NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Sample Answer for NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper Included After Question
Description:
Refer to the PICOT you developed for your evidence-based practice project proposal. If your PICOT required revision, include those revisions in this assignment. You will use your PICOT paper for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.
Write a 750-1,000-word paper that describes your PICOT.
Describe the population’s demographics and health concerns.
Population’s Demographics and Health Concerns
The selected population for the project is Covid19 patients and the entire population. Covid19 affected a significant proportion of the American population since its discovery in 2019. The disease affected all the populations irrespective of age, gender, ethnicity, or socioeconomic status. The health concerns of covid19 infected patients include complications such as respiratory failure, multi-organ failure, and long-covid (Omer et al., 2021). The risk of covid19 to the entire population is that they are highly vulnerable to it. For example, the elderly and those with pre-existing conditions are highly vulnerable to covid19 infection.
Evidence-Based Intervention
The proposed evidence-based intervention entails providing covid19 patients and the entire population about the importance of covid19 vaccination. Despite there being Covid19 vaccines, most people in America are yet to be vaccinated. Factors such as lack of knowledge, misinformation, and fear of the unknown outcomes affect the population’s uptake of covid19 vaccines. Health education is a vital tool that can be used to increase the uptake of covid19 vaccines in the population. Health education raises the awareness in the population about the benefits of covid19 vaccinations. It also addresses misinformation about the effects of covid19 vaccines, hence, a high number of vaccinated populations. The proposed intervention incorporates health policies and goals that support healthcare equity for covid19 patients and the entire population. Health education increases awareness and uptake of covid19 vaccines, hence, equity in access to and utilization of care services. The education also addresses barriers in access to covid19 vaccines, which ensures optimum health for all (Wang et al., 2022). The intervention supports the realization of goals of the Affordable Care Act, which includes lowering the disease burden in the population.
Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.
Compare your intervention to previous practice or research.
Explain what the expected outcome is for the intervention.
Describe the time for implementing the intervention and evaluating the outcome.
Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.
Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper.
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 to six 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.
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.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
MS Nursing: Public Health MS Nursing: Education
MS Nursing: Acute Care Nurse Practitioner MS Nursing: Family Nurse Practitioner
MS Nursing: Health Care Quality and Patient Safety
4.1: Synthesize nursing science, determinants of health, and epidemiologic, genomic, and genetic data in the management of population health.
A Sample Answer For the Assignment: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Title: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Engaging in evidence-based practice (EBP) projects is among the most practical interventions for addressing health problems. Nurses use nursing interventions founded on research to enhance health outcomes. This paper describes the population, intervention, and expected outcome. It also explains the implementation time and the application of nursing science, social determinants of health, and epidemiologic, genomic, and genetic data in supporting the health management of children with obesity.
Population’s Demographics and Health Concerns
The focus population for the EBP project is children usually categorized as preschool-aged children (2-5 years) and school-aged children (6-11 years). Preschool-aged children are usually highly dependent on parents’ choices, including nutritional health, hobbies, and general lifestyle. As they move from pre-school to school age, children become somewhat dependent on some choices. They start choosing hobbies and establish relationships that influence their daily habits.
Childhood obesity is a serious health concern in the United States whose prevalence is increasing and putting children at risk of poor health. Skinner et al. (2018) found that childhood obesity’s prevalence is still high in the US since 1 in every 5 children has obesity. As the prevalence of obesity increases, children are more exposed to immediate and long term risks of obesity. Vulnerability to heart disease, type 2 diabetes, and cancer is high in children with obesity (Lindberg et al., 2020). Overall, the quality of health declines and children are not productive as desired.
As the populace, government, and health care providers intensify measures to fight obesity, it is disappointing to experience a proportional risk in risk factors. According to Tester et al. (2018), lifestyle changes characterized by low physical activity are continuously exposing children to obesity. Fast foods’ consumption is another risk factor. Pearson et al. (2020) suggested that sedentary living characterized by too much screen time must be addressed to reduce childhood’s obesity prevalence. Gaming, watching television for extended periods, and social interaction through mobile phones can be blamed for the reduced physical activity among children. Regulation is necessary as parents, educators, and health care providers collaborate to encourage physical activity at homes, schools, and communities.
Evidence-Based Intervention
As proposed in the PICOT (Appendix 1), the identified intervention is educating parents and children on reducing screen time and increasing physical activity. Increased screen time increases obesity prevalence since it is associated with too much energy intake and low physical activity (Schwarzfischer et al., 2020). Educating parents and children is expected to trigger a positive behavior change as parents regulate children and children avoid spending too much time on the screens since they understand the implications. The intervention incorporates health policies and goals that support health equity for children since it focuses on ensuring that children attain their full health potential. Health equity is achieved when disadvantaged groups are protected from health disparities and helped to acquire a decent living standard. Keeping children free from obesity is a significant step towards achieving this critical goal.
Intervention Comparison to Previous Research
Previous research confirm that parents are responsible for modeling children’s behaviors by regulating screen time, and awareness to embrace this role is necessary. Pearson et al. (2020) found that shortage of parent- and home-focused interventions to address unhealthy behaviors such as intake of energy-dense snack foods and excessive screen time increases childhood obesity rates. Parental confidence and awareness of the association between screen time and unhealthy behaviors are also recommended. Goncalves et al. (2019) found that parental confidence and self-efficacy to reduce screen time is instrumental in addressing overweight problems among children. With research confirming the central role parents play in regulating screen time, it is essential to encourage them to embrace this critical role and serve as role models of healthy behaviors.
Description
Objectives:
1. Distinguish between reliability and validity in research design.
2. Analyze the reliability and validity of methods and results in a translational research article.
3. Describe strategies to maintain the integrity of translational research.
4. Discuss challenges of research design and data collections.
Population Health: Creating a Culture of Wellness
Description:
Read Chapters 1 and 6 in Population Health: Creating a Culture of Wellness.
Evidence-Based Practice in Nursing and Healthcare
Description:
Read Chapters 5 and 6 in Evidence-Based Practice in Nursing and Healthcare.
Work as an Inclusive Part of Population Health Inequities Research and Prevention
Description:
Read “Work as an Inclusive Part of Population Health Inequities Research and Prevention,” by Ahonen et al., from American Journal of Public Health(2018).
Aligning Evidence-Based Practice With Translational Research: Opportunities for Clinical Practice Research
Description:
Read “Aligning Evidence-Based Practice With Translational Research: Opportunities for Clinical Practice Research,” by Weiss et al., from JONA: The Journal of Nursing Administration (2018).
Environmental Health Sciences in a Translational Research Framework: More than Benches and Bedsides
Description:
Read “Environmental Health Sciences in a Translational Research Framework: More than Benches and Bedsides,” by Kaufman and Curl, from Environmental Health Perspectives (2019).
Scoping Implementation Science for the Beginner: Locating Yourself on the “Subway Line” of Translational Research
Description:
Read “Scoping Implementation Science for the Beginner: Locating Yourself on the ‘Subway Line’ of Translational Research,” by Lane-Fall, Curran, and Beidas, from BMC Medical Research Methodology (2019).
Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Benchmark – Evidence-Based Practice Project: PICOT Paper 150.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 70.0%
Population Demographics and Health Concerns 5.0% The demographics and health concerns for the population are not described. The demographics and health concerns for the population are incorrect or only partially described. The demographics and health concerns for the population are summarized. More information and supporting evidence are needed. The demographics and health concerns for the population are described using sufficient evidence. The demographics and health concerns for the population are accurate and thoroughly described using substantial evidence.
Proposed Evidence-Based Intervention 13.0% The proposed evidence-based intervention is omitted. The proposed evidence-based intervention is incomplete. It is unclear how the proposed intervention incorporates health policies and goals that support health care equity for the population of focus. The proposed evidence-based intervention is outlined. Explanation of how the proposed intervention incorporates health policies and goals that support health care equity for the population of focus is general. Some aspects are unclear. More information is needed. The proposed evidence-based intervention is described. Explanation of how the proposed intervention incorporates health policies and goals that support health care equity for the population of focus is adequate. Some detail is needed for clarity or accuracy. The proposed evidence-based intervention is well-developed and clearly described. Explanation of how the proposed intervention incorporates health policies and goals that support health care equity for the population of focus is thorough.
Comparison of Intervention to Current Research 12.0% Comparison of intervention to previous practice or research is omitted. Comparison of intervention to previous practice or research is incomplete. Comparison of intervention to previous practice or research is generally presented. Some areas are vague. Comparison of intervention to previous practice or research is adequately presented. Comparison of intervention to previous practice or research is thorough and clearly presented.
A Sample Answer 2 For the Assignment: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Title: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Various problems existing in the patient care setting can derail the process of improving patient care outcomes, hence resulting in poorer patient outcomes. The implication is that such patient care problems should appropriately be solved to improve the chances of better patient outcomes. In some cases, strategies such as the use of PICOT can be used in such instances. The PICOT approach requires that the investigator appropriately identifies the patient population to be investigated and the proposed intervention that can be used to solve the identified problem (McClinton, 2022). In addition, it is important to identify the comparison and outcomes as appropriate. In some cases, the problem is time-bound; hence the time frame needs to be identified in such cases. Therefore, the purpose of this assignment is to comprehensively describe PICOT. As such, various aspects will be explored, including the population’s demographics and health concerns, the proposed evidence-based intervention, the comparison of the intervention with previous research or practice, the expected outcomes, and the time for implementation.
Population Demographics and Health Concerns
The chosen population is adult patients admitted to the hospital, and due to various complications, they have to use indwelling urinary catheters. These patients have been chosen since the use of indwelling catheters has been associated with the development of various health complications, such as Catheter-Associated Urinary Tract infections (CAUTI) (Letica-Kriegel et al.,2019). The health concern is CAUTI. CAUTI has been shown to lead to various health complications and negative impacts on patients. For example, these infections lead to longer hospital stays and increased healthcare spending.
Proposed Evidence-Based Intervention and How It Incorporates Health Policies
The adverse impacts of CAUTI have led to research efforts over the years to help control and prevent these infections. Therefore, various evidence-based interventions exist. However, it is worth noting that these evidence-based interventions have shown varied efficacy; in addition, the problem still persists in the patient care setting. As such, the proposed evidence-based approach or intervention is the use of a CAUTI bundle. As opposed to single interventions, which can be applied to prevent and reduce the rates of CAUTI, a bundle-based care approach entails combining or integrating various interventions for better outcomes. Therefore, the bundle care approach chosen entails various activities that can have a synergistic effect of reducing CAUTI rates or preventing them (Elkbuli et al.,2018). The activities include staff education, the stabilization of the bladder catheter, educating the caregiver and patient, keeping the collection bag below the bladder and above the flow, and evaluating the catheters daily for possible discontinuation.
Comparison of the Intervention With Previous Research
As discussed earlier, efforts have been made in the past to formulate possible interventions that can be used to prevent CAUTI. For example, some past research has explored the use of antiseptic and soap in cleaning to reduce the rate of CAUTI. Such approaches have also shown efficacy to an extent. For example, using antiseptic for five days (5 days of nasal mupirocin, chlorhexidine gluconate [CHG] bathing, and CHG mouthwash) was associated with reduced rates of CAUTI, implying that the intervention was effective. The use of SOAP for the same purpose was also found to be effective but to a lesser extent in comparison to the use of antiseptics (Cline et al., 2018).
Time for Implementation
PICOT questions can be time bound to ensure that the proposed intervention is implemented and evaluated within a specific or given time span. Therefore, from the formulated PICOT question, the proposed time for implementing the intervention is six months. This time duration is expected to be sufficient for conducting the necessary literature review for evidence and implementing the proposed solution. As part of the process, this time will also be used in evaluating the outcomes of the project as appropriate to determine the efficacy of the implemented intervention.
How Nursing Science, Social Determinants of Health and Genetic Data are Applied to Support Population Health Management for the Population.
The identified population is prone to CAUTI due to the use of indwelling urinary catheters. Nursing science has been used to support health management for the population. For example, nursing care is focused on limiting the use of indwelling catheters and removing them as soon as possible to prevent infections (Elkbuli et al.,2018). Social determinants of health are also used. For example, when educating the patients regarding CAUTI prevention, the levels of education of the patients are taken into consideration so that, in case a patient’s level of education is low, then the education has to be carried out in the simplest of languages to enhance understanding. Access to care can also be enhanced to support health management for the population (Artiga & Hinton, 2019). Epidemiologic, genomic, and genetic data can also be used in supporting population health management. For example, the prevalence of the condition and well as the risk factors can be used to identify populations that are more affected and those who are at more risk. Such data can then be applied to come up with appropriate interventions.
Conclusion
CAUTI impact patient health negatively and hence should be controlled. A PICOT question has been formulated to help in exploring the problem. The chosen population is individuals using catheters, while the intervention proposed is the use of a CAUTI bundle. Besides, the proposed time for implementation is six months.
References
Artiga, S., & Hinton, E. (2019). Beyond health care: the role of social determinants in promoting health and health equity. Health, 20(10), 1-13. https://collections.nlm.nih.gov/master/borndig/101740257/issue-brief-beyond-health-care.pdf
Elkbuli, A., Miller, A., Boneva, D., Puyana, S., Bernal, E., Hai, S., & McKenney, M. (2018). Targeting catheter-associated urinary tract infections in a trauma population: a 5-S bundle preventive approach. Journal of Trauma Nursing| JTN, 25(6), 366–373. 10.1097/JTN.0000000000000403
Kline, S. E., Neaton, J. D., Lynfield, R., Ferrieri, P., Kulasingam, S., Dittes, K., … & Johnson, J. R. (2018). Randomized controlled trial of a self-administered five-day antiseptic bundle versus usual disinfectant soap showers for preoperative eradication of Staphylococcus aureus colonization. Infection Control & Hospital Epidemiology, 39(9), 1049–1057. https://doi.org/10.1017/ice.2018.151
Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., … & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ Open, 9(2), e022137. http://dx.doi.org/10.1136/bmjopen-2018-022137
McClinton, T. D. (2022). A guided search: Formulating a PICOT from assigned areas of inquiry. Worldviews on Evidence‐Based Nursing, 19(5), 426–427. https://doi.org/10.1111/wvn.12598
Expected Outcome for Intervention 10.0% The expected outcome is for the intervention is omitted. The expected outcome is for the intervention is incomplete. The expected outcome is for the intervention is summarized. More information and supporting evidence is needed. The expected outcome for the intervention is explained using sufficient evidence. The expected outcome for the intervention is thoroughly explained using substantial evidence.
Time Estimated for Implementing Intervention and Evaluating Outcome 10.0% A description of the timeline is not included. A description of the timeline is incomplete or incorrect. A description of the timeline is included but lacks evidence. A description of the timelines is complete and includes a sufficient amount of evidence. A description of the timeline is extremely thorough with substantial evidence.
Support for Population Health Management for Selected Population (C 4.1) 10.0% Explanation of how nursing science; social determinants of health; and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population is omitted. Explanation of how nursing science; social determinants of health; and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population is incomplete. There are major inaccuracies. Explanation of how nursing science; social determinants of health; and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population is summarized. More information and support are needed. Explanation of how nursing science; social determinants of health; and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population is adequate. Some detail is needed for accuracy or clarity. Explanation of how nursing science; social determinants of health; and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population is thorough. The narrative is insightful and demonstrates an understanding of how the various aspects contribute to population health management for selected populations.
Appendix 5.0% The appendix and required resources are omitted. The APA Writing Checklist and PICOT are attached, but an appendix has not been created. The paper does not reflect the use of the APA Writing Checklist during development. The APA Writing Checklist and PICOT are attached in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality. The APA Writing Checklist and PICOT are attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper. The APA Writing Checklist and PICOT are attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development. Benchmark – Evidence-Based Practice Project: PICOT Paper NUR 550
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.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. 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. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. 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. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct. Benchmark – Evidence-Based Practice Project: PICOT Paper NUR 550
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. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper 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:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three or more of the following elements
|
| 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:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in the all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three of the following elements
|
| 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:
|
Demonstrated 3 of the following:
|
Demonstrated 2 of the following:
|
Demonstrated 1 or less of the following:
|
||
| 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
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
|
Failed to demonstrate the following:
|
||||
| 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. |
A Sample Answer 3 For the Assignment: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
Title: NUR 550 Benchmark- Evidence-Based Practice Project: PICOT Paper
The promotion of safety and quality in the care of hospitalized patients is crucial in nursing practice. However, the occurrence of safety issues such as falls threaten the promotion of optimum health outcomes for hospitalized patients. Falls are considered safety and quality issues in healthcare since they are preventable. Nurses actively explore evidence-based interventions that can be adopted to reduce and prevent fall rates. Health information technologies promise the desired efficiency and effectiveness in fall reduction. Therefore, this paper explores the proposed intervention to address falls in my project.
Description of the Population’s Demographics and Health Concerns
The selected population for my project is older population aged 65 years and above. This population is highly at a risk of experiencing falls due to decline in their functional status (Xu et al., 2018). Their increased predisposition to falls is also attributed to complex comorbid conditions that lead to the use of multiple drugs for disease management. The multiple medications increase the risk of drug interactions and unwanted side effects that include falls. The elderly populations also suffer from cognitive decline. The decline affects processes such as judgment, which increase their risk of falls. Elderly women have a high risk of falls due to the hormonal changes that occur during the post-menopausal period (Burns & Kakara, 2018; Valderrama-Hinds et al., 2018). Cumulatively, hospitalized elderly patients aged 65 years and above are highly at a risk of falls, increasing the need for the adoption of interventions to ensure safety and quality in the care they receive.
Proposed Evidence-Based Intervention
The proposed evidence-based intervention entails the use of automated technology to detect, prevent, and reduce patient falls. Automated technologies sense, analyze, and predict patient movements, and notify in case of an increased risk of patient falls. The technology is still new to healthcare and has demonstrated effectiveness in fall detection and prevention (Saod et al., 2021). The use of automated fall technologies for fall prevention incorporates health policies and goals that support health care equity for the elderly populations aged 65 years and above. First, it seeks to incorporate an efficient and safe technology into fall prevention in healthcare. It also aims at ensuring the elderly populations at risk of falls have enhanced access to high quality, safe, and efficient care that optimize care outcomes (Seow et al., 2022).
Comparison to Previous Practice or Research
Studies conducted in the past have shown that automated technologies are effective in detecting, preventing, and reducing patient falls. For example, Wilmink et al., (2020) found in their study that an artificial intelligence-powered digital health platform and wearable devices improved outcomes for older adults in assisted living communities. The results demonstrated that the use of automated technologies led to 69% decline in fall rate and 39% decline in hospitalization rate (Wilmink et al., 2020). Similarly, Mulas et al., (2021) assessed the effect of using wearable inert sensors on gait and functional mobility among cognitively impaired older persons. The analysis of data obtained from 213 adults aged 65 years and above showed that wearable sensors provide timely data on mobility and gait for elderly patients with cognitive impairments. The technology is effective for evaluating the effectiveness of interventions to alleviate mobility limitations, including falls (Mulas et al., 2021).
Expected Outcome
The expected outcome for the proposed intervention is the reduction in fall rates among hospitalized elderly patients aged 65 years and above by at least 50% by the end of six months. It is also expected that automated fall detectors will be incorporated into the existing organization’s systems and processes for safety and quality.
Time for Implementing and Evaluating the Outcomes
The proposed timeline for implementing and evaluating the outcomes for the project is six months. It is anticipated that the duration will be adequate to assess, plan, implement, monitor, and evaluate the project to determine its effectiveness in improving safety, quality, and efficiency of patient care.
Nursing Science, Social Determinants of Health and Epidemiologic, Genomic, and Genetic Data are Applied
Nursing science is applied to support the population health management for the hospitalized, elderly patients aged 65 years and above. The proposed intervention is obtained from sources of evidence-based data such as journals and peer-reviewed articles. The proposed intervention also incorporates aspects of quality and safety outcomes in nursing practice. The intervention incorporates social determinants of health such as age and disease status to ensure optimum outcomes for the elderly patients at risk of falls. For example, the automated fall detectors aim at ensuring health equity for the elderly by eliminating potential harm during their hospitalization. Epidemiologic data on patient falls informed this intervention. The aim is to lessen the disease burden due to falls affecting hospitalized elderly patients in healthcare settings and improve safety and quality of patient care (Maneeprom et al., 2019).
Conclusion
In summary, the target population for the project are elderly patients aged 65 years and above and at risk of falls. The intervention entails the use of automated fall detectors to detect, notify, prevent, and reduce falls. The duration for intervention implementation and evaluation is six months. It is anticipated that the intervention will result in decline in fall rates in the organization.