Final PICOT Question Submission

Final PICOT Question Submission

DNP 815 Week 4 “Final PICOT Question Submission” Revision

The purpose of this assignment is to utilize the feedback you received on your “Final PICOT Question Submission” for your DPI Project you submitted in DNP-801. Ensure that you have incorporated all the changes/revisions requests from your DNP-801 faculty member and final PICOT Team Review. Keep in mind your project will continue to evolve as you advance through the program. This is expected. It is essential that you continue to refine your PICOT question statement in subsequent courses.

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General Requirements Final PICOT Question Submission:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• Access “PICOT-D Question Template,” located in the PI Workspace in the DC Network.
• Review the ”PICOT Decision Pathway” and ”PICOT Selection Guidelines,” located in the PI Workspace in the DC Network.
Directions: Utilizing the feedback received on your “Final PICOT Question Submission” from the DNP-801 Week 8 assignment, complete your updated PICOT question statement specifically related to your project.

Topic:

In families who need medication refill, does recycling drugs in nursing homes result in reduction in cost of medications when compared to non-recycling within a period of six weeks?
Population Families
Intervention Recycling
Comparison Non-recycling
Outcome Reduced cost
Timeline Six weeks

Rubrics

(Population): A description of population being assessed can be linked to direct practice improvements and is extremely thorough with substantial supporting evidence.
(Intervention): A description of the intervention is extremely thorough with substantial evidence and supporting literature.
(Comparison): A description of the comparison information is extremely thorough with substantial evidence and measurable outcomes.
(Outcome): A description of the outcome is extremely thorough with substantial evidence, pertaining to a measurable population or patient outcome.
A description of the timeline is included, but lacks evidence.

DNP Learner Name_____________________________________ Current Course ___________
Submit the Completed Template *See Additional Instructions below for completing the Template on Page 2.
PICOT-D Question Template
P Population
I Intervention
C Comparison
O Outcome
T Timeline
D Data
What is your licensure? APRN RN

Is this practice change within the scope of your nursing practice?
YES No

By submitting this form I am attesting I have read my states Nurse Practice Act and the project is within the scope of my practice.
PICOT

Problem Statement

Purpose Statement

References
Creswell, J. W. & Creswell, J.D. (2018). Research design: Qualitative, quantitative, and mixed
methods approaches. (5th ed.) Thousand Oaks: Sage Publications.
EXAMPLE – PLEASE DELETE
PICOT-D Question Template
P Population Medical-surgical patients admitted to the unit at the site
I Intervention AHRQ 2017 Early Mobility Protocol
C Comparison Current or existing practice
O Outcome Time to Ambulation & Length of Stay
T Timeline 4-6 weeks (Minimum is 4-weeks)
D Data Electronic Health Record
Quality Manager Data
(add data collection tool name if you have one)
What is your licensure? APRN RN

Is this practice change within the scope of your nursing practice?

YES No

Depending on licensure and scope of practice, some DPI projects can be in conflict. Please ensure you have read your ststes Nurse Pratice Ace. Providing this information assists the PICOT reviewer with insight into the conduct of the project.
PICOT For adult medical-surgical patients 18 years and older, will the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol compared to current practice decrease the patient’s time to first ambulation and an average length of stay in an urban Kentucky hospital over four-weeks?

Problem Statement Problem:

It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population
Example:
Engel, Tatebe, Alonzo, Mustille, and Rivera (2013) indicates that early mobilization of patients decreases the average length of hospital stay in critical care areas. Fisher, Kuo, Graham, Ottenbacher, and Ostir (2010) pointed to the time to ambulation and length of stay. It is not known if a nurse-driven early mobilization protocol will decrease the mean-time to ambulation and an average length of hospital stay in the medical-surgical population of an urban Kentucky hospital (AHRQ, 2017). Whereas this population tends to be ill, they are not as critical as ICU, or post-operative patients tend to be. They are still at risk for developing hospital-acquired pneumonia, gastrointestinal delays, and muscle deconditioning. Nevertheless, the time to first ambulation and length of hospital stays could potentially be reduced if an early mobilization protocol were implemented.

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Purpose Statement Purpose:

The purpose of this ___________( e.g., quantitative, quasi-experimental) project was to determine if or to what degree the implementation of _________________ (direct practice improvement/intervention) would impact ______________(what patient outcome) when compared to _______________________ among ___________(patient population) in a ________ (setting e.g., primary care clinic, ER, OR) in ________ (state).
Example:
The purpose of this quantitative, quasi-experimental quality improvement project is to determine if or to what degree the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol would impact the patient’s time to first ambulation and an average length of stay for adult patients in acute medical-surgical unit compared to current practice at an urban (rural or use direction: northeaster, southeaster) in urban Kentucky.
OR
The purpose of this quantitative, quasi-experimental quality improvement project is to determine if or to what degree the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol would impact the patient’s time to first ambulation and an average length of stay compared to current practice. The project will take place on the adult, medical-surgical unit, at an urban (rural or use direction: northeaster, southeaster) Kentucky hospital.
The nurse-driven early mobilization protocol is defined as ambulating all admitted patients in the medical-surgical unit, four times a day at least 100 feet each time, irrespective of the diagnoses, unless contraindicated. The first ambulation should happen within 24 hours of admission. The average length of hospital stay refers to the average number of days that patients spend in hospital (Organization for Economic Co-operation and Development, 2019). This is a measurement of the quality of care provided by the hospital.

References