Pre/Post Assessment, And PICOT Tool.

Pre/Post Assessment, And PICOT Tool.

Pre/Post Assessment, And PICOT Tool., ,As a Nurse Educator, this is what I am asked to do.. review the Week 3 announcement under announcements so you know what I say about PICOT and can have your work aligned with my statements. You need to send me all pre/post assessment, the PICOT tool and all other aspects of what you are going to do with the students related to this.Pre/Post Assessment, And PICOT Tool. All of this will help meet the requirement in your MSN course, please review the MSN course assignments for better understanding. Please send me these first for approval, please send it to my GCU email. Post the PICOT pre-assessment the end of week 2 after I have approved it. This is what she posted on the announcement page…,PICOT PICOT is a nursing focused intervention question. It is not a traditional research question (an example of a traditional research question would be ‘How does the introduction of weekly journal clubs impact the understanding and use of Evidence Based Practice). A PICOT question is also not based in medical interventions (a medical intervention is anything you would need a provider order for, for example do not use medication or surgical interventions or other interventions outside the scope of the nurse.Pre/Post Assessment, And PICOT Tool. Remember no medical interventions (prescriptions, medications, surgical interventions etc.) are allowed in the PICOT it must be a nursing intervention. The focus can be on patient care or improving the profession or improving any aspect of the role of nursing. PICOT: Problem, Intervention, Comparison, Outcome, Time Examples: Here is a great PICOT ‘For patients with a risk of sepsis in the ICU does a sepsis assessment tool help with early diagnosis compared to patients who do not have a specified sepsis assessment done over the course of six months).Pre/Post Assessment, And PICOT Tool. Here is another great PICOT ‘Many nurses experience incivility between peers, does the introduction of a civility education module in orientation decrease incidents of incivility as compared to those who completed orientation prior to the module’ (note there is no time here because it would be an ongoing intervention). Here is a bad PICOT ‘Chemo patients get severe nausea, does the introduction of Benadryl and Inapsine decrease their nausea as compared to traditional prescriptions for nausea’ -this question is medical interventions, you only want nursing interventions, here is another bad PICOT ‘Patients get sepsis, should a sepsis assessment tool be used’ -this question is missing many aspects THIS IS THE PICOT QUESTION PAPER..(this will give you an idea on how to guide me on the PICOT tools I need to teach the students, and also how to go about the pre/post assessment) Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care.Pre/Post Assessment, And PICOT Tool. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Pre/Post Assessment, And PICOT Tool.Describe the problem in the PICOT question as it relates to the following: 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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.Pre/Post Assessment, And PICOT Tool.,Learning Needs Assessment,Part 1: Questions,Section 1: Learning about the patient as an individual,Section 2: Assessing the patient’s learning needs,Section 3: Preferred learning style,Section 4: Readiness to learn,Part 2: Data collection plan,Data for patient learning needs assessment is best collected through targeted conversations and face-to-face interviews with individual patients. The objective of the assessment is to discover and gain insight into what the patient requires. The approach has the capability to offer a complete description and analysis of the learning needs without limiting the scope of the assessment and nature of the responses offered. In fact, the approach can offer information that was previously unknown through exploring emerging themes and seeking more comprehensive explanations. In this case, the patient has leeway to describe what is important to him/her, and useful information can be collected from these responses (Bird, 2015). Besides that, the approach can capture both verbal and non-verbal cues through paying attention to the facial expressions and body language that may indicate levels of discomfort or excitement with some questions. These cues help validating information being emphasized. The non-verbal cues could even indicate falsification, especially when there is dissonance between the non-verbal cues and what is being said (Bastable, 2017). Overall, targeted conversation and face-to-face interviews are useful in reaching the limits of the patient’s knowledge, encouraging cooperation, and helping to establish rapport so that an accurate assessment is conducted of what the patient thinks or believes (Stewart, 2020).,The collected learning needs assessment data will be use in four ways. Firstly, the interviews and observations will offer individual patient and context-sensitive comparative analysis from which practical educational tools and approaches will be developed. Secondly, the data will help in generating concrete recommendations on how to improve patient’s knowledge levels. Thirdly, the data will form the foundation for patient education reforms through acting as a vital component in improving education approaches. The data is essential for change since the assessment is designed for the specific purpose of providing measurement of how the facility can intervene to improve patient knowledge levels. Finally, the data determines the teaching approach that is most appropriate for each patient (Stewart, 2020).Pre/Post Assessment, And PICOT Tool., ,PICOT Question: Among critically ill ventilated patients aged 18 years or older in the ICU (P) does using 0.2% oral chlorhexidine (I) compared to not using oral chlorhexidine(C) reduce the risk of VAP(ventilator associated pneumonia) (O)?,Problem,VAP is among the commonest HAIs, which occurs in 10%-20% of patients under mechanical ventilation in the ICU setting. Even though its exact mortality is still difficult to describe, VAP has severe consequences with high mortality rates, prolonged stay in the ICU, and increases healthcare-related costs (Li et al., 2015). Besides, from a global perspective of increased incidences of antimicrobial resistance, the management of respiratory illnesses poses a huge antimicrobial burden in the ICU.Pre/Post Assessment, And PICOT Tool.,VAP happens because mechanically intubated patients are at a high risk of inoculating microorganisms. According to Villar et al., (2016), the potential inoculation source are; the sinuses, oral cavity, GI tract, and the subglottic area. Organisms access the lower respiratory tract from the endotracheal tube cuff. Therefore, interventions for preventing VAP am at preventing repeated micro-aspiration and colonization of the GI tract and upper airways with pathogens,Evidence-Based Solution,Enwere et al., (2016) suggests that 0.2% of oral chlorhexidine is an effective method of maintaining oral care, which is vital in reducing and preventing VAP. Oral chlorhexidine reduces pathogenic colonization of the oropharynx, which is the major cause of infection. It also reduces the risk of VAP before, during, and after ventilation.Pre/Post Assessment, And PICOT Tool.,Nursing Intervention,Nurses should use 0.2% oral chlorhexidine as part of the VAP bundle. They should administer it using a sponge swab orally by wiping through the teeth, oral cavity, and tongue of patients under mechanical ventilation. Nursing should begin routine oral hygiene with 0.2% chlorhexidine immediately patients are intubated and progress post-extubation to be able to prevent VAP (Zuckerman, 2016). To have the best outcomes in preventing VAP, nurses should administer 0.2% oral chlorhexidine four times daily.Pre/Post Assessment, And PICOT Tool.,Patient Care,VAP is a major cause of deaths and complications among mechanically intubated patients in the ICU setting. It leads to a poor prognosis, prolongs ICU stay, and increases healthcare-related costs. When adequately addressed through VAP bundle prevention measures, patients are guaranteed their safety and quality of care that they receive. Besides, it will help patients to save on costs, reduce ICU, and hospital stay. This ultimately contributes to a good prognosis and health outcomes.,Health Care Agency,The healthcare agency is designed as a level I regional resource trauma hospital that strongly emphasizes on evidence-based research. It is a globally recognized leader in trauma and neurosurgery. It has one of the biggest ED departments through which most of its patients come through. It has also dedicated 130 beds to the critical care/intensive care unit. It serves populations of all ages and ethnicities. Although it has a large healthcare workforce from all medical professions, nurses comprise the majority of this workforce.Pre/Post Assessment, And PICOT Tool. The institution has a quality improvement committee that integrates quality improvement initiatives in practice from time to time. However, the institution has recently witnessed an increase in the incidences of VAP, which has negatively affected its financial performance, reputation and contributed to a poor prognosis of patients in the ICU.,Nursing Practice,Since evidence suggests that oral hygiene with 0.2% oral chlorhexidine reduces bacterial overgrowth and subsequent infection risks, nurses ought to make oral care a routine component of assessing patients in the ICU under mechanical ventilation. As suggested by Li et al., (2015), the oral assessments should incorporate the use of 0.2% oral chlorhexidine to reduce colonization of the oral cavity by pathogens, which decreases the subsequent risks of developing VAP.Pre/Post Assessment, And PICOT Tool., 

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