NR349 Problem/PICOT/Evidence Search (PPE) Worksheet

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, 2018).   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.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Directions

  1. Read over each of the following directions.
  2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
  3. Download and use the required  PPE Worksheet (Links to an external site.).
  4. Review the information provided in our library of  how to search for journal articles here (Links to an external site.).
  5. Review the information provided in our library of  how to locate and copy a journal permalink (Links to an external site.).
  6. 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.
  7. 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.N439_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.
  8. Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
  9. Submit the completed PPE Worksheet on the Week 3 Assignment page.
  10. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.

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Transcript (Links  to an external site.)

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):

 

Quality                                                                Safety

 

  • Patient satisfaction
  • Patient education                                                                Falls

Errors. Examples include:

  • Non-pharmacological pain management                 Medication
  •                                                                                                            Patient identification
  •                                                                                                            Communication

Healthcare Associated Infections (HAIs).    Examples include:

  • Readmissions
  • Length of stay                                                                 Central Line Associated Blood Stream Infections (CLABSI)
  • Costs                                                                                    Catheter Associated Urinary Tract Infections (CAUTI)
  •                                                                                                  Ventilator Associated Pneumonia (VAP)
  •                                                                                                   Surgical Site Infections (SSI)
  •                                                                                                  Sepsis (Screening or Prevention)
  • Discharge Teaching/Coaching                              Pressure Ulcers
  • Transitions of Care/Level of Care                       Skin 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 Practices

  • For 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.

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/

 

 

Problem/PICOT/Evidence Search (PPE) Worksheet

Name:

Date: 

Criteria  
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.

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.

 

 
Define PICOT Elements

 

Define each of the      PICOT elements from your question above.

 

P– (patient population/patients of interest):

 

I– (Intervention):

 

C– (Comparison):

 

O– (Measurable outcome):

 

T– (Time frame in months):

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

 
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.

 
Evidence Search Terms

Identify 4 (or more) relevant searchable terms you used for your search for evidence.

 

 
Evidence Search

Strategies

 

Select 4 (or more) relevant search strategies you used to narrow/limit your search for

evidence.

   
____   Full text

____   Boolean Operators/Phrase

____   Selected publication dates

within last 10 years

____   Subject, title, or author search box

____   Truncation (used an asterisk * at

the beginning or end of a word)

____   Academic or scholarly (Peer

Reviewed) journals

____   Quotation marks for key words

____   Selected key terms from

PICOT question

____   Others: (list below)

_______________________________

  _______________________________
   
   

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