Chamberlain College of Nursing NR 439 PICOT Worksheet
PICOT Worksheet – Week 3
PART 1: PICOT QUESTION
Name:
Date:
Your Instructor’s Name:
Purpose: To identify a problem or concern that nursing can change and develo
...
Chamberlain College of Nursing NR 439 PICOT Worksheet
PICOT Worksheet – Week 3
PART 1: PICOT QUESTION
Name:
Date:
Your Instructor’s Name:
Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to
guide the change project.
Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This
includes filling in the table with information about your research question and your PICOT elements and
the second part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List
each element P (problem, population, or problem), I (intervention), C (Comparison with other
treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution
something for which you (as nurse or student) can find a solution through evidence research? Look in
your book for guidelines to developing your PICOT question and also read the required articles.
Step 2: Identify the problem. What have you noticed in your work or school environment that isn’t
achieving the desired patient or learning outcomes? What needs to change in nursing, what can you
change with the support of evidence in the literature? Describe the problem or practice issue that you
want to research. What is your practice area; clinical, education, or administration? (This is NOT where
you will list your PICOT question)
Step 3: How was the practice issues identified? How did you come to know this was a problem in your
clinical practice? Review the listed concerns and check all that apply.
Step 4: What evidence must be gathered? What sources of reliable information will be helpful for your
particular question?
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain
required information but narrow enough to keep it focused? How will you narrow your search if
needed?
NR439 PICOT Worksheet 4/19/17 jw 1
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Chamberlain College of Nursing NR 439 PICOT Worksheet
PICOT Question
What is the PICOT question?
If for the three months, there is implementation of Fall Prevention Programs then is there
reduction in the hospital falls of elderly patients?
Define each element of the question below:
P - ( Population, patient or problem): Patients in the hospital who are elderly
I - (Intervention): To reduce falls in hospitals by making use of Fall Prevention Program. For
this it is essential that elderly patients are provided with alarms and rounds are taken by the
nurses in each hour.
C- (Comparison with other treatment/current practice): There is no implementation of fall
prevention programs.
O - ( Desired outcome): The desired outcome is to reduce the number of falls in hospitals
T - (Time for which Fall Prevention Program is implemented): 3 months
What is the practice issue/problem? What is the scope of the issue? What is the need for
change?
Practice Issue
The practice issue is the fall that is experienced by the elderly patients. In the healthcare
facilities, there is more concern related to the health care provided to the patients as the falls in
NR439 PICOT Worksheet 4/19/17 jw 2
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Chamberlain College of Nursing NR 439 PICOT Worksheet
patients have increased. There are some factors which cause falls in patients and these are age
and conditions of healthcare provide to the patients. The risk of fall is high in elderly patients
and it is less in young patients.
The scope of the issue
The fall of elderly patients is causing much concern in the healthcare providers and these cases
have to be reduced and thus there is need to develop some measures. In this respect there can be
use of alarm system by which risks associated with the patient can be known. Due to this the
falls can be detected and prevented as well. The falls in patients are mainly due to aging and so
alarms should be provided in the wards of the old patients. When the eyesight is poor and
hearing is defective then also risk of falls increases. The activities of the patients can be known
to the nurses by the alarm system and so when there is any kind of movement by the patient
then nurses can know it. This helps in prevention of falls.
The need for change
There are some interventions that lead to fall in the elderly patients as these impacts the lives of
the patients and so these have to be known. There is increase in the hospital stay by the elderly
patients if there is fall of elderly patients. Also due to falls, the patient suffer from some injuries
due to which there is need to use more resources of the healthcare facility by the patients and so
the hospital bills increase. Thus, there is need for change in order to reduce all these.
What is the practice area?
_X__ Clinical
_X__ Education
___ Administration
___ Other
NR439 PICOT Worksheet 4/19/17 jw 3
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Chamberlain College of Nursing NR 439 PICOT Worksheet
How was the practice issue
identified? (check all that apply)
__X_ Safety/risk management concerns
__X_ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community
practice
__X_ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
__X_ Literature search
__X_ Guidelines
___ Expert Opinion
___ Patient Preferences
_X__ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms/How to narrow the search?
The search terms that are used for the search are;
Reduction of the patient fall in the healthcare facility by using alarm system
Minimizing fall of elderly patients by making use of measures
Fall prevention in elderly patient
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