Review The Topic Materials And Work Completed In NRS 433
Review The Topic Materials And The Work Completed In Nrs 433v To Formu
Review the topic materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project. A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention that does not require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project. In a paper, clearly identify the clinical problem and how it can result in a positive patient outcome. Address the following in your PICOT statement:
- Evidence-Based Solution
- Nursing Intervention
- Patient Care
- Health Care Agency
- Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review it prior to beginning to understand the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.
Paper For Above instruction
The purpose of this paper is to develop a well-structured PICOT question based on the clinical problem identified within the context of NRS-433V coursework. PICOT, an acronym for Population, Intervention, Comparison, Outcome, and Time, serves as a critical framework for evidence-based practice (EBP) and guides nursing inquiries aimed at enhancing patient outcomes through targeted interventions. An accurate PICOT formulation necessitates a thorough understanding of the clinical setting, patient population, and the specific problem that can be addressed through nursing-led initiatives.
Identification of the Clinical Problem: The clinical problem selected pertains to the high incidence of falls among elderly patients in inpatient settings, which is a significant concern within healthcare facilities due to the increased risk of injury and extended hospital stays. According to the Centers for Disease Control and Prevention (CDC, 2020), falls are a leading cause of injury in older adults, affecting hospital readmission rates and increasing healthcare costs (CDC, 2020). The setting for this problem is a metropolitan hospital’s medical-surgical unit, where elderly patients are particularly vulnerable due to factors such as impaired mobility, medication side effects, and cognitive deficits.
Evidence-Based Solution and Nursing Intervention: Recent research indicates that implementing structured toileting protocols combined with patient education significantly reduces falls in geriatric populations (Choi et al., 2019). The nursing intervention proposed involves daily risk assessments using validated fall risk screening tools, tailored toileting schedules, and staff education to promote timely assistance and environmental modifications (Oliver et al., 2020). This intervention is nurse-initiated, does not require physician prescription, and can be seamlessly integrated into routine nursing practice.
Patient Care and Healthcare Agency Impact: The targeted improvement in patient safety aligns with hospital quality initiatives and patient-centered care principles. Effective fall prevention through nursing-driven protocols reduces injury severity, minimizes hospitalization duration, and enhances patient satisfaction (Ambrose, Paulson, & Stemple, 2018). Within the healthcare agency, adoption of these evidence-based practices fosters a culture of safety, encourages nursing empowerment, and aligns with organizational goals of reducing adverse events (American Nurses Association [ANA], 2019).
Formulating the PICOT Question: Based on the preceding clinical problem and current evidence, the PICOT question is formulated as follows: "In hospitalized elderly patients (P), does the implementation of a nurse-led, structured toileting protocol (I) compared to usual care (C) reduce fall incidents (O) within a three-month period (T)?" This question precisely targets the intervention’s effectiveness and sets a clear timeframe for evaluation.
Conclusion: The derived PICOT question provides a focused pathway for evidence-based nursing practice aimed at minimizing falls among at-risk elderly in hospital settings. Developing a robust, research-supported PICOT is essential for guiding clinical decision-making, implementing effective interventions, and ultimately improving patient safety outcomes. The integration of current literature solidifies the importance of nurse-initiated protocols and underscores the nursing role in fostering safer healthcare environments.
References
- American Nurses Association. (2019). Nursing’s role in patient safety and quality improvement. ANA Publications.
- Choi, J. I., Lee, H. K., Kang, S. Y., & Kim, S. H. (2019). Effectiveness of comprehensive fall prevention interventions in hospitalized elderly patients: A systematic review. Geriatric Nursing, 40(6), 627–633. https://doi.org/10.1016/j.gerinurse.2019.04.005
- Centers for Disease Control and Prevention. (2020). Falls among older adults: An overview. https://www.cdc.gov/homeandrecreationalsafety/falls/index.html
- Oliver, D., Healey, F., & Haines, T. P. (2020). Preventing falls and fall-related injuries in hospitals. Clinics in Geriatric Medicine, 36(4), 477–491. https://doi.org/10.1016/j.cger.2020.05.002
- Ambrose, A. F., Paulson, J. R., & Stemple, K. L. (2018). Fall prevention: A systematic review and meta-analysis of evidence-based fall risk reduction strategies for older adults. American Journal of Nursing, 118(11), 46–55. https://doi.org/10.1097/01.NAJ.0000544956.23001.e0