Name:Date:Your Instructorâs Name:Purpose: To identify a problem or concern that nursing can change and develop a PICOT question toguide the change project.Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. Thisincludes filling in the table with information about your research question and your PICOT elements andthe second part is filling in the Evidence Worksheet.Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. Listeach element P (problem, population, or problem), I (intervention), C (Comparison with othertreatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solutionsomething for which you (as nurse or student) can find a solution through evidence research? Look inyour book for guidelines to developing your PICOT question and also read the required articles.Step 2: Identify the problem. What have you noticed in your work or school environment that isnâtachieving the desired patient or learning outcomes? What needs to change in nursing, what can youchange with the support of evidence in the literature? Describe the problem or practice issue that youwant to research. What is your practice area; clinical, education, or administration? (This is NOT whereyou will list your PICOT question)Step 3: How was the practice issues identified? How did you come to know this was a problem in yourclinical practice? Review the listed concerns and check all that apply.Step 4: What evidence must be gathered? What sources of reliable information will be helpful for yourparticular question?Step 5: What terms will you use in order to make sure that your search is wide enough to obtainrequired information but narrow enough to keep it focused? How will you narrow your search ifneeded?Chamberlain College of Nursing NR 439 PICOT WorksheetNR439 PICOT Worksheet 4/19/17 jw 2PICOT QuestionWhat is the PICOT question?In adults over the age of 65 with Alzheimerâs Disease (P), how doesnonpharmacological therapy (I) compare with those with no form of therapy (C)reduce behavioral and psychiatric symptoms of dementia (BPSD) (O) over thecourse of 30 days.Define each element of the question below:P- (Patient, population, or problem): adults over the age of 65 with Alzheimerâs DiseaseI- (Intervention): nonpharmacological therapy (exercise, musical therapy, art therapy)C- (Comparison with other treatment/current practice): no form of therapyO- (Desired outcome): reduce behavioral and psychiatric symptoms of dementia(BPSD)T- (Time Frame): 30 daysWhat is the practice issue/problem? What is the scope of the issue? What is the need for change?Alzheimerâs Disease (AD) has a huge prevalence in our society today and the numbers affected aregrowing exponentially. Many patientâs in the hospital suffer from some form of Dementia, many ofthem Alzheimerâs. Agitation and anxiety are two of the many symptoms of AD and they are notbeing dealt with as effectively as possible. In order to provide patientâs with the utmost care, thehealthcare system should be doing everything it can to alleviate this agitation and anxiety, as well aseducating the families of those affected on strategies they can employ to do the same at home.What is the practice area?__x_ Clinical__x_ Education___ Administration___ OtherChamberlain College of Nursing NR 439 PICOT WorksheetNR439 PICOT Worksheet 4/19/17 jw 3How was the practice issue identified?(check all that apply)__x_ Safety/risk management concerns__x_ Unsatisfactory patient outcomes___ Wide variations in practice___ Significant financial concerns___ Difference between hospital and community practice___ Clinical practice issue is a concern___ Procedure or process is a time waster___ Clinical practice issue has no scientific base___ Other:What evidence must be gathered? (check all that apply)I would search the following four areas to look for evidence regarding recent research on care ofagitated patients using the search terms below. I would check for recent guidelines regarding art,music, and pet therapy. What are other facilities using in the community? Is there any information onthe patient/family satisfaction surveyâs that show patient preferences. Are there any state/medicalregulatory standards regarding these therapies?__x_ Literature search__x_ Guidelines___ Expert Opinion__x_ Patient Preferences___ Clinical Expertise___ Financial Analysis__x_ Standards (Regulatory, professional, community)___ OtherSearch terms/How to narrow the search?Alzheimerâs Disease, Dementia, therapy, nonpharmacological, art therapy, music therapy, exercise,psychiatric, agitation, anxiety, BPSDUse of multiple databases, keeping a list of key words used, using quotation marks to keep wordstogether as a phrase, filtering for peer reviewed or scholarly journal articles, narrowing results byfiltering for the last five years.
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