respond 

  

My PICOT is as follows:

P (patient, population, or problem): younger (30-40s) patients in overall good health with new problem

I (Intervention): implement best practices in nursing operations of purposeful rounding and bedside reporting.

C (comparison with other treatment or current practice): Current practice

O (desired outcome): reduction in the left without being seen (LWBS) rate by 2%

T (time frame): 90 days

My PICOT question is:  For younger (30-40s) patients in overall good physical health presenting to the emergency room with a new problem, does implementing bedside reporting and purposeful rounding improve the left without being seen rate?

Within the Chamberlain ER scenario, there seems to be many problem areas. One problem area that is noted is the number of patients that are leaving without being seen (LWBS) which is 4.6% with a national benchmark for 2%.  Developing a PICOT question to direct the change project is crucial to the research process. This approach will allow for better communication and understanding of the problem and research question being asked (Riva, Malik, Burnie, Endicott, & Busse, 2012).  Utilizing a PICOT question when doing research allows for the best evidence available to be used. This will ensure that the impact on nursing practice is done with evidence based research (Echevarria & Walker, 2014).  Within the scenario, patient satisfaction surveys provides evidence of longer wait times from time arriving to time being seen but reflects that nurses and providers displayed the knowledge and competencies to provide the care respectfully. There is an observed lack in effective communication along the process from triage to discharge between nurses and providers. Nursing were observed giving report at the nursing station, not rounding on patients but being on their cell phones, and avoiding discharging patients during busiest times to avoid admissions at end of shift.  Bedside reporting can help to improve patient education and allow for discussion regarding diagnosis and related treatments (Muck, McNeil, McHugh, Bebarta, & Adams, 2015).  Implementing purposeful rounding is a best practice in nursing that ensures patient safety, decreases adverse events like falls, and allows for patient needs to be meet. In this scenario, utilizing purposeful rounding in the Chamberlain ER will help the patient satisfaction score which will help the LWBS rate if patient needs are being met. Rounding will improve the communication and satisfaction with the patients (Daniels, 2016).  

Professor and Class,

My PICOT is as follows:

P (patient, population, or problem): younger (30-40s) patients in overall good health with new problem

I (Intervention): implement best practices in nursing operations of purposeful rounding and bedside reporting.

C (comparison with other treatment or current practice): Current practice

O (desired outcome): reduction in the left without being seen (LWBS) rate by 2%

T (time frame): 90 days

 

My PICOT question is:  For younger (30-40s) patients in overall good physical health presenting to the emergency room with a new problem, does implementing bedside reporting and purposeful rounding improve the left without being seen rate?

 

Within the Chamberlain ER scenario, there seems to be many problem areas. One problem area that is noted is the number of patients that are leaving without being seen (LWBS) which is 4.6% with a national benchmark for 2%.  Developing a PICOT question to direct the change project is crucial to the research process. This approach will allow for better communication and understanding of the problem and research question being asked (Riva, Malik, Burnie, Endicott, & Busse, 2012).  Utilizing a PICOT question when doing research allows for the best evidence available to be used. This will ensure that the impact on nursing practice is done with evidence based research (Echevarria & Walker, 2014).  Within the scenario, patient satisfaction surveys provides evidence of longer wait times from time arriving to time being seen but reflects that nurses and providers displayed the knowledge and competencies to provide the care respectfully. There is an observed lack in effective communication along the process from triage to discharge between nurses and providers. Nursing were observed giving report at the nursing station, not rounding on patients but being on their cell phones, and avoiding discharging patients during busiest times to avoid admissions at end of shift.  Bedside reporting can help to improve patient education and allow for discussion regarding diagnosis and related treatments (Muck, McNeil, McHugh, Bebarta, & Adams, 2015).  Implementing purposeful rounding is a best practice in nursing that ensures patient safety, decreases adverse events like falls, and allows for patient needs to be meet. In this scenario, utilizing purposeful rounding in the Chamberlain ER will help the patient satisfaction score which will help the LWBS rate if patient needs are being met. Rounding will improve the communication and satisfaction with the patients (Daniels, 2016).  

 

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Robert Davis

Inst

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Robert Davis


Robert Davis 

SundayMay 3 at 6:45am

Manage Discussion Entry

Hi everyone, this first week I like to work with each of you to help develop a very tight and solid PICOT and research question.  I posted some other announcements with some materials to help you with that and I hope you’ll take advantage of those.  I’m thinking back to previous courses and where I’ve had to help students the most and I thought I’d provide some additional direction.

What would help me (and you) the most is if you would format your initial post like this:

1. Brief overview of your project topic

2. State your PICOT listing each of the elements point by point:

1. P – What is your population of interest (Among _______, …..)

2. I – Succinctly state your intervention

3. C – State what you are comparing your intervention to.  This might simply be the current state or it may be a specific program or data set.

4. O – What is your desired outcome?  Please state this in very measurable terms.  One example of this would be to state something like “Decrease/increase (some form of direction) falls from X (baseline) to Y (goal)”

5. T – Include a time element.  At what point in time to you expect to have made enough progress toward your goal to do some measurement?

3. Finally transform your PICOT statements into a fluid sentence that states your research question or project proposal.

What I’ll be doing with each of you is helping you either narrow your focus or address some part of your PICOT to make it more measurable.  If you work hard now it will help guide the development of your project more smoothly.  I hope this makes week 1 easier for you!  I look forward to starting to review your project ideas!  Dr. Davis

**Go back and check your TD post and make sure that you’ve addressed the points above.  If not, add an additional post to fill in the blanks.  This is an important TD that lays the foundation for the rest of your CGE project.  

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