• Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.
  PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation. 
  It stands for:
  
  • P – Patient/population/problem.
  • I – Intervention.
  • C – Comparison (of potential interventions, typically).
  • O – Outcome(s).
  • T – Time frame (if time frame is relevant).
  • The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search.
    You are encouraged to complete the Vila Health PCI(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies. 
    • Explain the findings from articles or other sources of evidence.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. 
    • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
    • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Competency 3: Apply an evidence-based practice model to address a practice issue. 
    • Define a practice issue to be explored via a PICO(T) approach.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. 
    • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
  • Reference
    Boswell, C., & Cannon, S. (2015). Introduction to nursing research. Burlington, MA: Jones & Bartlett Learning.
    Professional Context
    As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.
    PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question.
    Scenario
    For this assessment, please use an issue of interest from your current or past nursing practice.
    If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.
    Instructions
    For this assessment, select an issue of interest an apply the PICO(T) process to define the question and research it.
    Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.
    If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.
    In your submission, make sure you address the following grading criteria:
  • Define a practice issue to be explored via a PICO(T) approach.
  • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
  • Explain the findings from articles or other sources of evidence.
  • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
  • Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
  • Assessment 3 Example 1 [PDF].
  • Additional Requirements
    Your assessment should meet the following requirements:
  • Length of submission: Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it. A title page is not required but you must include a reference list.
  • Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
  • APA formatting: Format references and citations according to current APA style.
  • Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

 

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Note: You may use the same topic and the same research articles that were used in Task 2 (opioid abuse) or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.

 

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Evidence Based Integration Paper 

For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition. Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.  

Nurses, of all levels of education, must be able to convey information in an articulate, 

succinct, and confident manner in a variety of clinical and academic settings. 

Discipline-specific writing promotes critical thinking, which develops the skills of 

analysis and organization. For this project, you will take on the role of a nurse 

practitioner treating a patient with a chronic condition.  Your patient is not completely 

satisfied with the treatments you’ve tried and asks about a specific alternative 

therapy.  Unfamiliar with these sorts of therapies, you decide to do some research 

before making a recommendation.  In this case, you get to decide what condition 

your patient has and which intervention he or she is interested in trying.  Your 

objective is to determine whether or not you would recommend the regular treatment 

either alone or in combination with alternative treatment.  The paper should not be 

more than four pages, excluding the title page and references. APA format is 

required with a professional paper, A paper that is judged by the faculty as very 

poorly written (such things as incomplete sentences, multiple subject/verb errors, 

unclear wording, multiple spelling errors, and/or combination of these errors) may be 

returned for revision with an automatic deduction of 25 points that cannot be 

redeemed.  Have someone proofread the paper after you have proofread—it can 

difficult to recognize your errors

Criteria Points  Grade  

1 Description of the Chronic condition (including pathophysiology and etiology).  

2 Definition of the specific treatment options, including EBP guidelines and first-line pharmacotherapy.  

3 Summary of the current research in specific alternative therapy.  This area should include specific research studies, the population description, size (n =) and the results   NEED EVIDENCE-BASED PRACTICE   

4 After reading the evidence.  What are some nonpharmacological treatment options that you would recommend?    

5 What did I learn doing this paper?    

6 On-time, APA format, correct grammar and spelling  

Reference :  

You can use MERCK manual for the clinical aspect  

All reference need to be not older than 2015 

American Psychological Association [APA]. (2010). Publication manual of the  

American Psychological Association (6th ed.). Washington, DC:  

Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art  

and science of advanced practice nursing.  4th ed. FA.Davis. Philadelphia, PA.  

ISBN-13: 978-0803638013  

Fenstermacher, K., & Hudson, B. T. (2019). Practice guidelines for family nurse  

practitioners (5th  ed.). Elsevier. St Louis, Ms. ISBN-10: 0323290809  

Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: office evaluation and  

management of the adult patient. 7th ed. Wolters Kluwer Health: Philadelphia, PA.  

ISBN-13: 978-1451151497   

Kennedy-Malone, L., Fletcher, K. R. & Martin-Plank, L. (2014). Advanced Practice  

Nursing in the Care of Older Adults. F.A. Davis Company. Philadelphia, PA. ISBN 

13: 978-0803624917  

Rhoads, J., & Jensen, M. M. (Eds.). (2014). Differential Diagnosis for the Advanced  

Practice Nurse. Springer Publishing Company. New York, NY. ISBN-10:  

0826110274 

Other Resources  

1. Agency for Health Care Research and Quality (October 2017). Put prevention into practice. A  

step-by-step guide to delivering clinical preventive services: A systems approach. Available at  

http://www.ahrq.gov/clinic/ppipix.htm  

2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org  

3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/  

4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a  

wealth of access to various sites that can be found here, including evidence-based links and  

patient education links.  

5. University of California, San Diego: A Practical Guide to Clinical Medicine At  

https://meded.ucsd.edu/clinicalmed/  

6. Journal of Family Practice POEMs web site. Available at  

http://www.essentialevidenceplus.com/  

7. U.S. Preventive Services Task Force (USPSTF). Available at 

http://www.preventiveservices.ahrq.gov  

8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health 

library  

9. National Center for Complementary and Alternative Medicine. Available at  

http://www.nccam.nih.gov/  

10. Nurse Org. https://nurse.org/resources/nurse-practitioner/#-what-is-a-nurse-practitioner 

 

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Provide examples of measures that APNs can collaborate with direct care nurses in implementing evidence-based changes to improve health literacy in practice. 1 page, 2 sources. APA.

 

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