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Concept explainers
To determine:
The nursing staff on Rick’s surgical unit have been reviewing their patients’ medical records and see a steady increase in the incidence of catheter-acquired urinary tract infections in patients over the last 3 months. The staff agrees to look into the current practice guidelines about the prevention of CAUTIs and determine if a change in practice is indicated. The appropriate PICOT question for this group and identify each part of the PICOT question.
Concept introduction:
PICOT is an evidence-based practice question which has five elements that give a clear evidence of scientific articles. This PICOT is a question which is focused on the nursing research. The well-organized question should not contain all of the following sequences of PICOT, but it has all the evidence of clinical research.
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Explanation of Solution
PICOT question is the initial step in the evidence-based practice. P refers to a patient population of interest, C refers comparison of interest, O refers outcome of the intervention, and T refers to time. Some questions are evaluated without answering I, C and T elements. Many of the PICOT questions has only the P and O, but good research studies have to find out all the possible answer from this PICOT question. Nurse investigate the clinical problem and then create a PICOT question.
In this clinical application, P refers to Rick, patient. O refers to the incidence of catheter- acquired urinary tract infections. I refer the current practices which prevent the catheter-acquired urinary tract infection. C refers the comparison of the incidence of urinary infection over the last 3 months without treatment and after treatment. T refers the current time during the prevention of urinary tract infection.
Thus a PICOT question develops to all clinical application, but it is not necessary to answer all elements in a PICOT question. The PICOT question helps to collect them all possible information about the clinical case study by asking relevant questions.
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Chapter 5 Solutions
Fundamentals of Nursing, 9e
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