identify a problem or concern that nursing can change and develop a PICOT
question to guide the change project.
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? Everyone should have a literature search. However,
what other sources of reliable information will be helpful for your particular
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? What
databases will you search? How will you narrow your search if needed?
What is the PICOT question?
Define each element of the
P– (Patient, population, or
C– (Comparison with other
O– (Desired outcome):
What is the practice issue/problem?
What is the practice area?
How was the practice issue
identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
What evidence must be gathered?
(check all that apply)
___ Literature search
___ Expert Opinion
___ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
Databases to search:
GC NRS451 WEEK 1 DQ 1 & DQ 2 LATEST 2016 MARCH
Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.
Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer.
GC NRS451 WEEK 2 DQ 1 & DQ 2 LATEST 2016 MARCH
One of the five elements of emotional intelligence is self-awareness. What behaviors would someone with strong self-awareness demonstrate within the context of leading and managing groups? Provide an example.
Today’s workforce is diverse and has multiple conflicting priorities. As a nurse leader, you would like to see your hospital implement an outreach program that will benefit needy members of the community. What are some methodologies of communication you would use to develop a shared vision with your stakeholders? How would you apply strategic management to make your visions for the outreach program become reality?
GC NRS451 WEEK 3 DQ 1 & DQ 2 LATEST 2016 MARCH
You have an idea to improve patient care that you would like upper management to support and fund. What type of communication tool would you use to present your idea and why?
What differentiates someone that is intrinsically motivated from someone that is extrinsically motivated? Give an example of how you would go about motivating an individual who is intrinsically motivated and one who is extrinsically motivated. What are the characteristics of a performance-driven team?
GC NRS451 WEEK 4 DQ 1 & DQ 2 LATEST 2016 MARCH
A new director decides to reorganize the department you work in. This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them.
Personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future?
GC NRS451 WEEK 5 DQ 1 & DQ 2 LATEST 2016 MARCH
How does the nurse manager or leader play a role in the re-engineering of health care?
Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.