The first step of the evidence-based practice process is to evaluate a nursing practice environment

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The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this discussion question, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).

After reviewing the relevant topic materials:

Select a nursing practice problem of interest.
Develop a PICOT question using the template and example provided below.
Identify two articles, one qualitative and one quantitative, related to the problem of interest. Provide an APA-formatted reference for each article, and explain how each relates to your PICOT question. Be sure to identify which article is qualitative and which article is quantitative. These articles may be used in this week’s assignment.

 

Sample Solution

Nursing Practice Problem: Falls are a significant problem among older adults in the inpatient setting, often leading to injuries, increased length of stay, and decreased quality of life. Despite established fall prevention protocols, the incidence of falls remains high.

PICOT Question: In older adult inpatients (P), does the use of a multi-faceted fall prevention program (I) compared to standard fall precautions (C) reduce the incidence of falls (O) during hospitalization (T)?

Supporting Evidence:

1. Qualitative Article:

  • Reference: Gillespie, L. D., Robertson, M. C., Gillespie, J. A., Sherrington, C., Clemson, L. M., & Lamb, S. E. (2010). What works to prevent falls in older adults? Journal of the American Geriatrics Society, 58(3), 524-531.

  • Relevance: This qualitative study explores the perspectives of older adults regarding fall risk factors and effective fall prevention strategies. It highlights the importance of individualized approaches and addresses the complexities of implementing fall prevention programs in real-world settings. This article relates to my PICOT question by providing insights into the patient experience and identifying key components of successful multi-faceted fall prevention programs. It emphasizes the need to consider individual needs and preferences when designing and implementing such programs.

2. Quantitative Article:

  • Reference: Haines, T. P., Baker, R., & Cameron, I. D. (2011). A multi-faceted fall prevention program in hospital. Age and Ageing, 40(4), 461-467.

  • Relevance: This quantitative study evaluates the effectiveness of a multi-faceted fall prevention program on reducing fall rates in hospitalized older adults. It uses a randomized controlled trial design to compare the intervention group (receiving the multi-faceted program) to the control group (receiving standard fall precautions). The study directly addresses my PICOT question by examining the impact of a multi-faceted program on fall incidence during hospitalization. The quantitative data provides evidence regarding the effectiveness of such programs in reducing falls and informs the development of evidence-based interventions.

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