Chamberlain College of Nursing NR439 PPE Worksheet
Problem/PICOT/Evidence Search (PPE) Worksheet
Name:
Date:
Criteria
I have been a nurse for 13 years now, I have worked in both acute and long-term facilities with mostly adult patients. My experience has exposed me to many challenges and problems but the one that is very common with all these facilities is pressure ulcers.
Pressure ulcers are also known as bedsores. They are localized damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of usually long-term pressure, or pressure in combination with shear or friction. Pressure ulcers may develop from stage one to four during which a great deal of pain may be inflicted on the patient.
The most common sites for pressure ulcers are the sacrum, coccyx, heels, and hips. Other sites which are not common include elbows, knees, ankles, back of shoulders, or the back of the cranium. Pressure ulcers happen as a result of continuously applied pressure to soft tissues that completely or partially obstructs blood flow to the soft tissue. Shear can also cause pressure ulcers as it pulls on blood vessels that feed the skin. Pressure ulcers are common with patients on bed rest and wheelchair bound. Pressure ulcers can be very difficult to prevent in critically ill people, frail elders, and individuals with impaired mobility.
Pressure ulcers in progression can become septic thereby becoming a life-threatening issue. Repositioning a patient every 1-2 hours using a pillow to pressure spot may assist with the prevention of pressure ulcers. When a wound developed, hydrocolloid or hydro-cellular foam dressing may be used and thus leaving the question of which one is more efficient in wound healing and progression. Other treatments like anabolic steroids, negative pressure wound therapy, phototherapy, and debridement can also be used. The importance of picking this nursing problem lies in the severity of the problem.
Clinical Nursing Practice Problem
Select and identify ONLY
one
quality
or
safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.
Clinical Nursing
PICOT Question
Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines,
write out
your PICOT question.
Include the PICOT letters in your question.
In long term care facilities, will geriatric patients who are bedridden ages sixty-five and older with pressure ulcer (P), will hydrocolloid wound dressing (I) be more effective in wound healing (O) compared to hydro-cellular foam dressing (C) over 30 days?
Define PICOT Elements
Define each of the PICOT elements from your question above.
P- (patient population/patients of interest): Long-term care geriatric patients with pressure ulcers.
Chamberlain College of Nursing NR439 PPE Worksheet
Name:
Date:
Problem/PICOT/Evidence Search (PPE) Worksheet
Criteria
Clinical Nursing Practice Problem
Select and identify ONLY
one
quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.
Clinical Nursing
PICOT Question
Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines,
write out
your PICOT question.
Include the PICOT letters in your question.
Define PICOT Elements
Define each of the PICOT elements from your question above.
P- (patient population/patients of interest):
I- (Intervention):
C- (Comparison):
O- (Measurable outcome):
T- (Time frame in months):
Evidence Retrieval Process and Summary
Using only the Chamberlain College of Nursing library:
(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen nursing practice problem.
(2) Explain why you chose the evidence
(3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource)
(4) Evidence must be published within the last 10 years
(5) Provides the permalink
Implications of the Evidence
Summarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research project on the nursing practice problem.
Evidence Search Terms
Identify 4 (or more) relevant searchable terms you used for your search for evidence.
Evidence Search
Strategies
Select 4 (or more) relevant search strategies you used to narrow/limit your search for
evidence.
____ Full text
____ Boolean Operators/Phrase
____ Selected publication dates within last 10 years
____ Subject, title, or author search box
____ Truncation (used an asterisk * at the beginning or end of a word)
____ Academic or scholarly (Peer Reviewed) journals
____ Quotation marks for key words
____ Selected key terms from PICOT question
____ Others: (list below): ____________________________________________
NR439 PICOT Worksheet 5/2019 ST
1
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