Category: PICOT

EBP Appraisal and Synthesis

July 25, 2021

After researching our chosen topic (the use of music therapy in mechanically ventilated patients) it became clear to us that this technique, while maybe not widely implemented, is effective and useful in the clinical setting. From the start, just based on a quick overview of our articles, we knew that music therapy was understood to be helpful in creating a healing environment. However, I didn’t realize the extent to which it was useful in shortening hospital stays, preventing agitation, and decreasing the number of days on a ventilator. Additionally, our articles pointed out that music therapy as a treatment is cost-effective, requires minimal resources, and does not require additional training for staff.

That being said, I can confidently say that I will implement music therapy into my future nursing practice. At no point in any of our articles were any adverse effects listed, which is a promising finding. Considering that it does no additional harm, and actually reduces anxiety for patients at no additional cost, I would use it for as many patients as possible.

I think the only point of disagreement my groupmates and I had about the findings was how we might tweak our PICOT question. Some of the research articles we found talked about ICU patients specifically, others talked about conscious versus unconscious patients, and we went back and forth for a bit about how specific our patient population should be.

During the writing process, the only challenge we faced as a group was blending our writing styles in our paper, which worked out nicely once we revised the paper as a group.

From Inquiry Through Discovery

After coming up with our original PICOT question, and finding reliable resources, my group was able to narrow down our topic a bit more. Originally, our question was “What is the relationship between music and patient outcomes in the ICU?”, which was a good start, but it was still a bit vague. Researching the original question helped us to more narrowly define “patient outcomes” and we decided to focus on anxiety levels in ventilated patients. Our revised question is “What is the relationship between music and anxiety levels in critically ill ventilated patients in the ICU?” This was a difficult process, as our searches came up with multiple potential outcome topics. However, it seemed like the majority of the primary resources we found discussed playing music for ventilated ICU patients and monitoring more self-reported measures like pain and anxiety. We were quickly able to agree on this change, given the number of pertinent journal articles we found. I think what was helpful for our process as a group was our collective ability to connect to this subject, and share personal stories relating to our question. We are all very devoted to and excited about our chosen topic!

Planning the Journey

I anticipate this group project going smoothly. I have worked with my teammates during group work before, and I know that we all trust each other’s ability to do good work. Our communication plan so far is to talk over text, email and zoom to work out details and assign tasks. We will set deadlines for ourselves and hold each other accountable for the work we agree to do. In the case of a conflict, we will have honest conversations and reorganize, reassigning tasks and making edits as needed. Respectful, timely communication is key to successful group projects. I don’t foresee many barriers to completing this project, however, everyone tends to do work and write papers a little bit differently, so that is good to keep in mind preemptively. We each have different levels of clinical experience as well, and that is an important factor as we prepare to write a paper involving hospital policies and different interventions in the care process. This same idea will be useful in future nursing practice, as every individual brings a completely different set of experiences to the table, which can be an advantage as well as a disadvantage at times.

© 2026 Evan's ePortfolio

Theme by Anders NorenUp ↑

css.php