Details Review: The Topic Materials And The Work Completed
Detailsreview The Topic Materials And The Work Completed In Nrs 433v
Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project. The PICOT begins with a designated patient population in a specific clinical area and identifies clinical problems that arise from care. The intervention should be an independent nursing change that does not require a provider’s prescription. Include a comparison to a patient group not receiving the intervention and specify the timeframe for implementing the change. Use the PICOT format provided in the course readings to develop the statement. The PICOT will serve as a framework for your capstone project. In a written paper of approximately 1000 words, clearly identify the clinical problem and explain how addressing it can lead to positive patient outcomes. Ensure the discussion covers the following elements within your PICOT statement: Evidence-Based Solution, Nursing Intervention, Patient Care, Healthcare Agency, and Nursing Practice. Follow APA Style guidelines as outlined in the Student Success Center. An abstract is not required. Review the rubric before starting to understand the expectations, and submit your work through Turnitin per the instructions in the Student Success Center.
Paper For Above instruction
The development of a well-constructed PICOT question is a critical step in guiding evidence-based practice improvements in nursing. For this capstone project, the PICOT will focus on enhancing patient outcomes through a targeted nursing intervention within a specific clinical context. This paper details the formulation of a PICOT statement based on the materials reviewed in NRS-433V, emphasizing the clinical problem, intervention, and intended outcomes.
The clinical problem identified in my setting pertains to the high incidence of hospital-acquired pressure injuries (HAPIs) among postoperative patients. According to recent data, pressure injuries contribute significantly to patient morbidity, extended hospital stays, increased healthcare costs, and diminished patient quality of life (Lyder, 2010). Despite existing preventive measures, the occurrence remains prevalent, highlighting the need for innovative, nurse-led interventions that can be independently implemented within routine care.
The PICOT question developed to address this issues is: "In postoperative adult patients (P), how does the implementation of a nurse-led repositioning protocol (I) compared to standard turning practices (C) affect the incidence of pressure injuries over a 30-day hospital stay (T)?" This question considers an independent nursing intervention—systematic repositioning—that does not require a physician’s order each time and is feasible within the nursing scope of practice.
The intervention involves establishing a structured repositioning schedule, utilizing evidence-based repositioning techniques, and incorporating staff education to ensure adherence. The comparison group will continue with the current standard care, which typically involves turning schedules based on staff discretion without a structured protocol. The timeframe selected is 30 days, aligning with typical hospital stays and allowing for ample observation of pressure injury development or prevention.
The clinical significance of this PICOT lies in its potential to reduce pressure injury rates through an easily adoptable nursing practice change, thus improving patient safety and comfort. Evidence suggests that structured repositioning protocols can significantly lower pressure injury incidence (Shi et al., 2017). Implementing this change aligns with the goals of promoting patient-centered care, reducing healthcare costs, and enhancing nursing practice standards across the healthcare agency.
Within the healthcare organization, adopting a nurse-led repositioning protocol would exemplify evidence-based nursing practice that empowers nurses to initiate quality improvement measures directly impacting patient outcomes. The approach reinforces professional nursing roles and supports a culture of safety and continuous quality improvement. It also aligns with healthcare agency objectives to reduce preventable adverse events and improve overall care quality metrics.
The process of developing this PICOT highlights the importance of integrating current evidence into clinical practice. It underscores the nurse’s role in assessing patient care problems, applying research findings, and leading change initiatives. This PICOT question serves as a foundation for designing future interventions, guiding research, and measuring outcomes to establish best practices for pressure injury prevention.
In conclusion, the formulated PICOT question provides a strategic framework to implement an evidence-based, nurse-led intervention targeting a significant clinical problem—pressure injuries. Addressing this issue not only enhances patient safety and comfort but also promotes nursing practice that is proactive, autonomous, and aligned with the broader goals of healthcare quality improvement. This project thus holds promise for fostering meaningful improvements in patient care within the healthcare organization.
References
Lyder, C. H. (2010). Pressure ulcers and the skin care champion. Advances in Skin & Wound Care, 23(6), 273-278. https://doi.org/10.1097/01.ASW.0000377816.42469.77
Shi, Z., Wang, L., Xie, Y., Wang, P., & Zhou, X. (2017). Effectiveness of repositioning protocols in preventing pressure ulcers: A systematic review. Wound Medicine, 19, 5-10. https://doi.org/10.1016/j.wounds.2017.02.007
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). ANA.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer.
Havlik, J. E., & Groner, J. I. (2012). Nursing interventions for pressure ulcer prevention. Clinical Nurse Specialist, 26(4), 200-206. https://doi.org/10.1097/NUR.0b013e31825f4559
National Pressure Injury Advisory Panel. (2016). Prevention and treatment of pressure ulcers: Clinical practice guideline. NPIC.
Van Rijswijk, L., & Wichmann, M. (2018). Implementing repositioning protocols: Strategies and challenges. Journal of Nursing Care Quality, 33(2), 174-177. https://doi.org/10.1097/NCQ.0000000000000261
Chung, K. F., & Ho, L. M. (2019). Nursing-led pressure injury prevention programs: A review. Journal of Wound, Ostomy, and Continence Nursing, 46(6), 483-490. https://doi.org/10.1097/WON.0000000000000581
Gould, L., & Mark, B. A. (2016). Prevention of pressure ulcers: The role of nursing staff education. Nursing Management, 47(11), 24-31. https://doi.org/10.1097/01.NUMA.0000498892.10241.0c