DNP 810 A PICOT-D Question Submission Essay
DNP 810 A PICOT-D Question Submission Essay
DNP 810 A PICOT-D Question Submission Essay
Abstract
Pressure ulcers are a significant health issue among elderly patients in long-term care facilities. This proposed research aims to investigate the incidence and prevalence of pressure ulcers among patients aged 65 years and above with comorbidities residing in a long-term care facility, identify risk factors, and evaluate the effectiveness of prevention and treatment programs. A mixed-methods approach will be used to collect both qualitative and quantitative data. The study will involve analyzing electronic health records to identify patients with pressure ulcers and assess the effectiveness of prevention programs. Interviews and focus groups will be conducted with healthcare professionals and patients to gain insights into their experiences with pressure ulcers. The biopsychosocial model of health will guide this study’s conceptual framework. The findings of this study will contribute to the existing literature on pressure ulcers and provide insights into preventing pressure ulcers and improving the quality of life of elderly patients in long-term care facilities.
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PICOT Question
In patients aged 65 years and above with comorbidities residing in long-term care facilities, does the implementation of a formal pressure ulcer prevention program with direct education to staff compared to no formal program affect the incidence of pressure ulcers, identify patients at risk for pressure ulcers, and improve skin care over a 30-day period?
| PICOT-D Question Template | ||
| P | Population | Patients aged 65 years and above with comorbidities, and who reside in long-term care facilities. |
| I | Intervention | Does the implementation of a formal pressure ulcer prevention program with direct education to staff |
| C | Comparison | Compared to no formal program |
| O | Outcome | To affect the rate of pressure ulcer incidence. To identify patients at risk for pressure ulcers. To improve skin care. |
| T | Timeline | over a 30-day period |
| D | Data | This would involve tracking the number of new pressure ulcer cases that occur during the study period among the participants in the intervention group and the control group. Observing and recording the skin care practices used by the staff and evaluating their effectiveness in preventing pressure ulcers would also be important data to collect. |
| What is your licensure? | APRN X RN
Is this practice change within the scope of your nursing practice? YES No By completing and submitting this form, I confirm that I have reviewed my state’s Nurse Practice Act and that the project falls within the scope of my practice. |
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| PICOT | In patients aged 65 years and above with comorbidities residing in long-term care facilities, does the implementation of a formal pressure ulcer prevention program with direct education to staff compared to no formal program affect the incidence of pressure ulcers, identify patients at risk for pressure ulcers, and improve skin care over a 30-day period? | |
| Problem Statement | This study aims to address the high incidence of pressure ulcers in older adults with comorbidities residing in long-term care facilities. Pressure ulcers are a significant health concern, leading to pain, discomfort, and serious complications (Nussbaum et al., 2018). The literature review supports the need for this study, as there is a gap in knowledge regarding the effectiveness of pressure ulcer prevention programs in this population and setting (Nussbaum et al., 2018). The study aims to investigate whether direct education to staff on implementing a formal pressure ulcer prevention program can reduce the incidence of pressure ulcers, identify at-risk patients, and improve skin care. | |
| Purpose Statement | The purpose of this study is to evaluate the effectiveness of a pressure ulcer prevention program among adults over the age of 65 with comorbidities residing in a long-term care facility through the implementation of direct education to staff, using a quantitative, pretest-posttest design, with a target population of 100 participants in a single long care facility in the United States.
The ultimate goal is to improve the quality of care provided in long-term care facilities and enhance the health outcomes of older adults with comorbidities who are at high risk of developing pressure ulcers. |
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Rationale
The rationale for this study is based on the high incidence of pressure ulcers among older adults with comorbidities who reside in long-term care facilities. Pressure ulcers, also known as bedsores or pressure injuries, are a significant health concern for this population, as they can lead to pain, discomfort, and serious complications such as infections and delayed wound healing. Moreover, pressure ulcers is often considered a preventable condition, and their incidence can be an indicator of the quality of care provided in long-term care facilities (Nussbaum et al., 2018). The literature review supports the need for this study, as it reveals a gap in knowledge regarding the effectiveness of pressure ulcer prevention programs in long-term care facilities, particularly among older adults with comorbidities (Beeckman et al., 2019). While several studies have investigated the risk factors and prevention strategies for pressure ulcers, few have focused specifically on this population and setting.
The implementation of a pressure ulcer prevention program in long-term care facilities is crucial to improving the quality of care provided to older adults with comorbidities. Preventing pressure ulcers requires a coordinated effort between staff members, patients, and families. However, this can be challenging in long-term care facilities where staff turnover rates are high, and patients often have complex medical needs. Furthermore, the use of evidence-based practices is crucial in the prevention of pressure ulcers (Nussbaum et al., 2018). However, many long-term care facilities do not have formal pressure ulcer prevention programs in place, and staff may not be adequately trained in best practices.
This study aims to investigate the effectiveness of direct education to staff on the implementation of a formal pressure ulcer prevention program in reducing the incidence of pressure ulcers, identifying patients at risk for pressure ulcers, and improving skin care among older adults with comorbidities in long-term care facilities. By providing direct education to staff on the implementation of a formal pressure ulcer prevention program, this study can help to improve the quality of care provided to older adults with comorbidities in long-term care facilities (Padula & Delarmente, 2019). Moreover, the findings of this study can be used to inform the development of future pressure ulcer prevention programs and policies. Ultimately, this study has the potential to improve the quality of life for older adults with comorbidities in long-term care facilities by reducing the incidence of pressure ulcers and promoting better skin care practices.
References
Beeckman S., De Meyer, D., Verhaeghe, S., & Van Hecke, A. (2019). Knowledge of nurses and nursing assistants about pressure ulcer prevention: A survey in 16 Belgian hospitals using the PUKAT 2.0 tool. Journal of Tissue Viability, 28(2), 59-69. https://doi.org/10.1016/j.jtv.2019.03.002
Nussbaum, S. R., Carter, M. J., Fife, C. E., DaVanzo, J., Haught, R., Nusgart, M., & Cartwright, D. (2018). An economic evaluation of the impact, cost, and Medicare policy implications of chronic nonhealing wounds. Value in Health, 21(1), 27-32. https://doi.org/10.1016/j.jval.2017.07.007
Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital‐acquired pressure injuries in the United States. International Wound Journal, 16(3), 634-640. https://doi.org/10.1111/iwj.13071
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Assessment Description
The purpose of this assignment is to present your final PICOT-D question for your Direct Practice Improvement (DPI) Project to your instructor for any required revisions or changes required before your Final PICOT-D Approval Form submission for in Topic 7.
The submission in Topic 7 will be the final approved PICOT-D to be used in your DPI Project.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Use the “PICOT-D Question Template A Courses,” to complete this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Directions:
Learners are required to submit their revised PICOT-D question to the instructor for review in preparation for their final submission in Topic 7. Please read the instructions carefully as there are a series of steps.
Using the “PICOT-D Question Template A Courses,” complete the PICOT-D question using all templated statements and ensure your primary research articles are listed as directed.
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PICOT-D Question Submission – Rubric
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Population 4.5 points
Criteria Description Population
- Target 4.5 points
A description of population being assessed can be linked to direct practice improvements and is extremely thorough with substantial supporting evidence.
- Acceptable 4.14 points
A description of population being assessed is complete and includes a direct link to practice improvements that can be measured through patient and practice outcomes.
- Approaching 3.96 points
A description of population being assessed is included but lacks a link to direct practice improvements that could be measured through patient and practice outcomes.
- Insufficient 3.6 points
A description of population being assessed is incomplete or incorrect.
- Unsatisfactory 0 points
Intervention 4.5 points
Criteria Description Intervention
- Target 4.5 points
A description of the intervention is extremely thorough with substantial evidence and supporting literature.
- Acceptable 4.14 points
A description of the intervention is complete and includes a sufficient amount of evidence and is supported by literature.
- Approaching 3.96 points
A description of the intervention is included but lacks a sufficient amount of evidence.
- Insufficient 3.6 points
A description of the intervention is incomplete or incorrect
Comparison 4.5 points
Criteria Description Comparison
- Target 4.5 points
A description of the comparison information is extremely thorough with substantial evidence and measurable outcomes.
- Acceptable 4.14 points
A description of the comparison information is complete and includes a sufficient amount of evidence and measurable outcomes.
- Approaching 3.96 points
A description of the comparison information is included but lacks evidence and measurable outcomes.
- Insufficient 3.6 points
A description of the comparison information is incomplete or incorrect.
- Unsatisfactory 0 points
Outcome 4.5 points
Criteria Description Outcome
- Target 4.5 points
A description of the outcome is extremely thorough with substantial evidence.
- Acceptable 4.14 points
A description of the outcome is complete and includes a sufficient amount of evidence.
- Approaching 3.96 points
A description of the outcome is included but lacks evidence.
- Insufficient 3.6 points
A description of the outcomes is incomplete or incorrect.
- Unsatisfactory 0 points
Timeline 4.5 points
Criteria Description Timeline
- Target 4.5 points
A description of the timeline is extremely thorough with substantial evidence.
- Acceptable 4.14 points
A description of the timelines is complete and includes a sufficient amount of evidence.
- Approaching 3.96 points
A description of the timeline is included but lacks evidence.
- Insufficient 3.6 points
A description of the timeline is incomplete or incorrect.
- Unsatisfactory 0 points
A description of the timeline is not included.
Rationale 6.75 points
Criteria Description
Rationale
- Target 6.75 points
A rationale for the selected topic is extremely thorough with substantial evidence.
- Acceptable 6.21 points
A rationale for the selected topic is complete and includes a sufficient amount of evidence.
- Approaching 5.94 points
A rationale for the selected topic is included but lacks evidence.
- Insufficient 5.4 points
A rationale for the selected topic is incomplete or incorrect.
- Unsatisfactory 0 points
Original Research 4.5 points
Criteria Description
Original Research Original research for the PICOT-D is attached.
- Target 4.5 points
Original research for the PICOT-D is attached.
- Acceptable 4.14 points
NA
- Approaching 3.96 points
NA
- Insufficient 3.6 points
NA
- Unsatisfactory 0 points
Paper Format 4.5 points
Criteria Description
Use of appropriate style for the major and assignment
- Target 4.5 points
All format elements are correct.
- Acceptable 4.14 points
Appropriate template is fully used. There are virtually no errors in formatting style.
- Approaching 3.96 points
Appropriate template is used. Formatting is correct, although some minor errors may be present.
- Insufficient 3.6 points
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
- Unsatisfactory 0 points
Mechanics of Writing 3.6 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
- Target 3.6 points
No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.
- Acceptable 3.31 points
Few mechanical errors are present. Suitable language choice and sentence structure are used.
- Approaching 3.17 points
Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
- Insufficient 2.88 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language
Format/Documentation 3.15 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.
- Target 3.15 points
No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.
- Acceptable 2.9 points
Appropriate format and documentation are used with only minor errors.
- Approaching 2.77 points
Appropriate format and documentation are used, although there are some obvious errors.
- Insufficient 2.52 points
Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
- Unsatisfactory 0 points
Total 45 points
