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.

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):

Quality

Safety

· 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.

Hi students, this is Dr. Susan Thomas, course leader for NR439. And I would like to welcome you to a short tutorial to assist you in completing your week three problem/PICOT/Evidence Search (PPE) worksheet assignment. 

The purpose for completing the PPE is for you to identify an independent nursing problem and apply a process worksheet to help you develop a clinical question and search for evidence using a credible online database. According to AACN, collaborative identification and interpretation of practice problems is a requirement of professional nursing practice.  Locating and summarizing literature is necessary for evidence based nursing practice as outlined in both AACN and QSEN. 

The assignment directions and rubric are located under the week three module. It is essential that you read over each of the directions as these have key instructions and helpful hints to complete the required worksheet. I encourage you to read the directions first, and then download your required worksheet located here, read over the practice based scenario, and your grading rubric which is located beneath the practice based scenario.  Be sure again that you are using your grading rubric to complete the required worksheet.  Your instructor will use the grading rubric to evaluate each of the criteria you will be completing.  Please be sure that you complete the assignment using that first column to be sure you capture all available points for that criteria.

Before you begin completing the worksheet, you must be sure that you read over the Assignment Practice Scenario.  This scenario mimics something that could be experienced in clinical nursing practice.  It includes you being assigned to a nursing evidence based committee and as a committee member you are required to complete the PPE worksheet.  After reading the assignment practice scenario, you are to select one of the key nursing independent practice issues from this list of familiar quality and safety clinical problems. Again, you are to choose only one problem area.

There are several helpful links located in your directions for this assignment. The PPE worksheet is required and must be complete the PPE worksheet that is available here. You can download from this link. Please make sure that you use the current worksheet for the session you are taking the course.  You also have some helpful sources from the library located here.  You also have your NR439 Guide for Writing PICOT Questions and Examples that you need to use to help you be successful in writing a PICOT question.  If you are interested in practicing writing PICOT questions, please be sure that you visit your week 2 lesson area and scroll down to the practice case studies designed to assist with practicing, creating, and writing PICOT formatted clinical questions.

Here is an example of a completed PPE worksheet.  The following is an example only.  You will notice that I have a chosen a

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

Define each of the PICOT elements from your question above.

P– (patient population/patients of interest):

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.

(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 pu