NURSING PROBLEMS IN THE CLINICAL AREA
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. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. 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. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem 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). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. 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.
AS A REMINDER, THE REQUIREMENT IS 6 PEER-REVISED RESEARCH ARTICLES. THIS LITERATURE SEARCH SHOULD INCLUDE THREE QUANTITATIVE AND THREE QUALITATIVE PEER-REVIEWED RESEARCH ARTICLES TO SUPPORT YOUR NURSING PRACTICE PROBLEM. I WOULD LIKE FOR YOU TO FOCUS ON THE TOPIC “INADEQUATE NURSE-PATIENT STAFFING RATIO”. PLEASE USE ARTICLES THAT IF I CLICK ON THE LINK ON THE REFERENCE PAGE, I CAN VIEW THE ENTIRE ARTICLE ALSO. SEND ME A MESSAGE IF YOU HAVE ANY QUESTIONS OR REQUIRE A CHANGE IN TOPIC. ATTACHED ARE: THE LITERATURE EVALUATION TABLE TEMPLATE FOR YOU TO COMPLETE USING THE 6 ARTICLES, AN EXAMPLE FOR YOU TO FOLLOW, COPY OF GRADING RUBRIC, AND JUST SOME INFORMATION THAT CAN BE HELPFUL. PLEASE USE ARTICLES FROM 2016. ALSO INCLUDE THE PERMALINK FOR THE ARTICLES. YOU CAN USE ONE CITATION FOR THE “SUMMARY OF CLINICAL ISSUE” TO CITE THE CLINICAL ISSUE. SELECTING VERY GOOD ARICLES AND CREATING A VERY GOOD PICOT QUESTION IS IMPORTANT BECAUSE THIS ARTICELS AND PICOT QUESTION CREATED NOW WILL BE UTILIZED IN SUBSEQUENT ASSIGNMENTS AND ALSO BE USED FOR RESEARCH LATER IN THE CLASS. CHECKOUT “10 TOP PATIENT SAFETY ISSUES OR 2018” TO GET MORE INFORMATION ON THE SUBJECT.
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LiteratureEvaluationTableTemplate.docx
Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):
PICOT Question:
Criteria
Article 1
Article 2
Article 3
APA-Formatted Article Citation with Permalink
How Does the Article Relate to the PICOT Question?
Quantitative, Qualitative (How do you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study take place?)
Sample
Method
Key Findings of the Study
Recommendations of the Researcher
Criteria
Article 4
Article 5
Article 6
APA-Formatted Article Citation with Permalink
How Does the Article Relate to the PICOT Question?
Quantitative, Qualitative (How do you know?)
Purpose Statement
Research Question
Outcome
Setting
(Where did the study take place?)
Sample
Method
Key Findings of the Study
Recommendations of the Researcher
2
Literature Evaluation Table
Student Name: Student Example
Summary of Clinical Issue (200-250 words): Central line associated infections can happen in the ICU setting and can lead to poor patient outcomes, longer complicated hospital stays, and increased cost in hospital stays. Education is a crucial way to inform frontline staff about how to prevent these infections. The creation of a bundle of ways for nurses to care for central lines and incorporating it into their protocols and daily routine can decrease the rate of infections. As a nurse in the ICU, it is helpful for staff to have direct and clear instructions to make sure their responsibilities and skills are being performed according to best practice and per protocol per facility. Nurses are at the bedside and are frequently interacting with central lines on a daily basis in the ICU. Making simple changes such as proper hand hygiene before and after use of a central line can have a very positive result on the rate of the infection. The Joint Commission has included central line-associated bloodstream infections (CLABSIs) in their National Patient Safety Goals. It is a problem that can cause critical issues for patients and event result in death. Nurses can have an impact on reducing CLABSIs by implementing evidence-based interventions, such as hand hygiene, proper education on central line care, visual reminders for staff in unit with key points, proper catheter access protocol, disinfecting caps, dressing changes, and frequent assessment of the continued need for the central line. As a nurse in the ICU, I want to establish a central line care bundle using evidence-based research that can reduce CLABSIs and improve patient outcomes.
PICOT Question: Does the implementation and use of a central line care bundle compared to a non-standardized routine reduce the rate of central line blood stream infections (CLABSIs) in adult ICU patients during their hospital stay?
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
In Adult Intensive Care Unit patients, what is the effect of central line care bundle on central line blood stream infections (CLABSIs) compared with non-standardized routine care during the hospital stay.
Criteria
Article 1
Article 2
Article 3
APA-Formatted Article Citation with Permalink
Scheck McAlearney, A., & Hefner, J. L. (2014). Facilitating central line-associated bloodstream infection prevention: A qualitative study comparing perspectives of infection control professionals and frontline staff. American Journal of Infection Control, 42(10), S216–S222. doi: https://doi.org/10.1016/j.ajic.2014.04.006
Scheck, M. A. A., Hefner, J. L., Robbins, J., Harrison, M. I., & Garman, A. (2015). Preventing central line-associated bloodstream infections: a qualitative study of management practices. Infection Control Hospital Epidemiology, 36(5), 557–563. doi: 10.1017/ice.2015.27
Damschroder, L. J., Banaszak-Holl, J., Kowalski, C. P., Forman, J., Saint, S., & Krein, S. L. (2009). The role of the “champion” in infection prevention: results from a multisite qualitative study. BMJ Quality and Safety, 18(6). doi: http://dx.doi.org/10.1136/qshc.2009.034199
How Does the Article Relate to the PICOT Question?
Reiterates how frontline staff are responsible for delivering direct and ongoing care for central lines. It helps discuss the different perspectives about challenges of central-line associated bloodstream infection prevention program successes.
It discusses how management and hospital-level differences can affect the outcome of patients who have central line-associated bloodstream infections. It gives me more of an idea of how my hospital performs due to their level of performing. I can recognize these barriers to help implement change to reduce infection rates.
It explores types and numbers of champions who lead efforts to implement best practices to prevent infections. It gives me ideas on how to implement practices to prevent CLABSIs and the characteristics is takes to promote change and improve patient outcomes.
Quantitative, Qualitative (How do you know?)
Correct Qualitative- it describes quality and characteristics of frontline staff through observation and interviews
Correct Qualitative- it interviews people and receives their nonnumeric data through descriptive characteristics.
Correct Qualitative- it gathers data about characteristics of people and observes behaviors not numeric type of data.
Purpose Statement
Infection control professionals play a critical role in implementing and managing healthcare-associated infection reduction interventions, whereas frontline staff are responsible for delivering direct and ongoing patient care.
To identify factors that may explain hospital-level differences in outcomes of programs to prevent central line-associated bloodstream infections.
Although 20% or more of healthcare-associated infections can be prevented, many hospitals have not implemented practices known to reduce infections. We explored the types and numbers of champions who lead efforts to implement best practices to prevent hospital-acquired infection in US hospitals.
Research Question
To determine if ICPs and frontline staff have different…
