PICOT Final

PICOT Question
P	Population	Hospitalized adult patients in the medical-surgical ward.
I	Intervention	Fall Tailored Interventions for Patient Safety (TIPS)Toolkit
C	Comparison	Routine fall prevention protocols
O	Outcome	Reduced incidences of falls and injuries
T	Timeframe	24 weeks.
PICOT	Among hospitalized adult patients in the medical-surgical ward (P), does the utilization of the Fall Tailored Interventions for Patient Safety (TIPS)Toolkit (I), as compared to routine fall prevention protocols (C) help reduce the incidences of falls and injuries (O) within 24 weeks (T)?   Struggling to meet your deadline ? Get assistance on PICOT Final done on time by medical experts. Don’t wait – ORDER NOW! Meet My Deadline
Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.	Falls and associated injuries among hospitalized patients are widespread in most medical and surgical wards, posing a serios threat to the safety of the patient. Accidental falls account for the majority of reported incidences in hospitals complicating roughly 2% of hospital stays. According to Dykes et al. (2020), the rate of falls among hospitalized patients in the United States ranges from approximately 3–5 per 1000 bed-days. The incidences of falls depend on the characteristic of the unit, with patients hospitalized in the medical-surgical unit being at high risk as compared to those in the intensive care unit (Lucero et al., 2019). Consequently, studies have also reported that approximately 25% of reported falls among hospitalized patients normally result in injury, whereas 2% causes fractures. Acute care patients normally display an increased risk of falls resulting from newly altered mobility, history of previous falls, medication side effects, or altered mental status among other factors (Cuttler et al., 2017). Despite the cause, the increasing incidences of falls are becoming very costly, with increased morbidity and mortality rates from fall-associated injuries and fractures. The lack of significant fall prevention intervention despite years of struggle has contributed to the frustrations among healthcare workers, researchers, and patients at risk. It is thus time to adapt nurse-led evidence-based interventions like the TIPS tool which have proven to be effective in the reduction of fall incidences among adults in the medical-surgical ward (Tzeng et al., 2021).

                                                                             

References

Cuttler, S. J., Barr-Walker, J., & Cuttler, L. (2017). Reducing medical-surgical inpatient falls and injuries with videos, icons, and alarms. BMJ Open Quality, 6(2), e000119. https://doi.org/10.1136/bmjoq-2017-000119

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries. JAMA Network Open, 3(11), e2025889. https://doi.org/10.1001/jamanetworkopen.2020.25889

Lucero, R. J., Lindberg, D. S., Fehlberg, E. A., Bjarnadottir, R. I., Li, Y., Cimiotti, J. P., … & Prosperi, M. (2019). A data-driven and practice-based approach to identify risk factors associated with hospital-acquired falls: applying manual and semi-and fully-automated methods. International journal of medical informatics, 122, 63-69.https://doi.org/10.1016/j.ijmedinf.2018.11.006

Tzeng, H.-M., Jansen, L. S., Okpalauwaekwe, U., Khasnabish, S., Andreas, B., & Dykes, P. C. (2021). Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home. Journal of Nursing Care Quality, Publish Ahead of Print. https://doi.org/10.1097/ncq.0000000000000547

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PICOT Final

Name_____________________________________

 

Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you may use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.

PICOT Question
P	Population
I	Intervention
C	Comparison
O	Outcome
T	Timeframe
PICOT Create a complete PICOT statement.
Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.

References

 

 

Example PICOT: Delete this example page prior to submitting your PICOT.

EXAMPLE PICOT
PICOT Question
P	Population	Adult patients with hypertension, Spanish primary language
I	Intervention	Written education in Spanish
C	Comparison	Teaching using an interpreter
O	Outcome	Improved BP control
T	Timeframe	6 months
PICOT	In adult patients with hypertension, for whom Spanish is their primary language (P), does providing written education in Spanish (I) when compared to using an interpreter (C) lead to improved blood pressure control (O) over the course of 6 months (T)?
Problem Statement The problem statement is a scholarly statement that justifies or rationalizes that this is problem. A problem statement must include literature for support and justification.	Hispanics are more likely to have uncontrolled, untreated, or even undiagnosed hypertension when compared to other ethnic groups (Rodriguez et.al., 2015).  Incidences of misinformation can occur when patients and providers do not share a common language. There is a lack of understanding or the inability to ask questions on the patient’s part. In addition, many Spanish-speaking patients find that the translation services, when available, are not adequate. These patients often do not trust the information received from providers, which can lead to unintentional noncompliance (Rodriguez et.al., 2015).

 

References

Rodriguez, C. J., Allison, M., Daviglus, M. L., Isasi, C. R., Keller, C., Leira, E. C., Palaniappan, L., Piña, I. L., Ramirez, S. M., Rodriguez, B., & Sims, M. (2014). Status of cardiovascular disease and stroke in Hispanics/Latinos in the United States: a science advisory from the American Heart Association. Circulation, 130(7), 593–625. doi:10.1161/CIR.0000000000000071