PICOT and Clinical Issues

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PICOT Assignment – Building Intervention PICOT Questions

Patient population; Intervention or issue of interest; Comparison intervention or group, Outcome,
Time frame.

P, I, & O must always be there. C and T are optional depending on the question.

Search for the best evidence reflecting the highest level of evidence available.

I. Fill in the blanks:
Population:

Intervention:

Comparison:

Outcome:

Time (optional):

II. Write out your question as a sentence:
IN (P) , HOW DOES (I)

, COMPARED TO (C)

AFFECT(s) ? OVER (T) ?

 

 

III. List the main topics and terms from your question that you can use to search.

 

 

IV. Check any limits that may pertain to your search: Add others as necessary – explain why?
__ Age __ Language __ Year of publication

Why?

 

V. Check the type of study/publication you want to include in your search:
__ Systematic Review or Meta-Analysis
__ Clinical Practice Guidelines (www.guideline.gov)
__ Critically Appraised Research Studies
__ Individual Research Studies
__ Electronic Textbooks
VI. Check the database(s) you will search:
__ AHRQ Evidence Reports
__ Guidelines Clearinghouse (http://www.guideline.gov/)
__ CINAHL
__ Cochrane
__ Google Scholar
__ Medline
__ PsychINFO
__ PubMed

Add others if needed:

 

VII. What information did you find to help answer your question so far?

 

 

 

 

 

 

REMINDER: PICOT is a search strategy not a project. It is to help you search for the evidence using specific search words from the PICOT. Using the PICOT and searching will refine the words used to search to get to the evidence that will answer the Clinical question (PICOT). It is the synthesis of the evidence collected that provides the best practice that should be implemented.

The Second part of the assignment.: Clinical Issues

 

 

In the message section, answer the following: (Copy and paste the questions into word. Then write your response after each question then paste it into the message section of the MB).
1.    What is the clinical issue that you will look for evidence on?
a.    What is the problem and why is this an issue?
b.    Discuss the background (history) and significance of this issue (stats that support the issue).
c.    Why is it so important to find a solution to this problem?
2.    Discuss why this issue is important to nursing, patient outcomes and quality healthcare?
3.    PIOCT development
a. Write out the PICOT in proper format
b. Describe the PIOCT question developed that will be used to search for evidence.
c. Why did you decide to use this question?
4.   Describe the type of research studies you will look for to support/influence the clinical issue?
*** Provide References
Use the MB grading rubric as you construct your initial post and response to your peers.
Pick a topic of your choice (this should be the topic you will use for the Evidence Review Presentation later on in module 8), start a search in electronic databases for the evidence (research) and start the process of reading the research collected (This is the time to evaluate the research you found to determine if it is useful) – you will do this by leveling the evidence you collect. You are looking for a nursing practice intervention to change into a “best practice”.
If you have various topics/clinical issues it is time during this session to identify one that you can work with during the remainder of this course. You will be able to change the topic if there is no evidence to support a change. You should have all the assignments and DBs relate to your clinical issue and moving through the EBP process to make a decision if a practice change is needed.

 

PICOT and Clinical Issues

 Student’s Name

Institutional Affiliation

Course

Instructor’s Name

Date

 

 

PICOT and Clinical Issues

Part 1

  1. Fill in the blanks:

Population: hospitalized patients

Intervention: hand washing

Comparison: no intervention

Outcome: reduce incidences of hospital acquired infections

Time (optional): three months

  1. Write out your question as a sentence:

In hospitalized patients, how does hand washing compared to no intervention affects the rate of hospital acquired infections over three months (T)?

III. List the main topics and terms from your question that you can use to search.

  • Hospital acquired infections.
  • Hand washing.
  • Hand hygiene.
  • Soap and water.
  • Hand sanitizer.
  • Length of hospital stay.
  • Hospitalized patients
  1. Check any limits that may pertain to your search: Add others as necessary – explain why?

Some of the factors that will limit the search for this assignment include language, year of publication, type of articles, and relevance to the topic of study.  Language is a very important factor. Only sources written in English will be used for clarity, the accuracy of the information, and proper understanding (Polit, & Beck, 2020). Year of publication will be put into consideration in that sources of evidence published with 6 years and below are preferred. Recent sources demonstrate current healthcare practices that are not yet out of date. Additionally, only peer-reviewed articles will be selected. Furthermore, the article selected for this study must be relevant to the topic of study.

  1. The type of study/publication you want to include in your search:
  • Systematic Review or Meta-Analysis
  • Clinical Practice Guidelines
  • Critically Appraised Research Studies
  • Individual Research Studies
  • Electronic Textbooks
  1. The database(s) you will search:
  • AHRQ Evidence Reports
  • Guidelines Clearinghouse (http://www.guideline.gov/)
  • CINAHL
  • Cochrane
  • Google Scholar
  • Medline
  • Psych-INFO
  • PubMed
  • Research gate

VII. What information did you find to help answer your question so far?

Hand washing and hygiene is an answer to many questions including the one posted in this paper. Thousands of people die every day across the globe as a result of infections acquired while receiving healthcare (Boev & Kiss, 2017). Hands have been mentioned as the main pathway of germ transmission during healthcare. Both healthcare workers and patients should be concerned about hand hygiene, however, healthcare professionals should be more responsible, since they can spread germs from one patient to another more rapidly than the patients themselves. Healthcare providers move from one patient to another and from one ward to another (Boev & Kiss, 2017). Healthcare providers should wash their Hands with soap and water before and after handling a patient.

Part 2.: Clinical Issues

  1. What is the clinical issue that you will look for evidence on?
  2. What is the problem and why is this an issue?

The identified problem is the increasing cases of hospital-acquired infections among hospitalized patients. This is a major issue because hospital-acquired infections have detrimental effects on patients (Boev & Kiss, 2017). They have a negative impact on patient outcomes and the quality of care offered. Besides, hospital-acquired infections have a negative influence on the facility as well as parents, friends, and relatives of the patients.

  1. Discuss the background (history) and significance of this issue (stats that support the issue).

Hospital-acquired infections can have detrimental health effects on the patient. They are also called nosocomial infections. Hospital-acquired infections (HAIs) are developed by patients while receiving treatment from medical or surgical conditions (CDC, 2015). They can occur in any healthcare setting and worsen if not addressed or prevented early enough. The CDC estimated that in America alone, about 1.7 million infections and 99,000 related deaths are recorded annually (CDC, 2015). They stated further that 32 percent of all hospital-acquired infections are urinary tract infections, 22 percent are surgical site infections, 15 percent are pneumonia (lung infections), and 14 percent are bloodstream infections.

  1. Why is it so important to find a solution to this problem?

Based on the brief analysis above, it is important to find a solution to address this problem. Many people are dying annually from HAIs (Boev & Kiss, 2017). Additionally, many people have affected annually, bearing the burden of healthcare. Hospital-acquired infections influence the length of stay and the cost of healthcare. Therefore, it is important to find the solutions to improve life.

  1. Discuss why this issue is important to nursing, patient outcomes, and quality healthcare? 

This problem has a significant impact on nursing and patient outcomes and quality healthcare. Hospital-acquired infections are some of the quality indicators in healthcare. Any healthcare setting where HAIs rates are normally believed to be providing low-quality care (White et al., 2020). Therefore, it reduces the quality of care. Therefore, it has a negative influence on nursing care.

  1. PIOCT development
  2. Write out the PICOT in a proper format

In hospitalized patients, how does handwashing compared to no intervention affect the rate of hospital-acquired infections over three months (T)?

 

  1. Describe the PIOCT question developed that will be used to search for evidence.

The PICOT question focuses on hospitalized patients. The PICOT question demonstrates that such patients are more vulnerable to hospital-acquired infections (Boev & Kiss, 2017). It suggested that proper handwashing and hygiene is a preferred remedy for HAIs. The outcome, based on the PICOT question is reduced incidences of HAIs.

  1. Why did you decide to use this question?

This PICOT question was chosen because HAIs has become a major problem in many healthcare facilities. Regarding the PICOT question, handwashing and hygiene is the best solution. Additionally, healthcare professionals have omitted handwashing practices in their facilities this question advocates for such practices to be given the priority they deserve.

  1. Describe the type of research studies you will look for to support/influence the clinical issue?

Several types of research studies will be used to complete this study. They include systematic Review or Meta-Analysis, clinical Practice Guidelines, critically Appraised Research Studies, individual Research Studies, and electronic Textbooks (Polit, & Beck, 2020). These are peer-reviewed sources of evidence. They provide a higher level of evidence

.

 

 

 

 

Reference

Boev, C., & Kiss, E. (2017). Hospital-acquired infections: current trends and prevention. Critical Care Nursing Clinics, 29(1), 51-65. https://doi.org/10.1016/j.cnc.2016.09.012

CDC. (2015). Healthcare associated Infections: preventing HAIs. https://www.cdc.gov/hai/prevent/prevention.html

Polit, D. F., & Beck, C. T. (2020). Nursing Research: Generating and assessing evidence for nursing practice. olters Kluwer Health.

White, S., Thorseth, A. H., Dreibelbis, R., & Curtis, V. (2020). The determinants of handwashing behaviour in domestic settings: an integrative systematic review. International Journal of Hygiene and Environmental Health, 227, 113512. https://doi.org/10.1016/j.ijheh.2020.113512

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