NRS 493 week 3: Picot Question Paper

NRS 493 week 3: Picot Question Paper

NRS 493 week 3: Picot Question Paper

The proposed intervention in this capstone project is to create awareness of the significance of patient education throughout their hospital stay and their understanding of it before and after discharge on a medical-surgical floor. The fundamental responsibility of the health care system is to provide healthcare to patients to improve quality of life and health outcomes. The process of recovering after surgical procedures is challenging and demanding. As such, it is critical to educate patients to create awareness and promote their recovery (Tweed et al., 2021). Using tools such as the PICOT question is crucial in addressing the clinical issues by facilitating the process of pursuing the solution to the issue under focus. This paper aims to provide PICOT questions for the capstone project. The paper will delve into particular areas such as evidence-based solutions, nursing intervention, patient care, health care agency, and nursing practice.

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Evidence-based Solution

Evidence-based practice (EBP) plays a significant role in the healthcare delivery system. The application of EBP promotes healthcare quality, affordability, safety, and positive patient outcomes (LoBiondo-Wood & Haber, 2021). It is also critical in informing sound management of different nursing practice issues. In the capstone project at hand, EBP can be used to provide evidence to support the significance of patient education and also provide additional insights about patient education throughout the hospital stay and other issues that might influence education including a solution to such issues. EBP can only yield better results in supporting the proposed intervention when appropriate databases are searched. PICOT question is instrumental in fostering database queries.

PICOT Question

The development of the PICOT question involves framing a clinical question to ease the mining of evidence by concentrating the focus on specific areas including population, intervention, comparison, outcome, and time. This project advances the significance of patient education throughout their hospital stay and their understanding of it before and after discharge on a medical-surgical floor. Therefore, the proposed PICOT question is; In patients admitted to a medical-surgical floor (P) does patient education throughout the hospital stay and after discharge (I) compared to lack of education (C) improve health outcomes (O) in 12 months (T).

Nursing Intervention

The suggested nursing intervention for this capstone project is the significance of patient education throughout their hospital stay and their understanding of it before and after discharge on a medical-surgical floor. Lack of patient education on a medical-surgical floor is associated with many adverse impacts on patients such as increasing chances of infections, patient falls, medication errors, and increased hospital readmissions (Burch & Balfour, 2020). However, the proposed patient education is crucial in empowering patients to make informed decisions on their care and be responsible for their safety and recovery during the hospital stay and after discharge. This nursing intervention is expected to improve clinical outcomes, improve quality of life, reduce hospital stay days, and reduce healthcare costs.

Patient Care

The surgical environment is characterized by many potential risks such as high chances of infections, patient falls, medication errors, and increased hospital readmissions. Therefore, the facility should be vigilant about the patients on a medical-surgical floor to prevent these risks (Burch & Balfour, 2020). The implementation of patient education is critical in enhancing patient care since it empowers patients to take active roles in their recovery process and safety.

Health Care Agency

Health care agencies are highly involved in many processes in the healthcare delivery system such as developing diagnosis modalities, medication development and approval, designing treatment modalities, and health management. In the project at hand, healthcare agencies can play crucial roles in developing innovative solutions to provide patient education, formulate policies, or provide guidelines for education and patient management on a medical-surgical floor.

Nursing Practice

Nurses play important roles in patient education. In this project, nurses can partner with patients, their families, civil society groups, surgical experts, and communities to provide comprehensive patient education and ensure a supportive environment for the patients (Garin, 2020). Nurses can also advocate for policies to ensure that the healthcare needs and awareness of patients set for surgery and the ones recovering after surgical procedures are addressed through health planning and policies at all the levels of the government. Successful implementation of patient education will potentially influence nursing practice through the reduction of a heavy workload, which is currently common in nursing practice (Tweed et al., 2021).

Conclusion

Lack of patient education on a medical-surgical floor is associated with many adverse impacts on patients such as increasing chances of infections, patient falls, medication errors, and increased hospital readmissions. This project advances the significance of patient education throughout their hospital stay and their understanding of it before and after discharge on a medical-surgical floor. This nursing intervention is expected to improve clinical outcomes, improve quality of life, reduce hospital stay days, and reduce healthcare costs. The use of the PICOT question was essential in developing a solution to the clinical question to guide the evidence search for this project.

References

Burch, J., & Balfour, A. (2020). Preoperative patient education. In Enhanced Recovery after Surgery (pp. 37-49). Springer, Cham. https://doi.org/10.1007/978-3-030-33443-7_5

Garin, C. (2020). Enhanced recovery after surgery in pediatric orthopedics (ERAS-PO). Orthopaedics & Traumatology: Surgery & Research, 106(1), S101-S107. https://doi.org/10.1016/j.otsr.2019.05.012

LoBiondo-Wood, G., & Haber, J. (2021). Nursing Research E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences.

Tweed, T. T., Woortman, C., Tummers, S., Bakens, M. J., van Bastelaar, J., & Stoot, J. H. (2021). Reducing hospital stay for colorectal surgery in ERAS setting by means of perioperative patient education of expected day of discharge. International Journal of Colorectal Disease, 36(7), 1535-1542. https://doi.org/10.1007/s00384-021-03948-0

TOPIC: The significance of patient education throughout their hospital stay and their understanding of it before and after discharge. (on a medical surgical floor)

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Assessment Description
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

PICOT Question assessment RUBRIC

PICOT Question

10 points

Criteria Description

PICOT Question

5. Excellent

10 points

A PICOT question is presented and provides a clear framework for the capstone project change proposal.

4. Good

8.9 points

A PICOT question is presented. Some detail is needed for clarity.

3. Satisfactory

7.9 points

A PICOT question is presented. The PICOT generally follows the correct format.

2. Less Than Satisfactory

7.5 points

An incomplete PICOT question is presented. The PICOT does not follow the correct format.

1. Unsatisfactory

0 points

A PICOT question is not presented.

Nursing Intervention assessment

Nursing Intervention

10 points

Criteria Description

Nursing Intervention

5. Excellent

10 points

A nursing intervention used to address the problem is clearly presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are thoroughly discussed.

4. Good

8.9 points

A nursing intervention used to address the problem is presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are discussed.

3. Satisfactory

7.9 points

A nursing intervention used to address the problem is presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are summarized. Some information is needed. There are minor inaccuracies.

2. Less Than Satisfactory

7.5 points

The intervention used to address the problem is not based on a nursing practice intervention. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are omitted.

1. Unsatisfactory

0 points

The intervention and comparison are omitted

Clinical Problem and Patient Outcome assessment

Clinical Problem and Patient Outcome

10 points

Criteria Description

Clinical Problem and Patient Outcome

5. Excellent

10 points

The clinical problem and how it can result in a positive patient outcome are thoroughly discussed. Strong rationale is offered for support.

4. Good

8.9 points

The clinical problem and how it can result in a positive patient outcome are presented. Some minor detail is needed for clarity.

3. Satisfactory

7.9 points

The clinical problem and how it can result in a positive patient outcome are summarized. More information and rationale are needed.

2. Less Than Satisfactory

7.5 points

The clinical problem and how it can result in a positive patient outcome are incomplete.

1. Unsatisfactory

0 points

The clinical problem and how it can result in a positive patient outcome are omitted.

PICOT Problem assessment

PICOT Problem

10 points

Criteria Description

PICOT Problem

5. Excellent

10 points

The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity.

4. Good

8.9 points

The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity.

3. Satisfactory

7.9 points

The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is summarized. More information and rationale are needed.

2. Less Than Satisfactory

7.5 points

The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is incomplete.

1. Unsatisfactory

0 points

The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is omitted.

collapse Thesis Development and Purpose assessment

Thesis Development and Purpose

2.5 points

Criteria Description

Thesis Development and Purpose

5. Excellent

2.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. Good

2.23 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. Satisfactory

1.98 points

Thesis is apparent and appropriate to purpose.

2. Less Than Satisfactory

1.88 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction assessment

Argument Logic and Construction

2.5 points

Criteria Description

Argument Logic and Construction

5. Excellent

2.5 points

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. Good

2.23 points

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. Satisfactory

1.98 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. Less Than Satisfactory

1.88 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) assessment

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

2.5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. Excellent

2.5 points

Writer is clearly in command of standard, written, academic English.

4. Good

2.23 points

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

3. Satisfactory

1.98 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

2. Less Than Satisfactory

1.88 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (use of appropriate style for the major and assignment) assessment

Paper Format (use of appropriate style for the major and assignment)

1 points

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

5. Excellent

1 points

All format elements are correct.

4. Good

0.89 points

Template is fully used; There are virtually no errors in formatting style.

3. Satisfactory

0.79 points

Template is used, and formatting is correct, although some minor errors may be present.

2. Less Than Satisfactory

0.75 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources assessment

Documentation of Sources

1.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. Excellent

1.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. Good

1.34 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. Satisfactory

1.19 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. Less Than Satisfactory

1.13 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. Unsatisfactory

0 points

Sources are not documented.