PICOT and Evidence Appraisal Worksheet – Week 3

PICOT and Evidence Appraisal Worksheet – Week 3 ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON PICOT and Evidence Appraisal Worksheet – Week 3 Part 1: PICOT Question Name: Date: Your Instructor’s Name: Purpose : To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project. PICOT and Evidence Appraisal Worksheet – Week 3 Directions : Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet. Step 1 : Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). 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 PICOT question and also read the required articles. 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 PICOT 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? PICOT Question What is the PICOT 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): T – (Time Frame): 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: Part 2: Evidence Appraisal 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 FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. All of your sources must be peer-reviewed articles, written within the last 5 years and from the CCN Library. 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 and the resources in Course Resources. Step 2 : Type of Source. If your source is a research article, you will need to ensure that it is a peer review article, written within 5 years and from the CCN Library. Step 3 : Level of Evidence. Refer to page 23 in your text for levels of evidence. 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? What was the sample? PICOT and Evidence Appraisal Worksheet – Week 3 Evidence Appraisal APA Reference for Article Type of Source and Purpose of Research Level of Evidence Describe Sample Brief Description of Research Study 1 Study 2 Study 3 Study 4 PICOT and Evidence Appraisal Worksheet: Guidelines and Grading Rubric Purpose Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT 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 Outcome. CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7) Due Date This assignment consists of the completion of a worksheet that contains two parts, i.e., the PICOT question and the Evidence Appraisal Worksheet. Submit the completed worksheet to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3 . Points This assignment is worth 200 points (75 points for the PICOT question and 125 points for the evidence appraisal). Directions Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zGTzdYMTLzHr05z0 Download the PICOT and Evidence Appraisal worksheet form from Course 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 the PICOT portion of the worksheet will offer a tool for your literature search. For the evidence appraisal portion of the worksheet, find FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. All sources must be peer-reviewed articles, published in within the past 5 years and be able to be accessed from the CCN Library. Submit the completed PICOT and Evidence Appraisal Worksheet to the Week 3 Dropbox. Grading Criteria: PICOT and Evidence Worksheet Category Points % Description PICOT question and components 40 20% Question or nursing problem is identified and is an independent nursing decision. PICOT elements are correctly identified. Outcomes are measurable. Practice issue and scope of the problem 20 10% Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. Evidence and search terms 20 10% Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms and ways in which the search can be narrowed if discussed. Article Selection 30 15% Four articles used. All are peer-reviewed research, published in last 5 years and from CCN Library. Type of source is properly identified. References are listed in APA format. Level of Evidence 30 15% Correct Level of Evidence applied. Reasons why the rating was given is clearly discussed and logical. Description of Research 60 30% Description of the research is thorough and detailed. Summary was given in own words. Results of the study were summarized with the application to the project noted. Recommendations for clinical practice were discussed. PICOT and Evidence Appraisal Worksheet – Week 3 TOTAL 200 100 Grading Rubric: PICOT and Evidence Worksheet Assignment Criteria A (100%) Exceptional Outstanding or highest level of performance B (88%) Exceeds Very good or high level of performance C (80%) Meets Competent or satisfactory level of performance NI (38%) Needs Improvement Poor or failing level of performance F (0%) Developing Unsatisfactory level of performance PICOT question and components 40 points Question or nursing problem is identified and is an independent nursing decision. PICOT elements are correctly identified. Outcomes are measurable. 40 points ? Question or nursing problem is identified and is an independent nursing decision. PICOT elements are correctly identified. Outcomes but are not measurable. 35 points ? Question or nursing problem is identified and is an independent nursing decision. One PICOT element is not correctly identified. Outcomes but are not measurable. 32 points ? Question or nursing problem is identified but is not an independent nursing decision. Several PICOT elements are not correctly identified. Outcomes are not measurable. 15 points ? Question or nursing problem is not identified. PICOT elements are not identified. Outcomes are not identified. 0 points ? Practice issue and scope of the problem 20 points Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. PICOT and Evidence Appraisal Worksheet – Week 3 Scope of the problem is identified. 20 points ? Practice issue/problem is vaguely described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. 18 points ? Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. 16 points ? Practice issue/problem is vaguely described. Need for change is not obvious. Practice issues or scope of the problem are not accurate. 8 points ? Practice issue/problem is not described. Need for change is not stated. Practice issues or scope of the problem are not addressed. 0 points ? Evidence and search terms 20 points Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms and ways in which the search can be narrowed if discussed. 20 points ? Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms. Ways in which the search can be narrowed is not included. 18 points ? Appropriately identifies the types of evidences that should be gathered (must include literature search). Search terms are not measurable. Ways in which the search can be narrowed is not included. 16 points ? Types of evidence that should be gathered is incorrect Literature search yielded irrelevant results. Search terms are not measurable. Ways in which the search can be narrowed is not included. 8 points ? Types of evidence that should be gathered is not noted. Literature search not identified. Search terms are absent. Ways in which the search can be narrowed is not included. 0 points ? Article Selection 30 points Four articles used. All are peer-reviewed and written within last 5 years and from CCN Library. Type of source is properly identified. References are listed in APA format. 30 points ? Four articles used. All are peer-reviewed and written within last 5 years and from CCN Library. Type of source is not properly identified. References are listed in APA format. 26 points ? Four articles used. All are peer-reviewed and written within last 5 years and from CCN Library. Type of source is not properly identified References some errors in APA format. PICOT and Evidence Appraisal Worksheet – Week 3 24 points ? Three articles are peer-reviewed research. Other source is not scholarly but deals with the change project. Type of source is not properly identified. References have multiple errors in APA. 11 points ? Less than three articles are peer-reviewed research. Other source is not scholarly nor does it deal with the change project. Type of source is not properly identified. References have multiple errors in APA. 0 points ? Level of Evidence 30 points Correct Level of Evidence applied. Reasons why the rating was given is clearly discussed and logical. 30 points ? Correct Level of Evidence applied. Reason why the rating was given is documented but is not logical or clearly discussed. 26 points ? Correct Level of Evidence applied. Reason why the rating was given is vague or absent. 24 points ? Incorrect Level of Evidence is chosen. Reason why the rating was given is vague. 11 points ? Level of Evidence is not mentioned. Reason why the rating was given is absent. 0 points ? Description of Research 60 points Description of the research is thorough and detailed. Summary was given in own words. Results of the study were summarized with the application to the project noted. Recommendations for clinical practice were discussed. 60 points ? Description of the research is thorough and detailed. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were discussed. PICOT and Evidence Appraisal Worksheet – Week 3 53 points ? Description of the research is vague. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were not discussed. 48 points ? Description of the research is vague. Summary was not in own words but rather quotes from the source. Results of the study may not be listed but are inaccurate. Recommendations for clinical practice were not discussed. 23 points ? Description of the research is missing. Summary is missing. Results of the study may not be listed. Recommendations for clinical practice are missing. 0 points ? TOTAL Points Possible = 200 points PICOT and Evidence Appraisal Worksheet – Week 3 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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