NURS2006: Clinical Governance and Practice Development

Assessment #1: Developing a PICOT question (Graded)

Assessment 1 is 1000 words only and is worth 25% of the final grade. This assignment requires you to construct a searchable question. Asking the right question is an important start to finding the information needed to inform clinical practice. Structuring the question is the first step of EBP process. Vague, broad, poorly framed questions will most likely result in lost time and an inability to locate useful evidence. As asking a specific and focused question enables the development of relevant keywords and an effective search strategy.

The 'Population, Intervention, Comparison (if appropriate), Outcome, Time (if appropriate)' method should be used to structure the question.

Construct a searchable question related to one of the following topics,

Blood pressure monitoring measurements taken over clothing Electronic vs Manual

CAUTION

Bladder training

Silver impregnated catheter Intermittent catheterization Cranberry juice

Central Venous Catheter infection

Catheter change Antibiotic locks

Chronic Back pain

Acupressure Exercise

Dementia

psychosocial interventions such as counselling, psychotherapy, cognitive behavioural therapy

Music therapy

DVT management

Non-pharmacological interventions TED stockings

Early mobilization Electronic Health Records Falls prevention

Bed rails Restraints Sensors Exercise

Intravenous cannulation

Routine cannula replacement use of vapocoolants

hypnosis for needle-related pain topical anaesthetics

bedside ultrasound.

Nitro-glycerine ointments Near-infrared light devices

Medication Errors

electronic medication management system

Work-related fatigue 12hr shift

Mental health

cognitive behaviour therapy canine-assisted therapy animal-assisted therapy natural sunlight

Osteoarthritis

Hydrotherapy

land-based exercise turmeric tea

Palliative care

Early Referral

Pain management

PCA

Pressure injuries

Nutrition Dressing changes

Pressure- relieving devices Mobilizing

Risk assessments

Negative pressure wound therapy Massage therapy

Electromagnetic therapy Hyperbaric oxygen therapy Repositioning

Antibiotics and antiseptics Standard mattress

Air Beds

Preoperative skin preparation

antiseptic agents such as iodine, Chlorhexidine gluconate

Post-operative

Early mobilisation

Long term urinary catheters

Routine changing of indwelling catheters

Bladder wash

Labour Pain

prenatal yoga

Re admissions

Smart phone

Skin Tears preventions

Repositioning Bed rails

Maintaining skin integrity Comprehensive risk assessment

Smoke cessation

Nicotine replacement therapy Mobile phone intervention hypnotherapy

Surgical site infection

Pre-operative hair removal Chlorohexidine bath

Ventilator associated pneumonia

Nurse patient ratio

Wounds

Negative pressure therapy Hyperbaric oxygen therapy Hydrocolloid dressing Antimicrobial dressing Wound packing

Objectives being assessed

LO1- Apply evidence-based practice (EBP) in the provision of patient care

LO2- Formulate a clinical question to yield the most relevant and best evidence LO4- Analyse the impact of clinical governance on efficiency and practice standards

Your assignment must adhere to the following format:

• Adhere to all overall writing guidelines outlined in marking rubric
• Specifically use 1.5 spacing, font size 11-12, writing in 3rd person.
• Correct use of APA for intext referencing and Reference List
• Word count includes references in the Assignment but NOT the Reference List

Task

• Choose ONE of the topics and describe a clinical problem that is relevant to the selected topic
• Formulate an answerable clinical question that is relevant to the clinical problem selected.
• The clinical question will form the focus of assignment 2, and 3. The 'Population, Intervention, Comparison, Outcome, Time (PICOT) method should be used to structure the question. Discussion/ ideas needs to be supported with relevant literature.
• Remember the purpose of this assignment is NOT about answering your PICOT question in your clinical problem.

Assignment Format

You must present your assignment 1 using the following headings

Introduction: (100 words)

The introduction should catch the reader’s attention in an interesting way about what will be discussed in the paper and the viewpoint taken in the paper.

The Introduction:

• introduces the topic of the assignment in context
• explains the problem and/or motivation for the assignment
• briefly outlines the aim/ purpose and the structure of the assignment

Potential clinical problem (500 words)

Clinical nursing problems selected for inquiry are generally those encountered in nursing practice and those that deal with modalities of patient care such as support, comfort, prevention of trauma, promotion of recovery, health screening, appraisal and/or assessment, health education, and coordination of health care.

• Provide a clear and concise description of a potential clinical problem and its significance- supported with relevant literature.

Clinical Question (300 words)

The discussion should include

• State the clinical question using PICOT format and discuss the elements in your PICOT question.
• Provide a rationale for the selection of this question for the development of clinical practice or professional knowledge or research

Conclusion: (100 words)

Summarise the major points concisely and constructively but do not introduce new ideas/ literature or direct quotes.

References

Present on a new page and use the correct APA reference style.

• Use at least eight (8) reference sources in total (up to 6 references from the NURS2006 modules can be used)
• ALL texts must be of academic standards, such as a journal article, textbook, textbook chapter, or conference paper proceeding. Assess the quality of content in web sources very carefully.
• Do not cite or reference the module. You may cite and reference the readings linked to the module.
• Use in-text citations to identify other people’s ideas and words. These in-text citations must follow the APA (6th ed.) referencing style.
• Quotes must be in quotation marks and the in-text citation for quotes must include the page number.