NRS 493 PICOT Question Paper

Searching for superior evidence in clinical research is always an intimidating task, yet it is a fundamental component of the evidence-based practice (EBP) process. One way nurses can use to streamline and enhance the research process is through the use of the PICOT search strategy. PICOT search strategy connotes a format for creating an effective clinical research question before beginning an evidence search (Granger, 2020). This paper seeks to develop a PICOT question to address the clinical issue of CAUTI prevention and management in medical-surgical units. Specifically, the paper will focus on the creation of a PICOT question, a description of the PICOT problem, a description of nursing intervention, and summarizing the clinical problem and patient outcome.

Creation of PICOT Question

PICOT question is essential in evidence search by helping in structuring the clinical question to ease search and obtaining evidence to solve the clinical problem at hand. It entails means of identifying the terms that should be utilized in searching for pertinent evidence to address the issue at hand (Granger, 2020). The proposed nursing solution in the current EBP project is the adoption of intentional leadership rounding to facilitate the management and prevention of CAUTIs in the medical-surgical units. Consequently, the proposed PICOT question is;

In patients admitted to medical-surgical wards (P), can intentional leadership rounding (I) compared to no intervention (C) manage and prevent CAUTIs (O) in six months (T)?

PICOT Problem

CAUTIs are among the primary healthcare concerns that plague health facilities nationwide affecting the safety and well-being of patients in medical-surgical units. They are associated with dire complications such as sepsis and endocarditis, increased healthcare costs, long hospital stay days, and even death (Mong et al., 2022). Moreover, CAUTIs are linked to a heavy economic burden attributed to the heavy financial load needed in the treatment of infections, which causes a fiscal burden on the healthcare industry.

Evidence-Based Solution

EBP plays a vital role in the healthcare system including promoting safety, quality, and cost-effectiveness of healthcare delivery, leading to positive patient outcomes. Appropriate evidence is crucial in providing directives for managing nursing practice problems. Similarly, obtaining relevant evidence is crucial in guiding nurses about the management of CAUTIs in the medical-surgical units. Proper utilization of evidence leads to positive patient outcomes.

Nursing Intervention

The proposed nursing intervention is the adoption of intentional leadership rounding. According to Auten (2021), intentional leadership rounding is crucial in providing information to caregivers and discussing with nurses particular process issues that may be encumbering progress in addressing CAUTIs in the medical-surgical units.Patient Care

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Patient care is instrumental in informing the decision to manage and prevent CAUTIs in medical-surgical units. CAUTIs prevention and management are essential in avoiding the negative implications of CAUTIs on patients. Also, proper patient care is essential in enhancing patient health outcomes and reducing CAUTIs within medical-surgical units.

Health care Agency

Healthcare agencies are tasked with the obligations of managing individual and population health by adopting various activities such as the development of diagnosis modalities, management of diseases, and treatment mechanisms. In the present project, healthcare agencies need to establish modern ways of managing and preventing CAUTIs in medical-surgical units.

Nursing Practice

The management of CAUTIs among medical-surgical patients is likely to create an important impact on nursing practice such as addressing the overwhelming workload attributed to hospital-acquired infections such as CAUTIs. Nurses have the obligation to champion the safety and quality of care for patients. As such, the management of CAUTIs among medical-surgical patients aligns with this nursing obligation (Shadle et al., 2021). Implementation of the proposed intervention will help nurses to understand different interventions that can be used to reduce vulnerability to patients who are at risk of contracting CAUTIs.

Describe nursing intervention

The proposed nursing intervention is the adoption of intentional leadership rounding in the management and prevention of CAUTIs in the medical-surgical unit. Hedenstrom et al., (2022) define leadership rounding as a process where leaders engage frontline nurses to deliberate on areas of excellence and prospect for improvements regarding CAUTIs management and prevention. Leadership rounding is crucial in providing information to caregivers and discussing with nurses particular process issues that may be encumbering progress in addressing CAUTIs in the medical-surgical units (Auten, 2021). Leadership rounding enhances participation in CAUTI management and prevention programs in the medical-surgical units. Rounds enhance safety culture by supporting the organization’s dedication to safety, identification of hindrances or challenges to be corrected, and enabling leaders to take the views of nurses and use them to inform solutions needed in addressing the problem of CAUTIs.

Summary of Clinical Problem and Patient Outcome

CAUTIs are associated with dire complications such as sepsis and endocarditis, increased healthcare costs, long hospital stay days, and even death. Moreover, CAUTIs are linked to a heavy economic burden attributed to the heavy financial load needed in the treatment of infections, which causes a fiscal burden on the healthcare industry. The adoption of intentional leadership rounding is essential in enhancing safety culture by supporting the organization’s dedication to safety, recognizing hindrances or challenges to be adjusted, and enabling leaders to take the views of nurses and use them to inform solutions needed in addressing the problem of CAUTIs. As a result, positive patient outcomes are realized.

References

Auten, K. (2021). Intentional Leadership Rounds: A Proactive Approach to CAUTI Reduction. American Journal of Infection Control, 49(6), S9. https://doi.org/10.1016/j.ajic.2021.04.035

Granger, B. B. (2020). Life after PICOT: taking the next step in a clinical inquiry project. AACN Advanced Critical Care, 31(1), 92-97. https://doi.org/10.4037/aacnacc2020986

Hedenstrom, M., Harrison, A., Heath, M., & Dyess, S. (2022). “What’s Old Is New Again”: Innovative Health Care Leader Rounding—A Strategy to Foster Connection. Nurse Leader, 20(4), 366-370. https://doi.org/10.1016/j.mnl.2022.05.005

Mong, I., Ramoo, V., Ponnampalavanar, S., Chong, M. C., & Wan Nawawi, W. N. F. (2022). Knowledge, attitude, and practice in relation to catheter‐associated urinary tract infection (CAUTI) prevention: A cross‐sectional study. Journal of clinical nursing, 31(1-2), 209-219. https://doi.org/10.1111/jocn.15899

Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A bundle-based approach to prevent catheter-associated urinary tract infections in the intensive care unit. Critical Care Nurse, 41(2), 62-71. https://doi.org/10.4037/ccn2021934

NRS 493 PICOT Question Paper