This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern

PROBLEM/PICOT/EVIDENCE
SEARCH (PPE) WORKSHEET
Purpose
This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.
Directions
1. Read over each of the following directions.
2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
3. Download and use the required PPE Worksheet (Links to an external site.).
Problem/PICOT/Evidence Search (PPE) Worksheet
Name:
Date:
Criteria
Clinical Nursing Practice Problem

Select and identify ONLY one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.
Clinical Nursing
PICOT Question

Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include the PICOT letters in your question.

Define PICOT Elements

Define each of the PICOT elements from your question above.
P- (patient population/patients of interest):

I- (Intervention):

C- (Comparison):

O- (Measurable outcome):

T- (Time frame in months):
Evidence Retrieval Process and Summary

Using only the Chamberlain College of Nursing library:
(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen nursing practice problem.
(2) Explain why you chose the evidence
(3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource)
(4) Evidence must be published within the last 10 years
(5) Provides the permalink
Implications of the Evidence
Summarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research project on the nursing practice problem.
Evidence Search Terms
Identify 4 (or more) relevant searchable terms you used for your search for evidence.

Evidence Search
Strategies

Select 4 (or more) relevant search strategies you used to narrow/limit your search for
evidence.
____ Full text
____ Boolean Operators/Phrase
____ Selected publication dates
within last 10 years
____ Subject, title, or author search box
____ Truncation (used an asterisk * at
the beginning or end of a word) ____ Academic or scholarly (Peer
Reviewed) journals
____ Quotation marks for key words
____ Selected key terms from
PICOT question
____ Others: (list below)
_______________________________
_______________________________

4. Review the information provided in our library of how to search for journal articles here (Links to an external site.).
5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).
6. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
7. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
NR 439 PICOT Question Guide

8. The following contains PICOT question guides/templates to use to help write questions using all of the PICOT elements. Each template contains a guide that you can use to write a complete PICOT question, examples of PICOT elements, and illustrations . Review some tips and hints below to think about for each of the PICOT elements that can help create a sound clinical nursing PICOT question:
9.
10. P=Population of patients: Think about a group of patients you are interested in studying—identify the group by age ranges, diagnosis/disease of interest, history or length of time with the diagnosis/disease of interest, location, unit, or setting, gender type (if applicable), race (if applicable), or other identifiable characteristics such as Medicare, Medicaid, immobile, ventilated, inpatient, outpatient, etc.
11. I=Intervention: Consider the nursing action or intervention you are thinking that would make a difference? From your search for evidence, what is the evidence indicating that nurses can do to help improve the problem or issue you have chosen?
12. C=Comparison: Think about comparing to the intervention of interest or the alternative such as routine/standard care. If no comparison, state not implementing the intervention or no comparison group.
13. O=Outcome: Reflect upon what would be the measurable, relatable indicator that would demonstrate the intervention is making a difference or not? What would be the needed outcome that you could observe/check/measure? For example, “the pain is okay” would not be a measurable outcome. Rates pain level less than 3 on pain scale would be measurable.
14. T=Timeframe: For this element, reflect on how long it would take to implement your study by collecting data or the time needed to observe to see if any changes occurred or will occur. Think about 1 month, 3 months, 6 months etc… Use a timeframe that is realistic.

15.
16. Template A
17.
18. Among/In _________________________ (P), does______________________ (I) (**decrease/increase/impact/influence/affect/reduce/improve**) _____________________ (O) compared to ______________________________ (C) over ______________________________(T)?
19. (**choose one term**)
20. Example:
21. Among 65+ and older diabetic immobile adults in long-term care (P), does a bedside oral care kit and checklist protocol (I) compared to routine oral care without a bedside oral care kit (C) affect the number of times oral care is completed (O) over 3 months (T)?
22. P=Population of patients: 65+ and older diabetic immobile adults in long-term care
23. I=Intervention: bedside oral care kit and a checklist protocol
24. C=Comparison: routine oral care without a bedside oral care kit
25. O=Outcome: number of times (frequency) oral care is completed
26. T=Timeframe: 3 months
27.

28. Be sure to use the PPE grading rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
29. Use correct grammar, spelling, punctuation, and in-text APA formatting.
30. Submit the completed PPE Worksheet on the Week 3 Assignment page.
31. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.
Assignment Practice Scenario
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).
The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality Safety
• Patient satisfaction
• Patient education • Falls
• Non-pharmacological pain management Errors. Examples include:
• Medication
• Patient identification
• Communication
• Readmissions
• Length of stay
• Costs Healthcare Associated Infections (HAIs).
Examples include:
• Central Line Associated Blood Stream Infections (CLABSI)
• Catheter Associated Urinary Tract Infections (CAUTI)
• Ventilator Associated Pneumonia (VAP)
• Surgical Site Infections (SSI)
• Sepsis (Screening or Prevention)
• Discharge Teaching/Coaching
• Transitions of Care/Level of Care • Pressure Ulcers
• Skin Integrity
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

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