Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
- Evidence-Based Solution
- Nursing Intervention
- Patient Care
- Health Care Agency
- Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Expert Solution Preview
Introduction:
This assignment requires developing a PICOT statement for the capstone project that starts with a specific patient population and identifies clinical issues that arise from clinical care. It requires suggesting an independent nursing change intervention, which does not demand a provider prescription. The answer should be a comprehensive paper of 500-750 words, explaining the clinical problem and its positive impact on patients.
Answer:
The problem identified in this PICOT statement is a high risk of falls in elderly hospital patients. Unplanned patient falls during hospital stays are a significant and prevalent concern since they frequently result in patient injuries, longer hospital stays, and increased healthcare costs. The targeted patient population for this intervention is patients aged 65 and over admitted to the hospital. The identified clinical issue is the growing number of elderly patients falling, which leads to physical and psychological injury.
The evidence-based nursing intervention is hourly rounding. Hourly rounding is a systematic nurse-driven program that aims to increase patient safety, satisfaction, and decrease unplanned falls and call light use. The nursing staff will make rounds on patients’ room every hour, addressing the patient’s needs, ensuring measures to prevent falls, and communicating expectations. The program would not require a physician’s prescription, as it is a nurse-driven program.
The comparison group will be the usual workflow of patient management without hourly rounding. The time frame required for implementing the change process is six months to establish the hourly rounding program. This will provide enough time for the nurses to receive all necessary training and implement the program on the targeted population.
The healthcare agency responsible for implementing this intervention will be the hospital management. The nursing staff needs to be aware of the new change process in the patient care plan, which requires proper training and orientation regarding patient fall prevention. The nursing practice must meet the new patient care standards, and the hospital should provide the required resources to implement the program.
In conclusion, hourly rounding is an evidence-based intervention that could reduce falls in elderly patients. It is vital to provide nursing care that ensures patient safety and quality of care. Proper implementation of hourly rounding could result in reduced falls, fewer patient injuries, and lower healthcare costs, ultimately resulting in a positive patient outcome.