NRS 433 Assignment: PICOT Question and Literature Search
NRS 433 Assignment: PICOT Question and Literature Search
Description:
The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the “Literature Evaluation Table” to complete this assignment.
1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. NRS 433 Assignment: PICOT Question and Literature Search
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Description
Objectives:
1. Examine the importance of nursing research in improving patient outcomes.
2. Identify critical elements of evidence-based practice.
3. Evaluate a clinical problem using the PICOT question.
Nursing Research: Understanding Methods for Best Practice
Description:
Read Chapter 1 in Nursing Research: Understanding Methods for Best Practice.
Exploring the Evidence. Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research
Description:
Read “Exploring the Evidence. Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research,” by Rutberg and Bouikidis, from Nephrology Nursing Journal(2018).
Searching Nursing Databases
Description:
Read the strategies and tips located on “Searching Nursing Databases” on the GCU Library website to assist you in searching the main nursing and health sciences databases. View the associated tutorials as needed. NRS 433 Assignment: PICOT Question and Literature Search
Writing in APA
Description:
View the “Writing in APA” tutorial,” located in the Writing Center in the Student Success Center.
Library Walk Through Tutorial
Description:
View the “Library Walk Through Tutorial.”
EBP: Evidence Based Practice
Description:
Read “EBP: Evidence Based Practice,” located in the Student Success Center.
Description:
Read “Plagiarism,” located on the GCU Library website, for information on how to avoid plagiarism.
Adopting Evidence-Based Practice in Clinical Decision Making: Nurses’ Perceptions, Knowledge, and Barriers
Description:
Read “Adopting Evidence-Based Practice in Clinical Decision Making: Nurses’ Perceptions, Knowledge, and Barriers,” by Majid et al., from Journal of the Medical Library Association (2011).
Formulating a Researchable Question: A Criticle Step for Facilitating Good Clinical Research
Description:
Read “Formulating a Researchable Question: A Criticle Step for Facilitating Good Clinical Research,” by Aslam and Emmanuel, from Indian Journal of Sexually Transmitted Diseases and AIDS (2010).
To Make Your Case, Start with a PICOT Question
Description:
Read “To Make Your Case, Start with a PICOT Question,” by Echevarria and Walker, from Nursing 2014(2014).
Chapter 7: The Evidence for Evidence-Based Practice Implementation
Description:
Read “Chapter 7: The Evidence for Evidence-Based Practice Implementation,” by Titler, from the online eBook, Patient Safety and Quality: An Evidence-Based Handbook for Nurses (2008), located on the National Center for Biotechnology Information (NCBI) website.
APA Basics
Description:
Reference the “APA Basics” information, located on the GCU Library website, to assist with the APA format and documentation of sources required for the assignment. NRS 433 Assignment: PICOT Question and Literature Search
GCU Library Research Guides: Citing Sources
Description:
Reference the “GCU Library Research Guides: Citing Sources” resource for information on how to cite sources properly.
Literature Evaluation Table
Description:
Use the “Literature Evaluation Table” resource to complete the PICOT Question and Literature Search assignment.
Review Details
Assessment Description
The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the “Literature Evaluation Table” to complete this assignment.
- Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
- Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
- The PICOT question will provide a framework for your capstone project.
- Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review th e rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS 433 Assignment: PICOT Question and Literature Search
You are not required to submit this assignment to LopesWrite.
Attachments
PICOT Question And Literature Search
One of the most fundamental stages RN-BSN program is a Capstone project, usually guided by a well-formulated PICOT question. This week’s assignment, therefore, covers the formulation of a PICOT question. Besides, a total of peer-reviewed research articles supporting the PICOT question, with three qualitative and the other three being quantitative, will be located and analyzed.
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Summary of Clinical Issue (200-250 words):
among the most prominent clinical problems is postpartum depression. The postpartum period is one of the riskiest moments in terms of the development of a maternal postpartum depression since the period is a challenging transition period (Martín-Gómez et al., 2019). Indeed, developing depressive disorders during this period becomes twofold as compared to other durations of a mother’s life. Postpartum depression has been regarded as a serious mental health condition. However, postpartum depression may not be undetected hence failing to treat the condition. Such a lack of treatment may negatively affect the mental health and the overall health outcomes of the mothers, the new babies, and the bigger family. In the event of postpartum depression, the affected mothers may fail to sufficiently respond to the newborn’s needs and exhibit dwindled tolerance, negligence, and hostility Martín-Gómez et al., 2019). The implication is reduced breastfeeding and interference with the mother-newborn bonding. Besides, the child’s physical health and socio-emotional, behavioral, and cognitive development may be impaired. Previous studies have also shown that maternal postpartum depression is a risk factor for the development of paternal depression, with up to half of the fathers affected. The result is a potential diminished interaction with the baby, feelings of frustration, and communication breakdown that can easily heighten marital conflicts. As such, it is vital that various strategies are used in combating depressive disorder, including innovative strategies for diagnosing the condition or management and prevention. Of import is that nursing interventions can effectively be applied to help in fighting the clinical problem. NRS 433 Assignment: PICOT Question and Literature Search
Literature Evaluation Table
PICOT Question: Among the mother who have newly given birth (P), what is the efficacy of psychoeducation (I) in comparison to normal clinical routine (C) in preventing the development of postpartum depression (O) within six month study period (T)?
| Criteria | Article 1 | Article 2 | Article 3 | |
| APA-Formatted Article Citation with Permalink | Chaharrahifard, L., Motlagh, A. J., Akbari-Kamrani, M., Ataee, M., & Esmaelzadeh–Saeieh, S. (2021). The Effect of Midwife-led Psycho-Education on Parental Stress, Postpartum Depression and Parental Competency in High-Risk Pregnancy Women: A Randomized Controlled Trial. Journal of Caring Sciences, 10(2), 70-76. Doi: https://doi.org/10.34172/jcs.2021.014
|
Niksalehi, S., Taghadosi, M., Mazhariazad, F., & Tashk, M. (2018). The effectiveness of mobile phone text massaging support for mothers with postpartum depression: A clinical before and after study. Journal of family medicine and primary care, 7(5), 1058. DOI: 10.4103/jfmpc.jfmpc_120_17 | Derakhshanpour, F., Kashani, L., Taghavi, S., Salimi, Z., & Shahini, N. (2020). Effect of a Psychoeducation Intervention on Postpartum Health. Journal of Clinical and Basic Research, 4(4), 8-16. 10.52547/jcbr.4.4.8 | |
| How Does the Article Relate to the PICOT Question? | The relationship between this article and the PICOT question is that the article has explored the effect of psychoeducation on various depressive disorders such as postpartum depression. The PICOT also deals with psychoeducation as an intervention for postpartum depression. | This article also relates to the PICOT question in that it evaluates the impacts of psychoeducation delivered through a means of text messages. The research, therefore, deals with one of the many strategies of delivering psychoeducation. | The relationship between this study and the PICOT question is that this study evaluated the influence of a psychoeducation strategy delivered 48 hours before delivery on the development of postpartum depression, among other health complications and mental disorders. | |
| Quantitative, Qualitative (How do you know?) | Quantitative study: identified through the data analysis strategy where statistical analysis was employed as the strategy | The article is a quantitative study since the data was analyzed through statistical tools such as SPSS. | The study is also a quantitative study; data were collected through a questionnaire and analyzed using statistical tools such as SPSS. | |
| Purpose Statement | The purpose of the research was to examine the impact of psychoeducation as led by midwives on postpartum depression, parental competency, and parental stress. | The purpose of the research was to evaluate whether psychoeducation delivered through long-distance counseling with text messaging as the media is effective in treating the mothers at risk of developing postpartum depression. | The main purpose of the study was to examine how effective a psychoeducation strategy given 48 h before delivering the baby was on postpartum mental health such as postpartum depression. | |
| Research Question | What is the influence of mid-wife led psychoeducation on preventing postpartum depression, parental stress, and improving parental competency? | What is the efficacy of using long-distance counseling through short text messages in treating women with postpartum depression? | What is the effectiveness of psychoeducation delivered 48h before delivery on the postpartum mental health of mothers? | |
| Outcome | From the study findings, the use of midwife-led psychoeducation led to reduced development of postpartum depression and parental stress as well as improved parental competency among the intervention group as compared to the control group. NRS 433 Assignment: PICOT Question and Literature Search | The outcome is that the intervention was effective in improving the women’s literacy regarding postpartum depression hence better outcomes. | The outcome is that the psychoeducation given forty-eight hours before delivery was not effective. | |
| Setting
(Where did the study take place?) |
The study was carried in a hospital in Karaj, Iran, among mothers who get admission to the high-risk pregnancy units. | The study was carried out in one of the health care facilities associated with Hormozgan University of Medical Sciences, Iran. | The study took place in a maternity ward in a hospital in Gorgan.
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| Sample | The sample size had a total of 66 women. | The study involved 54 women. | A total of eighty pregnant women who were about to give birth were recruited in the study. | |
| Method | This study was a randomized controlled trial where the researchers applied a convenient method for sampling, and the women were assigned randomly to either the intervention or the control group. | The method of research used in this article is a pre-test and post-test clinical study. | This study was a randomized clinical trial, where the research subjects were randomly placed in the control group or the intervention group. | |
| Key Findings of the Study | Among the key findings of the study is that while there was a significant improvement of parental competency in the intervention group as compared to the control group, psychoeducation led to lower incidences of postpartum depression. | Some of the key findings of the study include:
Text messages sent to women with postpartum depression would lead to a decreased depressive symptoms. The evaluation of pre-test and post-test showed significant differences. |
-The main findings of the study is that there was no notable difference in positive postpartum outcomes between the groups when a short-term educational intervention was used.
-the use of psychoeducation just two days before delivery was found to have an effect in improving postpartum mental health.
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| Recommendations of the Researcher | Among the recommendations of the researchers include; there is a need for a routine assessment of postpartum depression, and more so if the patient is of a high-risk pregnancy. Again, psychoeducation should be provided to the mothers during both the pre and postpartum periods. The researchers also recommend that qualified health care professionals should be availed to women at risk of postpartum depression. | Some of the recommendations which the researchers gave include:
There is a need to consider mother’s mental health in postpartum care, and especially for mothers coming from poor countries. Text messaging should be embraced more to help in easing the shortage of mental health specialists. |
The major recommendation is that any educational intervention should be provided to the mothers weeks after or before delivery to make them effective. | |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-Formatted Article Citation with Permalink |
Lackie, M. E., Parrilla, J. S., Lavery, B. M., Kennedy, A. L., Ryan, D., Shulman, B., & Brotto, L. A. (2021). Digital Health Needs of Women With Postpartum Depression: Focus Group Study. Journal of Medical Internet Research, 23(1), e18934. DOI: 10.2196/18934 |
Lam, W., & Ngai, F. W. (2021). Process evaluation of couple‐based psychoeducation program for first‐time parents. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.13543
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Shorey, S., Yang, Y. Y., & Dennis, C. L. (2018). A mobile health app–based postnatal educational program (Home-but not alone): descriptive qualitative study. Journal of medical Internet research, 20(4), e119. doi: 10.2196/jmir.9188 |
| How Does the Article Relate to the PICOT Question? | This study also deals with strategies for managing postpartum depression; the strategy evaluated by the study is web-based intervention to deliver psychoeducation. | The article relates to the PICOT in that it explores the benefits of psychoeducation intervention (Couple-based), which is in harmony with the PICOT question, which entails an evaluation of psychoeducation in managing postpartum depression. | This study relates to the PICOT question as it explores the views of new parents on the effectiveness of psychoeducational intervention delivered through a mobile health program. |
| Quantitative, Qualitative (How do you know?) | The study is a qualitative study- it was identified through the data collection method, which was a semistructured guide in discussing patient’s opinions, ideas, and needs which were then put in transcripts and analyzed through thematic analysis. | The study is qualitative. Data is collected through semistructured interviews and analyzed through thematic analysis. | The study is a qualitative study. The data used in the study was collected through interviews and analyzed through thematic analysis. |
| Purpose Statement | The purpose of the research was to evaluate the unfulfilled psychoeducational needs of mothers with postpartum depression and determine the efficacy of a web-based intervention to meet the needs. | The purpose of the study was to evaluate the benefits of using a couple-based psychoeducation intervention in managing postpartum depression and exploring the factors that affect the efficacy of the intervention. | The main purpose of the study was to do an exploratory study on the views of new parents on the content of postpartum psychoeducation. |
| Research Question | What are some of the unfulfilled psychoeducational needs, and what is the efficacy of using web-based intervention in meeting those needs among women with postpartum depression. | What are the benefits of a couple-based psychoeducational intervention in managing postpartum depression among first-time parents? | What are the views of parents to newborns concerning the delivery and content of a postpartum psychoeducation program? |
| Outcome | The outcome was that the use of web-enabled psychoeducation was effective in promoting postpartum mental health decision-making. | The outcome of the study is that the intervention was perceived to be effective in boosting emotional control and parental skills hence improving the sense of support. | The outcome is that the research subjects viewed the use of the mhealth app to facilitate psychoeducation as effective. |
| Setting
(Where did the study take place?) |
The study was conducted across seven cities of British Columbia | The study was conducted in Hongkong. | The study took place in home-based settings where the participants were recruited immediately after getting discharged from the hospital. |
| Sample | A total number of 31 women were recruited in the study. | A total of 27 couples were recruited in the study | This study had a total of seventeen participants. |
| Method | The study used focus groups, where every group had participants ranging from two to seven which were facilitated by a coordinator. | The method used was a descriptive qualitative study, with the intervention consisting of a three-hour antenatal session and a half an hour telephone follow-ups, which were done at two weeks and four weeks after birth. | This research applied a descriptive qualitative study design where semistructured interviews were carried out. |
| Key Findings of the Study | Among the key findings were five themes, giving customization to promote relevance, empowering individuals to own their mental health, manage and attain wellness through capacity nurturing, giving validation for fighting stigma, and meeting needs through gap bridging. All of the themes pointed to promoting agency for mothers having postpartum depression. | While the intervention was efficacious in promoting emotional control and parenting skills, various factors were found to help in facilitating the intervention. For instance, reinforcements, arranging the intervention during non-working hours, and telephone follow-ups. | The major finding from the research include; the participants reported the educational program to be effective and a good information source. The modes of delivering the education, such as video and audio, underlined the information accessibility. Besides, the facilitators of the programs offered trustworthy advice. |
| Recommendations of the Researcher | The researchers recommended a necessity to explore specific details on how the psychoeducation needs of patients can be met through web-based intervention. | Among the recommendations by the researchers is that there is a need to integrate couple-based psychoeducation programs facilitated by nurses into the mainstream child care and maternal services regularly. | Among the recommendations is that technical hiccups of the platforms should be resolved and enhancements added. |
Conclusion
In conclusion, the PICOT question which will guide the study in the coming weeks has been formulated. Besides, an exhaustive literature search has been conducted to obtain peer-reviewed journals supporting the PICOT question. While three of the articles are qualitative studies, the other three are quantitative studies. It is worth noting that five of the six articles reported findings showing that psychoeducation has a positive influence on postpartum depression, while one reported no significant effect.
References
Chaharrahifard, L., Motlagh, A. J., Akbari-Kamrani, M., Ataee, M., & Esmaelzadeh–Saeieh, S. (2021). The Effect of Midwife-led Psycho-Education on Parental Stress, Postpartum Depression and Parental Competency in High Risk Pregnancy Women: A Randomized Controlled Trial. Journal of Caring Sciences, 10(2), 70-76. Doi: https://doi.org/10.34172/jcs.2021.014.
Derakhshanpour, F., Kashani, L., Taghavi, S., Salimi, Z., & Shahini, N. (2020). Effect of a Psychoeducation Intervention on Postpartum Health. Journal of Clinical and Basic Research, 4(4), 8-16. 10.52547/jcbr.4.4.8.
Lackie, M. E., Parrilla, J. S., Lavery, B. M., Kennedy, A. L., Ryan, D., Shulman, B., & Brotto, L. A. (2021). Digital Health Needs of Women With Postpartum Depression: Focus Group Study. Journal of Medical Internet Research, 23(1), e18934. doi: 10.2196/18934.
Lam, W., & Ngai, F. W. (2021). Process evaluation of couple‐based psychoeducation program for first‐time parents. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.13543.
Martín-Gómez, C., Moreno-Peral, P., Bellón, J. A., Cerón, S. C., Campos-Paino, H., Gómez-Gómez, I., … & Motrico, E. (2020). Effectiveness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ open, 10(5), e034424. doi.org/10.1136/bmjopen-2019-034424
Niksalehi, S., Taghadosi, M., Mazhariazad, F., & Tashk, M. (2018). The effectiveness of mobile phone text massaging support for mothers with postpartum depression: A clinical before and after study. Journal of family medicine and primary care, 7(5), 1058. doi: 10.4103/jfmpc.jfmpc_120_17.
Shorey, S., Yang, Y. Y., & Dennis, C. L. (2018). A mobile health app–based postnatal educational program (Home-but not alone): descriptive qualitative study. Journal of medical Internet research, 20(4), e119. doi: 10.2196/jmir.9188. NRS 433 Assignment: PICOT Question and Literature Search
