Solved by a verified expert :Capstone
Project Milestone 1:
PICO
and Evidence Appraisal Guidelines
Purpose
Clear identification of the
problem or opportunity is the first step in evidence-based nursing. This first milestone
offers two tools to assist in the identification and gathering of evidence to
link the problem, proposed intervention, and desired outcomes. Completion of
the milestone will include identification of the problem or concern using the
PICO format and an evidence appraisal to find evidence to support an
intervention that will change the outcomes.
Course Outcomes
This
assignment enables the student to meet the following Course Outcomes.
CO4: Develops and outlines a
scientific, systematic decision-making process to integrate critical thinking
with clinical judgment to assure safe and effective outcomes. (PO #4)
CO8: Selects evidence for best
practice when planning professional nursing care for individuals, families,
aggregates, and communities. (PO #8)
Due Date
Milestone #1 consists of
the completion of one worksheet that contains two parts (i.e., the PICO
worksheet and the evidence appraisalworksheet). Submit the file with the two worksheetscompleted
to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 2.
Points
Milestone #1 is worth 175 points (75 points for the PICO worksheet
and 100 points for the evidence appraisal worksheet).
Directions
1.
Read this document including the grading
rubrics below.
2.
Download the PICO/Evidence Appraisal worksheets
formfromCourse Resources.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. Completion of PICOworksheet will offer a tool for your
literature search.
3.
For theevidence appraisalworksheet, find AT LEAST FOURsources to support the need
for change and the potential intervention you have selected to solve the
problem. Three of these sources must be peer-reviewed
articles while one can be a reliable professional source.
4.
Submit the completed PICO/Evidence Appraisal worksheet
to the Week 2 Dropbox.CapstoneProject
Milestone #1:PICOandEvidence
Appraisal WorksheetsPICO
Worksheet Your
Name:Date:Your
Instructor’s Name:Purpose: To identify a problem or concern that nursing can change and develop
a PICO question to guide the change project.Directions:Use the form below to complete the PICO assignment in Milestone #1.
This includes filling in the table with information about your research
question and your PICO elements.Step
1: Select the key PICO terms for searching the
evidence. Clearly define your PICO question. List each element P (problem,
population, or problem), I (intervention), C (Comparison with other
treatment/current practice), and O (Desired outcome). Is the potential solution
something for which you (as nurse or student) can find a solution through
evidence research? Look in your book for guidelines to developing your PICO
question.Step
2: Identify the problem.What have you noticed in
your work or school environment that isn’t achieving the desired patient or
learning outcomes? What needs to change in nursing, what can you change with
the support of evidence in the literature? Describe the problem or practice issue
that you want to research. What is your practice area; clinical, education, or
administration? (This is NOT where you will list your PICO question)Step
3: How was the practice issues identified?How did
you come to know this was a problem in your clinical practice? Review the
listed concerns and check all that apply.Step
4: What evidence must be gathered? Everyone should
have a literature search. However, what other sources of reliable information
will be helpful for your particular question?Step
5: What terms will you use in order to make sure
that your search is wide enough to obtain required information but narrow
enough to keep it focused? What databases will you search? How will you narrow
your search if needed?
PICO Worksheet
What is the
PICO question?____________________________________________________________
Define each
element of the question below:
P- (Patient, population, or problem):
I- (Intervention):
C- (Comparison with other treatment/current practice):
O- (Desired outcome):
What is the
practice issue/problem?
What is the
practice area?
___ Clinical
___ Education
___ Administration
___ Other
How was the
practice issue identified? (check all that apply)
___ Safety/risk management concerns
___ 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)
___ Literature
search
___ Guidelines
___ Expert Opinion
___ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms:
Databases to search:
Search Strategies:
Evidence
Appraisal WorksheetYour
Name:Date:Your
Instructor’s Name:Purpose: To find evidence to support an intervention that will change the
outcomes.Directions: Type your search question below. Find AT LEAST FOUR sources to
support the need for change and the potential intervention you have selected to
solve the problem. At least three of your sources must be peer-reviewed
articles. The fourth source could be another peer-reviewed article or a
reliable, credible source. Look in your text for ideas of other sources that
can be used. Using the table below, insert and describe your four chosen
resources.Step
1: APA Reference for the article. You will need to
list the reference for the source in APA format. Be careful when using built-in
APA formats and library citations. They may not be in APA format. Refer to Chapter
7 of your APA manual.Step
2: Type of Source. If your source is a research
article, you will need to ensure that it is a peer review article. You need at
least three peer-reviewed articles for your project. If your article is a
non–research source, then you will need to list what type of source it is; systematic
review, clinical practice guidelines, organizational experience, or individual
expert opinion/case study/literature review. You may only use ONE non-research
source.Step
3: Strength of Research. Refer to page 238-240 for
research evidence and page 242-244 for non-research evidence. While you do not
need to assign a level for each study, you will assign a quality of evidence (high,
good, or low/major flaw) and should discuss the study using some of the
elements that are discussed in the appraisal forms. For example, Research
evidence: was the sample size adequate? Was there a controlled group? Was it a
randomized study? Were results clearly stated? Was the conclusion based on the
results? Were study limitations discussed? Not all of these elements need to be
discussed, but you should discuss this information to determine if the strength
of the evidence is HIGH, GOOD, or LOW/MAJOR FLAW.Step
4: Brief Description of the Research. In this
section, you will summarize the source in your own words. How does this
information apply to your project? What are the results of the source? What are
their recommendations?
Evidence Appraisal Worksheet
PICO
Question:
APA
Reference for Article
Give the APA-formatted reference for the article.
Type of
Source
*Research: Peer-reviewed article
*Non-research systematic review, clinical practice
guidelines, organizational experience, or expert opinion/case
study/literature review
Strength of
Research
Discuss the strength of the sources.
Report if evidence is High, Good, or Low/Major
Flaw. Use the tools on page 238-244 of your text and discuss the reasons why
you have assigned a particular level of quality.
Brief
Description of Research
Address the questions.
*How does the information in the article apply to
the project problem or proposed intervention?
*Summarize
in your own words.
* Include results of the study and how these
results are applicable to your project.
* What is the recommendation of the source for
clinical practice?
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