Problems/Picot/Evidence Search PPE
I have decided to complete my BSN for a few different reasons. One reason is to further my knowledge in the most recent evidence based practice of nursing in order to provide better patient care. Academic nursing research is crucial to providing quality nursing care because it gives the foundation for evidence-based practice (EBP) that is often the catalyst for changes that impact patient outcomes (Falkner 2018). The next reason is my place of work requires that all ADN nurses obtain a BSN or higher within 3 years of hire, and lastly the more education I achieve the higher I get paid. All three of these reasons point back to an overarching idea that I am here getting my BSN to further myself along in my career and become a better nurse. I don’t have many concerns with getting started in my bachelorette program except the sole fact that I’d rather be outside enjoying playing sports or doing activities outside rather than being on the computer. I have never been one to like sitting on a computer for any period of time really. A few strategies that I can implement is time management, using evidence based practice sources of information, and remembering to ask for help when I don’t understand or am feeling overwhelmed. Enlist your family to keep a master calendar so everyone knows when you’re working, going to class and studying. And be sure to schedule some free time for the things you like to do, whether it’s working out, reading, listening to music or spending time with your family. That balance will help you get through the rigors of nursing school (Murphy 2015).
| Problem/PICOT/Evidence Search (PPE) Worksheet
Name: Date: |
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| Criteria | One of the problems experienced by patients due to catheter use is Catheter-Associated Urinary Tract Infections (CAUTI). This clinical issue is one of the most important due to its devastating effects, even though it can be controlled. Urinary tract infections are one of the most common bacterial infections in the world. Besides, among all the hospital-acquired infections, UTIs constitute up to 40% of them. These infections have substantial effects on mortality and morbidity. Even though catheters can help during treatments, they cause up to 80% of all hospital-acquired UTIs (Tenke et al., 2017). Besides, 30% of the initial urinary catheterization cannot be justified. The rationale for choosing this condition is that CAUTIs can effectively be prevented by following appropriate strategies.
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| Clinical Nursing Practice Problem
Select and identify ONLY one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem. |
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| Clinical Nursing
PICOT Question
Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include the PICOT letters in your question.
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In patients admitted at the surgical wards (P), does the use of improved hand hygiene compliance (I) as compared to the use of maintaining unobstructed urine flow (C) reduce the rates of Catheter associated infection (T) within 12 months? | ||||||||||
| Define PICOT Elements
Define each of the PICOT elements from your question above.
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P– (patient population/patients of interest): The population of interest are patient admitted to surgical wards and are liable for catheterization
I– (Intervention): The intervention targeted is hand hygiene compliance.
C– (Comparison): Comparison will be made with maintaining unobstructed urine flow, which is another strategy for controlling CAUTI
O– (Measurable outcome): The expected measurable outcome is the rate of incidences of Catheter-Associated Urinary Tract Infections developed. T– (Time frame in months): The time frame considered is 12 months. |
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| Evidence Retrieval Process and Summary
Using only the Chamberlain College of Nursing library: (1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen nursing practice problem. (2) Explain why you chose the evidence (3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource) (4) Evidence must be published within the last 10 years (5) Provides the permalink |
From the evidence search using the Chamberlain College of Nursing Library, one of the pieces of evidence that were relevant to the problem is practicing of standard hand hygiene when placing in the catheters and when removing them. In one of the pieces of evidence retrieved, researchers used an automated hand hygiene compliance system and evaluated its efficacy in reducing the rates of Catheter-associated urinary infections. McCalla et al. analyzed data for preintervention and post-intervention and realized that there was a significant decrease in the rate of development of CAUTI upon implementation of the hand hygiene compliance system (McCalla et al.,2018). This evidence was chosen since it is relatively easier to implement and it is very effective.
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| Implications of the Evidence
Summarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research project on the nursing practice problem. |
In analyzing the evidence, I learned that, even though the evidence is effective, its implementation and continued use require a high level of corporation and discipline. The reason the nursing evidence-based practice committee should focus the next research project on this particular problem is that statistics show that the problem is on the rise despite the fact that numerous interventions have been suggested. I believe that the team should focus on this problem and explore the suggested solution. The success of this intervention in our care setting would mean that the intervention can be extended for other hospital-acquired infections. | ||||||||||
| Evidence Search Terms
Identify 4 (or more) relevant searchable terms you used for your search for evidence.
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Catheter, urinary tract, infections, hand hygiene | ||||||||||
| Evidence Search
Strategies
Select 4 (or more) relevant search strategies you used to narrow/limit your search for evidence. |
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References
McCalla, S., Reilly, M., Thomas, R., McSpedon-Rai, D., McMahon, L. A., & Palumbo, M. (2018). An automated hand hygiene compliance system is associated with decreased rates of health care-associated infections. American journal of infection control, 46(12), 1381-1386. Doi: 10.1016/j.ajic.2018.05.017
Tenke, P., Mezei, T., Bőde, I., & Köves, B. (2017). Catheter-associated urinary tract infections. European urology supplements, 16(4), 138-143. Doi: 10.1016/j.eursup.2016.10.001
Purpose
Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2020). This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)
CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)
CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)
Due Date
Submit the completed PPE Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
This assignment is worth 175 points.
Directions
Read over each of the following directions.
You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
Download and use the required PPE Worksheet (Links to an external site.).Review the information provided in our library of how to search for journal articles here (Links to an external site.).Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the \”.docx\” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question,use the NR439 Guide for writing PICOT Questions and Examples (Links to an external site.). Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.Submit the completed PPE Worksheet on the Week 3 Assignment page.Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.
Assignment Overview Transcript
Assignment Practice Scenario
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses\’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses \”collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources\” (AACN, 2008, pp. 16-17).
The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):
QualitySafetyPatient satisfactionPatient educationFallsNon-pharmacological pain managementErrors. Examples include:MedicationPatient identificationCommunicationReadmissionsLength of stayCostsHealthcare Associated Infections (HAIs).
Examples include:Central Line Associated Blood Stream Infections (CLABSI)Catheter Associated Urinary Tract Infections (CAUTI)Ventilator Associated Pneumonia (VAP)Surgical Site Infections (SSI)Sepsis (Screening or Prevention)Discharge Teaching/CoachingTransitions of Care/Level of CarePressure UlcersSkin Integrity
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.
Best PracticesFor questions about this assignment, please contact your instructor.Spell check for spelling and grammar errors prior to final submission. Please see the grading criteria and rubrics on this page.Please use your browser\’s File setting to save or print this page.Scholarly Sources and Citations Use APA format in citations and references.
**Academic Integrity**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
References
American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.
Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.
Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/