NR439 Chamberlain College Hospital Associated Infections Worksheet You must read the Assignment Practice Scenario below before completing the PPE Worksheet

NR439 Chamberlain College Hospital Associated Infections Worksheet You must read the Assignment Practice Scenario below before completing the PPE Worksheet.

Download and use the required PPE Worksheet

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.

Be sure to use the PPE grading rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
Use correct grammar, spelling, punctuation, and in-text APA formatting.
Submit the completed PPE Worksheet 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
•
•
Patient satisfaction
Patient education
Safety
•
Falls
Errors. Examples include:
•
Non-pharmacological pain
management
•
•
•
Medication
Patient identification
Communication
Healthcare Associated
Infections (HAIs).
Examples include:
•
•
•
•
Readmissions
Length of stay
Costs
•
•
•
•
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)
Quality
•
•
Discharge
Teaching/Coaching
•
Transitions of Care/Level of •
Care
Safety
Pressure Ulcers
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.
Chamberlain College of Nursing
NR439 PPE Worksheet
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
NR439 PICOT Worksheet 5/2019 ST
1
Chamberlain College of Nursing
NR439 PPE Worksheet
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)
NR439 PICOT Worksheet 5/2019 ST
____ Academic or scholarly (Peer
Reviewed) journals
____ Quotation marks for key words
____ Selected key terms from
PICOT question
____ Others: (list below)
_______________________________
_______________________________
2
Chamberlain College of Nursing
NR439: Evidence-Based Practice
NR 439 PICOT Question Guide
The following contains PICOT question guides/templates to use to help write questions using all
of the PICOT elements. Each template contains a guide that you can use to write a complete
PICOT question, examples of PICOT elements, and illustrations1. Review some tips and hints
below to think about for each of the PICOT elements that can help create a sound clinical
nursing PICOT question:
P=Population of patients:
Think about a group of patients you are interested in studying—
identify the group by age ranges, diagnosis/disease of interest,
history or length of time with the diagnosis/disease of interest,
location, unit, or setting, gender type (if applicable), race (if
applicable), or other identifiable characteristics such as Medicare,
Medicaid, immobile, ventilated, inpatient, outpatient, etc.
I=Intervention:
Consider the nursing action or intervention you are thinking that
would make a difference? From your search for evidence, what is
the evidence indicating that nurses can do to help improve the
problem or issue you have chosen?
C=Comparison:
Think about comparing to the intervention of interest or the
alternative such as routine/standard care. If no comparison, state
not implementing the intervention or no comparison group.
O=Outcome:
Reflect upon what would be the measurable, relatable indicator that
would demonstrate the intervention is making a difference or not?
What would be the needed outcome that you could
observe/check/measure? For example, “the pain is okay” would
not be a measurable outcome. Rates pain level less than 3 on pain
scale would be measurable.
T=Timeframe:
For this element, reflect on how long it would take to implement
your study by collecting data or the time needed to observe to see
if any changes occurred or will occur. Think about 1 month, 3
months, 6 months etc… Use a timeframe that is realistic.
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template A
Among/In _________________________ (P), does______________________ (I)
(**decrease/increase/impact/influence/affect/reduce/improve**) _____________________
(O) compared to ______________________________ (C) over
______________________________(T)?
(**choose one term**)
Example:
Among 65+ and older diabetic immobile adults in long-term care (P), does a
bedside oral care kit and checklist protocol (I) compared to routine oral care
without a bedside oral care kit (C) affect the number of times oral care is
completed (O) over 3 months (T)?
P=Population of patients: 65+ and older diabetic immobile adults in long-term care
I=Intervention: bedside oral care kit and a checklist protocol
C=Comparison: routine oral care without a bedside oral care kit
O=Outcome: number of times (frequency) oral care is completed
T=Timeframe: 3 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template B
Among/In _________________________ (P), would______________________(I)
(**decrease/increase/impact/influence /affect/reduce/improve **)_____________________
(O) compared to ______________________________ (C) over
______________________________(T)?
(**choose one term**)
Example:
In male ICU patients who are 65+ and older diagnosed with COPD (P), would the
confusion assessment screening tool (CAST) (I) impact the number of early
identification of delirium (O) compared to no screening tool (C) over 6 months
(T)?
P=Population of patients: Inpatient male ICU patients 65+ and older diagnosed with COPD
I=Intervention: confusion assessment screening tool (CAST)
C=Comparison: routine care/no screening tool
O=Outcome: number of early identification of delirium
T=Timeframe: 6 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template C
Among/In _________________________ (P), will ______________________ (I)
(**decrease/increase/impact/influence/affect/reduce/improve **)_____________________ (O)
compared to ______________________________ (C) over
______________________________ (T)?
(**choose one term**)
Example:
Among Hispanic pregnant women between 36-40 weeks (P), will completing a
lactation course (I) increase the number of breastfeeding initiations by or within 6
hours of delivery (O) compared to no lactation course (C) over 6 months?
P=Population of patients: Hispanic pregnant women between 36-40 weeks
I=Intervention: lactation course completed
C=Comparison: no lactation course
O=Outcome: number of breastfeeding initiations within 6 hours of delivery
T=Timeframe: 6 months
Chamberlain College of Nursing
NR439: Evidence-Based Practice
Template D
Among/In _________________________ (P), what is the effect of ______________________
(I) on ____________________ (O) compared to ___________________________ (C) over
______________ (T)?
Example:
In pediatric non-Hispanic Black males ages 8-18 years old with a 5 year history of
type 1 diabetes (P), what is the effect of the Glucose Buddy Diabetes Tracker app
(I) on maintaining HbA1C levels
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