Text Messaging and Drug Compliance

Week 3: PICOT/Evidence Appraisal Assignment

PICOT Worksheet Guidelines

Purpose
Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.

Course Outcomes
This assignment enables the student to meet the following Course Outcome.
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

Directions
1. 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.

2. My nursing problem that I choose is �Blood Draws�

3. Submit the completed PICOT Worksheet form.

Example 1:
What is the PICO(T) question?
Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu "PODS" and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers

Example 2:
What is the PICO(T) question?
For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days

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