Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research
Posted: Mon Jul 11, 2022 2:26 pm
Professional nurses rely on research findings to inform practicedecisions; they use critical thinking to apply research directly tospecific patient care situations.
Think about an independent nursing practiceproblem you care passionately about and would be interested insearching for evidence.
The below problems should not be used:
*medical/doctor/physician problems such asmedications, or medications administration or effects, diagnosticssuch as EKGs, labs, cardiac catherizations.
*staffing, nurse-to-patient ratios, workforce issuesare organizational/system/political/administrative/multi-stakeholder problems which nursingcannot solve independently.
NR439_Guide for writing PICOT Questions and Examples (Linksto an external site.)
Share why you care about this nursing practice problem and whyyou believe the problem would benefit from finding the bestevidence.
The following contains PICOT question guides/templates to use tohelp write questions using all of the PICOT elements. Each templatecontains a guide that you can use to write a complete PICOTquestion, examples of PICOT elements, and illustrations1. Reviewsome tips and hints below to think about for each of the PICOTelements that can help create a sound clinical nursing PICOTquestion:
P=Population of patients: Think about a group of patients youare interested in studying—identify the group by age ranges,diagnosis/disease of interest, history or length of time with thediagnosis/disease of interest, location, unit, or setting, gendertype (if applicable), race (if applicable), or other identifiablecharacteristics such as Medicare, Medicaid, immobile, ventilated,inpatient, outpatient, etc.
I=Intervention: Consider the nursing action or intervention youare thinking that would make a difference? From your search forevidence, what is the evidence indicating that nurses can do tohelp improve the problem or issue you have chosen?
C=Comparison: Think about comparing to the intervention ofinterest or the alternative such as routine/standard care. If nocomparison, state not implementing the intervention or nocomparison group.
O=Outcome: Reflect upon what would be the measurable, relatableindicator that would demonstrate the intervention is making adifference or not? What would be the needed outcome that you couldobserve/check/measure? For example, “the pain is okay” would not bea measurable outcome. Rates pain level less than 3 on pain scalewould be measurable.
T=Timeframe: For this element, reflect on how long it would taketo implement your study by collecting data or the time needed toobserve to see if any changes occurred or will occur. Think about 1month, 3 months, 6 months etc... Use a timeframe that isrealistic.
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 adultsin long-term care
I=Intervention: bedside oral care kit and a checklistprotocol
C=Comparison: routine oral care without a bedside oral carekit
O=Outcome: number of times (frequency) oral care iscompleted
T=Timeframe: 3 months
I want to talk about Falls among 65+ at home because I am a homecare nurse.
Template:
Among/In _________________________ (P),would______________________(I)(**decrease/increase/impact/influence /affect/reduce/improve**)_____________________ (O) compared to______________________________ (C) over______________________________(T)?
P=Population of patients:
I=Intervention:
C=Comparison:
O=Outcome:
T=Timeframe:
Think about an independent nursing practiceproblem you care passionately about and would be interested insearching for evidence.
The below problems should not be used:
*medical/doctor/physician problems such asmedications, or medications administration or effects, diagnosticssuch as EKGs, labs, cardiac catherizations.
*staffing, nurse-to-patient ratios, workforce issuesare organizational/system/political/administrative/multi-stakeholder problems which nursingcannot solve independently.
NR439_Guide for writing PICOT Questions and Examples (Linksto an external site.)
Share why you care about this nursing practice problem and whyyou believe the problem would benefit from finding the bestevidence.
The following contains PICOT question guides/templates to use tohelp write questions using all of the PICOT elements. Each templatecontains a guide that you can use to write a complete PICOTquestion, examples of PICOT elements, and illustrations1. Reviewsome tips and hints below to think about for each of the PICOTelements that can help create a sound clinical nursing PICOTquestion:
P=Population of patients: Think about a group of patients youare interested in studying—identify the group by age ranges,diagnosis/disease of interest, history or length of time with thediagnosis/disease of interest, location, unit, or setting, gendertype (if applicable), race (if applicable), or other identifiablecharacteristics such as Medicare, Medicaid, immobile, ventilated,inpatient, outpatient, etc.
I=Intervention: Consider the nursing action or intervention youare thinking that would make a difference? From your search forevidence, what is the evidence indicating that nurses can do tohelp improve the problem or issue you have chosen?
C=Comparison: Think about comparing to the intervention ofinterest or the alternative such as routine/standard care. If nocomparison, state not implementing the intervention or nocomparison group.
O=Outcome: Reflect upon what would be the measurable, relatableindicator that would demonstrate the intervention is making adifference or not? What would be the needed outcome that you couldobserve/check/measure? For example, “the pain is okay” would not bea measurable outcome. Rates pain level less than 3 on pain scalewould be measurable.
T=Timeframe: For this element, reflect on how long it would taketo implement your study by collecting data or the time needed toobserve to see if any changes occurred or will occur. Think about 1month, 3 months, 6 months etc... Use a timeframe that isrealistic.
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 adultsin long-term care
I=Intervention: bedside oral care kit and a checklistprotocol
C=Comparison: routine oral care without a bedside oral carekit
O=Outcome: number of times (frequency) oral care iscompleted
T=Timeframe: 3 months
I want to talk about Falls among 65+ at home because I am a homecare nurse.
Template:
Among/In _________________________ (P),would______________________(I)(**decrease/increase/impact/influence /affect/reduce/improve**)_____________________ (O) compared to______________________________ (C) over______________________________(T)?
P=Population of patients:
I=Intervention:
C=Comparison:
O=Outcome:
T=Timeframe: