Assignment:Picot question worksheet Paper

Assignment:Picot question worksheet Paper

Assignment:Picot question worksheet Paper

PICOT Question Worksheet

Please read the assignment guidelines and rubric. Provide answers to the following:  

1) Identify and describe one practice-related issue or concern.  You may choose to build on the practice issue you identified in NR500NP/NR501NP. Provide support for the issue from scholarly nursing sources current within the last 5 years.

The identified practice-related issue is impaired executive functioning in children 4-12 years with Attention Deficit/Hyperactivity Disorder (ADHD). ADHD is a developmental disorder often diagnosed in children in PMHNP practice. The hallmark characteristics of ADHD are problems with executive functions. Children diagnosed with ADHD exhibit difficulties in the ability to pay attention, inhibit impulses, restrain movements, and regulate behavior. This affects their communication, daily living, and socialization. These difficulties are usually secondary to deficits in executive functioning (Miklós et al., 2019). The major elements associated with executive function are anticipation, goal selection, planning, initiation, self-regulation, attention, mental flexibility, and using feedback. These processes typically develop throughout childhood and adolescence and are valuable to an individual’s cognitive, emotional, behavioral, and social functioning (Veloso et al., 2020). Thus, impairment in executive functioning results in various difficulties for an individual.

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2) Explain why the issue/concern is important to nurse practitioner practice and the issue’s impact on health outcomes. Provide support for the importance of the issue from scholarly nursing sources current within the last 5 years.

The issue of impaired executive functioning in children with ADHD is essential to NP practice since NPs often assess, diagnose, and develop treatment plans for children with ADHD. NPs need to understand that the difficulties faced by children with ADHD are caused by impaired executive functioning. Thus, the NP must address this aspect of ADHD first to improve a child’s cognitive, emotional, behavioral, and social functioning (Miklós et al., 2019). Furthermore, NPs are usually limited in the treatment options for children with ADHD since they are few and usually entail prescribing psychostimulants as a first-line treatment. Thus, there is a need to explore other interventions that can improve children’s executive functioning in addition to medication therapy.

 3) Define each element of your PICOT question in one or two sentences.

• P-Population and problem(What is the nursing practice concern or problem and whom does it affect?)

The focus of the PICOT is children with ADHD aged 4-12 years. This is the target age group to prevent ADHD from persisting over an individual’s lifespan.

• I–Intervention(What evidence-based solution for the problem would you like to apply?)

The proposed intervention is to incorporate cognitive training for executive function in the management of 4-12 year-olds with ADHD. The intervention was selected because it is linked with reducing ADHD symptoms and improving interpersonal, educational, and occupational outcomes in children and adolescents (Veloso et al., 2020).

• C–Comparison(What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.) 

The proposed intervention will be compared to the usual practice of providing medication therapy alone.

• O–Outcome(Very specifically, how will you know that the intervention worked? How you will measure the outcome?)

The expected outcome is a reduction of ADHD symptoms by 50%.

• T–Timeframe(Timeframe involved for the EBP initiative/target date of completion.)

The success of the proposed intervention will be determined after 12 months.

Construct your PICOT question in the standard PICOT question format (narrative) and define each letter separately, such as:  

• P = Children 4-12 years with ADHD
• I = Incorporating cognitive training
• C = Medication therapy alone
• O = Reduce ADHD symptoms by 50%
• T = 12 months.
• PICOT Question written in full:  In children, 4-12 years with ADHD (P), does incorporating cognitive training (I) compared to medication therapy alone (C) reduce ADHD symptoms by 50% (O) within 12 months (T)?

References

Miklós, M., Futó, J., Komáromy, D., & Balázs, J. (2019). Executive Function and Attention Performance in Children with ADHD: Effects of Medication and Comparison with Typically Developing Children. International journal of environmental research and public health, 16(20), 3822. https://doi.org/10.3390/ijerph16203822

Veloso, A., Vicente, S. G., & Filipe, M. G. (2020). Effectiveness of cognitive training for school-aged children and adolescents with attention-deficit/hyperactivity disorder: a systematic review. Frontiers in Psychology, 10, 2983. https://doi.org/10.3389/fpsyg.2019.02983

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Review the elements included in PICOT questions to guide evidence-based nursing practice.

Respond to the questions below using the PICOT Question Worksheet TemplateLinks to an external site. Download PICOT Question Worksheet Template.

Using a minimum of 3 scholarly nursing sources, current within 5 years:

Identify and describe one practice-related issue or concern. You may choose to build on the practice issue you identified in NR500NP/NR501NP.

Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes.

Describe each element of your PICOT question in one or two sentences, being sure to address all of the following:

P-Population and problem– What is the nursing practice concern or problem and whom does it affect?

I–Intervention– What evidence-based solution for the problem would you like to apply?

C–Comparison– What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.

O–Outcome– Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.

T–Time frame– What is the Timeframe involved for the EBP initiative or the target date of completion?

Construct your PICOT question in the standard PICOT question format (narrative) and define each letter separately, such as:

P =

I =

C =

O =

T =

PICOT question written in full