PICOT Statement
Jordan Stansbury
Grand Canyon University: NSG 325
March 10, 2014
PICOT Statement
Research is a pivotal tool necessary in order to expand knowledge. It provides the basis of evidence that leads to discoveries. This is especially crucial in nursing and health care. Nursing research allows nurses to further understand illness, prevention of disease, and effective ways to provide optimal health care (National Institute of Nursing Research, 2003). In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate
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The PICOT model creates a template for clinicians that allow them to break down clinical questions related to a specific population. With this model, clinicians find information via online databases and journals to gather accurate data. Often, health care providers have the capacity and interest in formulating a question, however they lack research strategy (Riva, Malik, Burnie, Endicott & Busse, 2012). The PICOT model helps bridge the gap between questions and answers. A concern of mine in health care deals with mistakes made in the operating room. The proposed research question is “Does the implementation of the World Health Organization’s Surgical Safety Checklist, in its entirety, reduce the rate of surgical mistakes and increase positive results compared to surgeries that do not follow all aspects of the surgical safety checklist; especially in lower income countries or emergency surgery situations where time is not …show more content…
The intervention refers to the treatment provided to the population of the study (Riva et all 2012). In this case, the intervention is the suggested compliance of the entire WHO Surgical Safety Checklist versus noncompliance or lack of completing the full checklist. Full surgical team compliance of the checklist provides safety for patients undergoing surgical procedures, appropriate team communication, and beneficial results for patients and staff. It would be advantageous, especially in emergency situations, to implement an assigned RN to be responsible for the checklist to minimize the risk of any mistakes made by the operative staff. Regardless of the severity of the emergency situation, the checklist should be evaluated in order to prevent any further complications or mistakes and to provide accurate team
For patients diagnosed with chronic obstructive pulmonary disease with a history of smoking cigarettes (P) can the use of nicotine replacement therapy (I) compared to only using nicotine replacement therapy (C) increase the patient's ability to permanently stop smoking (T) and slow down the progression of the effects of the disease?( O)
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
1A). In this false dichotomy, Rebarb fails to recognize that like the rest of us, health professionals are only human. They cannot remember everything and know what to do all of the time. Health professionals understand their job, but these checklists help by giving all information needed while assisting a client. Furthermore, not only is Rebarb misinformed about how checklists can assist in client care, but also surgeons in different
Reducing surgical or any medical errors is a team work, everyone involve in the surgery has a crucial part to play to ensure quality health care is delivered and success of the surgery. For instance, if a nurse forgot to assess a patient’s vital signs or document/report any abnormal finding to the surgeon has made a big mistake that can lead to more complications or death of a patient. Also, patients who refused to adhere to the instructions given by the healthcare professional such as not to eat or drink, smoke, take over counter medication, before due to risk may impose during and after
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
The goal of patient safety is to prevent harm to patients Mitchell (n.d.). Patient safety in any health system is critical not only for the credibility of the system, but for patient trust and satisfaction as well. Adverse outcomes are defined as any injury or harm resulting from medical care (Watcher, 2008). Adverse outcomes can result in death and disability and cost the health system dearly. Bernard and Encinosa (2004) reported that in the U.S. it costs twice as much to care for patients that experienced adverse outcomes. The Institute of Medicine (IOM) (2000) reported that adverse outcomes cost the U.S. more than 16 billion dollars or 6% of total inpatient costs. Therefore, adverse events are costly both in terms of human life and fiscal resources.
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
According to Parahoo (2014), Nursing research is a systematic inquiry designed to come up with knowledge about several issues of the importance to the nursing profession including education, nursing practice, informatics and administration Nieswiadomy, and Bailey (2017) on the other hand define nursing research as a scientific process adopted by hospitals and health care professionals that refines and validates existing knowledge and generates new knowledge that indirectly and directly influences nursing practice. from this two definition, education and nursing research can be defined as the objective and systematic process of analyzing phenomena of importance to nursing .
Evidence - Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”.
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
When it comes to patient care every decision made by a physician, nurse, or supporting medical staff should always have reliable evidence based research. This allows the caregivers to make the best patient care decisions. Evidence based research means using dependable fact based research to make sound decisions with the end results of good patient care. Therefore, it is very important for health care providers, supports staff and health care leaders to understand what evidence based research means.