identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.

PURPOSE

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format and an evidence appraisal to find evidence to support an intervention that will change the outcomes.

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcome.

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

DUE DATE

This assignment consists of the completion of a worksheet that contains two parts, i.e., the PICOTquestion and the Evidence Appraisal Worksheet. Submit the completed worksheetto the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 3.

POINTS

This assignment is worth 200 points (75 points for the PICOTquestion and 125 points for the evidence appraisal).

DIRECTIONS

1. Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zGTzdYMTLzHr05z0

2. Download the PICOT and Evidence Appraisal worksheet formfromCourse Resources.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. Completion of the PICOTportion of the worksheet will offer a tool for your literature search.

3. For theevidence appraisalportion of the worksheet, find FOURsources to support the need for change and the potential intervention you have selected to solve the problem. All sources must be peer-reviewed articles, published in within the past 5 years and be able to be accessed from the CCN Library.

4. Submit the completed PICOT andEvidence Appraisal Worksheet to the Week 3Dropbox.

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PICOTandEvidence Appraisal Worksheet – Week 3
Part 1:PICOT Question

Name:

Date:

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 question and 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? Everyone should have a literature search. However, what other 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? What databases will you search? How will you narrow your search if needed?

PICOT Question

What is the PICOT question?

Define each element of the question below:

P- (Patient, population, or problem):

I- (Intervention):

C- (Comparison with other treatment/current practice):

O- (Desired outcome):

T-(Time Frame):

What is the practice issue/problem?

What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other

How was the practice issue identified? (check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

___ Other:

What evidence must be gathered? (check all that apply)

___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

Search terms:

Databases to search:

Search Strategies:

Part 2: Evidence Appraisal

Name:

Date:

Your Instructor’s Name:

Purpose: To find evidence to support an intervention that will change the outcomes.

Directions: Type your search question below. Find FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. All of your sources must be peer-reviewed articles, written within the last 5 years and from the CCN Library. Using the table below, insert and describe your four chosen resources.

Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual and the resources in Course Resources.

Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article, written within 5 years and from the CCN Library.

Step 3: Level of Evidence. Refer to page 23 in your text for levels of evidence.

Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations? What was the sample?

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