Description
Problem/PICOT/Evidence Search (PPE) Worksheet (graded)
Assignment
PURPOSE
Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2020). This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)
CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)
CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)
PREPARING THE ASSIGNMENT
Please use the completed Week 2 Check-In PICOT (revised with instructor-recommended changes) using the Assignment Practice Scenario below when completing the PPE Worksheet.
Download and use the required PPE WorksheetLinks to an external site..
Review the information provided in our library on how to search for journal articles hereLinks to an external site..
Review the information provided in our library on how to locate and copy a journal permalinkLinks to an external site..
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.eduLinks to an external site.. Click on the envelope at the top of the page.
Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439 Guide for writing PICOT Questions and Examples.Links to an external site. Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
Be sure to use the PPE Worksheet rubricLinks to an external site. to make certain you are meeting all grading criteria of the PPE Worksheet.
Submit the completed PPE Worksheet on the Week 3 Assignment page.
Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.
ASSIGNMENT PRACTICE SCENARIO
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).
The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):
Quality Safety
Patient satisfaction
Patient education
Falls
Non-pharmacological pain management
Errors. Examples include:
Medication
Patient identification
Communication
Readmissions
Length of stay
Costs
Healthcare Associated Infections (HAIs).
Examples include:
Central Line Associated Blood Stream Infections (CLABSI)
Catheter Associated Urinary Tract Infections (CAUTI)
Ventilator Associated Pneumonia (VAP)
Surgical Site Infections (SSI)
Sepsis (Screening or Prevention)
Discharge Teaching/Coaching
Transitions of Care/Level of Care
Pressure Ulcers
Skin Integrity
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.
BEST PRACTICES
For questions about this assignment, please contact your instructor.
Spell check for spelling and grammar errors prior to final submission.
Please see the grading criteria and rubrics on this page.
Please use your browser’s File setting to save or print this page.
SCHOLARLY SOURCES AND CITATIONS
Use APA format in citations and references.
REFERENCES
American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AAC…
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.
Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.
Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/
Unformatted Attachment Preview
Chamberlain College of Nursing
NR439: Evidence-Based Practice
NR 439 PICOT Question Guide
The following contains PICOT question guides/templates to use to help write questions using all
of the PICOT elements. Each template contains a guide that you can use to write a complete
PICOT question, examples of PICOT elements, and illustrations1. Review some tips and hints
below to think about for each of the PICOT elements that can help create a sound clinical
nursing PICOT question:
P=Population of patients:
Think about a group of patients you are interested in studying—
identify the group by age ranges, diagnosis/disease of interest,
history or length of time with the diagnosis/disease of interest,
location, unit, or setting, gender type (if applicable), race (if
applicable), or other identifiable characteristics such as Medicare,
Medicaid, immobile, ventilated, inpatient, outpatient, etc.
I=Intervention:
Consider the nursing action or intervention you are thinking that
would make a difference? From your search for evidence, what is
the evidence indicating that nurses can do to help improve the
problem or issue you have chosen?
C=Comparison:
Think about comparing to the intervention of interest or the
alternative such as routine/standard care. If no comparison, state
not implementing the intervention or no comparison group.
O=Outcome:
Reflect upon what would be the measurable, relatable indicator that
would demonstrate the intervention is making a difference or not?
What would be the needed outcome that you could
observe/check/measure? For example, “the pain is okay” would
not be a measurable outcome. Rates pain level less than 3 on pain
scale would be measurable.
T=Timeframe:
For this element, reflect on how long it would take to implement
your study by collecting data or the time needed to observe to see
if any changes occurred or will occur. Think about 1 month, 3
months, 6 months etc… Use a timeframe that is realistic.
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template A
Among/In _________________________ (P), does______________________ (I)
(**decrease/increase/impact/influence/affect/reduce/improve**) _____________________
(O) compared to ______________________________ (C) over
______________________________(T)?
(**choose one term**)
Example:
Among 65+ and older diabetic immobile adults in long-term care (P), does a
bedside oral care kit and checklist protocol (I) compared to routine oral care
without a bedside oral care kit (C) affect the number of times oral care is
completed (O) over 3 months (T)?
P=Population of patients: 65+ and older diabetic immobile adults in long-term care
I=Intervention: bedside oral care kit and a checklist protocol
C=Comparison: routine oral care without a bedside oral care kit
O=Outcome: number of times (frequency) oral care is completed
T=Timeframe: 3 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template B
Among/In _________________________ (P), would______________________(I)
(**decrease/increase/impact/influence /affect/reduce/improve **)_____________________
(O) compared to ______________________________ (C) over
______________________________(T)?
(**choose one term**)
Example:
In male ICU patients who are 65+ and older diagnosed with COPD (P), would the
confusion assessment screening tool (CAST) (I) impact the number of early
identification of delirium (O) compared to no screening tool (C) over 6 months
(T)?
P=Population of patients: Inpatient male ICU patients 65+ and older diagnosed with COPD
I=Intervention: confusion assessment screening tool (CAST)
C=Comparison: routine care/no screening tool
O=Outcome: number of early identification of delirium
T=Timeframe: 6 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template C
Among/In _________________________ (P), will ______________________ (I)
(**decrease/increase/impact/influence/affect/reduce/improve **)_____________________ (O)
compared to ______________________________ (C) over
______________________________ (T)?
(**choose one term**)
Example:
Among Hispanic pregnant women between 36-40 weeks (P), will completing a
lactation course (I) increase the number of breastfeeding initiations by or within 6
hours of delivery (O) compared to no lactation course (C) over 6 months?
P=Population of patients: Hispanic pregnant women between 36-40 weeks
I=Intervention: lactation course completed
C=Comparison: no lactation course
O=Outcome: number of breastfeeding initiations within 6 hours of delivery
T=Timeframe: 6 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template D
Among/In _________________________ (P), what is the effect of ______________________
(I) on ____________________ (O) compared to ___________________________ (C) over
______________ (T)?
Example:
In pediatric non-Hispanic Black males ages 8-18 years old with a 5 year history of
type 1 diabetes (P), what is the effect of the Glucose Buddy Diabetes Tracker app
(I) on maintaining HbA1C levels
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