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.
