Purpose
Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008).  Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2020).  This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.
dIRECTIONS
Read over each of the following directions.
You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
Download and use the required PPE Worksheet (Links to an external site.).
Review the information provided in our library of how to search for journal articles here (Links to an external site.).
Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question,use the NR439 Guide for writing PICOT Questions and Examples (Links to an external site.). Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.

Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
Submit the completed PPE Worksheet on the Week 3 Assignment page.
Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.Assignment Overview Transcript

Assignment Practice Scenario
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018): QualitySafety
Patient satisfaction
Patient education
Falls

Non-pharmacological pain management

Errors. Examples include:
Medication

Patient identification

Communication
Readmissions

Length of stay

Costs
Healthcare Associated Infections (HAIs).
Examples include:

Central Line Associated Blood Stream Infections (CLABSI)

Catheter Associated Urinary Tract Infections (CAUTI)
Ventilator Associated Pneumonia (VAP)
Surgical Site Infections (SSI)
Sepsis (Screening or Prevention)

Discharge Teaching/Coaching
Transitions of Care/Level of Care
Pressure Ulcers

Skin Integrity
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.Best Practices
Chamberlain College of Nursing
NR439 PPE Worksheet
Name:
Date:
Problem/PICOT/Evidence Search (PPE) Worksheet
Criteria
Clinical Nursing Practice
Problem
Select and identify ONLY
one quality or safety clinical priority area from the assignment guidelines practice
scenario. Summarize why
you believe the nursing
practice problem/issue is the
most important. Summarize
your rationale (why) for
choosing the problem.
Clinical Nursing
PICOT Question
Using the NR439 Guide for
Writing PICOT Questions
and Examples located in
the assignment guidelines,
write out your PICOT question. Include the PICOT
letters in your question.
Define PICOT Elements
P- (patient population/patients of interest):
Define each of the PICOT
elements from your question
above.
I- (Intervention):
C- (Comparison):
O- (Measurable outcome):
T- (Time frame in months):
Evidence Retrieval Process and Summary
Using only the Chamberlain
College of Nursing library:
(1) Locate evidence that is
relevant to your chosen
nursing practice problem.
Explain how you believe the
evidence is relevant to your
chosen nursing practice
problem.
NR439 PICOT Worksheet 5/2019 ST
1
Chamberlain College of Nursing
NR439 PPE Worksheet
(2) Explain why you chose
the evidence
(3) Provides a complete
APA reference to the evidence (must include authors, year, title of the evidence, title of the resource)
(4) Evidence must be published within the last 10
years
(5) Provides the permalink
Implications of the Evidence
Summarize what you
learned from the evidence.
Summarize why you believe
the nursing evidence-based
practice committee should
focus their next research
project on the nursing practice problem.
Evidence Search Terms
Identify 4 (or more) relevant
searchable terms you used
for your search for evidence.
Evidence Search
Strategies
Select 4 (or more) relevant
search strategies you used to
narrow/limit your search for
evidence.
____ Full text
____ Boolean Operators/Phrase
____ Selected publication dates within last 10 years
____ Subject, title, or author search box
____ Truncation (used an asterisk * at the beginning or end of a word)
____ Academic or scholarly (Peer Reviewed) journals
____ Quotation marks for key words
____ Selected key terms from PICOT question
____ Others: (list below): ____________________________________________
NR439 PICOT Worksheet 5/2019 ST
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