Description
Orginal Post: My focus is on the clinical issue of medication errors in nursing practice. This is because it is an important topic that has a direct impact on the well-being of patients and the outcomes of their care (Polit & Beck, 2022). Medication errors take place whenever there is a failure in the process of prescribing, dispensing, or giving medication to a patient, which results in unintended harm to the patient. This matter is quite troubling due to the fact that it may result in unfavorable impacts, extended hospital admissions, and even fatalities.
I have selected medication errors as the focus of my study due to their severe implications on patient safety. Nurses fulfill a vital function in the administration of medications, rendering them an essential part of the prevention of such errors. For appropriate patient care, medical professionals must play a role in determining that each individual receives precisely the right amount of the correct prescription at the fitting moment. In the healthcare industry, it is common practice to observe patients receiving incorrect medication. The results that could occur are always quite serious, such as allergic responses, and put a person’s life in danger. It is crucial that we solve this problem to both better patient treatment results and lessen the chance of potential harm, as finding an answer is necessary to enhance outcomes and lower risks.
Moreover, this is a critical nursing issue because nurses are the last line of defense in the fight against the occurrence of drug errors. They are accountable for ensuring that prescription orders are accurate, identifying whether or not any patients have an allergy, and safely carrying out the drug administration process. According to Alqenae et al. (2020) article, medication errors are far too common in clinical settings. This study’s results highlight how nurses can decrease the risks of medication faults while making certain patients obtain all the medicines prescribed for their care. Focusing on this clinical issue enables nurses to contribute to improving the quality of patient care and care outcomes.
Population: Healthcare workers (Nurses)
Influence: Concentration on medication administration, treatments, patient’s allergies, and rights.
Comparison: Multitasking/ lack of focus
Outcome: Fewer medication errors, improved patient-centered care
PICO QUESTION: Amongst healthcare workers, specifically nurses (P), would sole concentration on medication administration, treatments, and patient’s rights (I) compared to multitasking (C) decrease medication errors and ultimately improve patient-centered care (O)?
References
Alqenae, F. A., Steinke, D., & Keers, R. N. (2020). Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Drug safety, 43, 517-537.
Polit, F. D., & Beck, T. C. (2022). Essentials of nursing research: Appraising evidence for nursing practice (10th Ed.). Lippincott Williams & Wilkins.
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First download the PICO and Evidence Paper Template (attached) You will use this to create your paper. The basic APA features are done for you. On the title page please type in your name and the date only.
You will be required to complete the following
In this template please use Times New Roman 12 Font. As the paper template is in this font. It must be used throughout the whole paper.
Use double spacing for the entire paper.
Citations must be appropriate, meaning you need to paraphrase. Using the author’s ideas BUT putting them in your own words. Then you cite (author, and year).
Direct quotes should be used minimally. No more than 3 direct quotes can be used in this paper. When you use a direct quote you must have quotation marks around the words and a citation after with (author, year, and page number). See pages 270-272 in your APA 7th edition manual.
References (should be on a separate page using APA formatting. Please see examples of journal references and book references in your APA 7th edition manual pages 317-324.
This is a professional paper so refrain from using I/me/my/our statements
Assignment Questions
Use the required PICO and Evidence Paper Template. As a reminder this paper must be written in paragraph form. The only exception to not writing in paragraph form is your PICO elements.
Please answer the following:
Under the title of the paper on page 2, write your introductory paragraph. Do not use the heading “Introduction”. Please state what this paper is about (one paragraph).
Under the heading “Clinical Nursing Issue,” explain why you chose this issue and why it is a current problem. (Provide one piece of research evidence to backup that this problem exists)
Under the same heading “Clinical Nursing Issue,” explain why it is significant to nursing (Prove this is not just a general problem but that there is evidence to support how this relates to nursing with one research study)
Write out your PICO Elements
Write out your PICO Question
Under the heading ” Search Strategy Conducted,” explain which electronic databases you will use to find your evidence. Using your PICO question, develop four search terms to retrieve your evidence within the databases. (One paragraph)
Identify one planned intervention/solution to your problem, and in your own words provide the research evidence that tests your hypothesis (Use one research study)
Conclusion (summarize the paper and what you learned in one paragraph)
References
Alqenae, F. A., Steinke, D., & Keers, R. N. (2020). Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Drug safety, 43, 517-537.
Polit, F. D., & Beck, T. C. (2022). Essentials of nursing research: Appraising evidence for nursing practice (10th Ed.). Lippincott Williams & Wilkins.
Unformatted Attachment Preview
1
PICO and Evidence Paper
Name
School of Nursing and Allied Health, SUNY Empire State College
NURS 3025: Nursing Research
Dr. Kimberly Balko
Date
5/21 KB
2
PICO and Evidence Paper
Clinical Nursing Issue
Significance of the Problem to Nursing
3
One Intervention/Solution to the Problem
PICO Elements
•
Population (P):
•
Intervention (I):
•
Comparison (C):
•
Outcome (O):
PICO Question
4
Search Strategy Conducted
Conclusion
5
References
TABLE 1.3: Question Templates for Clinical Questions: PICO
Type of Question
PICO Question Template
(Questions With an Explicit
Comparison)
Therapy/treatment/
intervention
In __________ (Population),
what is the effect of
__________ (Intervention), in
comparison to
__________ (Comparative/
alternative intervention), on
__________ (Outcome)?
Diagnosis/assessment
For __________ (Population),
does
__________ (Identifying tool/
procedure) yield more accurate
or more appropriate diagnostic/
assessment information than
__________ (Comparative tool/
procedure) about
__________ (Outcome)?
Prognosis
In __________ (Population),
does
__________
(Influence/exposure to disease
or condition), relative to
__________ (Comparative
disease/
condition OR absence of the
disease/
condition) increase the risk of
__________ (Outcome)?
Etiology/harm
In __________ (Population),
does
__________
(Influence/exposure/
characteristic) compared to
__________ (Comparative
influence/
exposure OR lack of influence or
exposure) increase the risk of
__________ (Outcome)?
Sources of Research Problems
Your research problem can come from several areas for example:
• Clinical practice
• Education experiences
• Feedback from patients or personal experiences
• Professional literature
• Quality Improvement
• Social Issues
• Research reports
Type of Question Definitions
Therapy/treatment/intervention: questions that ask what intervention/therapy/treatment most
effectively leads to an outcome.
Diagnosis/assessment: questions that ask what mechanism or test most accurately diagnoses an
outcome.
Prognosis: questions that ask what indicators are most predictive of or carry the most associated risk
for an outcome.
Etiology/harm: questions that ask to what extent a factor, process, or condition is highly associated
with an outcome, usually undesirable.
Reference: Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and
healthcare: A guide to best practice (4th.ed). Wolters Kluwer
Definition of each PICO Element
P: the population or patients (What are the key characteristics of the patients or people?)
I: the intervention, influence, or exposure (What is the intervention or therapy of interest? or,
What is a potentially beneficial-or harmful-influence?)
C: an explicit Comparison to the “I” component (With what is the intervention or influence
being compared?)
O: the Outcome (What is the outcome in which we are interested?
Examples of PICO Elements and Questions
Example A
PICO elements are created first, please review the definitions above and start like this:
P: Psychiatric patients who currently smoke
I: having smoke cessation education
C: no smoke cessation education
O: increase the desire to quit
From these elements you create the question like this:
Among psychiatric patients who are active smokers (P) does the administration of smoke cessation
education(I) compared to patients that do not receive smoke cessation education (C) impact the desire
to quit (O)
Example B
Elements
P: cardiac surgery procedures performed
I: multidisciplinary rounds
C: no multidisciplinary rounding
O: decrease the length of stay post-operatively
Question
Among 60+ and older patients who have cardiac surgery procedures performed (P), does
multidisciplinary rounds (I) compared to no multidisciplinary rounding (C) decrease the length
of stay of these patients post-operatively?
Example C
Elements
P (Population): immobile patients 75 or older on an inpatient unit
I (Intervention): Implementation of turn teams that work to reposition immobile patients
C (Comparison): Turn teams versus No turn teams
O (Outcome): Number of pressure ulcer injuries resulting from long-term inpatient stays (stage 1
or higher)
Question
Among immobile patients aged 75 or older, what is the effect of implementing turn teams on incidences
of pressure ulcer formation compared to no turn teams to decrease the formation of pressure ulcers?
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