NR 439 Week 3: PICOT/Evidence Appraisal Assignment Paper

NR 439 Week 3: PICOT/Evidence Appraisal Assignment Paper

NR 439 Week 3: PICOT/Evidence Appraisal Assignment Paper

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PICOT Worksheet Guidelines

NR 439 Week 3: PICOT/Evidence Appraisal Assignment (graded) Purpose

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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 NR 439 Week 3: PICOT/Evidence Appraisal assignment enables the student to meet the following Course Outcome.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

Due Date

Submit the completed  by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 200 points.

NR 439 Week 3: PICOT/Evidence Appraisal Assignment Paper (graded) Directions

  1. Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at 
  2. 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. Download an  of how to fill in the worksheet to help you complete your own form.
  4. Submit the completed PICOT Worksheet form.

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

**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 is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

PICOT Worksheet – Week 3

Part 1: PICOT Question

Name:

Date: 07/23/2017

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 questionand 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?

NR 439 Week 3: PICOT/Evidence Appraisal Assignment Paper Rubric

NR439_PICOT_Worksheet
NR439_PICOT_Worksheet
Criteria Ratings Pts

PICOT question

Question or nursing problem is identified and is an independent nursing decision.

50.0 pts

Outstanding Question or nursing problem identified that is an independent nursing decision

44.0 pts

Very good Question or nursing problem is identified that is an independent nursing decision

40.0 pts

Competent Question or nursing problem is identified that is an independent nursing decision.

19.0 pts

Question or nursing problem is identified but is not an independent nursing decision.

0.0 pts

Question or nursing problem is not identified.
50.0 pts

PICOT elements

PICOT elements are correctly identified. Outcomes are measurable.

50.0 pts

PICOT elements are correctly identified. Outcomes are measurable.

44.0 pts

One PICOT element is not correctly identified. Outcomes are measurable.

40.0 pts

Two PICOT elements are not correctly identified. Outcomes are not measurable

19.0 pts

Three or more PICOT elements are not correctly identified. Outcomes are not measurable.

0.0 pts

PICOT elements are not identified. Outcomes are not identified.
50.0 pts

Practice issue and scope of the problem

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.

50.0 pts

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.

44.0 pts

Practice issue/problem is partially described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

40.0 pts

Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

19.0 pts

Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is not identified. Identification of the practice issue is not clear. Scope of the problem is not identified

0.0 pts

Practice issue/problem is not described. The need for change is not stated. Practice issues or scope of the problem are not addressed
50.0 pts

Evidence and search terms

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.

50.0 pts

Identifies and documents four types of evidence needed for review. Thoroughly describes rationale for all checked types of evidence selected. Uses manageable search terms. Ways in which the search can be narrowed is discussed.

44.0 pts

Identifies and documents three types of evidence needed for review. Good description of rationale for all checked types of evidence selected. Uses manageable search terms. Ways in which the search can be narrowed is included.

40.0 pts

Identifies and documents two types of evidence needed for review. Basic description of rationale for all checked types of evidence selected. Does not use manageable search terms. Ways in which the search can be narrowed is included.

19.0 pts

Identifies and documents one type of evidence needed for review. Minimal description of rationale for all checked types of evidence selected. Does not use manageable search terms. Ways in which the search can be narrowed is not included.

0.0 pts

Does not document types of evidence. Does not include rationale for selected type of evidence. Search terms are absent. Ways in which the search can be narrowed is not included.
50.0 pts
Total Points: 200.0

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