PICOT QUESTION AND LITERATURE SEARCH GCU NRS 433

PICOT QUESTION AND LITERATURE SEARCH GCU NRS 433

Assessment Description

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem.

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology.

Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. The PICOT question will also provide a framework for your capstone project.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.

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.

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Topic 1 DQ 1

Jan 31-Feb 2, 2022

PICOT is utilized by the health care community to identify and study a nursing or medical 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.

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

Deidra Earls

Posted Date

Feb 3, 2022, 6:22 PM

Replies to Deidra Earls

The medical field consists of both nursing practice problems and medical practice problems. Nursing practice problems are any issues encountered during nursing practice related to the patient’s response to a health problem they are experiencing. This information can be identified during a thorough assessment. Medical practice problems are concerned with a medical condition or disease, the cause and treatment for the condition. An example of a nursing practice problem is a patient presents to the hospital with a headache and dizziness. This patient will be at a risk for falls. An example of a medical practice problem is if a patient is diagnosed with a stroke, then the pathology of this disease will be the focus. It is important to ensure PICOT is based on a nursing practice problem because the focus will be centered around the patient and not the disease. Patient, Intervention, Comparison, Outcome, and Time is used along with evidence-based practice to give our patient’s safe, effective nursing care. PICOT provides evidence to support clinical decisions and explore alternative treatments and procedures (Finding the evidence, n.d.).

References:

Helbig, J. (2018). History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process. In Grand Canyon University (Ed.), Nursing research: Understanding methods for best practice. (1st ed.). Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1

Finding the evidence – Using PICO searching to support evidence-based nursing practice. Clinical Knowledge Network. (n.d.). www.ckn.org.au/content/finding-evidence-using-pico-searching-support-evidence-based-nursing-practice

Eleanor Milo

replied toDeidra Earls

Feb 3, 2022, 8:39 PM(edited)

Replies to Deidra Earls

The importance of available research to utilize to implement best practice is very important being in a program like this you are able to gain access to vasts amounts research and know it is validated research.

 Deidra Earls

replied toEleanor Milo

Feb 6, 2022, 6:57 PM

Replies to Eleanor Milo

According to Northeastern State University (2017), research helps us to determine best practices and improve patient care. The findings can correct old misunderstandings, pave the way for new treatment protocols and create new methodology — all of which improve patient outcomes. Nursing continues to evolve and change so we must be able to adapt in all environments. I’m excited to learn and progress throughout this program.

Reference:

Why do nurses need research? Northeastern State University Online. (2017, September 12). Retrieved from https://nursingonline.nsuok.edu/degrees/rn-to-bsn/why-nurses-need-research

 Kerry Walker

replied toDeidra Earls

Feb 4, 2022, 4:29 AM

 Replies to Deidra Earls

In health care we use evidence-based practices to provide the best outcomes for our patients. We ask questions during an assessment to get to know our patients. Foreground questions can be used in clinical research prior to starting the research, which is known as PICO (Finding the evidence, n.d.). PICO helps to format research in order to make the research process more manageable (Finding the evidence, n.d.).

Deidra, you gave great examples and explained both nursing and medical practice problems very well. I hope that this class will help us gain more insight into research and as we know it will give great access to validated research to dive into. I feel that both medical and nursing practice relay greatly on research to better our patient’s prognosis.

  Patience Nwando

replied toDeidra Earls

Feb 4, 2022, 12:07 PM

Replies to Deidra Earls

Hello Deidra.

This is an outstanding work and I agree with you. Ideally, there are differences between the nursing practice problems and medical practice problems. Nursing practice problems characterize issues nurses encounter during their practice that are related to how patients respond to health problems they are experiencing (Berthelsen & Hølge-Hazelton, 2017). There are various factors to consider in the nursing practice problems including patients’ signs and symptoms to a disease and challenges in performing activities of daily living owing to a fractured extremity. Nursing practice problems is also concerned with modalities of caring for patient such as trauma prevention, support, health screening, comfort, assessment, coordination of health care, and health education (Hockenberry & Wilson, 2018). On the other hand, medical practice problems deal with medical conditions or diseases. It recognizes a disease, pursues causes, creates a prognosis, and recommends a treatment for the disease (Miller & Brown, 2018). Taken together, nursing practice problem and medical practice problem have divergent goals. Medical practice problem identifies a deviation from a norm, while nursing practice judges the existence of a condition for improving self-care.

References

Berthelsen, C., & Hølge-Hazelton, B. (2017). ‘Nursing research culture’ in the context of clinical nursing practice: addressing a conceptual problem. Journal Of Advanced Nursing, 73(5), 1066-1074. https://doi.org/10.1111/jan.13229

Hockenberry, M. J., & Wilson, D. (2018). Wong’s nursing care of infants and children-E-book. Elsevier Health Sciences.

Miller, D. D., & Brown, E. W. (2018). Artificial intelligence in medical practice: the question to the answer?. The American journal of medicine, 131(2), 129-133. https://doi.org/10.1016/j.amjmed.2017.10.035

Attachments

NRS-433V-RS-T1-LiteratureEvaluationTable.docx

Rubric Criteria

Total 120 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 points Appropriate format is not used. No documentation of sources is provided.	9 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	9.48 points Appropriate format and documentation are used, although there are some obvious errors.	10.68 points Appropriate format and documentation are used with only minor errors.	12 points No errors in formatting or documentation are present.
Research Questions Research Questions	0 points Research questions are omitted.	4.5 points The research questions have been misidentified for at least two of the articles. Additional information is needed to fully illustrate the research question for several of the articles.	4.74 points The research question has been misidentified for at least one of the articles.	5.34 points Research questions are clear.	6 points Research questions are accurate and capture the fundamental question posed by the researchers in each study.
Quantitative, Qualitative, and Mixed Method Articles Quantitative, Qualitative, and Mixed Method Articles	0 points Identification of quantitative, qualitative, or mixed methods and justification for identified methodology is omitted.	9 points Identification of quantitative, qualitative, or mixed methods is included but is not accurate for three or more articles. A justification for the identified methodology is included but lacks significant details.	9.48 points Identification of quantitative, qualitative, or mixed methods is included but is not accurate for two articles. A general justification for the identified methodology is included.	10.68 points Identification of quantitative, qualitative, or mixed methods is included but is not accurate for one article. A clear justification for the identified methodology is included.	12 points Identification of quantitative, qualitative, or mixed methods is correctly identified and includes a thorough justification for the identified methodology for all articles.
Methods Methods	0 points A discussion on the methods utilized in the study for each article is not included.	4.5 points A discussion on the methods utilized in the study is partially presented for each article and is missing key information.	4.74 points A discussion on the methods utilized in the study for each article is present and includes some relevant details and explanation.	5.34 points A clear discussion on the methods utilized in the study for each article is presented.	6 points A thorough discussion on the methods utilized in the study for each article is presented.
Recommendations of the Researcher Recommendations of the Researcher	0 points Researcher recommendations are omitted.	4.5 points Researcher recommendations for each article are inaccurate or incomplete.	4.74 points Researcher recommendations for each article are presented and include some relevant details and explanation.	5.34 points Researcher recommendations for each article are accurately presented.	6 points Researcher recommendations accurate are thoroughly described for each article.
Purpose Statements Purpose Statements	0 points Purpose statements are omitted.	4.5 points Purpose statements are not clearly summarized and contain major inaccuracies.	4.74 points Purpose statements contain minor inaccuracies in some areas.	5.34 points Purpose statements are clearly summarized.	6 points Purpose statements are accurate and thoroughly summarized.
Key Findings and Implications for Nursing Practice Key Findings and Implications for Nursing Practice	0 points Discussion of the study results, including key findings and implications for nursing practice, are omitted.	4.5 points Discussion of the study results, including findings and implications for nursing practice, is presented but lacks relevant details and explanation. There are some omissions or inaccuracies.	4.74 points Discussion of study results, including findings and implications for nursing practice, is generally presented for each article. Overall, the discussion includes some relevant details and explanation.	5.34 points Discussion of study results, including findings and implications for nursing practice, includes relevant details and explanation.	6 points Discussion of study results, including key findings of the study and implications for nursing practice, is thorough with relevant details and extensive explanation.
Sample Sample	0 points The sample is omitted.	4.5 points The sample that is indicated for each article is incorrect or incomplete.	4.74 points The sample is indicated for each article and includes some relevant details and explanation.	5.34 points The sample is indicated for each article.	6 points The sample is indicated and accurate for each article.
Setting Setting	0 points The setting is omitted.	4.5 points The setting in which the researcher conducted the study for each article is incorrect or incomplete.	4.74 points The setting in which the researcher conducted the study is indicated for each article and includes some relevant details and explanation.	5.34 points The setting is in which the researcher conducted the study is clearly indicated for each article.	6 points The setting in which the researcher conducted the study is detailed and accurate for each article.
Summary of Nursing Practice Problem Summary of Nursing Practice Problem	0 points A nursing practice problem is omitted.	4.5 points A nursing practice problem is partially presented. Significant aspects are missing, or there are inaccuracies.	4.74 points A nursing practice problem is presented and includes some relevant details and explanation.	5.34 points A nursing practice problem is detailed.	6 points A nursing practice problem is thoroughly described.
PICOT Question PICOT Question	0 points A PICOT question is omitted.	9 points A PICOT question is provided but is incomplete. The PICOT question format is used incorrectly.	9.48 points A PICOT question is provided, and the PICOT question format is generally applied.	10.68 points A PICOT question is provided, and the PICOT question format is applied accurately.	12 points A PICOT question is provided, and the PICOT question format is applied accurately. An answerable and researchable question is presented.
APA-Formatted Article Citations With Permalinks APA-Formatted Article Citations With Permalinks	0 points Article citations and permalinks are omitted.	4.5 points There are significant errors in the APA format. One or more permalinks are incorrect or omitted.	4.74 points Article citations are presented in APA format, but there are minor errors. Permalinks are included.	5.34 points N/A	6 points Article citations are accurately presented in APA format and permalinks are correct.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	9 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	9.48 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	10.68 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	12 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Relationship of Articles to the PICOT Question Relationship of Articles to the PICOT Question	0 points Articles and their relationship to PICOT question are omitted.	9 points At least two articles do not relate to the PICOT question. The remaining articles provide a small degree of support for the PICOT question. Different articles are needed to provide better support for the PICOT question.	9.48 points At least one article does not relate to the PICOT question. The remaining articles provide general support for the PICOT question. One or two different articles are needed to provide better support for the PICOT question.	10.68 points Each article relates to the PICOT question. The articles provide support for the PICOT question.	12 points Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.
Outcomes Outcomes	0 points Research outcomes are omitted.	4.5 points Research outcomes are presented for each article. The research outcomes have been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research outcomes for several of the articles.	4.74 points Research outcomes are presented. The research outcomes have been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research outcomes for one or two articles.	5.34 points Research outcomes are presented. Minor detail is needed for clarity in some areas.	6 points Research outcomes are accurate and described in detail for each article.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

9 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

9.48 points

Appropriate format and documentation are used, although there are some obvious errors.

10.68 points

Appropriate format and documentation are used with only minor errors.

12 points

No errors in formatting or documentation are present.

Research Questions

0 points

Research questions are omitted.

4.5 points

The research questions have been misidentified for at least two of the articles. Additional information is needed to fully illustrate the research question for several of the articles.

4.74 points

The research question has been misidentified for at least one of the articles.

5.34 points

Research questions are clear.

6 points

Research questions are accurate and capture the fundamental question posed by the researchers in each study.

Quantitative, Qualitative, and Mixed Method Articles

0 points

Identification of quantitative, qualitative, or mixed methods and justification for identified methodology is omitted.

9 points

Identification of quantitative, qualitative, or mixed methods is included but is not accurate for three or more articles. A justification for the identified methodology is included but lacks significant details.

9.48 points

Identification of quantitative, qualitative, or mixed methods is included but is not accurate for two articles. A general justification for the identified methodology is included.

10.68 points

Identification of quantitative, qualitative, or mixed methods is included but is not accurate for one article. A clear justification for the identified methodology is included.

12 points

Identification of quantitative, qualitative, or mixed methods is correctly identified and includes a thorough justification for the identified methodology for all articles.

Methods

0 points

A discussion on the methods utilized in the study for each article is not included.

4.5 points

A discussion on the methods utilized in the study is partially presented for each article and is missing key information.

4.74 points

A discussion on the methods utilized in the study for each article is present and includes some relevant details and explanation.

5.34 points

A clear discussion on the methods utilized in the study for each article is presented.

6 points

A thorough discussion on the methods utilized in the study for each article is presented.

Recommendations of the Researcher

0 points

Researcher recommendations are omitted.

4.5 points

Researcher recommendations for each article are inaccurate or incomplete.

4.74 points

Researcher recommendations for each article are presented and include some relevant details and explanation.

5.34 points

Researcher recommendations for each article are accurately presented.

6 points

Researcher recommendations accurate are thoroughly described for each article.

Purpose Statements

0 points

Purpose statements are omitted.

4.5 points

Purpose statements are not clearly summarized and contain major inaccuracies.

4.74 points

Purpose statements contain minor inaccuracies in some areas.

5.34 points

Purpose statements are clearly summarized.

6 points

Purpose statements are accurate and thoroughly summarized.

Key Findings and Implications for Nursing Practice

0 points

Discussion of the study results, including key findings and implications for nursing practice, are omitted.

4.5 points

Discussion of the study results, including findings and implications for nursing practice, is presented but lacks relevant details and explanation. There are some omissions or inaccuracies.

4.74 points

Discussion of study results, including findings and implications for nursing practice, is generally presented for each article. Overall, the discussion includes some relevant details and explanation.

5.34 points

Discussion of study results, including findings and implications for nursing practice, includes relevant details and explanation.

6 points

Discussion of study results, including key findings of the study and implications for nursing practice, is thorough with relevant details and extensive explanation.

Sample

0 points

The sample is omitted.

4.5 points

The sample that is indicated for each article is incorrect or incomplete.

4.74 points

The sample is indicated for each article and includes some relevant details and explanation.

5.34 points

The sample is indicated for each article.

6 points

The sample is indicated and accurate for each article.

Setting

0 points

The setting is omitted.

4.5 points

The setting in which the researcher conducted the study for each article is incorrect or incomplete.

4.74 points

The setting in which the researcher conducted the study is indicated for each article and includes some relevant details and explanation.

5.34 points

The setting is in which the researcher conducted the study is clearly indicated for each article.

6 points

The setting in which the researcher conducted the study is detailed and accurate for each article.

Summary of Nursing Practice Problem

0 points

A nursing practice problem is omitted.

4.5 points

A nursing practice problem is partially presented. Significant aspects are missing, or there are inaccuracies.

4.74 points

A nursing practice problem is presented and includes some relevant details and explanation.

5.34 points

A nursing practice problem is detailed.

6 points

A nursing practice problem is thoroughly described.

PICOT Question

0 points

A PICOT question is omitted.

9 points

A PICOT question is provided but is incomplete. The PICOT question format is used incorrectly.

9.48 points

A PICOT question is provided, and the PICOT question format is generally applied.

10.68 points

A PICOT question is provided, and the PICOT question format is applied accurately.

12 points

A PICOT question is provided, and the PICOT question format is applied accurately. An answerable and researchable question is presented.

APA-Formatted Article Citations With Permalinks

0 points

Article citations and permalinks are omitted.

4.5 points

There are significant errors in the APA format. One or more permalinks are incorrect or omitted.

4.74 points

Article citations are presented in APA format, but there are minor errors. Permalinks are included.

5.34 points

N/A

6 points

Article citations are accurately presented in APA format and permalinks are correct.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

9 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

9.48 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

10.68 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

12 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Relationship of Articles to the PICOT Question

0 points

Articles and their relationship to PICOT question are omitted.

9 points

At least two articles do not relate to the PICOT question. The remaining articles provide a small degree of support for the PICOT question. Different articles are needed to provide better support for the PICOT question.

9.48 points

At least one article does not relate to the PICOT question. The remaining articles provide general support for the PICOT question. One or two different articles are needed to provide better support for the PICOT question.

10.68 points

Each article relates to the PICOT question. The articles provide support for the PICOT question.

12 points

Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.

Outcomes

0 points

Research outcomes are omitted.

4.5 points

Research outcomes are presented for each article. The research outcomes have been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research outcomes for several of the articles.

4.74 points

Research outcomes are presented. The research outcomes have been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research outcomes for one or two articles.

5.34 points

Research outcomes are presented. Minor detail is needed for clarity in some areas.

6 points

Research outcomes are accurate and described in detail for each article.