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NR439 week 3 PICOT Worksheet

NR439 week 3 PICOT Worksheet

Question

PICOT Worksheet:

Guidelines and Grading Rubric

Purpose

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.

Course Outcomes

This assignment enables the student to meet the following Course Outcome.

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

Due Date

This assignment consists of the completion of the PICOT question Worksheet. Submit the completed worksheet to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 200 points.

Directions

1. Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment athttp://www.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z0

2. Download the PICOT worksheet form from Course Resources. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.

3. Submit the completed PICOT Worksheet to the Week 3 Dropbox.

Grading Criteria: PICOT Worksheet

Category Points % Description
PICOT question 50 25% Question or nursing problem is identified and is an independent nursing decision.
PICOT elements 50 25% PICOT elements are correctly identified. Outcomes are measurable.
Practice issue and scope of the problem 50 25% Practice issue/problem is thoroughly described. The need for change is evident.Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.
Evidence and search terms 50 25% Appropriately identifies the types of evidences that should be gathered. Uses manageable search terms and ways in which the search can be narrowed is discussed.
TOTAL 200 100

EXAMPLE 1:

What is the PICO question? Will influenza immunization compliancy 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): Hospital employees and volunteers required 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 at a variety of times, available to all shifts

C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.

O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers

EXAMPLE 2:

What is the PICO question? For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?

Define each element of the question below:

P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.

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

C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia

O- (Desired outcome): Improvement of pulmonary complications

T-(Time): 90 days

PICOT Worksheet – Week 3

Part 1:PICOT Question

Name:

Date:

Your Instructor’s Name:

Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.

Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet.

Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles.

Step 2: Identify the problem. 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, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question)

Step 3: How was the practice issues 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 4: What evidence must be gathered? What sources of reliable information will be helpful for your particular question?

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


PICOT Question
What is the PICOT question?

Define each element of the question below:

P– (Patient, population, or problem):

I– (Intervention):

C– (Comparison with other treatment/current practice):

O– (Desired outcome):

T– (Time Frame):

What is the practice issue/problem? What is the scope of the issue?What is the need for change?
What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other

How was the practice issue identified? (check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

___ Other:

What evidence must be gathered? (check all that apply)
___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

Search terms/How to narrow the search?

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