NR 439 PICOT Question Guide
NR 439 PICOT Question Guide
NR 439 PICOT Question Guide
The following contains PICOT question guides/templates to use to help write questions using all of the PICOT elements. Each template contains a guide that you can use to write a complete PICOT question, examples of PICOT elements, and illustrations . Review some tips and hints below to think about for each of the PICOT elements that can help create a sound clinical nursing PICOT question:
P=Population of patients: Think about a group of patients you are interested in studying—identify the group by age ranges, diagnosis/disease of interest, history or length of time with the diagnosis/disease of interest, location, unit, or setting, gender type (if applicable), race (if applicable), or other identifiable characteristics such as Medicare, Medicaid, immobile, ventilated, inpatient, outpatient, etc.
I=Intervention: Consider the nursing action or intervention you are thinking that would make a difference? From your search for evidence, what is the evidence indicating that nurses can do to help improve the problem or issue you have chosen? NR 439 PICOT Question Guide
C=Comparison: Think about comparing to the intervention of interest or the alternative such as routine/standard care. If no comparison, state not implementing the intervention or no comparison group.
O=Outcome: Reflect upon what would be the measurable, relatable indicator that would demonstrate the intervention is making a difference or not? What would be the needed outcome that you could observe/check/measure? For example, “the pain is okay” would not be a measurable outcome. Rates pain level less than 3 on pain scale would be measurable.
T=Timeframe: For this element, reflect on how long it would take to implement your study by collecting data or the time needed to observe to see if any changes occurred or will occur. Think about 1 month, 3 months, 6 months etc… Use a timeframe that is realistic.
Template A
Among/In _________________________ (P), does______________________ (I) (**decrease/increase/impact/influence/affect/reduce/improve**) _____________________ (O) compared to ______________________________ (C) over ______________________________(T)?
(**choose one term**)
Example:
Among 65+ and older diabetic immobile adults in long-term care (P), does a bedside oral care kit and checklist protocol (I) compared to routine oral care without a bedside oral care kit (C) affect the number of times oral care is completed (O) over 3 months (T)?
P=Population of patients: 65+ and older diabetic immobile adults in long-term care
I=Intervention: bedside oral care kit and a checklist protocol
C=Comparison: routine oral care without a bedside oral care kit
O=Outcome: number of times (frequency) oral care is completed
T=Timeframe: 3 months
Template B
Among/In _________________________ (P), would______________________(I) (**decrease/increase/impact/influence /affect/reduce/improve **)_____________________ (O) compared to ______________________________ (C) over ______________________________(T)?
(**choose one term**)
Example:
In male ICU patients who are 65+ and older diagnosed with COPD (P), would the confusion assessment screening tool (CAST) (I) impact the number of early identification of delirium (O) compared to no screening tool (C) over 6 months (T)?
P=Population of patients: Inpatient male ICU patients 65+ and older diagnosed with COPD
I=Intervention: confusion assessment screening tool (CAST) NR 439 PICOT Question Guide
C=Comparison: routine care/no screening tool
O=Outcome: number of early identification of delirium
T=Timeframe: 6 months
Template C
Among/In _________________________ (P), will ______________________ (I) (**decrease/increase/impact/influence/affect/reduce/improve **)_____________________ (O) compared to ______________________________ (C) over ______________________________ (T)?
(**choose one term**)
Example:
Among Hispanic pregnant women between 36-40 weeks (P), will completing a lactation course (I) increase the number of breastfeeding initiations by or within 6 hours of delivery (O) compared to no lactation course (C) over 6 months?
P=Population of patients: Hispanic pregnant women between 36-40 weeks
I=Intervention: lactation course completed
C=Comparison: no lactation course
O=Outcome: number of breastfeeding initiations within 6 hours of delivery
T=Timeframe: 6 months
Template D
Among/In _________________________ (P), what is the effect of ______________________ (I) on ____________________ (O) compared to ___________________________ (C) over ______________ (T)?
Example:
In pediatric non-Hispanic Black males ages 8-18 years old with a 5 year history of type 1 diabetes (P), what is the effect of the Glucose Buddy Diabetes Tracker app (I) on maintaining HbA1C levels <7% (O) compared to the mySugar Diabetes Tracker Log app (C) over 6 months (T)?
P=Population of patients: pediatric non-Hispanic Black males ages 8-18 years old with 5 year history of type 1 diabetes
I=Intervention: Glucose Buddy Diabetes Tracker app
C=Comparison: mySugar Diabetes Tracker Log app
O=Outcome: HbA1C levels <7%
T=Timeframe: 6 months
Directions
- Read over each of the following directions.
- You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
- Download and use the requiredPPE Worksheet (Links to an external site.).
- Review the information provided in our library of how to search for journal articles here(Links to an external site.).
- Review the information provided in our library of how to locate and copy a journal permalink(Links to an external site.).
- You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu(Links to an external site.). Click on the envelope at the top of the page.
- Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question,use the NR439 Guide for writing PICOT Questions and Examples(Links to an external site.). Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
- Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
- Submit the completed PPE Worksheet on the Week 3 Assignment page.
- Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. NR 439 PICOT Question Guide
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Assignment Practice Scenario
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).
The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):
| Quality | Safety |
| · Patient satisfaction
· Patient education |
· Falls |
| · Non-pharmacological pain management | Errors. Examples include:
· Medication · Patient identification · Communication |
| · Readmissions
· Length of stay · Costs |
Healthcare Associated Infections (HAIs). Examples include: · Central Line Associated Blood Stream Infections (CLABSI) · Catheter Associated Urinary Tract Infections (CAUTI) · Ventilator Associated Pneumonia (VAP) · Surgical Site Infections (SSI) · Sepsis (Screening or Prevention) |
| · Discharge Teaching/Coaching
· Transitions of Care/Level of Care |
· Pressure Ulcers
· Skin Integrity |
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.
Best Practices
- For questions about this assignment, please contact your instructor.
- Spell check for spelling and grammar errors prior to final submission.
- Please see the grading criteria and rubrics on this page.
- Please use your browser’s File setting to save or print this page.
Scholarly Sources and Citations
- Use APA format in citations and references.
**Academic Integrity**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
References
American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.
Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.
Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/ NR 439 PICOT Question Guide
Rubric
NR439 PPE Worksheet Rubric
| NR439 PPE Worksheet Rubric | |||||||
| Criteria | Ratings | Pts | |||||
| This criterion is linked to a Learning OutcomeClinical Nursing Practice Problem
Select and identify only one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem. |
|
50 pts | |||||
| This criterion is linked to a Learning OutcomeClinical Nursing PICOT Question
Clinical Nursing PICOT Question Using the NR439 Guide for writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include each letter of the PICOT in your question. |
|
15 pts | |||||
| This criterion is linked to a Learning OutcomeDefine PICOT Elements
Define each of the elements from your above clinical PICOT question. |
|
15 pts | |||||
| This criterion is linked to a Learning OutcomeEvidence Retrieval Process and Summary
Using only the Chamberlain College of Nursing library: |
|
20 pts | |||||
| This criterion is linked to a Learning OutcomeImplications of the Evidence
Summarize what you learned from the evidence. |
|
40 pts | |||||
| This criterion is linked to a Learning OutcomeEvidence Search Terms
Identifies 4 (or more) relevant searchable terms you used for your search for evidence. |
|
10 pts | |||||
| This criterion is linked to a Learning OutcomeEvidence Search Strategies
Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence. |
|
10 pts | |||||
| This criterion is linked to a Learning OutcomeScholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar |
|
8 pts | |||||
| This criterion is linked to a Learning OutcomeAPA In-Text Formatting for Cited Sentences |
|
7 pts | |||||
| This criterion is linked to a Learning OutcomeAssigned PPE Worksheet Used |
|
0 pts | |||||
| This criterion is linked to a Learning OutcomeLate deduction |
|
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