Problem statement (picot)

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 Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. 

 

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assessment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course.

First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.

 

Preparations

  • Read Guiding Questions: Problem Statement (PICOT) [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • As you reflect on your work in the field, what population do you feel has the greatest need? Why? Is the need across the population, or within a specific setting?
    • What interventions already exist for the selected population? Are they effective? Why or why not?
    • How will site support from your practicum and your preceptor support your goals and objectives?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked above) to better understand how each criterion will be assessed.

Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.

Your Problem Statement (PICOT) should be structured as follows:

PART 1: PROBLEM STATEMENT (2–3 PAGES)

Need Statement (1 paragraph).

  • Analyze a health promotion, quality improvement, prevention, education or management need.

Population and Setting (1–2 paragraphs).

  • Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).

  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1–2 paragraphs).

  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).

  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).

  • Propose a rough time frame for the development and implementation of an intervention to address and identified need.

PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)

  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
  • Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.

ADDRESS GENERALLY THROUGHOUT

  • Communicate problem statement and literature review in way that helps the audience understand the importance and validity of a proposed project.

 

Additional Requirements
  • Length of submission: 5–9 double-spaced pages.
  • Number of resources: 10–15 resources. (Your final project summation will require 12–18 unique sources across all sections.)
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
  • Font and font size: Times New Roman, 12 point.

 

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
    • Explain an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting.
  • Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
    • Analyze a health promotion, quality improvement, prevention, education, or management need.
    • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
  • Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
    • Describe a quality improvement method that could impact a patient, population, or systems outcome.
  • Competency 4: Design patient- and population-centered care to improve health outcomes.
    • Propose a rough time frame for the development and implementation of an intervention to address an identified need.
  • Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
    • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
  • Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
    • Evaluate and synthesize resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need.
  • Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
    • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Note: You will also be assessed on two additional criteria unaligned to a course competency:

  • Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project.
  • Demonstrate completion of hours toward the practicum experience.

GRADING SCALE:

1)  Analyze a health promotion, quality improvement, prevention, education, or management need. 

Passing Grade:  Analyzes a health promotion, quality improvement, prevention, education, or management need, and identifies assumptions on which the analysis is based. 

2)  Describe a quality improvement method that could impact a patient, population, or systems outcome. 

Passing Grade:  Describes a quality improvement method that could impact a patient, population, or systems outcome, and identifies potential challenges of working on the identified need with the target population and setting. 

3)  Explain an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting. 

Passing Grade:  Explains an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting, impartially acknowledging weaknesses in each intervention. 

4)  Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. 

Passing Grade:  Analyzes potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting, impartially acknowledging weaknesses in each alternative. 

5)  Define an outcome related to a health policy that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need. 

Passing Grade:  Defines an outcome related to a health policy that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need, and identifies criteria that could be used to evaluate achievement of the outcome. 

6)  Propose a rough time frame for the development and implementation of an intervention to address an identified need. 

Passing Grade:  Proposes a rough time frame for the development and implementation of an intervention to address an identified need, and identifies areas of uncertainty or knowledge gaps that could affect the time frame. 

7)  Analyze current evidence to validate an identified need and its appropriateness within the target population and setting. 

Passing Grade:  Analyzes current evidence to validate an identified need and its appropriateness within the target population and setting, and evaluates the relevance, currency, sufficiency, and trustworthiness of the evidence. 

8)   Evaluate and synthesize resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need. 

Passing Grade:  Evaluates and synthesizes resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need, and identifies missing information related to health policy. 

9)  Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project. 

Passing Grade:  Communicates problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project. Grammar, punctuation, spelling, and citations are error-free. 

10)   Demonstrate completion of hours toward the practicum experience. 

Passing Grade:  Demonstrates completion of hours toward the practicum experience, and provides a clear and concise description of the focus of the clinical hours and alignment to the capstone project. 

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NURS-FPX6030 Assessment 1

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NURS-FPX6030 Assessment 1

Guiding Questions

Problem Statement (PICOT)

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Problem Statement (PICOT) assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Part 1: Problem Statement

Need Statement

Analyze a health promotion, quality improvement, prevention, education, or management need.

· What type of need is your project trying to address?

· Why is addressing this need important?

· What are one or more key pieces of evidence that support the urgency of the need?

Population and Setting
Describe a target population and setting in which an identified need will be addressed.

· What is the population you will be targeting with your project?

· Why is it important to address your identified need within this population?

· What is the setting you will be targeting with your project?

· Why is it important to address your identified need and target population within this setting?

Intervention Overview

Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

· What interventions could be applied to your identified need?

· How well do the interventions fit your target population?

· How well do the interventions fit your target setting?

· How well do the interventions address your identified need?

Comparison of Approaches

Analyze potential interprofessional alternatives to an initial intervention overview with regard to their possibilities to meet the needs of the project, population, and setting.

· Discuss one or more alternatives to the intervention(s) presented in your Intervention Overview.

· How do the alternatives encourage interprofessional care approaches compared to the interventions in your overview?

· How well do the alternatives fit your target population compared to the interventions in your overview?

· How well do the alternatives fit your target setting compared to the interventions in your overview?

· How well do the alternatives address your identified need compared to the interventions in your overview?

Initial Outcome Draft

Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

· What is one outcome (or goal) that you want to achieve with your intervention and project?

· How does this outcome illustrate the purpose of your intervention and project?

· How does this outcome illustrate what you hope to accomplish with your intervention and project?

· How does this outcome establish a framework that can be used to achieve an improvement in the quality, safety, or experience of care?

Time Estimate

Propose a rough time frame for the development and implementation of an intervention to address an identified need.

· What is a rough time frame for developing your intervention?

· Is this time frame realistic?

· What potential challenges may impact this time frame?

· What is a rough time frame for implementing your intervention?

· Is this time frame realistic?

· What potential challenges may impact this time frame?

Part 2: Literature Review

Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.

· How does the evidence validate your identified need?

· How does the evidence support the appropriateness of attempting to address your identified need within your target population?

· How does the evidence support the appropriateness of attempting to address your identified need within your target setting?

Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.

· What health policy exists that is relevant to your identified need?

· How will this health policy impact the way to try to address your identified need?

· In other words, are there considerations that you need to be sure you include or approaches that will be unavailable to you based on policy, as you continue to develop your project?

· Remember: In this literature review you are expected to have addressed 10–15 unique resources.

Address Generally Throughout
Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project.

· Is your writing clear and professional?

· Does your writing effectively communicate your problem statement?

· Does your writing effectively communicate your literature review?

· Is your writing free from errors?

· Is your submission 5–9 pages?

· Does your submission conform to current APA style standards?

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