research findings to inform practice decisions

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

• Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
• Write your clinical question in the PICO(T) format for your nursing practice problem. *To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples

• Template A

  
  Among/In _________________________ (P), does______________________ (I) (**decrease/increase/impact/influence/affect/reduce/improve**) _____________________ (O) compared to ______________________________ (C) over ______________________________(T)?
  (**choose one term**)
  Example: Among 65+ and older diabetic immobile adults in long-term care
  (P), does a bedside oral care kit and checklist protocol
  (I) compared to routine oral care without a bedside oral care kit
  (C) affect the number of times oral care is completed
  (O) over 3 months
  (T)?
  P=Population of patients:65+ and older diabetic immobile adults in long-term care
  I=Intervention:bedside oral care kit and a checklist protocol
  C=Comparison:routine oral care without a bedside oral care kit
  O=Outcome:number of times (frequency) oral care is completed
  T=Timeframe:3 months

• Template B

  Among/In _________________________ (P), would______________________(I) (**decrease/increase/impact/influence /affect/reduce/improve **)_____________________ (O) compared to ______________________________ (C) over ______________________________(T)?
  (**choose one term**)
  Example:
  
  In male ICU patients who are 65+ and older diagnosed with COPD (P), would the confusion assessment screening tool (CAST) (I) impact the number of early identification of delirium (O) compared to no screening tool (C) over 6 months (T)?
  P=Population of patients:Inpatient male ICU patients 65+ and older diagnosed with COPD
  I=Intervention:confusion assessment screening tool (CAST)
  C=Comparison:routine care/no screening tool
  O=Outcome:number of early identification of delirium
  T=Timeframe:6 months

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAnswers the initial graded discussion question(s)/topic(s), demonstrating knowledge and understanding of concepts for the week.	16.0 pts Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding regarding all weekly concepts. 14.0 pts Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of most of the weekly concepts. 12.0 pts Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of some of the weekly concepts. 0.0 pts Minimally addresses the initial discussion question(s) or does not address the initial question(s).	16.0 pts
This criterion is linked to a Learning OutcomeIntegrates evidence to support discussion. Sources are credited. ( APA format not required)	12.0 pts Integrates evidence to support your discussion from: assigned readings OR online lessons, AND at least one outside scholarly source. Sources are credited. 10.0 pts Integrates evidence to support discussion from: assigned readings OR online lesson. Sources are credited. 9.0 pts Integrates evidence to support discussion only from an outside source with no mention of assigned reading or lesson. Sources are credited. 0.0 pts Does not integrate any evidence.	12.0 pts
This criterion is linked to a Learning OutcomeEngages in meaningful dialogue with classmates or instructor before the end of the week.	14.0 pts Responds to a classmate and/or instructor’s post furthering the dialogue by providing more information and clarification, thereby adding much depth to the discussion. 12.0 pts Responds to a classmate and/or instructor furthering the dialogue by adding some depth to the discussion. 10.0 pts Responds to a classmate and/or instructor but does not further the discussion. 0.0 pts No response post to another student or instructor.	14.0 pts
This criterion is linked to a Learning OutcomeCommunicates in a professional manner.	8.0 pts Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation). 7.0 pts Presents information in an organized manner (few errors in English grammar, spelling, syntax, and punctuation). 6.0 pts Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation). 0.0 pts Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).	8.0 pts
This criterion is linked to a Learning OutcomePARTICIPATION: Response to initial question:Responds to initial discussion question(s) by Wednesday, 11:59 p.m. M.T.	0.0 pts 0 points deducted Student posts an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT. 0.0 pts 5 points deducted Student does not post an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.	0.0 pts
This criterion is linked to a Learning OutcomePARTICIPATION Total posts:Participates in the discussion at least three times on at least two different days.	0.0 pts 0 points deducted Posts in the discussion at least three times AND on two different days. 0.0 pts 5 points deducted Posts fewer than three times OR does not participate on at least two different days.	0.0 pts
Total Points: 50.0

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