Background In many graduatenurse programs new graduates are required to
DEVELOPING A CLINICAL QUESTION ASSIGNMENT INSTRUCTIONS OVERVIEW The effective development of an evidence-based project utilizes a conceptual framework to guide the process. The Iowa Model of Evidence-Based Practice is the identified model. A link is available within the course. An evidence-based practice project requires the development of a well-designed clinical question. This is supported using the PICO format. The idea for a question will originate from a trigger (per the Iowa Model), which could come as a metric in the practice setting, such as a nurse-sensitive indicator. In some CASES, a trigger could be revealed in the current literature where innovations and ideas are discussed. A PICO worksheet is provided as a part of the assignment instructions for developing a question. A case scenario is provided to give a clinical perspective for creating a question and, subsequently, developing a proposal later in the course. As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include hospital-acquired pressure injuries (HAPI) (4% increase in the last 6 months), patient falls (3 % increase over the previous 6 months), and catheter-associated urinary tract infections (CAUTI) (4% increase in the last 6 months). Investigate contributing factors to the declining outcomes and participate in a team approach to developing an evidence-based practice project. Aiken Article, served as a starting point for the assignment. The purpose of the Aiken article is to provide a perspective as to some of the variables that can contribute to patient morbidity and mortality. Secure current articles to support and develop the clinical question. For example, you may want to retrieve peer-reviewed articles on patient falls or other problem areas. Address only one of the problem areas. To complete this assignment: Access the link to the Aiken article in this module’s Learn section. This article will provide some background information that links nurse-patient ratios to patient outcomes. Refer to the Iowa Model (available in the textbook) to guide the development of the EBP project. Be sure to explain, in detail, how each step of the Iowa Model supports the project development. Based on the information in the article, develop a PICO question to address the problem of a decline in patient outcomes. Use the Developing a Clinical Question Template to develop the PICO: Include the PICO worksheet as a part of the assignment. Discuss the influence of Scripture on the imperative for utilizing current evidence to deliver safe and quality patient care. Include additional articles as background information to provide information for the problem areas identified (3-4 articles).
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