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NR439 week 3 PICOT Worksheet May 2017

June 26, 2020
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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 at.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z0″>http://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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