Nursing PICO(T) and Evidence-Based Approach Assignment

Nursing PICO(T) and Evidence-Based Approach Assignment

Nursing PICO(T) and Evidence-Based Approach Assignment

Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question. Nursing PICO(T) and Evidence-Based Approach Assignment

PICO(T) Questions and an Evidence-Based Approach

Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.

PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.

It stands for:

  • P – Patient/population/problem.
  • I – Intervention.
  • C – Comparison (of potential interventions, typically).
  • O – Outcome(s).
  • T – Time frame (if time frame is relevant).

The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search.

You are encouraged to complete the Vila Health PCI(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course. Nursing PICO(T) and Evidence-Based Approach Assignment

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
    • Explain the findings from articles or other sources of evidence.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
    • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Competency 3: Apply an evidence-based practice model to address a practice issue.
    • Define a practice issue to be explored via a PICO(T) approach.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Reference

Boswell, C., Cannon, S. (2015). Introduction to nursing research. Burlington, MA: Jones Bartlett Learning.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question.

Scenario

For this assessment, please use an issue of interest from your current or past nursing practice.

If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.

Instructions

For this assessment, select an issue of interest an apply the PICO(T) process to define the question and research it.

Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.

If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “” page in the Capella library’s Evidence Based Practice guide) might be helpful.

In your submission, make sure you address the following grading criteria:

  • Define a practice issue to be explored via a PICO(T) approach.
  • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
  • Explain the findings from articles or other sources of evidence.
  • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

  • .

Additional Requirements

Your assessment should meet the following requirements:

  • Length of submission:Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it.
  • Number of references:Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
  • APA formatting: Format references and citations according to the current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course. Nursing PICO(T) and Evidence-Based Approach Assignment

PICOT Question and Search Strategy Template

Use with the library guide:

 

  1. Define your question using PICOT (review the “” page as needed):

Population:                __________________________________________________________________

Intervention:               __________________________________________________________________

Comparison:                __________________________________________________________________

Outcome:               __________________________________________________________________

Time (optional): __________________________________________________________________

 

  1. Write out your question: ______________________________________________________

________________________________________________________________________________

 

  1. Write down the most important words from your question in the gray boxes. For each top term, add synonyms or related terms in the boxes below it.  All these are your search terms.

 

  1. Review the “Best Bets” in the . Check the databases you will search:
__ CINAHL Complete (*Recommended)

__ Nursing & Allied Health

__ Public Health Database

__ Health & Medical Collection

__ OVID Nursing Full Text Plus

­__ PubMed Central

 

  1. Write in your first search below. Follow the instructions on the “” page.

 

 

OR
AND

                                                                            

 

  • Scholarly/peer reviewed Œ  Limit publication date:

 

  1. Type of studies you want to include in your search:
__ Systematic Review or Meta-Analysis

__ Clinical Practice Guidelines

__ Individual Research Studies

__ Critically Appraised Research Studies

 

  1. What information did you find to help answer your question? Nursing PICO(T) and Evidence-Based Approach Assignment

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

This form is adapted from: Syrene A. Miller, PICO Worksheet and Search Strategy, National Center for Dental Hygiene Research

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Excellent Good Fair Poor
Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

·   Briefly describe your healthcare organization, including its culture and readiness for change.
·   Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

18 (18%) – 20 (20%)
The presentation clearly and accurately describes in detail a healthcare organization, including a detailed explanation of its culture and readiness for change.

The presentation clearly and accurately describes in detail a current problem or opportunity for change.

An accurate, specific, and detailed description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general is provided.

16 (16%) – 17 (17%)
The presentation accurately describes a healthcare organization, including an accurate explanation of its culture and readiness for change.

The presentation accurately describes a current problem or opportunity for change.

An accurate description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided.

14 (14%) – 15 (15%)
The presentation inaccurately or vaguely describes a healthcare organization, including an inaccurate or vague explanation of its culture and readiness for change. Nursing PICO(T) and Evidence-Based Approach Assignment

The presentation inaccurately or vaguely describes a current problem or opportunity for change.

An inaccurate or vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided.

(0%) – 13 (13%)
The presentation inaccurately and vaguely describes a healthcare organization, including an inaccurate and vague explanation of its culture and readiness for change, or is missing.

The presentation inaccurately and vaguely describes a current problem or opportunity for change or is missing.

An inaccurate and vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided or is missing.

·   Propose an evidence-based idea for a change in practice using an evidence-based practice approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
·   Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
·   Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
·   Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.
32 (32%) – 35 (35%)
The presentation clearly and accurately proposes in detail an evidence-based idea for a change in practice that is fully aligned to an evidence-based practice approach for decision making.

The presentation clearly and accurately describes in detail a plan for knowledge transfer of this change, including a detailed plan for knowledge creation, dissemination, and organizational adoption and implementation that is specific. Nursing PICO(T) and Evidence-Based Approach Assignment

The presentation clearly and accurately describes in detail the measurable outcomes desired for the implementation of the evidence-based change.

The presentation includes accurate, complete, and full APA citations of the supporting evidence-based peer-reviewed articles selected.

28 (28%) – 31 (31%)
The presentation accurately proposes an evidence-based idea for a change in practice that is adequately aligned to an evidence-based practice approach for decision making.

The presentation accurately describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that is adequate.

The presentation accurately describes the measurable outcomes desired for the implementation of the evidence-based changes.

The presentation includes accurate APA citations of the supporting evidence-based peer-reviewed articles selected.

25 (25%) – 27 (27%)
The presentation inaccurately or vaguely proposes an evidence-based idea for a change in practice that may be aligned to an evidence-based practice approach for decision making.

The presentation inaccurately or vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that may be relevant.

The presentation inaccurately or vaguely describes the measurable outcomes desired for the implementation of the evidence-based change.

Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided.

(0%) – 24 (24%)
The presentation inaccurately and vaguely proposes an evidence-based idea for a change in practice that is not aligned to an evidence-based practice approach for decision making or is missing.

The presentation inaccurately and vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption that implementation that is incomplete, or is missing.

The presentation inaccurately and vaguely describes the measurable outcomes desired for the implementation of the evidence-based change or is missing.

Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided or are missing.

Add a lessons learned section that includes:

·   A summary of the critical appraisal of the peer-reviewed articles you previously submitted.
·   What did you learn from completing the evaluation table?
·   What did you learn from completing the levels of evidence table?
·   What did you learn from completing the outcomes synthesis table?

27 (27%) – 30 (30%)
The presentation clearly and accurately summarizes in detail the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation thoroughly describes in detail at least one lesson learned from completing the evaluation table that is specific.

The presentation thoroughly describes in detail at least one lesson learned from completing the levels of evidence table that is specific.

The presentation thoroughly describes in detail at least one lesson learned from completing the outcomes synthesis table that is specific.

The presentation provides a complete, detailed, and specific synthesis of two outside resources reviewed on the lessons learned explained. The presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.

24 (24%) – 26 (26%)
The presentation accurately summarizes the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation accurately describes at least one lesson learned from completing the evaluation table that may include some specificity.

The presentation accurately describes at least one lesson learned from completing the levels of evidence table that may include some specificity.

The presentation accurately describes at least one lesson learned from completing the outcomes synthesis table that may include some specificity.

The presentation provides an accurate synthesis of at least one outside resource reviewed related to the lessons learned explained. The presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation. Nursing PICO(T) and Evidence-Based Approach Assignment

21 (21%) – 23 (23%)
The presentation inaccurately or vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the evaluation table and may lack some specificity.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the levels of evidence table and may lack some specificity.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the outcomes synthesis table and may lack some specificity.

The presentation provides a vague or inaccurate synthesis of outside resources reviewed related to the lessons learned explained. The response minimally integrates resources that may support the presentation.

(0%) – 20 (20%)
The presentation inaccurately and vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the evaluation table and lacks specificity or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the levels of evidence table that lacks specificity or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the outcomes synthesis table that lacks specificity or is missing.

The presentation provides a vague and inaccurate synthesis of no outside resources related to the lessons learned explained or is missing. The presentation fails to incorporate any resources to support the responses provided.

Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
(5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

(4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

(0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
(5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
(4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) grammar, spelling, and punctuation errors.
(0%) – 3 (3%)
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting—The paper follows correct format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
(5%) – 5 (5%)
Uses correct paper formatting with no errors. Nursing PICO(T) and Evidence-Based Approach Assignment
(4%) – 4 (4%)
Contains a few (one or two) paper formatting errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) paper formatting errors.
(0%) – 3 (3%)
Contains many (five or more) paper formatting errors.
Total Points: 100
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