Intervention

PICO/PICOT Question

Remember, this is your "burning" clinical question you want an answer to.

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· Post your PICOT question.

· Follow the Rubric instructions below to complete your PICOT Discussion Post.

· Post your initial post by Wednesday, 1159, and respond to at least two of your colleagues/classmates by Saturday 1159.

 

Grading: A rubric is provided to explain the criteria for points and how you will be graded for your PICO/PICOT post.

1.

1. Patient Population of interest: What populations are you interested in?

2. Intervention/Issue: What intervention are you interested in?

3. Comparison Intervention: What will the intervention be compared to?

4. Outcomes: What outcome do you want to see?

5. Time: What time frame for or duration of the study?

This is a example of my friends work. It should be the same outline but different title. This topic cannot be used.

THIS IS A EXAMPLE:

Intervention versus Prevention?

Patient Population of Interest: The population I am interested in is adult stroke patients. Intervention/Issue: The intervention I am interested in is keeping the patient NPO until imaging has resulted, then implementing the dysphagia screening tool with two nurses, at two separate times, at least 30 minutes apart, and then reassessing by one nurse every 24 hours for three days. Comparison Intervention: The intervention I will compare to is usual care according to the American Heart Association stating that dysphagia screening is to be done within 24 hours of stroke, regardless of imaging, and other multidisciplinary team members may do an evaluation (Fedder, 2017). Outcomes: The outcome I want to see is less pneumonia, which is a common complication from strokes and is associated with an increased risk for mortality, with about 10% of patients obtaining post-stroke pneumonia, regardless of the implementation of protocols for a highly studied field (Phan et al., 2019). Time: The time frame is difficult to decide, but I think I would want to do it within the first week of diagnosis of stroke because pneumonia takes a few days to appear, and some stroke patients have a progression of symptoms within a few days. In one of the studies, the article states that pneumonia develops within seven days affecting 2.3-44% of patients, with 43-79% of the patients having pneumonia within 72 hours of the stroke onset (Liu et al., 2022).

I am torn between whether this is more prevention or intervention so I have both, interventional PICOT and prevention PICOT, and would love some feedback. 

Template Intervention/Therapy: In adult patients diagnosed with strokes, what is the effect of assessing a patient with dysphagia screening after imaging results with two nurses 30 minutes apart, with reassessment every 24 hours for three days on stroke-associated pneumonia compared with normal care within one week? Template Prevention: For adult patients diagnosed with a stroke, does the use of assessing a patient with dysphagia screening after imaging results with two nurses 30 minutes apart, with reassessment every 24 hours for three days reduce the future risk of stroke-associated pneumonia compared with normal care?

References

Fedder, W. N. (2017). Review of evidenced-based nursing protocols for dysphagia assessment. Stroke, 48(4).  https://doi.org/10.1161/strokeaha.116.011738 Links to an external site.

Liu, Z.-Y., Wei, L., Ye, R.-C., Chen, J., Nie, D., Zhang, G., & Zhang, X.-P. (2022). Reducing the incidence of stroke-associated pneumonia: An evidence-based practice. BMC Neurology, 22(1).  https://doi.org/10.1186/s12883-022-02826-8 Links to an external site.

Phan, T. G., Kooblal, T., Matley, C., Singhal, S., Clissold, B., Ly, J., Thrift, A. G., Srikanth, V., & Ma, H. (2019). Stroke severity versus dysphagia screen as driver for post-stroke pneumonia. Frontiers in Neurology, 10.  https://doi.org/10.3389/fneur.2019.00016 Links to an external site.