Friday 25 September 2015

PICO should be relevant to Day surgery unit in an acute care “Magnet” hospital]

PICO should be relevant to Day surgery unit in an acute care “Magnet” hospital]
Topic 1: Identifying a Problem, Developing a Question, and Selecting Sources of Literature Assignment Identifying a  problem Consider a clinical environment in which you are currently working or have recently worked. Identify a problem,
issue, or educational deficit upon which to build a proposal for change.
In a paper of no more than 500 words,describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem, issue, or educational deficit can be observed.
2. Detailed description of the problem, issue, or educational deficit.
3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
5. Proposed solution to address the problem, issue, or educational deficit.
Review "Module 1: Checklist." This resource will assist you in organizing your work and will provide additional
information regarding the assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student
Success Center. An abstract is not required.

Assignment Developing a Question (PICOT) Develop a searchable question using the PICOT format. (The question is a single
statement identifying the components of PICOT.)
Gradable Items Details Points Possible Refer to "Developing a Question" and "Module 1: Checklist."
Assignment Selecting Sources of Literature Locate a minimum of 15 peer-reviewed articles that describe the problem or
issue and which support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study
which is qualitative, quantitative, descriptive, or longitudinal).
Hint: Begin your search for literature by utilizing the databases located in the eLibrary.
Preview each of the 15 articles chosen by reading the article abstracts and summaries.
Hint: Article abstracts and summaries
provide a concise description of the topic, research outcomes, and significance of findings.
Hint: Refer to "RefWorks" and "Module
1: Checklist."
Perform a rapid appraisal of each article by answering the following questions (one to two sentences are
sufficient to answer each question):
1. How does each article describe the nature of the problem, issue, or deficit you have identified?
2. Does each article provide statistical information to demonstrate  the gravity of the issue, problem, or deficit?
3. What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?
4. Does each article support your proposed change?
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Topic 2: Reviewing the Literature and Applying Theory
Review of the Literature Write a paper (1,500-2,000 words) in which you analyze and appraise each of the (15) articles identified in Module 1. Pay particular attention to evidence that supports the problem, issue, or deficit, and your proposed solution.
Hint: The Module 2 Readings provide appraisal questions that will assist you to efficiently and effectively analyze each article.
Refer to "Sample Format for Review of Literature," "RefWorks," and "Module 2:
Checklist."
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Assignment Incorporating Theory
Identify a theory that can be used to support your proposed solution.
Write a summary (250-500 words) in
which you:
1. Describe the theory and your rationale for selecting the theory.
2. Discuss how the theory works to support your proposed solution.
3. Explain how you will i ncorporate the theory into your project.
Refer to the "Module 2: Checklist."
Prepare this assignment according to APA guidelines.
Topic 3: Developing an Implementation Plan
Developing an Implementation Plan 150.0
Gradable Items Details Points Possible
Consider the population in which the solution is intended, the staff that will participate, and the key contributors that must provide approval and/or support for your project to be implemented. These stakeholders are considered your audience.
Develop an implementation plan (1,500-2,000 words). The elements that should be included in your plan are listed below:
1. Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff.
2. Description of current problem, issue, or deficit requiring a change.
Hint: If you are proposing a change in current policy, process, or procedure(s) when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
3. Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
4. Rationale for selecting proposed solution.
5. Evidence from your review of literature in Module 2 to support your proposed solution and reason for change.
6. Description of implementation logistics (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
7. Resources required for implementation: Staff; Educational Materials (pamphlets, handouts, posters, and PowerPoint presentations);
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Assessment Tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline
and after intervention); Technology (technology or software needs); Funds (cost of educating staff, printing
Gradable Items Details Points Possible or producing educational materials, gathering and analyzing data before,
during, and following implementation), and staff to initiate, oversee, and evaluate change.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student center.
Topic 4: Developing an Evaluation Plan and Disseminating Results
Assignment Developing an Evaluation Plan 40.0
Gradable Items Details Points Possible Using 500-1,000 words, discuss methods to evaluate the effectiveness of your
proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursi ng
staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and
variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.
Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to the "Module 4: Checklist."
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student
Success Center. An abstract is not required.
Assignment Disseminating EvidenceUsing 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.
Refer to the "Module 4: Checklist."
Prepare this assignment according to the APA guidelines found in the APA Style Guide,
Gradable Items Details Points Possible
Success Center. An abstract is not required.
Topic 5: Demonstrating Mastery of Evidence-Based Practice
Assignment Constructing the Written Evidence- Based Proposal
Combine elements completed for the assignments during Modules 1-4 into one cohesive evidence-based proposal.
For information on how to complete the assignment, refer to "Writing Guidelines" and "Exemplar of Evidence-
Based Practice."
Include a title page, abstract, problem statement, conclusion, reference section, and appendices (if tables, graphs, surveys, diagrams, etc., are created from tools required in Module 4). Prepare this assignment according to the APA guidelines
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