DNP 801 University of Rio Grande EBP PICOT Question Worksheet

Table need to be completed and modify where necessary.

Use scholarly article within 5 years.

Problem statement and purpose statement in the table is sample.

Current Course __DNP 801___

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PICOT-D Question Template
P	Population	Diabetic patient at high risk of peripheral neuropathy
I	Intervention	10minutes foot exercise three times daily
C	Comparison	Standard of care
O	Outcome	Improve activities of daily living
T	Timeline	four week
D	Data	Measures by using Patient Neurotoxicity Questionnaire (PNQ). Assess with monofilament, tuning fork vibration Discuss how to collect data ———————-
PICOT	For a high-risk adult diabetic patient, does 10 minutes foot exercise three time daily increases activities of daily living (ambulatory) compared with standard of care within 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.
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.

References (Need references/scholarly article within 5 years)

Description:

Review the “PICOT Selection Guidelines.” Use this resource to guide the focus of your Direct Practice Improvement (DPI) Project. The focus of the DPI Project in the DNP Program is the application of strong research-based evidence to improve population/patient outcomes. As such, learners are highly encouraged to select a project topic that is anchored in either quality improvement (QI) or program evaluation (PE). These two types of foci will result in the most actionable outcomes (i.e., “real-time” results). Learners will use the “PICOT Selection Guidelines” to choose an

appropriate PICOT question in a later topic.

Description:

Consider an advanced practice nursing care problem or issue related to your intended DPI Project. Conduct a search in the Library using CINAHL, The Cochrane Library, the Joanna Briggs Institute (JBI), OVID, or Sage Research Methods databases to find appropriate empirical resources regarding applicable nursing intervention research.

Directions:

Utilizing your feedback, you have received on your draft PICOT question from Topic 2 DQ1, create a draft PICOT question specifically related to your project. Use the “PICOT Decision Pathway,” located in the Network, to determine if your PICOT question is appropriate and can be supported with substantial research.

Using the “PICOT Question Template,” located in the Network, formulate an EBP PICOT question that pertains to your project focus.

In addition to your evidence-based practice PICOT question, prepare a brief summary of your topic. Include a rationale for why you have selected this topic and why you believe it is in line with the PICOT selection guidelines. If you have selected a route that advises caution on the “PICOT Decision Pathway” explain how you think you might mitigate

complications that could occur to ensure you are able to successfully accomplish your project in a timely manner.

General Requirements:

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Description:

The purpose of this assignment is to evaluate empirical research as it relates to your PICOT question.

Directions:

Using PICOT question and annotated bibliographies, revise your PICOT question and annotations.

Using your annotations, write a paper (1,250-1500 word) in which you evaluate the literature, including the study conclusions, merits, and shortcomings. Your evaluation should address the following, and your conclusions should be supported with appropriate citations:

Summarize the evaluation (outcomes) of each literature selection.
Is this the only empirical research the authors of chosen articles have done on the same subject matter? If so, do you think this is a gap? If not, discuss the other research.
Discuss how data collected by the authors has supported the conclusion.
Discuss how the data collected from the authors of selected literature contributes to your PICOT question.