Discussion: Nursing Practice vs. Medical Practice Problems
PICOT is utilized by the health care community to identify and study a nursing practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process may not be relevant to nursing practice as they are based on a medical practice problem.
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Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem
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NRS 433 Topic 1 DQ 1 Nursing Practice Sample
Nurses’ knowledge of practice issues and effective interventions is critical for high patient outcomes. Among many approaches pivotal in improved outcomes is evidence-based practice (EBP). Abu-Baker et al. (2021) described EBP as a problem-solving technique for clinical decision-making that combines the best available evidence, clinical expertise, and the patient’s unique values and preferences. Therefore, it is an approach that recognizes the multidimensional nature of practice issues and the need for comprehensive solutions. In nursing, applying EBP implies formulating a searchable question followed by an extensive search of evidence from external sources (Connor et al., 2023). The evidence is further appraised, and what results in best practice is combined with clinical expertise and patient values to improve outcomes.
Health professionals should also understand the difference between nursing practice problems and medical practice problems. NRS 433 Topic 1 DQ 1 Nursing Practice A nursing practice problem is related to a patient’s response to an illness that health professionals encounter during practice (Potter et al., 2021). Such issues are mostly related to patients’ experiences with care and feelings. A suitable example of a nursing practice problem is patient falls in the emergency department, leading to dissatisfaction and increased hospitalizations. On the other hand, a medical practice problem relates to the patient’s physiological state (Potter et al., 2021). Its solution requires a health professional to identify the condition and causes and establish a proper treatment plan. Such conditions include high blood sugar levels or joint pains among hospitalized patients.
Nurses use the PICOT (problem/population, intervention, comparison, outcome, and time) approach to search for evidence to answer a clinical question. NRS 433 Topic 1 DQ 1 Nursing Practice It is important to ensure the PICOT is based on a nursing practice problem since it is designed to search for external evidence to address issues affecting patient care. Unlike medical practice problems, nursing practice problems can be addressed using high-level evidence from peer-reviewed sources. The evidence underpins evidence-based practice, and its primary role is to enhance health outcomes (Ford & Melnyk, 2019). Following the PICOT format helps nursing professionals to search for appropriate interventions and compare their effectiveness with alternative methods within a specific period.
NRS 433 Topic 1 DQ 1 Nursing Practice References
Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1), 1-8. https://doi.org/10.1186/s12912-020-00522-x
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … & Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence‐Based Nursing, 20(1), 6-15. https://doi.org/10.1111/wvn.12621
Ford, L. G., & Melnyk, B. M. (2019). The underappreciated and misunderstood PICOT question: a critical step in the EBP process. Worldviews on Evidence-Based Nursing, 16(6), 422-423. https://doi.org/10.1111/wvn.12408
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. (2021). Fundamentals of nursing-e-book. Elsevier health sciences. NRS 433 Topic 1 DQ 1 Nursing Practice
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