NRS 433 Summary of Current Course Content Knowledge GCU

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NRS 433 Summary of Current Course Content Knowledge GCU

NRS 433 Summary of Current Course Content Knowledge GCU

Assessment Description

Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses.  Through interaction with your instructor and classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery.  To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction. 

1. Which weekly objectives do you have prior knowledge of and to what extent?
2. Which weekly objectives do you have no prior knowledge of?
3. What course-related topics would you like to discuss with your instructor and classmates?  What questions or concerns do you have about this course? 

Topic 1 DQ 1
PICOT is utilized by the health care community to identify and study a nursing practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process may not be relevant to nursing practice as they are based on a medical practice problem.
Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.
Krishna Turner
Jul 27, 2022, 11:59 PM
Replies to Krishna Turner
Evidence based practice is a process used to review and analyze scientific evidence into to everyday practice and clinical decision making. Nurses uses EBP to provide safety, give quality care, and improve outcome of the patient overall experience.
The difference between nursing practice problems and a medical practice problem are as follow: Nurse deals with modalities of patient care. This type of practice entails comfort, support, promotion of recovery, prevention of trauma (such as falls), health screenings (diabetes, hypertension, etc.…), assessment, health education, and coordination of care. (Selecting a clinical nursing problem for research – wiley online library)

Medical practice problems entail the complexity of the patient medical condition or disease. They also identify the condition of the patient, cause, prognosis, and treat the problem. Example identifying a patient who is diagnose with cancer, the disease will be identified and addressed according. Should the patient receive chemotherapy versus surgery? Will the treatment be set up on an outpatient bases or inpatient?

It is important that PICOT is incorporated in nursing practice because as nurses we need to identify the patient problem, understand, or know what intervention will work best for caring for the patient. Comparison of which treatment will be more effective. Was the outcome accomplished after giving the treatment? How long did it take for the patient to received desired outcome.

Reference:

Cristancho S, Lingard L, Regehr G. From problem solving to problem definition: scrutinizing the complex nature of clinical practice. Perspect Med Educ. 2017 Feb;6(1):54-57. doi: 10.1007/s40037-016-0314-0. PMID: 27921218; PMCID: PMC5285274.

Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Selecting a clinical nursing problem for research – wiley online library. (n.d.). Retrieved July 28, 2022, from https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1547-5069.1984.tb01388.x

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Calorine Mahungana

EBP is crucial component of safe, quality patient care. Utilizing the EBP approach helps nurses and other clinicians provide the highest-quality and most co-efficient patient care (wgu.edu). It is essential that nurses know the current practices so that they can provide care to patients with complex and debilitating conditions. Moreover, EBP application enables nurses to include patients in their care plan. This allows patients to have a proactive role in their own healthcare since they can voice concerns, share their values and preferences and make suggestions on how they want to proceed.
Reference
What is evidence based nursing? https://www.wgu.edu/blog/evidence-based-practice-nursing2012.html
• Kadija Tejan-deen
replied toKrishna Turner
Jul 29, 2022, 2:05 AM
• Replies to Krishna Turner
Hello Krishna,
Good post. The activities that are carried out in order to combine the perceived problem with medical technology in order to provide some kind of solution are referred to as medical problem-solving processes. In these processes, choices are made regarding the problems that need to be attended to and the actions that need to be taken. In point of fact, uncertainty (also known as a lack of reliable knowledge) is attached to the majority of available options. This means that uncertainty may be attached to a variety of factors, such as the situation as a whole, the problem that should be considered, the actions that should be taken, the possible outcomes of those actions or outcomes, and the values that are attached to the actions or outcomes (Tian et al., 2019). The medical problem perception serves as the primary compass for the problem-solving processes in the medical industry, and this perception is associated with varied degrees of uncertainty.
references
Tian, S., Yang, W., Le Grange, J. M., Wang, P., Huang, W., & Ye, Z. (2019). Smart healthcare: making medical care more intelligent. Global Health Journal, 3(3), 62-65.
• Sheranda Fesler
replied toKrishna Turner
Jul 29, 2022, 2:43 AM
Replies to Krishna Turner
Thanks for your posting. Can you identify a Nursing practice problem and develop a PICOT?
• Krishna Turner
replied toSheranda Fesler
Jul 31, 2022, 2:18 PM
Replies to Sheranda Fesler
Hi Dr. Fesler,
The nursing practice problem that I used was diabetes and obesity which in a common problem in the United States. The nurse formulates PICOT questions for EBP projects. The nurse researcher must gather information and have an idea as to why the study should be performed, and then decide what questions are needed to further the research. (GCU, 2018)
P: Obese patient with diabetes
I: Diet and life-style changes
C: No changes in diet or life-style
O: More effective with controlling blood glucose
T: In one year period
Reference:
Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1
• Sheranda Fesler
replied toKrishna Turner
Jul 31, 2022, 5:15 PM
• •
o Replies to Krishna Turner
GREAT PICOT!
• Misty Diaz
replied toKrishna Turner
Jul 29, 2022, 9:39 PM
• Replies to Krishna Turner
Hello Krishna!
I agree totally with your post! But, I noticed you forgot to include your PICOT. PICOT is the process that drives the evidence based practice process. It helps identify a problem or issue and helps to guide the research in the right direction, even if it is in a different direction than originally thought. Once the process of developing the PICOT question is completed appropriately, the direction is almost done for you. Just inputting the words or phrases into the search engine is all that needs to be done, and the race [process] is off and running! There are 5 PICOT format types: intervention, etiology, diagnosis, prognosis/prediction, and meaning (Bermudez, 2021). I am not sure of all of them at this time, and diagnosis and prognosis/prediction is not in our scope of practice, but I look forward to finding out about the others!

Reference

Bermudez, N. (2021). Formulating well-written clinical practice questions and research questions. Nursing and Health Sciences Research Journal, 4(1), 70-74. https://scholarly commons.baptisthealth.net/cgi/viewcontent.cgi?article=1113&context=nhsrj

• Hannah Haywood
replied toKrishna Turner
Jul 30, 2022, 12:15 AM
• Replies to Krishna Turner
Hello Krishna!
I enjoyed reading your post! When I think of a nursing problem and a PICOT question, I think of nursing interventions such as how to prevent a catheter associated urinary tract infection.
P- patients with catheters
I- catheter care once per shift; removal of the catheter as soon as possible (use of pure wick or male external catheter)
C- no intervention or change in practice
O- reduction of hospital acquired catheter associated urinary tract infections
T- 3-month period
Though that is simply an example, it shows that the PICOT form can simplify nursing interventions and increase positive patient outcomes.
References:
National Healthcare Safety Network (2022). Urinary tract infections (catheter-associated urinary tract infection (CAUTI) and non-catheter-associated urinary tract infection (UTI) events. https://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf