NR631 Q-2 PICOT

Guidelines and Rubric

Purpose:

Clear identification of the problem or opportunity is the first step in evidence-based nursing. In a previous course, you identified a practice problem of interest and developed a PICOT question. This assignment is a review of PICOT with the opportunity to revise or refine it. You will post your PICOT in the Week 1 discussion for your classmates to review and provide feedback.

Due Date: Sunday 11:59 PM MT at the end of Week 1

Total Points Possible: 50 points

Requirements:

Description of the Assignment

Use the PICOT worksheet found in Course Resources to complete the Week 1 Assignment PICOT Worksheet.

Step 1: State your PICOT question. This should be the PICOT question that you previously developed in NR505 and which you should have continued to build upon in the Nurse Executive–track courses. If your PICOT question has changed since NR505, please note the changes in this section so it’s clear to the instructor what was original and what has been updated.

Step 2: Clearly define your PICOT question. List each element: P (patient, population, or problem), I (intervention), C (comparison with other treatment or current practice), O (desired outcome), and T (time frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence-based research? Look in your book for guidelines to developing your PICOT question and read the required articles.

Step 3: Describe the issue or problem that will be the focus of your CGE evidence-based practice change project. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, and what can you change with the support of evidence in the literature?

Step 4: How was the practice issue identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.

Step 5: What terms did you use to make sure that your search was wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed?

Criteria for Content

1. Access the PICOT worksheet found in the Course Resources area.

2. Follow the instructions on the PICOT worksheet and complete the form.

3. Submit the completed PICOT worksheet form.

Example 1:

What is the PICO(T) question?

Will influenza immunization compliance rates increase if flu clinics are provided in a flu PODs and immunization clinics at convenient times covering all shifts?

Define each element of the question below.

P (patient, population, or problem): Require hospital employees and volunteers to have the influenza immunization annually.

I (intervention): Offer multiple flu PODs and immunization clinics to hospital employees and volunteers, making it convenient to receive the required immunization. Offer them at a variety of times, available to all shifts.

C (comparison with other treatment or current practice): Compare analytics showing employees and volunteers who received a flu shot prior to 2016—when flu PODs and immunization clinics were not offered—to 2016, when flu PODs and immunization clinics are offered to accommodate shifts. Track the number of employees and volunteers coming at each hour time frame.

O (desired outcome): Increase of compliance (number of employees and volunteers receiving the annual mandatory flu shot).

Example 2:

What is the PICO(T) question?

For nondiabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly promote improvement of pulmonary complications versus making no observations for signs of hyperglycemia?

Define each element of the question below.

P (patient, population, or problem): Nondiabetic patients on corticosteroid therapy

I (intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision

C (comparison with other treatment or current practice): No observations for signs of hyperglycemia

O (desired outcome): Improvement of pulmonary complications

T (time frame): 90 days

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained within is my original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Directions and Assignment Criteria

Chamberlain College of Nursing NR505 Advanced Research Methods: Evidenced Based Practice

Chamberlain College of Nursing NR631 Nurse Executive Concluding Graduate Experience 1

NR505: W2 Assignment Refinement of Nsg. Issue Rev-7/31/2017 (AR)

Grading Rubric