NUR 550 Assignment: PICOT in a Nursing Practice Problem
NUR 550 Assignment: PICOT in a Nursing Practice Problem
Description:
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting a population of focus.
The purpose of this assignment is to complete your PICOT for your selected nursing practice problem. Refer to your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem” assignment from Topic 1 to complete this assignment. If your nursing practice problem or PICOT required revision, include those revisions in this assignment. The final PICOT you develop in this assignment will provide the framework for developing your evidence-based practice project proposal. Use the “PICOT-Final” template to complete this assignment.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite at least four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
For women within the third stage of labor and up to 24 hours postpartum, (P) Does administering prophylactic uterotonics (I) instead of Oxytocin or no uterotonics at all, (C) eliminate or reduce the occurrence of postpartum hemorrhage(O) in postpartum women within 24 hours of delivery (T)? By implementing current second-line medications as the new first-line interventions for hemorrhage management, and prophylactically administering them to all women in the immediate postpartum phase, the rate of maternal mortality from uterine atony will decline in the United States and worldwide. There are no studies related to the 2022-2023 national shortage of Oxytocin, only media articles from FDA that discussed its shortage and call to conserve (FDA Drug Shortage: Oxytocin Injection, USP Synthetic, 2021). As a first-hand witness to the sharp increase in hemorrhage related to the abrupt withdrawal of its use in postpartum protocols, I am concerned at the lack of new pharmaceutical interventions to replace Oxytocin during this time. There is also a considerable concern for the possible increase in morbidity and mortality rates that may have occurred across not only the United States during this time, but also globally due to the shortage. This intervention supports postpartum women in the labor and delivery setting, and the postpartum setting, and focuses on preventative action rather than emergency action.
FDA drug shortage: Oxytocin Injection, USP Synthetic (Currently in Shortage) January 21, 2021. (2021, January 22). US Official News, NA. https://link-gale-com.lopes.idm.oclc.org/apps/doc/A649634798/STND?u=canyonuniv&sid=ebsco&xid=b06f13f5
Topic 1 DQ 1
The advancement in healthcare highly relies on translation research as it entails changing basic research into an outcome. These outcomes have a direct benefit on human health. The insights gained from the basic research always need an effective translation process to align with the health needs of humans (Banner et al., 2019). Levels of translational research include, T0, T1, T2, T3 and T4 (Choi et al., 2018). This is different from evidence-based practice. EBP is already approved and available evidence for making decisions and providing effective and efficient care for patients based on a scientific basis.
Translation research forms the basis for developing evidence-based practice. It implements interventions and contextual variables that affect the understanding of the community about health and practice. The evidence is gained from the practice as it allows the healthcare system to apply current evidence on clinical expertise and patient values that aid in directing healthcare decisions (Banner et al., 2019). Translation research goes through different stages to advance into evidence-based practice. Evidence-based practices have formed the main pillar in advancing equitable healthcare and preventive services for the longest time in healthcare.
Translation research and evidence-based practice are significant in healthcare as they focus on developing a positive outcome in healthcare management. They develop a new approach to healthcare issues that allows healthcare professionals to advance their roles in meeting the desired patient outcome (Li et al., 2018). Effective ways of managing population health is an objectives that each healthcare professional would want to meet. Focusing attention on translation research would imply that the research system in healthcare would sharpen its tools for improving healthcare.
References
Banner, D., Bains, M., Carroll, S., Kandola, D. K., Rolfe, D. E., Wong, C., & Graham, I. D. (2019). Patient and public engagement in integrated knowledge translation research: are we there yet? Research Involvement and Engagement, 5(1), 1-14. https://doi.org/10.1186/s40900-019-0139-1
Choi, P. J., Tubbs, R. S., & Oskouian, R. J. (2018). The current trend of the translational research paradigm. Cureus, 10(3). Doi: 10.7759/cureus.2340
Li, Y., Zhao, L., Yu, D., & Ding, G. (2018). The prevalence and risk factors of dyslipidemia in different diabetic progression stages among middle-aged and elderly populations in China. PLoS One, 13(10), e0205709. https://doi.org/10.1371/journal.pone.0205709
Description
Objectives:
1. Discuss ethical guidelines for conducting translational research.
2. Examine ethical considerations related to translating research into practice .
3. Examine legal considerations related to translating research into practice.
4. Discuss ethical research considerations specific to population health.
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapter 26 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Population Health: Creating a Culture of Wellness
Description:
Read Chapter 10 in Population Health: Creating a Culture of Wellness.
A Few Ethical Issues in Translation Research for Gene and Cell Therapy
Description:
Read “A Few Ethical Issues in Translation Research for Gene and Cell Therapy,” by Riva and Petrini, from Journal of Translational Medicine (2019).
The Underappreciated and Misunderstood PICOT Question: A Critical Step in EBP Process
Description:
Read “The Underappreciated and Misunderstood PICOT Question: A Critical Step in EBP Process,” by Gallagher-Ford and Melnyk, from Worldviews on Evidence-Based Nursing (2019).
Life After PICOT: Taking the Next Step in a Clinical Inquiry Project
Description:
Read “Life After PICOT: Taking the Next Step in a Clinical Inquiry Project,” by Granger, from AACN Advanced Critical Care (2020).
Description:
Read “The Belmont Report,” by The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, located on the U.S. Department of Health and Human Services website (1979).
PICO: A Model for Evidence-Based Research
Description:
View “PICO: A Model for Evidence-Based Research,” by Binghamton University Libraries, located on YouTube (2017).
What is Evidence-Based Practice?
Description:
View “What is Evidence-Based Practice?” by Lippincott NursingCenter.com, located on YouTube (2016).
Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem 10.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 100.0%
Nursing Practice Problem (relevant to nursing practice, appropriate for an evidence-based practice project proposal, supported by current research) 35.0% A problem was not submitted. A proposed problem is presented but is not relevant to nursing practice. The nursing practice problem lacks support from current research. A new nursing practice problem must be selected. A relevant nursing practice problem for an EBP project proposal is presented and is generally supported by a current research article. Some information or revision is required. The explanation for why the topic is selected and its relevance to advance nursing practice is somewhat unclear. The nursing practice problem is conditionally approved; final approval is contingent upon revision. A relevant nursing practice problem for an EBP project proposal is presented and is adequately supported by a current research article. Minor revision is needed for the nursing practice problem. An explanation for why the topic is selected and its relevance to advance nursing practice is presented. The nursing practice problem is conditionally approved; final approval is contingent upon revision. The proposed problem is highly relevant to nursing practice, strongly supported by a current research article, and excellent for an evidence-based practice project. A clear explanation for why the topic is selected and relevant to advance nursing practice is presented. The nursing practice problem is approved. No revision is needed.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. The writer is clearly in command of standard, written, academic English.
Population 25.0% The population is not described. The description for the population is incomplete, or the information for the population is inaccurate. A summary of the population is presented. More information is needed. Revision is required. The population is described. Minor detail is needed for clarity or accuracy. Minor revision is needed. The population is thoroughly and accurately described. No revision is needed.
Intervention 25.0% The proposed intervention is not described. The proposed intervention is incomplete, or the proposed intervention is not relevant to the population or problem. The proposed intervention is generally described and adequate to the nursing practice problem and the population. More information needed. Revision is required. The proposed intervention is described and adequate to the nursing practice problem and the population. Minor detail is needed for clarity. Minor revision is needed. The proposed intervention is clearly described and relevant to the nursing practice problem and the population. No revision is needed.
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. “The writer is clearly in command of standard, written, academic English.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.”
Topic 1 DQ 2: Translational Research in Studies
Population health problems change with time, and health care research examines the problems using various approaches. One of the present health problems forming the basis of many research studies is COVID-19. A study by Diao et al. (2020) examined how T cells in patients with COVID-19 reduce and get functionally exhausted. Through a retrospective review of the counts of T cells and serum cytokine concentration from patients, Diao et al. (2020) found that T cells reduced dramatically in COVID-19 patients, particularly those requiring intensive care.
Translational research has various phases, and this study is an example of phase T1 translational research. According to Zarbin (2020), phase T1 translational research involves developing concepts and discoveries from basic research through early phase clinical trials in humans. The study was an early phase clinical trials on disease mechanisms. After finding how T cells reduce and the risk the change poses to COVID-19 patients, Diao et al. (2020) proposed the need for urgent intervention regardless of whether a COVID-19 patient shows severe symptoms due to the high-risk nature of the illness and the possibility of the condition deteriorating.
On why this (phase T1 research) is the best approach, population health problems can only be solved when discoveries are made to respond to current or emerging issues. Zarbin (2020) posited that translational research is different from basic research since translational research is performed with thought of practical ends. It is the same case in phase T1 translational research as applied in the above study. The knowledge derived from the experiment with humans is not primarily for general knowledge. Instead, it is a means to addressing important practice problems, and the study provides the way towards achieving the same.
NUR 550 Assignment: PICOT in a Nursing Practice Problem References
Diao, B., Wang, C., Tan, Y., Chen, X., Liu, Y., Ning, L., … & Chen, Y. (2020). Reduction and functional exhaustion of T cells in patients with coronavirus disease 2019 (COVID-19). Frontiers in Immunology, 11, 827. https://doi.org/10.3389/fimmu.2020.00827
Zarbin, M. (2020). What constitutes translational research? Implications for the scope of translational vision science and technology. Translational Vision Science & Technology, 9(8), 22-22. https://tvst.arvojournals.org/article.aspx?articleid=2770301
NUR 550 Assignment: PICOT in a Nursing Practice Problem Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
|
Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |