Must be a nursing practice intervention.

Clinic problem. dialysis patients infection control/prevention cvc/grafts access. Vascular access related blood stream infections resulting in serious complications.

Please order NH 39101 and NH38099

PICOT Question Paper

Assessment Description

Review your problem or issue and the study materials (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/) to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. 

 The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. 

Materials:

Abstract

Developing a researchable question is one of the challenging tasks a researcher encounters when initiating a project. Both, unanswered issues in current clinical practice or when experiences dictate alternative therapies may provoke an investigator to formulate a clinical research question. This article will assist researchers by providing step-by-step guidance on the formulation of a research question. This paper also describes PICO (population, intervention, control, and outcomes) criteria in framing a research question. Finally, we also assess the characteristics of a research question in the context of initiating a research project.

Keywords: Clinical research project, PICO format, research question

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INTRODUCTION

A researchable question is an uncertainty about a problem that can be challenged, examined, and analyzed to provide useful information.[1] A successful research project depends upon how well an investigator formulates the research question based on the problems faced in day-to-day research activities and clinical practice. The underlying questions of a research project provide important information to decide whether the topic is relevant, researchable, and significant. A well-formulated research question needs extreme specificity and preciseness which guides the implementation of the project keeping in mind the identification of variables and population of interest. Here we will present a clinical scenario and see how clinical questions arise and help us in finding the evidence to answer our question.

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FORMULATING THE RESEARCH QUESTION

Case

A 2-year-old boy presents in an outpatient clinic with fever and severe pain in his right ear. He has a history of recurrent ear infections, and his mother expresses a concern that he has been on the antibiotic amoxicillin for the past few weeks. She is worried about the consequences of the long-term antibiotic use. She is also concerned about the outcome associated with recurrent ear infections. She wants to know if the prescribed amoxicillin is effective, or it can be substituted with another antibiotic because of its side effects such as frequent diarrhea.

Several questions arise from this case which can be broadly classified into background and foreground questions. The general questions about a clinical problem or a disease are called “Background Questions.”[2] These questions generally ask what, when, how, and where about the disease, disorder, or treatment for instance, “What is otitis media?” or “How does amoxicillin work?” etc. These types of questions can be answered by going through review articles or text books.

The patient-oriented questions involving interpretation of a therapy or disease and consideration of risk vs. benefit for a patient or a group of patient are called “Foreground Questions.”[2] These types of complex clinical questions are best answered by primary or pre-assessed studies in the literature. These questions mostly compare the two, either two drugs or treatments or two diagnostic methods, etc.

The PICO (population, intervention, control, and outcomes) format [Table 1] is considered a widely known strategy for framing a “foreground” research question.[3] Sackett et al. pointed out that breaking the question into four components will facilitate the identification of relevant information.

Table 1

Considering PICO and FINER criteria for developing a research question[3,5]

PICO

P: Population of interest

Patient or the problem to be addressed

I: Intervention

Exposure to be considered–treatments/ tests

C: Control

Control or comparison intervention treatment/placebo/standard of care

O: Outcome

Outcome of interest

PICOT Question Paper

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.