• Reflect on your nursing practice or clinical experience. Identify a problem or recurring question in your practice. Then, provide responses to the following prompts:

• • Research what a PICOT question is. Write a clinical question to address the problem using the PICOT format.
  • How would you go about finding evidence that provides answers to your question?
  • What type of research method (qualitative, quantitative, or mixed) and design (e.g. ethnographic, experimental, etc.) would you choose to investigate the clinical question?
  • Share two scholarly, peer reviewed research articles that address your clinical question and explain how. Use 7th edition APA format. Denver School of Nursing Smoking Cessation Intervention Discussion
    

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Step 2 Read other students’ posts and respond to at least two of them. Do you agree or disagree with selected research method and design? Why or why not? Would you change the PICOT question in any way?

Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

Discussion 1

marva

Using The PICOT Model I will explore the following question: Can clients enrolled in a rehabilitation program and allowed to live in a sober living house, including free room and board, daily group therapy, weekly individual therapy, bi-weekly medical assistance programming and transportation for one year complete and addiction program without periods of relapse. Denver School of Nursing Smoking Cessation Intervention Discussion

P

What is the population of interest?

Opiate dependent clients

I

What intervention or issue do you want to consider?

Provide a sober living house, including free room and board, daily group therapy, weekly individual therapy, bi-weekly medical assistance programming, and transportation

C

What is the current nursing practice with this population, or what is the comparison practice? What is the context of the study?

Patients that are battling with opiate dependence but remain an active participant in the community can participate in rehabilitation but still live their day-to-day lives.

O

What is the outcome of those patients receiving the intervention?

Patient will successfully complete programming without relapse.

T

Over what period will the intervention be considered?

One year

I would go about finding the answers to this by having two groups.

Group A-provided with sober living and additions for one year while attending outpatient rehab.

Group B- Not provided with housing, including free room and board, daily group therapy, weekly individual therapy, bi-weekly medical assistance programming and transportation.

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The research method would be both qualitative and quantitative. Denver School of Nursing Smoking Cessation Intervention Discussion

Not only will the patients, urine drug screen results, individual sessions with counselors, group therapy attendance and complain with medical appointments be tracked, but also meaningful participation.

A patient may not just attend programming and not participate.

According to The College of St. Scholastica, nurses can aide in successful completion from an outpatient program by monitoring patient compliancy with medical appointments, rendering urine drug screens to monitor sobriety and provide education regarding opiate cessation medications(The College of St. Scholastica, 2018) .

Outpatient treatment can be the best alternative for these with opiate addiction but are still living their everyday life. Lack of housing, food, transportation can be a risk factor foe relapse and removing those factors has been proven to aide in the relapse free completion of outpatient rehabilitation(n.d.)

Discussion 2

Sharon

PICOT stands for Population, Intervention/Indicator, Comparison, Outcome, and Time (“Nursing: PICOT”, 2020, para.1). These are attributes of a good research question. For example, one might ask “Are biological children of obese parents at increased or decreased risk for obesity compared to adopted children with obese parents?” This addresses the population (children), indicator (adopted children of obese parents), comparison (biological children of obese parents), outcome (risk), and time (childhood).

To find evidence that would answer the question, the nurse could access already existing medical records or conduct their own survey, collecting samples from families with obese parents, and some with biological children and some with adopted children (or a mix). Being able to conduct their own survey is more likely to have more accurate results, and also allows for the possibility of doing further research into lifestyle. Using statistical analysis, the nurse could then observe the likelihood of a child to be obese if they are adopted or biological children of obese parents. This would involve a quantitative research method (using BMIs and weight as the numerical research values), and an ethnographic design (observing people in their normal states and recording relevant values such a diet and exercise within the family lifestyle). Ethnography is the “study of people in their own environment through the use of methods such a participant observation and face-to-face interviewing” (“NPS Ethnography”, 2020, para. 1).

The New England Journal of Medicine cited a study done on this very topic, and concluded that “Genetic influences have an important role in determining human fatness in adults, whereas the family environment alone has no apparent effect” (Stunkard & Hanis, 2012, para. 1).

Another study concluded that “Comparing fatness levels of genetically unrelated ‘family’ members and measuring synchronies in fatness change among family member who live together, it is clear that fatness and obesity are both acquired in the family context” (Garn, 2008, para. 2). They conclude that obesity is more tied to genetics than family lifestyle.

My own personal experience is further confirmation of this trend. I have two parents and 8 siblings, and not a single one is overweight. In fact, most of us tend to be a little underweight, especially as children and young adults. While none of us are adopted, our lifestyles are dramatically different from each other. For example, several of my siblings take health very seriously, and they run marathons together and focus on whole foods diets. Others of us have desk jobs, never exercise, eat fast food, soda, and processed foods regularly. But we all maintain a pretty average weight. Denver School of Nursing Smoking Cessation Intervention Discussion