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NURS FPX4040
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NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention
Student Name
Capella University
NURS-FPX 8035 Foundations of Evidence-Based Practice in Nursing
Prof. Name
Date
Restating the PICOT Question and Outcomes of the Intervention
The PICOT Question: In hospitalized patients (P), does the implementation of incident reporting (I) in comparison to the absence of such reporting (C) lead to an enhancement in patient safety (O) within a 6-month study duration?
Background and Study Context: The elements of PICOT are as follows: P (Patients admitted to the hospital), I (Incident reporting), C (No reporting), O (Improved patient safety), and T (Six months). This inquiry is grounded in the study conducted by Petschnig and Haslinger-Baumann (2017), which examined the efficacy of incident reporting systems in hospitals and their implementation to enhance patient safety. The evaluation of the effectiveness of the change process within the fifth and final stage of an evidence-based practice (EBP) framework is central to this investigation.
Outcome Measures: The desired outcome is the absence of patient, nurse, and staff injuries or falls within the hospital environment, coupled with zero errors in medicine or care, and no reported incidents, including allergies.
Data Findings: Initial data reveals three incidents of patient falls and two allergy reports due to medication errors in 2018, while 2019 witnessed four patient falls, one nurse injury (broken arm), and one staff member requiring treatment (incident report). Subsequent to deploying an incident reporting system, 2020 reported no patient falls, but one incident of medication error-induced allergy. Post-implementation, there was a notable 100% reduction in patient fall incidents and a 50% decrease in allergy reactions compared to 2019. Furthermore, there were no staff or nurse treatments in 2020, suggesting the intervention’s effectiveness in the first year of deployment (Petschnig & Haslinger-Baumann, 2017).
Continuation of the Intervention Plan
Evaluation Metrics: The intervention is slated to span three months. To comprehensively evaluate the intervention using EBP principles, a set of complementary metrics must be identified, and data collection should occur continuously. Two key metrics are the number of incidents per week and response time for each incident, which enables the calculation of average response time. Thorough planning of these metrics is crucial to ensure comprehensive coverage of all intervention aspects.
Data Collection Parameters: Data collection parameters include incident category, personnel response time, incident duration, personnel recording the incident, patient age and gender, and the reason for initial admission. Regular weekly data collection and reporting on a weekly, monthly, or annual basis will facilitate the identification of short-term and long-term cyclical trends, informing appropriate decisions and corrective actions.
Sustaining the Intervention Strategy
Management Support: For any new intervention necessitating process change, full support from management is imperative. Thus, the primary strategy for sustaining the evidence-based practice (EBP) is for management to proactively support staff. Management should conduct strategy sessions, engaging with staff, nurses, and physicians through regular meetings. Incorporating their views and opinions as part of the improvement feedback process will contribute to the sustained success of the intervention.
References
Carlfjord, S., Ohrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18(1), 1-9.
Petschnig, W., & Haslinger-Baumann, E. (2017). Critical Incident Reporting System (CIRS): A fundamental component of risk management in health care systems to enhance patient safety. Safety in Health, 3(1), 1-16.
Appendix
I integrated feedback received from my earlier reports. For instance, APA recommends writing out numbers below ten as words, so I rendered all single-digit numbers as words. The journal title is capitalized, and et al. is used to cite a paper with three authors. My strength lies in gathering and analyzing data for improvement, while my weakness in planning has been addressed based on received feedback.
NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention
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NURS 4900 – BSN Capstone
- NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
- NURS FPX 4900 Assessment 2: Assessing the Problem: Quality, Safety, and Cost Considerations
- NURS FPX 4900 Assessment 3: Assessing the Problem; Technology, Care Coordination, and Community Resources Considerations
- NURS FPX 4900 Assessment 4: Patient, Family, Or Population Health Problem Solution
- NURS FPX 4900 Assessment 5: Intervention Presentation And Capstone Video Reflection
NURS 4060
- NURS FPX 4060 Assessment 4: Health Promotion Presentation
- NURS FPX 4060 Assessment 3: Disaster Recovery Plan
- NURS FPX 4060 Assessment 2: Community Resources- World Health Organization
- NURS FPX 4060 Assessment 1: Health Promotion Plan
NURS 4050
- NURS FPX 4050 Assessment 4: Final Care Coordination Plan
- NURS FPX 4050 Assessment 3: Care Coordination Presentation to Colleagues
- NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
- NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan
NURS 4040
- NURS FPX 4040 Assessment 4: Informatics and Nursing-Sensitive Quality Indicators
- NURS FPX 4040 Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
- NURS FPX 4040 Assessment 2: Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices
- NURS FPX 4040 Assessment 1: Nursing Informatics in Health Care
NURS 4030
- NURS FPX 4030 Assessment 4: Remote Collaboration and Evidence-Based Care
- NURS FPX 4030 Assessment 3: PICO (T) Questions and an Evidence-Based Approach
- NURS FPX 4030 Assessment 2: Determining the Credibility of Evidence and Resources
- NURS FPX 4030 Assessment 1: Locating Credible Databases and Research
NURS 4020
- NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety
- NURS FPX 4020 Assessment 3: Improving Quality of Care and Patient Safety
- NURS FPX 4020 Assessment 2: Root-Cause Analysis and Safety Improvement Plan
- NURS FPX 4020 Assessment 1: Improving Quality of Care and Patient Safety
NURS 4010
- NURS FPX 4010 Assessment 4: Stakeholders Presentation
- NURS FPX 4010 Assessment 3: Interdisciplinary Plan Proposal
- NURS FPX 4010 Assessment 1: Collaboration and Leadership Reflection
- NURS FPX 4010 Assessment 2: Interview and Interdisciplinary Issue Identification
NURS 4000
- NURS FPX 4000 Assessment 4: Analyzing a Current Health Care Issue
- NURS FPX 4000 Assessment 3: Analyze a Current Health Care Problem or Issue
- NURS FPX 4000 Assessment 2: Applying Research Skills
- NURS FPX 4000 Assessment 1: Applying Ethical Principles
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