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Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) Question

Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionSelection of Proposed EBP Project Proposal, Rationale, and PICO(T) Question Please fill out the template and write 2-3 paragraphs paper based on instruction:to develop your PICO question, please use the Intervention template only.  Although the other templates are used in developing a PICO, the Intervention template will be the most efficient for a 5 week course. Please consult your readings, FAQs, and NUR 49800 lib guide for template.Write a 2 to 3 paragraph paper addressing the following criteria:Title of project, full name of facility and location, full name of RN facilitator (clinical liaison) and credentialsPICO or PICO(T) question at the RN-BS scope of practice level. Intervention focuses on nursing intervention.Rationale for selectionOutcomes  (what you hope to accomplish).Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionORDER A PLAGIARISM-FREE PAPER HEREPICO questions and EBP proposal topics, specifically related to pharmacokenetics,  medications, health care provider ordered medication or comparison with medications or chemical preparations is not acceptable for an RN-BSN scope of practice. In other words,  medications cannot be ANY part of your PICO.  Additional unacceptable PICOs include Rapid Response Team, Skin to Skin Contact (these are readings and former and current sample papers), Chlorhexidine, Equipment, HAPU, Rounding to Prevent Falls, CAUTI, and CLABSI (these have been overused and have extensive best available evidence). Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionHints for Development of PICO(T) Question and PICO(T) TemplateYour PICO question must address questions related to nursing and improving patient outcomes. Questions that are outside the scope of nursing practice are not acceptable. Examples of not acceptable PICO’s for this course: comparison of drug efficacy, diagnostic procedures and surgical procedures that do not directly related to nursing and improved patient outcomes. Remember, your PICO must be within the scope of nursing practice at a BS level. Limit the scope of your PICO question to aid in identifying key words, assisting in searching, and helping identify the “keeper” studies. Recognize there are many Hierarchies of Evidence, Levels of Evidence schematics, and Grading of Evidence. The important point is that you cite the source you are using. For this course, we recommend the information in the AJN “Steps” series to avoid confusion.Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionUse the template provided in the readings to develop your question. Most questions will be of a quantitative nature. Qualitative questions (the meaning or experience of…) i.e. much more difficult to complete in five weeks. Question Templates for Asking PICO Questions (Melnyk B. & Fineout-Overholt E. (2011). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins) Question Templates for Asking PICO Questions (Melnyk B. & Fineout-Overholt E. (2005).Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins)Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionP: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) C: Comparison: (could be compared to current standard practice)O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome) (T): over what period of time, ( ie, within 6 months). This is an optional component.PICO Template:  For an intervention/effect/therapy:In (P), what is the effectiveness of (I) compared with (C)? on the (O) within (T)Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) Question For etiology:Are (P) who have (I) at (Increased/decreased) risk for/of (O) compared with (P) with/without (C)?  Diagnosis or diagnostic test: (Must be within the scope of RN-BS practice)Are (is) (I) more accurate in diagnosing (P) compared with(C) for (O)?  Prevention:For (P) does the use of (I) reduce the future risk of (O) compared with (C)?  Prognosis:Does (I) influence (O) in patients who have (P)? Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) QuestionMeaning:How do (P) diagnosed with (I) experience (O)?  Examples of Evidence-Based PICO QuestionsIntervention/Effect/Therapy PICO Question: An example: In adult patients with total hip replacements (Patient population) how effective is early ambulation (Intervention of interest) compared to bedrest (Comparison intervention) on decreasing post-op DVTs (Outcome)?Note: The question may also be stated as What is the effectiveness of early ambulation, compared to bedrest, on decreasing post-op DVTs n adult patients with total hip replacements.Meaning PICO Question: How do pregnant women (P) newly diagnosed with diabetes(I) experience reporting their blood sugar levels (O) to their healthcare providers?Selection of Proposed EBP Project Proposal, Rationale, and PICO(T) Question

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