NRS 433V Topic 1 DQ 1 Describe the difference between a nursing practice problem and a medical practice problem

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Topic 1 DQ 1

Jul 25-27, 2022

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.

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.

A Sample Answer For the Assignment: NRS 433V Topic 1 DQ 1 Describe the difference between a nursing practice problem and a medical practice problem

Title: NRS 433V Topic 1 DQ 1 Describe the difference between a nursing practice problem and a medical practice problem

Krishna Turner

Jul 27, 2022, 11:59 PM

Replies to Krishna Turner

Evidence based practice is a process used to review and analyze scientific evidence into to everyday practice and clinical decision making. Nurses uses EBP to provide safety, give quality care, and improve outcome of the patient overall experience.

The difference between nursing practice problems and a medical practice problem are as follow: Nurse deals with modalities of patient care. This type of practice entails comfort, support, promotion of recovery, prevention of trauma (such as falls), health screenings (diabetes, hypertension, etc.…), assessment, health education, and coordination of care. (Selecting a clinical nursing problem for research – wiley online

NRS 433V Topic 1 DQ 1 Describe the difference between a nursing practice problem and a medical practice problem

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Medical practice problems entail the complexity of the patient medical condition or disease. They also identify the condition of the patient, cause, prognosis, and treat the problem. Example identifying a patient who is diagnose with cancer, the disease will be identified and addressed according. Should the patient receive chemotherapy versus surgery? Will the treatment be set up on an outpatient bases or inpatient?

It is important that PICOT is incorporated in nursing practice because as nurses we need to identify the patient problem, understand, or know what intervention will work best for caring for the patient. Comparison of which treatment will be more effective. Was the outcome accomplished after giving the treatment? How long did it take for the patient to received desired outcome.

Reference:

Cristancho S, Lingard L, Regehr G. From problem solving to problem definition: scrutinizing the complex nature of clinical practice. Perspect Med Educ. 2017 Feb;6(1):54-57. doi: 10.1007/s40037-016-0314-0. PMID: 27921218; PMCID: PMC5285274.

Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Selecting a clinical nursing problem for research – wiley online library. (n.d.). Retrieved July 28, 2022, from https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1547-5069.1984.tb01388.x

Calorine Mahungana

replied toKrishna Turner

Jul 28, 2022, 12:22 PM

Replies to Krishna Turner

Krishna,

EBP is crucial component of safe, quality patient care. Utilizing the EBP approach helps nurses and other clinicians provide the highest-quality and most co-efficient patient care (wgu.edu). It is essential that nurses know the current practices so that they can provide care to patients with complex and debilitating conditions. Moreover, EBP application enables nurses to include patients in their care plan. This allows patients to have a proactive role in their own healthcare since they can voice concerns, share their values and preferences and make suggestions on how they want to proceed.

Reference

What is evidence based nursing? https://www.wgu.edu/blog/evidence-based-practice-nursing2012.html

Kadija Tejan-deen

replied toKrishna Turner

Jul 29, 2022, 2:05 AM

Replies to Krishna Turner

Hello Krishna,

Good post. The activities that are carried out in order to combine the perceived problem with medical technology in order to provide some kind of solution are referred to as medical problem-solving processes. In these processes, choices are made regarding the problems that need to be attended to and the actions that need to be taken. In point of fact, uncertainty (also known as a lack of reliable knowledge) is attached to the majority of available options. This means that uncertainty may be attached to a variety of factors, such as the situation as a whole, the problem that should be considered, the actions that should be taken, the possible outcomes of those actions or outcomes, and the values that are attached to the actions or outcomes (Tian et al., 2019). The medical problem perception serves as the primary compass for the problem-solving processes in the medical industry, and this perception is associated with varied degrees of uncertainty.

references

Tian, S., Yang, W., Le Grange, J. M., Wang, P., Huang, W., & Ye, Z. (2019). Smart healthcare: making medical care more intelligent. Global Health Journal, 3(3), 62-65.

Sheranda Fesler

replied toKrishna Turner

Jul 29, 2022, 2:43 AM

Replies to Krishna Turner

Thanks for your posting. Can you identify a Nursing practice problem and develop a PICOT?

Krishna Turner

replied toSheranda Fesler

Jul 31, 2022, 2:18 PM

Replies to Sheranda Fesler

Hi Dr. Fesler,

The nursing practice problem that I used was diabetes and obesity which in a common problem in the United States. The nurse formulates PICOT questions for EBP projects. The nurse researcher must gather information and have an idea as to why the study should be performed, and then decide what questions are needed to further the research. (GCU, 2018)

P: Obese patient with diabetes

I: Diet and life-style changes

C: No changes in diet or life-style

O: More effective with controlling blood glucose

T: In one year period

Reference:

Sheranda Fesler

replied toKrishna Turner

Jul 31, 2022, 5:15 PM

Replies to Krishna Turner

GREAT PICOT!

Misty Diaz

replied toKrishna Turner

Jul 29, 2022, 9:39 PM

Replies to Krishna Turner

Hello Krishna!

I agree totally with your post! But, I noticed you forgot to include your PICOT. PICOT is the process that drives the evidence based practice process. It helps identify a problem or issue and helps to guide the research in the right direction, even if it is in a different direction than originally thought. Once the process of developing the PICOT question is completed appropriately, the direction is almost done for you. Just inputting the words or phrases into the search engine is all that needs to be done, and the race [process] is off and running! There are 5 PICOT format types: intervention, etiology, diagnosis, prognosis/prediction, and meaning (Bermudez, 2021). I am not sure of all of them at this time, and diagnosis and prognosis/prediction is not in our scope of practice, but I look forward to finding out about the others!

Reference

Bermudez, N. (2021). Formulating well-written clinical practice questions and research questions. Nursing and Health Sciences Research Journal, 4(1), 70-74. https://scholarly commons.baptisthealth.net/cgi/viewcontent.cgi?article=1113&context=nhsrj

Hannah Haywood

replied toKrishna Turner

Jul 30, 2022, 12:15 AM

Replies to Krishna Turner

Hello Krishna!

I enjoyed reading your post! When I think of a nursing problem and a PICOT question, I think of nursing interventions such as how to prevent a catheter associated urinary tract infection.

P- patients with catheters

I- catheter care once per shift; removal of the catheter as soon as possible (use of pure wick or male external catheter)

C- no intervention or change in practice

O- reduction of hospital acquired catheter associated urinary tract infections

T- 3-month period

Though that is simply an example, it shows that the PICOT form can simplify nursing interventions and increase positive patient outcomes.

References:

National Healthcare Safety Network (2022). Urinary tract infections (catheter-associated urinary tract infection (CAUTI) and non-catheter-associated urinary tract infection (UTI) events. https://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf

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