professor and class,

Working for a skilled home health agency performing skilled RN visits, the management team tends to focus on re admissions rates for COPD patients. The skilled visits serve the purpose of assisting in managing disease process and providing education and resources. The goal is to adequately manage all effects of COPD at home. The article concentrates on detail discharge planning along with obtaining goals upon discharge home preventing readmission to hospital. Reducing readmission rates is a priority for the hospitals and home health agencies due to medicare reimbursements. ( Derdak, S 2017 ). This is a focal point on the nursing clinical issue accomplishing good patient outcomes in efforts to prevent hospitalization. Being hospitalized can lead to deadly infections, and even death.

PICOT Question

P – COPD patients readmission to hospital

I – Patient will receive skilled home health services

C- Discharge home without formal skilled services.

O- Reduction of readmission to hospital due to COPD exacerbation.

T- Within 60 days certification period.

Reference:

Derdak, S. (2017). Prevention of COPD Readmissions: A Work in Progress. Respiratory Care, 62(1), 133-134. doi:10.4187/respcare.05350

Week 3: PICOT/Evidence Appraisal Assignment (graded)

Submit Assignment

• Due Sunday by 11:59pm
• Points 200
• Submitting a file upload

PICOT WORKSHEET GUIDELINES

Updated 7/27/2017

Purpose

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.

Course Outcomes

This assignment enables the student to meet the following Course Outcome.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

Due Date

Submit the completed PICOT Worksheet form (Links to an external site.)Links to an external site. by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 200 points.

Directions

1. Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zHZzQomrNzHr05z0 (Links to an external site.)Links to an external site.
2. Download the PICOT Worksheet form (Links to an external site.)Links to an external site..
3. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
4. Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form.
5. Submit the completed PICOT Worksheet form.

EXAMPLE 1:

What is the PICO(T) question?

Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?

Define each element of the question below:

P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually

I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts

C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.

O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers

EXAMPLE 2:

What is the PICO(T) question?

For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?

Define each element of the question below:

P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.

I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision

C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia

O- (Desired outcome): Improvement of pulmonary complications

T-(Time): 90 days

**Academic Integrity Reminder**

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.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR439_PICOT_Worksheet

NR439_PICOT_Worksheet

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomePICOT questionQuestion or nursing problem is identified and is an independent nursing decision.	50.0 pts Outstanding Question or nursing problem identified that is an independent nursing decision 44.0 pts Very good Question or nursing problem is identified that is an independent nursing decision 40.0 pts Competent Question or nursing problem is identified that is an independent nursing decision. 19.0 pts Question or nursing problem is identified but is not an independent nursing decision. 0.0 pts PICOT question missing.	50.0pts
This criterion is linked to a Learning OutcomePICOT elementsPICOT elements are correctly identified. Outcomes are measurable.	50.0 pts PICOT elements are correctly identified. Outcomes are measurable. 44.0 pts One PICOT element is not correctly identified. Outcomes are measurable. 40.0 pts Two PICOT elements are not correctly identified. Outcomes are not measurable 19.0 pts Three or more PICOT elements are not correctly identified. Outcomes are not measurable. 0.0 pts PICOT elements are missing.	50.0pts
This criterion is linked to a Learning OutcomePractice issue and scope of the problemPractice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.	50.0 pts Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. 44.0 pts Practice issue/problem is partially described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. 40.0 pts Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. 19.0 pts Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is not identified. Identification of the practice issue is not clear. Scope of the problem is not identified 0.0 pts Not answered.	50.0pts
This criterion is linked to a Learning OutcomeEvidenceAppropriately identifies the types of evidences that should be gathered.	20.0 pts Identifies and documents four types of evidence needed for review. 17.0 pts Identifies and documents three types of evidence needed for review. 16.0 pts Identifies and documents two types of evidence needed for review 7.0 pts Identifies and documents one type of evidence needed for review. 0.0 pts Does not document types of evidence.	20.0pts
This criterion is linked to a Learning OutcomeRationale for EvidenceGives rationale for the types of evidence that is gathered.	20.0 pts Thoroughly describes rationale for checked types of evidence. 17.0 pts Good description of rationale for checked types of evidence. 16.0 pts Partial description of rationale for checked types of evidence. 7.0 pts Minimal rationale for checked types of evidence. 0.0 pts Rationale missing.	20.0pts
This criterion is linked to a Learning OutcomeSearch TermsDescribes search terms that are manageable and will yield good results.	5.0 pts Thoroughly describes manageable search terms. 4.0 pts Good description of manageable search terms. 3.0 pts Partially describes manageable search terms. 2.0 pts Minimally describes manageable search terms. 0.0 pts Search terms are absent.	5.0pts
This criterion is linked to a Learning OutcomeHow to Narrow Search in the LibraryProvides a description of how the library search will be narrowed to produce relevant returns.	5.0 pts Thoroughly describes how to narrow searchFull Marks 4.0 pts Good description how to narrow search. 3.0 pts Partially describes how to narrow search. 2.0 pts Minimally describes how to narrow search. 0.0 pts No description given.	5.0pts
Total Points: 200.0

 

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