Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)

Purpose

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008).  Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2020).  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.

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Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Points

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This assignment is worth 175 points.

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.).
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.
8. Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
9. Submit the completed PPE Worksheet on the Week 3 Assignment page.
10. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. 

Transcript (Links to an external site.)

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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.

Best Practices

• For questions about this assignment, please contact your instructor.
• Spell check for spelling and grammar errors prior to final submission. 
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations 

• Use APA format in citations and references.

References

American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials

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Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.

Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/

R439 PPE Worksheet Rubric

NR439 PPE Worksheet Rubric
Criteria
This criterion is linked to a Learning Outcome 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.	50.0 pts Selects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issueis the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details.
Clinical Nursing PICOT Question 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 each letter of the PICOT in your question.	15.0 pts PICOT question has 5 elements correct. Question is nursing related.
Define PICOT Elements Define each of the elements from your above clinical PICOT question.	15.0 pts 5 PICOT elements are correctly defined

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 clinical nursing problem/issue. (2) Explain why you chose the evidence. (3) Provide 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) Provide the permalink.

20.0 pts All of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permali

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 study on this practice problem.

40.0 pts Thoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

Evidence Search Terms Identifies 4 (or more) relevant searchable terms you used for your search for evidence.

10.0 pts Identifies 4 (or more) relevant searchable terms used for the search for evidence.

Evidence Search Strategies Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.

10.0 pts Identifies 4 (or more) relevant strategies used to narrow/limit the search for evidence.

Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar

8.0 pts Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.

SAMPLE SOLUTION

Problem/PICOT/Evidence Search (PPE) Worksheet Name: Date:
Criteria	The selected quality safety clinical priority is patient education. I believe nurses’ patient education is critical in building the knowledge, understanding and preparedness of patients to attain self-management. Through education, patients can be part of their treatment process which is essential in improving the quality of care they receive. I therefore selected on this problem to underscore the moral and ethical responsibility that nurses have towards provision of quality care.
Clinical Nursing Practice Problem   Select and identify ONLY one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why youbelieve 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.	In an outpatient healthcare setting, does nurse education compared to lack of nurse education on the ORDER YOUR PAPER AT WRITTASK.COM of the prescribed medication at the time of discharge help improve the patient’s compliance to the use of the prescribed medication?
Define PICOT Elements   Define each of the      PICOT elements from your question above.	P– Patient at the outpatient healthcare setting                                    I– Use of nurse- patient education   C– Lack of nurse-patient education   O– Improved patient’s ORDER YOUR PAPER AT WRITTASK.COM to the medication and treatment regimen:   T– three months after discharge
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	The evidence relevant to the chosen nursing practice is the article by Taibanguay, N., Chaiamnuay, S., Asavatanabodee, P., & Narongroeknawin, P. (2019) and Fereidouni et al., (2019). I believe the evidence is relevant to my chosen ORDER YOUR PAPER AT WRITTASK.COM practice since it captures the role that nursing education plays in improving the compliance ORDER YOUR PAPER AT WRITTASK.COM patients to the treatment regimen. I chose on the evidence as it directly relates to my PICOT question. Fereidouni, Z., SARVESTANI, R. S., Hariri, G., Kuhpaye, S. A., Amirkhani, M., & KALYANI, M. N. (2019). Moving Into Action: The Master Key to Patient Education. The Journal of Nursing Research, 27(1), 1. https://dx.doi.org/10.1097%2Fjnr.0000000000000280 Taibanguay, N., Chaiamnuay, S., Asavatanabodee, P., & Narongroeknawin, P. (2019). Effect of patient education on medication adherence of patients with rheumatoid arthritis: a randomized controlled trial. Patient preference and adherence, 13, 119. https://dx.doi.org/10.2147%2FPPA.S192008