The PICOT Topics Must Be Applicable To Nursing, Meaning ✓ Solved

The PICOT topics must be APPLICABLE TO NURSING, meaning

The PICOT topics must be applicable to nursing, meaning that they involve a nursing intervention. The prescription of medications is not a nursing intervention. Please do not choose topics, such as medications, medical tests, and procedures that nurses cannot influence. Here are some potential PICOT topics: Chlorhexidine for daily bathing of hospital patients (HAIs), bedside shift report vs. nurse’s station shift report (communication/handoff report/reduction of medical errors), DVT prophylaxis—SCD's vs. compression stockings (joint replacement), heat/cold, guided imagery, music therapy, or pet therapy for pain management (chronic pain), frequent mobility vs. bedrest for delirium management (delirium), hourly rounding and fall prevention (falls in hospitalized patients), early mobility and fall prevention or reduction in length of stay (critical care), sleep breaks for night nurses and quality of care (patient and nurse satisfaction), wait times in the ER (patient satisfaction), pressure-reducing/specialty mattress (pressure ulcer), skin assessment tool (pressure ulcer risk reduction), heparin vs. saline protocol (IV patency), rapid response teams (cardiac arrest prevention), daily huddles (prioritizing safety issues), debriefing after an emergency response to improve outcomes, team performance, etc. Many students want to learn about exciting or current topics of interest in healthcare such as Covid or complex medical-focused topics and miss the overall goal of this assignment: to learn the steps of the EBP process that you will use in your clinical practice. PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence:

  • P = Patient population
  • I = Intervention or issue of interest
  • C = Comparison of interventions or comparison of interests
  • O = Outcome
  • T = Time frame

For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older. Using this PICOT model, in _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)? In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?

Assignment Directions: Begin by selecting a topic in nursing that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions. Include the following:

  • Title page
  • Provide a brief description of the topic and background information.
  • Explain the significance of the topic to nursing practice.
  • Provide 3 clearly stated PICOT questions.

Your paper should be 2–3 pages (not including the title page and reference page) and use current APA format to style your paper and to cite your sources.

Paper For Above Instructions

Understanding the Impact of Hourly Rounding on Patient Safety

The topic selected for exploration using the PICOT framework is the impact of hourly rounding on patient safety in hospital settings. Rounding involves nursing staff checking on patients regularly, prompting conversation about their needs, and ensuring their comfort, which is essential for enhancing patient care quality and safety.

Background Information

Hourly rounding has emerged as a significant practice in nursing care aimed at improving patient safety and satisfaction. It encourages proactive engagement between patients and nurses, addressing patient needs before they escalate. Research indicates that it can reduce patient falls, pressure ulcers, and improve overall patient satisfaction (Halm, 2015). This practice aligns with the National Patient Safety Goals, which stress the importance of effective communication and patient-centered care (The Joint Commission, 2023).

Significance to Nursing Practice

Implementing hourly rounding is vital in nursing practice as it promotes a culture of safety and enhances patient outcomes. The consistency in checking on patients allows nurses to identify and address issues early, facilitating better management of patient health (Wagner et al., 2019). Moreover, hourly rounding can improve nurse job satisfaction, as it fosters a more organized and supportive environment (Kourkouta & Papathanasiou, 2014). Through this approach, nursing practice can integrate evidence-based strategies that foster improved care delivery.

The PICOT Questions

According to the PICOT format, three possible research questions regarding the impact of hourly rounding on patient safety could be formulated as follows:

  1. In hospitalized patients (P), how does hourly rounding (I) compared to no hourly rounding (C) influence the incidence of falls (O) over a 30-day period (T)?
  2. In medical-surgical units (P), how does the implementation of hourly rounding (I) compared to standard care (C) affect patient satisfaction scores (O) over a period of one month (T)?
  3. In adult patients in acute care settings (P), how does hourly rounding (I) compared to traditional nursing care practices (C) affect the prevalence of pressure ulcers (O) over three weeks (T)?

Conclusion

Using the PICOT format provides clarity in developing research questions that guide clinical inquiry and evidence-based practice. Hourly rounding reflects a simple yet effective nursing intervention that significantly impacts patient safety and satisfaction. By addressing the specified questions, the exploration will contribute valuable insights into nursing practices that elevate care quality and outcomes.

References

  • Halm, M. A. (2015). Hourly rounding: A nursing intervention to enhance patient safety. Nursing Management, 46(7), 34-39.
  • Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing: A review of the literature. Health Science Journal, 8(3), 1-7.
  • The Joint Commission. (2023). National patient safety goals. Retrieved from https://www.jointcommission.org
  • Wagner, L. M., Lutz, J., & Ridgway, F. (2019). Hourly rounding: Connecting evidence and practice. Journal of Nursing Care Quality, 34(1), 32-39.
  • Mitchell, P. H., & Chaboyer, W. (2017). The impact of hourly rounding on patient outcomes and nurse satisfaction: A systematic review. Journal of Nursing Scholarship, 49(5), 672-679.
  • McGowan, J. R., & Mains, M. D. (2018). The importance of nurse-patient communication in hospital settings. Healthcare, 6(3), 112.
  • Weber, A., & Hurst, R. (2020). Evidence-based care: Linear and non-linear models in nursing. Journal of Healthcare Management, 65(1), 45-57.
  • Schmitt, B. M., & Allen, E. A. (2021). Reducing hospital readmissions through effective nursing interventions. Nursing Clinics of North America, 56(1), 1-17.
  • Hunt, K. (2019). The effects of systematic rounding on patient outcomes in health care settings: A meta-analysis. International Journal for Quality in Health Care, 31(5), 370-376.
  • Cochran, J. R., & Lion, A. P. (2022). Strategies to enhance patient safety and satisfaction in acute care. American Journal of Nursing, 122(2), 34-42.

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