PICOT - Nursing
TOPIC:
Early mobility and fall prevention or reduction in length of stay (Critical Care)
PICOT sample questions (3) in the last page after references.
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PICOT Question Paper
PICOT Question Paper
The purpose of this paper is to address the topic of student success on a nursing research course assignment, addressed through PICOT questions. Nursing student success is fostered through faculty’s quality instruction and feedback (Rolf, Kroposki, & Watson, 2019). Included in this paper is a discussion of the use of faculty review of student work prior to submission of an assignment. PICOT questions are provided to address how this might improve student success.
Background
Khoza and Mathevula (2014) asserted that the transition to nursing courses is challenging for students and that faculty support can facilitate student adaptation. Students’ motivation and self-esteem are enhanced when the instructor provides guidance on assignments, especially when the topic is new to the student (Khoza & Mathevula, 2014). Khoza and Methevula (2014) also stated that an understanding of the challenges students face by faculty members can be demonstrated in the classroom and will foster student success. Providing clear instructions and outlining expectations for students demonstrates understanding and empathy.
Feedback provided on written assignments as a part of the grading process may be perceived as a focus on mistakes and has been linked to negative reactions reported by college students (Baker & Zuvela, 2013). Baker and Zuvela (2013) presented the concept of feedforward, which is a strategy that allows students to take advantage of instructors’ advice prior to completing an assignment. This allows students to have a clear understanding of what the expectations are for an assignment. Feedforward strategies have been linked to student success and include the use of exemplars, demonstrated through this paper.
Significance to Nursing
The key to addressing the nursing shortage internationally is to retain students in nursing programs and facilitate nursing student completion (Walker, 2016). Retaining nursing students is dependent on assisting them to survive the rigors of nursing education. Walker (2016) noted the importance of nursing student success and retention of nursing students to not only the individual students and nurse educators, but also the members of society overall. The nursing shortage has no projected end and the need for nurses is anticipated to continue to grow (Walker, 2016).
Success on individual assignments contributes to nursing students’ engagement in their program and self-confidence (Khoza & Mathevula, 2014). This confidence can then be transferred to their success in all courses and, eventually, success on the National Council Licensure Examination (NCLEX), which is required of all nurses seeking to practice as professional nurses in the United States. Combatting the nursing shortage through student success and retention starts with student success on individual assignments within a nursing program. This success can be fostered by nursing faculty through the use of the feedforward technique.
PICOT Questions
The PICOT model provides the opportunity to focus questions on specific interventions and how those interventions may lead to specific outcomes (Schmidt & Brown, 2015). Three PICOT questions are presented here, focused on the topic of the feedforward technique as it relates to student success and on students’ motivation to participate.
1. For students in an NUR 350 course, does faculty review of PICOT questions prior to the students’ completion of the assignment as compared to no review influence student grades on the assignment during Week 2 of the course?
2. For students in an NUR 350 course, does placing an Announcement in the course about faculty review of PICOT questions as compared to sending an email to students influence the number of students submitting PICOT questions to the faculty during Week 2 of the course?
3. For students in an NUR 350 course, does placing an Announcement in the course about faculty review of PICOT questions as compared to sending a Remind text to students influence the number of students submitting PICOT questions to the faculty during Week 2 of the course?
Conclusion
Student success and retention in a nursing program have been identified as important factors in addressing the nursing shortage (Walker, 2016). Student engagement and studentfaculty communication are linked to student retention (Khoza & Mathevula, 2014). Baker and Zuvela (2013) identified the feedforward technique as a means to increase student engagement and self-confidence, leading to increased retention. This paper presented PICOT questions examining the use of the feedforward technique to allow students to feel positive about interactions with faculty and confident about their ability to complete an assignment in an NUR 350 course.
References
Baker, D. J., & Zuvela, D. (2013). Feedforward strategies in the first-year experience of online and distributed learning environments. Assessment & Evaluation in Higher Education, 38(6), 687–697. https://doiorg.westcoastuniversity.idm.oclc.org/10.1080/02602938.2012.691153
Rolf, M., Kroposki, M., & Watson, S. (2019). Quantitative evaluation of variables to student success in a mastery learning baccalaureate nursing programme. Nursing Open, 6(3), 959-
965. http://dx.doi.org.westcoastuniversity.idm.oclc.org/10.1002/nop2.278
Schmidt, N.A., Brown, J.M. (2015). Evidence-Based Practice for Nurses. (3rd ed). Sudbury,
MA: Jones & Bartlett Learning
Walker, L. P. (2016). A Bridge to Success: A Nursing Student Success Strategies Improvement
Course. Journal of Nursing Education, 55(8), 450-453.
http://dx.doi.org.westcoastuniversity.idm.oclc.org/10.3928/01484834-20160715-05
You need an introductory paragraph. This introductory paragraph should give a brief description of the topic and background information. YOU MUST CITE SOURCES for the information.
The next paragraph or two should explain how this is important to nursing. Imagine someone next to you asking "why?" and how you'd explain it to them. It is not enough to say "this is important to nursing." But, you can say that the topic of x is important to nursing because... (why is the outcome important? falls contribute to increased time in the acute care setting, increased costs, etc.; better patient satisfaction leads to increased reimbursement, etc.; decreased pain contributes to increased mobility, faster recovery, fewer pulmonary complications;) YOU MUST CITE SOURCES for the information you provide.
Then provide your PICOT questions.
Then include a short conclusion paragraph that SUMMARIZES the information for the reader. This should take up 2-3 pages (the whole paper, not the conclusion - the conclusion is one paragraph). If you have less than two pages, you might not have all of the information included.
USE APA FORMATTING - use the sample APA paper and your APA manual for guidance.
Be succinct, be scholarly, DO NOT USE FIRST PERSON (you should NOT say, "I chose this topic..." - no first person.
How many sources do you need? I would say that you need at least two - you need support for the background and support for why this is important to nursing. You may need more - you need what you need to explain the topic!
I have attached an example paper. This is for your review only. Do not share it outside of this classroom.
TOPIC: Early mobility and fall prevention or reduction in length of stay (Critical Care)
PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence:
P = Patient population
I = Intervention or issue of interest
C = Comparison of interventions or comparison of interests
O = Outcome
T = Time frame
For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.
Using this PICOT model,
In _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?
Example: In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?
Assignment Directions
Begin by selecting an interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions.
Include the following:
· Title page
· Provide a brief description of the topic and background information.
· Explain the significance of the topic to nursing practice.
· Provide 3 clearly stated PICOT questions.
Your paper should:
· Be 2–3 pages (not including the title page and reference page)
· Use current APA format to style your paper and to cite your sources.
Review the rubric for further information on how your assignment will be graded.
Rubric
NURS_350_OL - NURS 350- The Clinical Issue and Research Questions Developed Using PICOT
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeTopic/ Relevance to Nursing
33 to >29.37 pts
Meets or Exceeds Expectations
A clear and succinct description of the topic is presented. Background information is relevant and specific to the topic. The significance of the topic to nursing practice is explained clearly and is supported with examples.
29.37 to >24.75 pts
Mostly Meets Expectations
A description of the topic is presented but may be ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained and may not be supported with examples.
24.75 to >19.47 pts
Below Expectations
A description of the topic is presented but is ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained but is not supported with examples.
19.47 to >0 pts
Does Not Meet Expectations
An unclear description of the topic is presented or is missing. No background information is provided. The significance of the topic to nursing practice is not explained.
33 pts
This criterion is linked to a Learning OutcomePICOT Research Questions
33 to >29.37 pts
Meets or Exceeds Expectations
All research questions are accurately framed as complete PICOT questions. PICOT questions provide a clear and specific focus for research within the topic.
29.37 to >24.75 pts
Mostly Meets Expectations
Only some research questions are framed as PICOT questions, or some PICOT questions are incomplete. PICOT questions provide a vague or unclear focus for research that may not be within the topic.
24.75 to >19.47 pts
Below Expectations
Few questions are framed as PICOT questions, or are incomplete. PICOT questions provide a vague or unclear focus for research that is not within the topic.
19.47 to >0 pts
Does Not Meet Expectations
Research questions are missing or are not framed as PICOT questions.
33 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
34 to >30.26 pts
Meets or Exceeds Expectations
Follows all the requirements related to format, length, source citations, and layout. Written in a clear, concise, formal, and organized manner. Responses are mostly error free. Information from sources is paraphrased appropriately and accurately cited.
30.26 to >25.5 pts
Mostly Meets Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout. Writing is generally clear and organized but is not concise or formal in language. Multiple errors exist in spelling and grammar with minor interference with readability or comprehension. Most information from sources is paraphrased and cited correctly.
25.5 to >20.06 pts
Below Expectations
Follows few requirements related to format, source citations, and layout. Writing may be unclear or informal in language. Multiple errors exist in spelling and grammar, interfering with readability or comprehension. Some information from sources is paraphrased and cited correctly.
20.06 to >0 pts
Does Not Meet Expectations
Does not follow format, length, source citations, and layout requirements. Writing is generally unclear and unorganized. Errors in spelling and grammar detract from readability and comprehension. Sources are missing or improperly cited.
34 pts
Total Points: 100
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