NRS 550 Evidence-Based Practice Project Proposal PICOT

Paper Instructions

Assessment Description

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting a population of focus.

The purpose of this assignment is to complete your PICOT for your selected nursing practice problem. Refer to the Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem assignment from Topic 1 to complete this assignment. If your nursing practice problem or PICOT required revision, include those revisions in this assignment. The final PICOT you develop in this assignment will provide the framework for developing your evidence-based practice project proposal. Use the “PICOT Final” template to complete this assignment.

Refer to “Evidence-Based Practice Project Proposal – Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

You are required to cite four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Attachments

  • NUR-550-RS3-EBP PICOT Final.docx
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Elderly patients in long-term care facilities (LTCF) are prone to falls resulting in fall-related complications like morbidities and even mortalities. In their study, Albasha et al. (2023) observe that residents in long-term care facilities (LTCF) are susceptible to falls and sustaining fall-related injuries because of their frailty and vulnerability, which lead to comorbidities, disabilities, and reduced functional capacity.

As such, this PICOT final paper focuses on developing a PICOT question focusing on reducing falls and fall-related injuries in the selected patient population through hourly rounding protocols combined with structured fall prevention education that includes training patients and staff on fall risk factors and prevention strategies.

PICOT Question

P Population Elderly patients aged 65 years in long-term care facilities

I Intervention Hourly rounding protocols combined with structured fall prevention education

C Comparison Standard care practices in LTCF

O Outcome Reduce falls and fall-related injuries by 60%

T Timeframe Three months

PICOT

Create a complete PICOT statement. Among elderly patients aged 65 and above in long-term care facilities (P), do hourly rounding protocols combined with structured fall prevention education (I) compared to standard care practices (C) reduce falls and fall-related injuries by 40% (O) within three months (T)?

Problem Statement

Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.

Falls and fall-related injuries among elderly patients in long-term care facilities are a patient safety concern in nursing practice because of their increased prevalence (Marcum et al., 2023). Albasha et al. (2023) found that close to 50% of older residents in LTCF experience falls every year with 40% falling recurrently.

Again, Komisar et al. (2022) demonstrate the increased susceptibility of older patients in these facilities to falls and fall-related injuries. The article suggests the importance of enhancing patient education and staff knowledge of evidence-based practice strategies to reduce and prevent fall occurrence in these settings.

As such, implementing interventions like hourly rounding combined with education on risk factors for patients and nursing staff is important to reduce and prevent the prevalence and susceptibility of the selected patient population (Heng et al., 2020).

References

  • Albasha, N., Curtin, C., McCullagh, R., Cornally, N., & Timmons, S. (2023). Staff’s insights into fall
    prevention solutions in long-term care facilities a cross-sectional study. BMC Geriatrics, 23(1) 738. DOI https //doi.org/10.1186/s12877-023-04435-7
    Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A.-M., & Morris, M. E. (2020). Hospital falls prevention
    with patient education A scoping review. BMC Geriatrics, 20(1), 1–12.
    https //doi.org/10.1186/s12877-020-01515-w
  • Komisar, V., Dojnov, A., Yang, Y., Shishov, N., Chong, H., Yu, Y., … & Robinovitch, S. N. (2022). Injuries
    from falls by older adults in long-term care captured on video prevalence of impacts and injuries to body parts. BMC Geriatrics, 22(1) 343. DOI https //doi.org/10.1186/s12877-022-03041-3
  • Marcum, Z. A., Dai, Z., & Tan, E. C. (2023). Prevalence and risk factors for falls and fall‐related injuries in the
    2018 National Post‐acute and Long‐term Care Study. Journal of the American Geriatrics Society, 71(1) 276. DOI 10.1111/jgs.18014

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