Surgical site infections are my topic of interest. When reading the literature o

Surgical site infections are my topic of interest. When reading the literature on how to formulate a clinical question for evidenced based research I used foreground questions to narrow down a specific intervention that is more effective in reducing surgical site infections in obese adults undergoing surgery (Stillwell et al., 2010). In the hospital I see that PICO dressings are being used compared to standard wound dressings on obese patients to help prevent wound complications and infection. The PICO mnemonic stands for “P – Patient or Problem: Who is the patient? What are the most important characteristics of the patient? What is the primary problem, disease, or co-existing condition? I – Intervention: What is the main intervention being considered? C – Comparison: What is the main comparison intervention? O – Outcome: What are the anticipated measures, improvements, or affects?” (Davies, 2011, p. 76). Following this mnemonic structure, my clinical question of interest is “Are PICO-negative pressure wound therapy dressings more effective than standard wound dressings in reducing and or preventing surgical site infections rates in obese adults undergoing surgery? P- Obese adults undergoing surgery I- PICO – Negative pressure wound therapy (NPWT) C- wound dressing changes O- Reduce and or prevent Surgical site infections T- within 6 weeks Using Boolean keywords in the search engine of CINAHL plus with full text I used one word for each field with connectors to synonyms to yield the most precise results to my topic of interest; as well as provide publication date range for the last 5 years (2018-2023), and checked to include peer-reviewed articles within my search (Walden University Library, n.d.). I searched “high BMI or obesity” “and” Wound vacuum or negative pressure wound therapy “and” Surgical site infection or Surgical wound infection “and” Prevention or reduction or minimize “Not” systemic review This search yielded 19 results I further explored the search engine to gain articles on standard wound dressing so I changed obese to “adults” and the second search line to “wound dressing” instead of wound vac specifically and yielded 45 results. Articles displayed studies including both intervention of comparison between standard wound dressings and PICO- negative pressure wound therapy. Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworksLinks to an external site.Links to an external site. for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.Links to an external site.Links to an external site. American Journal of Nursing, 110(3), 58–61. Walden University Library. (n.d.-c).Evidence-based practice research: CINAHL search helpLinks to an external site.Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelpLinks to an external site. Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean termsLinks to an external site.Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean