NR 505 Week 2: PICOT/PICo and Practice Questions
NR 505 Week 2: PICOT/PICo and Practice Questions
Initially, I thought that the qualitative approach would be a better approach for my evidence-based project proposal. After further review, I now am convinced that the quantitative approach is a better approach for my evidence-based Practice (EBP) project proposal. Evidence-based practice is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes (Stevens, 2013). Evidence-based practice also unifies research evidence with clinical expertise and encourages through individualization of care through inclusion of patient preferences (Stevens, 2013).
Why the Quantitative Approach is best for rural populations’ unplanned healthcare (Area of Interest)
Because of my clinical experience with my area of interest in the rural population, this approach will allow a collection of opinions, facts, attitudes, and behaviors to be analyzed. The quantitative approach will also allow results to be generalized from a larger population such as the rural population. With the use of the quantitative approach, this population will have the opportunity to reveal their needs and causes of lack of healthcare. This research approach will be beneficial in order to decrease the incidence of unplanned healthcare, which is one of the biggest healthcare challenges that this population continues to face. With the use of the quantitative research method, data can be collected from various forms such as: online surveys, paper surveys, telephone interviews, and face to face interviews. The collection of this data will allow comparison of opinions and further investigation toward a resolution. As exploration of the chosen population occurs with the combination of clinical experiences, an advancement of the proposed EBP will promote the intended outcome of better healthcare strategies.
PICO Quantitative Question
In the rural population (P) does health education, early diagnosis, and healthcare programs (I) compared to deploying health resources geographically (C) reduce the incidence of unplanned healthcare (O).
Quantitative Practice Question
Is there a link between the lack of healthcare education, early diagnosis, healthcare programs and unplanned healthcare?
Reference
Stevens, K.R. (2013). The Impact of Evidence-based Practice in Nursing and the Next big Ideas. Online Journal Issues in Nursing, 18(2), 1. doi: 10.3912/OJIN18No02MAN04
I believe both quantitative and qualitative approaches could be beneficial for this specific topic, but I plan to focus on the qualitative approach. In qualitative research the focus is on the collection and analysis of data. The researcher has to remain fluid and flexible during the research process. Their direction may need to change slightly in order to get closer to their goal. Qualitative research main purpose is to explore and describe a participant’s experience. The approach starts out with a broad question, but process oriented and context bound (Malagon-Maldonado, 2014). The focus for quantitative research is usually narrow and product related.
My PICo question is: in a hospital setting where nurses conduct bedside shift report opposed to station-based report, is patient satisfaction higher? I picked this question to help guide the nurses to understand the value bedside s
NR 505 Week 2 PICOT PICo and Practice Questions
hift report has for the patients and their families as well as the nurses. We have set this practice as a standard in our hospital and many units do very well. We see staff struggling on the units that have larger number of patients. While using the qualitative approach I will start broad in my question but hope to identify some research specific to the patient satisfaction in the emergency department. As the nursing operations manager of the emergency department, we strive to improve our communication with our patients concerning their plan of care. This research will hopefully identify some of the barriers and how successful organizations supported their staff to overcome those barriers (Taylor, 2015).
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NR 505 Week 2: PICOT/PICo and Practice Questions
Malagon-Maldonado, G. (2014). Qualitative Research in Health Design. Health Environments Research & Design Journal (HERD) (Vendome Group LLC), 7(4), 120-134. Retrieved from http://www.herdjournal.com.chamberlainuniversity.idm.oclc.org/ME2/Default.asp
Taylor, J. S. (2015). Improving patient safety and satisfaction with standardized bedside handoff and walking rounds. Clinical Journal of Oncology Nursing, 19(4), 414-416. Retrieved from https://cjon.ons.org
Bedside shift report is not only encouraged in the ER I work, it is expected. Before I worked in the ER, I worked on the telemetry unit where bedside shift report was already being implemented somewhat. It was easier to write down all pertinent information at the nurse server with the chart open than trying to go off of memory and report sheet. So, after an initial report was given, the two nurses would go in to the patient room and introduce the oncoming nurse. When we would receive the surveys back from patients, there were complaints at times that the patients did not feel involved in their plan of care or that no one told them this or that. When I transferred to ER, we did report at the nurse’s station at the computers and then made rounds after report had been given. Recently, within the last couple of years, the Studer group came in to the hospital to help our facility become more in tune with patient satisfaction and bedside report was a main focus to the point that it was included in our nurse skills fair. While some may think that bedside report is an inconvenient nuisance, it has been shown to improve patient satisfaction. ” Safe, effective, and therapeutic communication is a key driver to improvement in the delivery of care and improvement in patient safety” (Radtke, 2013). The patients feel involved in their plan of care and feel like they are an important part of the care team…which they are. At this time, patients can add to the report or ask questions or report new symptoms or if they have pain. Bedside report not only benefits nurses but also is necessary for patient satisfaction.
Thank you
References:
Radtke, Kimberly. (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clinical Nurse Specialist. CNS. 27. 19-25. 10.1097/NUR.0b013e3182777011.