This article covers NUR 550 Evidence-Based Practice Project Proposal: PICOT Assignment
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Evidence-Based Practice Project Proposal-PICOT Assignment
NUR 550 Evidence-Based Practice Project Proposal: PICOT Assignment
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting a population of focus.
NUR 550 Evidence-Based Practice Project Proposal PICOT Assignment
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.(Evidence-Based Practice Project Proposal-PICOT Assignment)
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.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NUR 550 Evidence-Based Practice Project Proposal: PICOT Assignment
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.(Evidence-Based Practice Project Proposal-PICOT Assignment)
You are not required to submit this assignment to LopesWrite.
AttachmentsNUR-550-RS1-EBP-PICOT Draft.docx
PICOT Final
Name_____________________________________
Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you may use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.(Evidence-Based Practice Project Proposal-PICOT Assignment)
PICOT Question
P Population
I Intervention
C Comparison
O Outcome
T Timeframe
PICOT
Create a complete PICOT statement.
Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
References
Example PICOT: Delete this example page prior to submitting your PICOT.
EXAMPLE PICOT
PICOT Question
P Population Adult patients with hypertension, Spanish primary language
I Intervention Written education in Spanish
C Comparison Teaching using an interpreter
O Outcome Improved BP control(Evidence-Based Practice Project Proposal-PICOT Assignment)
T Timeframe 6 months
PICOT
In adult patients with hypertension, for whom Spanish is their primary language (P), does providing written education in Spanish (I) when compared to using an interpreter (C) lead to improved blood pressure control (O) over the course of 6 months (T)?(Evidence-Based Practice Project Proposal-PICOT Assignment)
Problem Statement
The problem statement is a scholarly statement that justifies or rationalizes that this is problem. A problem statement must include literature for support and justification. Hispanics are more likely to have uncontrolled, untreated, or even undiagnosed hypertension when compared to other ethnic groups (Rodriguez et.al., 2015). Incidences of misinformation can occur when patients and providers do not share a common language. There is a lack of understanding or the inability to ask questions on the patient’s part. In addition, many Spanish-speaking patients find that the translation services, when available, are not adequate. These patients often do not trust the information received from providers, which can lead to unintentional noncompliance (Rodriguez et.al., 2015). NUR 550 Evidence-Based Practice Project Proposal: PICOT Assignment(Evidence-Based Practice Project Proposal-PICOT Assignment)
References
Rodriguez, C. J., Allison, M., Daviglus, M. L., Isasi, C. R., Keller, C., Leira, E. C., Palaniappan, L., Piña, I. L., Ramirez, S. M., Rodriguez, B., & Sims, M. (2014). Status of cardiovascular disease and stroke in Hispanics/Latinos in the United States: a science advisory from the American Heart Association. Circulation, 130(7), 593–625. doi:10.1161/CIR.0000000000000071
Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Evidence-Based Practice Project Proposal: PICOT 75.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Blank (92.00%) Blank (100.00%)
Content 100.0%
Population (Revision) 7.0% The population is not described, or the required revisions were not made for the population description. NA Revisions were made accordingly for the population description, but some information or detail is needed for accuracy or clarity. NA The population is thoroughly and accurately described. No revision was needed.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Intervention (Revision) 8.0% The proposed intervention is not described, or the required revisions were not made for the described intervention. NA Revisions were made accordingly for the proposed intervention, but some information or detail is needed for accuracy or clarity. NA The proposed intervention is clearly described and relevant to the nursing practice problem and population. No revision was needed.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Comparison 10.0% A description of the comparison information is not included. A description of the comparison information is incomplete or incorrect. A description of the comparison information is included but lacks evidence and measurable outcomes. A description of the comparison information is complete and includes sufficient evidence and measurable outcomes. A description of the comparison information is extremely thorough with substantial evidence and measurable outcomes.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Outcome 10.0% A description of the outcome is not included. A description of the outcome is not included. A description of the outcome is included but lacks evidence. A description of the outcome is complete and includes sufficient evidence. A description of the outcome is extremely thorough with substantial evidence
Timeline 10.0% A description of the timeline is not included. A description of the timeline is incomplete or incorrect. A description of the timeline is included but lacks evidence. A description of the timelines is complete and includes sufficient evidence. A description of the timeline is extremely thorough with substantial evidence.(Evidence-Based Practice Project Proposal-PICOT Assignment)
PICOT 20.0% The PICOT statement is omitted. The PICOT statement is incomplete. The PICOT statement is presented but there some inaccuracies. The PICOT statement is presented. Some detail is needed. The PICOT statement concisely and accurately describes the problem.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Problem Statement 20.0% A problem statement is not included. The problem statement is incomplete. The problem statement is generally presented. There are some inaccuracies. More support is needed to justify or rationalize the problem. The problem statement is presented. Adequate support is provided to justify or rationalize the problem. The problem statement concisely describes the issue using strong support to rationalize and justify the problem.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. The writer is clearly in command of standard, written, academic English.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Topic 1 DQ 1
Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management.
Re: Topic 1 DQ 1
Translational research is form of clinical research that was first seen around 1993 (Rubio et al, 2010). So as far as research goes this is a fairly new was to look into things. There is also no clear definition of translational research, but essentially it encompasses two areas of translation one being the information obtained in pre-clinical studies, lab research and the other being the adaptation of best practices in the community with their cost effectiveness (Rubio et al, 2010). There are three levels of translational research, starting with T1, which involves the beginning research or development of an intervention, including the lab research, observational research and phase I and II clinical trials (Translational Research, n.d.). The second level is T2 the translation to patients, testing these interventions and their efficacy on the patient populace, including phase III clinical trials, studying how these new interventions work with disease processes and creating new guidelines with up-to-date information (Translational Research, n.d.). The third level is T3 disseminating and implementation of all the research into daily practice, creating the research evidence found into evidence-based practices across the profession (Translational Research, n.d.).(Evidence-Based Practice Project Proposal-PICOT Assignment)
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From this information there isn’t a difference between evidence-based practice and translational research, it is just a way to get to evidence based practice. By following the ‘three T’s’, the final step is to put all of this research into practice, as evidence-based practice. For public health this means the most up to date care and information as the natural progression of translational practice ends with practice. If there is no research being done in the area however, this has a negative impact on the population, as there is not up to date EPB related to that disease process and/or its co morbidities.(Evidence-Based Practice Project Proposal-PICOT Assignment)
Rubio, D. M., Schoenbaum, E. E., Lee, L. S., Schteingart, D. E., Marantz, P. R., Anderson, K. E., Platt, L. D., Baez, A., & Esposito, K. (2010). Defining translational research: implications for training. Academic medicine : journal of the Association of American Medical Colleges, 85(3), 470–475. https://doi.org/10.1097/ACM.0b013e3181ccd618
Translational Research – Defining the “T’s” | Translational Cancer Research Network. (n.d.). Www.Tcrn.Unsw.Edu. Retrieved June 18, 2021, from http://www.tcrn.unsw.edu.au/translational-research-definitions
PICOT Final
Name_____________________________________
PICOT Question
P Population School-age children with obesity
Obesity among school-age children has reached epidemic levels in the United States. De Lorenzo et al. (2019) described obesity as significant public health concern since it affects the physical, psychological, and cardiovascular health of the affected populations. Data from 2015-2016 shows that 1 in 5 children in the United States aged 6 to 19 years has obesity, and the rate has tripled since the 1970s (Centers for Disease Control and Prevention, 2018). Risk factors include poor eating habits, lack of physical activity, genetics, and negative childhood events. Therefore, immediate, evidence-based, and population-driven interventions are necessary to reduce the surging rates.(Evidence-Based Practice Project Proposal-PICOT Assignment)
I Intervention Educating parents and children
Parents can help to reduce obesity rates by modeling healthy living among children. The outcomes can be improved when children understand the risks and can actively participate in obesity prevention activities. Educating parents and children on the benefits of reducing screen time is a practical nursing intervention since its goal is to promote healthy living by keeping children free from sedentary living. Parents and children should understand the risks that too much screen time poses and the need to be more physically active.(Evidence-Based Practice Project Proposal-PICOT Assignment)
C Comparison No education
The comparison considered is no education for parents and children on the need to minimize screen time and regulation strategies. In this case, parents will apply self-taught strategies or knowledge acquired from social and mainstream media to control obesity. In this case, the difference in outcomes after educating parents and children, if any, would be primarily attributed to the nursing intervention.(Evidence-Based Practice Project Proposal-PICOT Assignment)
O Outcome Reduced obesity rates
Educating parents and children on the implications of too much screen time is expected to be the foundation of behavior change. As a nursing intervention, the education program will improve knowledge on the connection between obesity in children and screen time as a risk factor. Minimizing screen time will lead to a proportional reduction in obesity rates among children, which has become a public health concern since its trend has taken an upward trajectory in the past decade (Skinner et al., 2018). Reducing obesity rates will also improve productivity in children and reduce overall health care costs since obesity is a leading cause of psychological and cardiovascular health problems (Sanyaolu et al., 2019). The overall outcome is creating a healthy populace by reducing obesity rates among school-age children.(Evidence-Based Practice Project Proposal-PICOT Assignment)
T Timeframe Six months
It is possible to achieve the targeted outcome in six months. Parents are expected to start implementing the knowledge acquired immediately, and children are expected to change their behaviors instantly as far as screen time is concerned.
PICOT
Create a complete PICOT statement. In school-age children with obesity (P), can educating parents and children (I) compared to no education (C) reduce obesity rates (O) in six months (T)?(Evidence-Based Practice Project Proposal-PICOT Assignment)
Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
School-age children are a vulnerable population at high risk of obesity. A significant proportion spends a lot of time on screens watching television, gaming, and social interaction, among other ways. Increased screen time is a leading cause of obesity due to intake of too much energy and lack of physical activity (Fang et al., 2019). Obesity puts children at risk of diabetes and cardiovascular, physical, and mental health problems. The increased illness burden increases health care costs and nurses’ workload, and evidence-based interventions are necessary.(Evidence-Based Practice Project Proposal-PICOT Assignment)
References
Centers for Disease Control and Prevention. (2018, Sep 18). Obesity. https://www.cdc.gov/healthyschools/obesity/index.htm
De Lorenzo, A., Gratteri, S., Gualtieri, P., Cammarano, A., Bertucci, P., & Di Renzo, L. (2019). Why primary obesity is a disease? Journal of Translational Medicine, 17(1), 1-13. https://link.springer.com/article/10.1186/s12967-019-1919-y
Fang, K., Mu, M., Liu, K., & He, Y. (2019). Screen time and childhood overweight/obesity: A systematic review and meta‐analysis. Child: Care, Health and Development, 45(5), 744-753. https://doi.org/10.1111/cch.12701
Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and adolescent obesity in the United States: A public health concern. Global Pediatric Health, 6, 2333794X19891305. https://doi.org/10.1177/2333794X19891305
Skinner, A. C., Ravanbakht, S. N., Skelton, J. A., Perrin, E. M., & Armstrong, S. C. (2018). Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics, 141(3). https://doi.org/10.1542/peds.2017-3459
| Topic 3 DQ 2 |
Discuss the role of the Institutional Review Board. Discuss ethical research considerations specific to population health. How are respect for the persons, potential benefits and burdens of the research, and justice kept in balance? Provide an example.(Evidence-Based Practice Project Proposal-PICOT Assignment)
NGOZI
Re: Topic 3 DQ 2
Under FDA regulations, an Institutional Review Board is group that has been formally designated to review and monitor biomedical research involving human subjects. The purpose of IRB review is to assure, both in advance and by periodic review, that appropriate steps are taken to protect the rights and welfare of humans participating as subjects in the research. To accomplish this purpose, IRBs use a group process to review research protocols and related materials (e.g., informed consent documents and investigator brochures) to ensure protection of the rights and welfare of human subjects of research (FDA, n.d).(Evidence-Based Practice Project Proposal-PICOT Assignment)
From a public health perspective, it is important to recognize an ethical standard that respects community autonomy. This standard can be achieved by requiring community collaboration (ie, at a minimum, establishing a community advisory board) to protect against exploiting vulnerable populations, to ensure fair terms of cooperation, to ratify that the interventions to be tested are acceptable to community members, and to minimize potential misunderstandings about the research. Such community advisory boards should have responsibility for determining whether the research goals are valuable to local community members and the methods are acceptable before the research is allowed to proceed (Buchanan & Miller, 2006).(Evidence-Based Practice Project Proposal-PICOT Assignment)
In this era of translational research, social injustice is one of the crucial ethical concerns. Resource-rich countries conducting translational medical research in resource-poor countries are common and if the results of the research are not expected to be beneficial/less beneficial to the resource-poor country, then arises the issue of social injustice and disparity. Examples include research undertaken on diseases that are rare or the resulting intervention/product is too expensive to implement, in developing countries (Mandal et al., 2017).
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References
Buchanan, D. R., & Miller, F. G. (2006). A public health perspective on research ethics. Journal of medical ethics, 32(12), 729–733. https://doi.org/10.1136/jme.2006.015891(Evidence-Based Practice Project Proposal-PICOT Assignment)
Mandal, J., Ponnambath, D. K., & Parija, S. C. (2017). Ethics of translational medical research. Tropical parasitology, 7(2), 62–64. https://doi.org/10.4103/tp.TP_47_17(Evidence-Based Practice Project Proposal-PICOT Assignment)
FDA (n.d). Institutional Review Boards (IRBs) and Protection of Human Subjects in Clinical Trials. Retrieved from https://www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/institutional-review-boards-irbs-and-protection-human-subjects-clinical-trials(Evidence-Based Practice Project Proposal-PICOT Assignment)
RESPOND HERE (150 WORDS, 2 REFERENCES)
Hello Ngozi,
I agree with you that it the institutional review board (IRB) is mandated to carry out assessment and standardization of any biomedical or biotechnological research that works with human subjects. One of the key pillars considered by the IRB is the autonomy of the subjects. It is imperative to have a research framework that is built on community engagement and participation at free will without coercion or intimidation (Das & Sil, 2017). The information shared to the subjects should be truthful and no crucial information should be obstructed or hidden from them. Additionally, the research project should be of general good and valuable to the entire pubic. Clinical trials procedure should be strictly adhered to and the human trials should only be used at the appropriate stage and only on volunteers who have not been pushed to take part because of being taken advantage of or being paid in order to take part. It should be out of their self-consciousness and willingness (Landray et al., 2017).(Evidence-Based Practice Project Proposal-PICOT Assignment)
References
Landray, M. J., Bax, J. J., Alliot, L., Buyse, M., Cohen, A., Collins, R., Hindricks, G., James, S. K., Lane, S., Maggioni, A. P., Meeker-O’Connell, A., Olsson, G., Pocock, S. J., Rawlins, M., Sellors, J., Shinagawa, K., Sipido, K. R., Smeeth, L., Stephens, R., & Stewart, M. W. (2017). Improving public health by improving clinical trial guidelines and their application. European Heart Journal, 38(21), 1632–1637. https://doi.org/10.1093/eurheartj/ehx086(Evidence-Based Practice Project Proposal-PICOT Assignment)
Das, N., & Sil, A. (2017). Evolution of ethics in clinical research and ethics committee. Indian Journal of Dermatology, 62(4), 373. https://doi.org/10.4103/ijd.ijd_271_17(Evidence-Based Practice Project Proposal-PICOT Assignment)
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