced my question using keywords opioid treatment with methadone and received 845 hits which were composed of many good hits, but it would be time-consuming to go through all of them. I would have to utilize a couple and not pan through all of them. Even when I continued to rephrase it generated too many. I then proceeded to PubMed which generated 32 hits of good quality. I used keywords methadone, addiction, treatment, maintenance, and relapse. Cochrane was the best and revealed 11 quality hits with also 111 trials. Keywords used methadone, maintenance, treatment, opioid addiction.
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