What needs to change in nursing, what can you change with the support of evidence in the literature?

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What needs to change in nursing, what can you change with the support of evidence in the literature?

Week 3 PICOT/Evidence
Appraisal Assignment PICOT Worksheet:Guidelines and Grading RubricPURPOSEClear 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 OUTCOMESThis 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 DATEThis 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 ofWeek 3.POINTSThis assignment is worth 200 points.DIRECTIONS1. Read
these guidelines including the grading rubrics below. Watch this video on how
to complete the assignment at
http://www.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z02. 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 % DescriptionPICOT 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
shiftsC- (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 visionC- (Comparison with other treatment/current practice): No
observations for signs of hyperglycemiaO- (Desired outcome): Improvement of pulmonary complicationsT-(Time): 90 daysPICOTWorksheet Week 3PART 1: PICOT QUESTIONName: Date: Your Instructors 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 questionand also read the
required articles. Step 2: Identify the problem.What have you noticed in your
work or school environment that isnt 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 QuestionWhat 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___ OtherHow 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?PICOT Worksheet:Guidelines and Grading RubricPURPOSEClear 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 OUTCOMESThis 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 DATEThis 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 ofWeek 3.POINTSThis assignment is worth 200 points.DIRECTIONS1. Read
these guidelines including the grading rubrics below. Watch this video on how
to complete the assignment at
http://www.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z02. 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 % DescriptionPICOT 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
shiftsC- (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 visionC- (Comparison with other treatment/current practice): No
observations for signs of hyperglycemiaO- (Desired outcome): Improvement of pulmonary complicationsT-(Time): 90 daysPICOTWorksheet Week 3PART 1: PICOT QUESTIONName: Date: Your Instructors 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 questionand also read the
required articles. Step 2: Identify the problem.What have you noticed in your
work or school environment that isnt 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 QuestionWhat 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___ OtherHow 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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