PICOT Evidence Based Practice Project Proposal Paper

The purpose of this assignment is to complete your PICOT for your selected nursing practice problem. Refer to your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem” assignment from Topic 1 to complete this assignment. If your nursing practice problem or PICOT required revision, include those revisions in this assignment. The final PICOT you develop in this assignment will provide the framework for developing your evidence-based practice project proposal. Use the “PICOT-Final” template to complete this assignment PICOT Evidence Based Practice Project Proposal Paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite at least four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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Translational Research Graphic Organizer State the nursing practice problem for your evidence-based practice project. If your nursing problem has not yet been approved, make any required changes or revisions to your nursing practice problem prior to starting the assignment. Using your proposed topic, conduct a literature search and complete the tables below. Nursing Practice Problem: The problem that this project seeks to address is the incomprehensive hand-off during nurse change-overs. Roslan & Lim (2017) characterized the problem as the communication breakdown that happens during nurse-to-nurse change-overs. The problem arises because nurses use ineffective handover practices that increase the risks of miscommunication. For example, nurses practice bedside handovers whereby information is verbally shared between off-shift and incoming nurses (Fealy et al, 2018)PICOT Evidence Based Practice Project Proposal Paper.

There is also no structured procedure, framework, and/or checklist used to conduct handovers (Fealy et al, 2018). As a result, inaccurate, incomplete, and misleading information is transferred. This is a significant problem because it increases the risks of medical errors thus compromising patient safety. Comparison 1: Translational Research vs. Qualitative Research Criter ia Peer-Reviewed Translational Peer-Reviewed Traditional Article and Article and Permalink/Working Permalink/Working Link: Link: Fealy, G., Donelly, S., Doyle, G., Brenner, M., Patterson, A., McIntire, E., Hughes, M, Mylotte, E.,…Ziki, M. (2018). Beecroft, N., Happ, M, MoffatClinical handover practices among healthcare Bruce, S. (2019).Nursing practitioners in acute care services: A qualitative Handovers in Critical Care: A study. Journal of Clinical Nursing, 28(2), 1-9. Retrospective Analysis of https://www.researchgate.net/profile/MaryInformation Content and HughesFunction. Proceedings of the 12/publication/326954892_Clinical_handover_pr International Symposium on © 2021. Grand Canyon University. All Rights Reserved. Observations (Similarities/Differences) Human Factors and Ergonomics in Health Care 8(1), 4-8. actices_among_healthcare_practitioners_in_acute _care_services_A_qualitative_study/links/5bed4a 174585150b2bb7a768/Clinical-handoverpractices-among-healthcare-practitioners-inacute-care-services-A-qualitative-study.pdf https://www.researchgate.net/prof ile/Emily-Patterson15/publication/335838980_Nursi ng_Handovers_in_Critical_Care_ Traditional Qualitative Research Type: A_Retrospective_Analysis_of_Inf Descriptive study. ormation_Content_and_Function/ links/5da123cc299bf116fe9ed67f/ Nursing-Handovers-in-CriticalCare-A-Retrospective-Analysisof-Information-Content-andFunction.pdf Translational Research Type: Descriptive study. Metho The study adopted a descriptive dology design PICOT Evidence Based Practice Project Proposal Paper.

Qualitative data obtained from previously conducted experiments were subjected to emergent theme analysis (Patterson et al, 2019). The study adopted a qualitative-descriptive design The two studies are similar in the (Fealy et al, 2018). Qualitative data were used to sense that they employed describe existing handover practices. The content qualitative data and techniques. analysis method was used to analyze research data. Both of them also employ a descriptive approach. © 2021. Grand Canyon University. All Rights Reserved. Goals The goal is to establish the right contents for inclusion in electronic handover reports (Patterson et al, 2019). The goal is also to establish the most effective format and designs for electronic handover reports. To assess nursing handover practices (Fealy et al, Goals are similar in the sense that 2018). The goal is also to determine the factors they both address the effectiveness that influence the effectiveness of handover of handover practices. practices. The translational study, however, has a more pragmatic goal. It addresses a practical question/problem, that is, how to present handover information appropriately. For traditional research, the goal addresses a theoretical problem. Data Collec tion Data were collected from 20 reports on previous experimental studies. Handover information relating to 20 patients was used to establish the most important contents of a handover report. Data about the current handover practices were collected using focused group discussions and interviews. Data were obtained from 116 practitioners working in rural and urban hospitals (Fealy et al, 2018). © 2021. Grand Canyon University. All Rights Reserved. While the traditional research article relied on primary data sources, the translational research article utilized secondary data. The other difference is that the translational study incorporated data about patients while the traditional research article relied exclusively on expert information from nurse practitioners. Comparison 2: Translational Research vs. Quantitative Research Criteri a Peer-Reviewed Translational Article and Permalink/Working Link: Lee, S., Atrkinson, E., Minaerd, G., Obrien, A. (2018). Electronic tool helps anesthesia trainee handovers. The Clinical Teacher, 15, 1-6. https://booksc.org/book/ 68537697/f393a5 Peer-Reviewed Traditional Article and Permalink/Working Link: Observations (Similarities/Differences) Delardes, B., McLeod, L., & Chakraborty, S. (2020). What is the effect of electronic clinical handovers on patient outcomes: A systematic review. Health Informatics Journal, 1-12. https://journals.sagepub.com/doi/fu ll/10.1177/1460458220905162 Translational Research Type: Applied Research Traditional Quantitative Research Type: Basic research Methodology An experimental design was adopted. Trainee nurses were observed giving intraoperative handovers with a checklist and then without a checklist (Lee et al, 2018)PICOT Evidence Based Practice Project Proposal Paper.

The study adopted a quantitative approach. Numerical data from previous experimental studies were subjected to quantitative analysis to establish the impacts of electronic handover. Both adopted a quantitative approach. The difference is that translational research used an experimental design while traditional research relied on data obtained from past experimental studies. © 2021. Grand Canyon University. All Rights Reserved. Goals Data Collection The goal is to develop a standardized electronic handover (Lee et al, 2018). This would help overcome the challenge of incomplete handover information during shift change-overs. The goal of the study is to compare different electronic handover methods in terms of their effectiveness (Delardes, McLeod & Chakraborty, 2020)PICOT Evidence Based Practice Project Proposal Paper. Both studies aim at improving the effectiveness of handover practices. Data for the study was collected using the observation method.

The trainee nurses were observed while experimenting with handover checklists. Data about the impact of electronic handover methods on outcomes such as risks of adverse events, time to procedure, and handover completeness were obtained from reputable electronic databases from which the reviewed articles were obtained include Embase, MEDLINE, and Scopus. The main difference is that the translational research article relied on primary data while secondary data was relied upon in the traditional research article. The difference is that the translational study aimed at producing a tangible solution in the form of a useful handover checklist that can be used in a nursing environment. On the other hand, the traditional research article intends to create theoretical knowledge on effective handover practices. © 2021. Grand Canyon University. All Rights Reserved. © 2021. Grand Canyon University. All Rights Reserved. References Delardes, B., McLeod, L., & Chakraborty, S. (2020). What is the effect of electronic clinical handovers on patient outcomes: A systematic review. Health Informatics Journal, 1-12. Fealy, G., Donelly, S., Doyle, G., Brenner, M., Hughes, M, Mylotte, E.,…Ziki, M. (2018). Clinical handover practices among healthcare practitioners in acute care services: A qualitative study. Journal of Clinical Nursing, 28(2), 1-9. Lee, S., Atrkinson, E., Minaerd, G., Obrien, A. (2018). Electronic tool helps anesthesia trainee handovers. The Clinical Teacher, 15, 16. https://booksc.org/book/68537697/f393a5 Patterson, A., McIntire, E., Beecroft, N., Happ, M, Moffat-Bruce, S. (2019).Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function. Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care, 8(1), 4-8. Roslan, B., & Lim, L. (2017). Nurses’ perceptions of bedside clinical handover in a medical-surgical unit: An interpretive descriptive study. Proceedings of Singapore Healthcare, 26(3), 150–157. © 2021. Grand Canyon University. All Rights Reserved. PICOT Draft Name__Wendy Fernandez __ Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem. Incomprehensive handing off is one of the major nursing practice problems in the U. S. According to Roslan & Lim (2017), incomprehensive handoff implies communication breakdown during nurse-to-nurse shift change PICOT Evidence Based Practice Project Proposal Paper.

This topic is chosen because it significantly impacts patients’ safety. It accounts for more than 70% of adverse medical events, and in-hospital deaths (Shahid & Thoman, 2018). The topic is relevant since inaccurate reporting of patient information can lead to medical errors, delay in treatment, and/or the formulation of inappropriate patients’ treatment plans. Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.) PICOT Question P I C Population Can the use of electronic handovers and structured communication tools reduce in-hospital mortality, within one year, for the population of inpatientn individuals diagnosed with heart disease? Patients admitted to hospitals with heart disease are the population of focus for this evidencebased project. Heart disease accounts for the highest number of hospital admissions, and deaths in the U. S. According to Heron (2021), heart disease accounts for 24% of all the deaths in the U. S. Deaths due to heart disease are also highest among non-Hispanic whites and non-Hispanic blacks (Heron, 2021)PICOT Evidence Based Practice Project Proposal Paper.

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These findings seek to show that incomprehensive handoff affects heart disease patients the most. The proposed intervention is to introduce electronic handovers, and structured communication tools as mandatory requirements in clinical environments. A study by Delardes, McLeod & Chakraborty (2020) established that electronic handovers have the potential of improving the accuracy of nurse-to-nurse communications, and reducing delays in the Intervention provision of critical care. A structured communication tool would ensure that detailed, and complete patient information is shared between nurses, thus reducing the occurrence of medical errors, and/or the formulation of ineffective treatment plans. Comparison © 2021. Grand Canyon University. All Rights Reserved. O Outcome T Timeframe PICOT Problem Statement © 2021. Grand Canyon University. All Rights Reserved. References Delardes, B., McLeod, L., & Chakraborty, S. (2020). What is the effect of electronic clinical handovers on patient outcomes: A systematic review. Health Informatics Journal, 1-12. Heron, M. (2021). Deaths: Leading Causes for 2018. National Vital Statistics Reports, 70 (4), 1-65, Roslan, B., & Lim, L. (2017). Nurses’ perceptions of bedside clinical handover in a medical-surgical unit: An interpretive descriptive study. Proceedings of Singapore Healthcare, 26(3), 150–157. Shahid, S., & Thomas, S. (2018). Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review. Saf Health, 4, 7. © 2021. Grand Canyon University. All Rights Reserved. PICOT Draft Name_____________________________________ Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem. Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.) PICOT Question P Population I Intervention C Comparison O Outcome T Timeframe PICOT Problem Statement © 2021. Grand Canyon University. All Rights Reserved. PICOT Evidence Based Practice Project Proposal Paper