Scenario
You are practicing on an acute care unit in a local hospital. During your recent shifts, you identified a practice problem that you would like to see changed. After discussing the issue with your direct supervisor and the Director of Nursing, they have asked that you research the current literature and propose an evidence-based practice solution to the identified practice problem.
Instructions
From your work or clinical experience, identify a potential practice problem and formulate an evidence-based practice question. Prepare a proposal for an evidence-based practice solution that includes the following.
Describe a potential practice problem
Formulate an evidence-based practice question
Locate and review two current, peer-reviewed, research articles that address the identified clinical problem
Appraise research findings
Propose an evidence-based practice solution
RUBRIC
A – 4 – Mastery
Clearly stated, detailed descriiption of a potential practice problem, including background, relevancy, and significance.
A – 4 – Mastery
Clearly stated, detailed descriiption of the formulated evidence-based practice question utilizing PICO(T) format.
A – 4 – Mastery
Clearly stated, detailed summary of four current, peer-reviewed, research articles that address the identified clinical problem, including: research articles less than 5 years old, peer-reviewed, and include at least two quantitative and two qualitative study.
A – 4 – Mastery
Clearly stated, detailed appraisal of the research findings including a detailed summary identifying at least three strengths and three limitations of the relevant research.
A – 4 – Mastery
Clearly stated, detailed descriiption of a proposal for an evidence-based practice solution that includes support for the recommendation with current literature.
A – 4 – Mastery
Formal style reflected throughout poster proposal, including no spelling, grammar, or APA format errors present.
PICO is a mnemonic device used in nursing that helps a person remember the components of a well focused clinical question. It is a strategy used in the first step of Evidence Based Practice (EBP) to assess and ask when researching to formulate a searchable clinical question by helping to develop key terms.
P
Patient, Population, or Problem
What are the most important characteristics of the patient; include the primary problem, disease, or co-existing conditions.
I
Intervention
What do you want to do for the patient? Prescribe a drug, order a test or surgery?
C
Comparison
Are you trying to decide between two drugs, a drug, no medication/placebo or diagnostic tests? You do not always have to have a specific comparison.
O
Outcome
What do you hope to accomplish, measure, improve for the patient? What are you trying to do to affect the patient positively?
PICO Search Strategy Example Case:
Patient A is receiving chemotherapy and to manage the moderate nausea and vomiting the doctor has given them prochlorperazin. The patient calls the nurse line and tells you that they have read that ginger is just as effective as the prochlorperazin and is wondering if this is true.
P
Patient, Population, or Problem
Patient receiving chemotherapy and is experiencing moderate nausea and vomiting.
I
Intervention
Use of ginger
C
Comparison
Effective as procholorperazin
O
Outcome
Reduce the moderate nausea and vomiting
Formulated Question:
In patients receiving chemotherapy who are experiencing moderate nausea and vomiting is the use of ginger as effective as prochlorperazin in reducing it?
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