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Evidence-Based Healthcare

Background vs Foreground Questions

Background questions ask for general knowledge and do not normally arise from the need to make a clinical decision.

  • Background questions usually have two essential components:
    • A question root (who, what, when, etc.) with a verb
    • A disorder, treatment, test, or other aspect of healthcare
      • e.g. What causes obesity? When should children be introduced to sexual education?  Who is most susceptible to nursing burnout?
  • Background information can be found in: 
    • reference book entries
    • textbooks, chapters, appendices
    • drug monographs, guides to diagnostic tests

​Foreground questions ask for specific knowledge to inform clinical decisions or actions.

  • ​Foreground questions usually have 3 or 4 essential components, from the PICO format:
    • ​Patient/population characteristics, problem
    • Interventions or Exposures 
    • Comparison
    • Outcome
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