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The Clinical Issue and Research Questions Developed Using PICOT.

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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)?

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

The PICOT topics must be APPLICABLE TO NURSING, meaning that they involve a NURSING intervention. The prescription of medications is not a nursing intervention. PLEASE do not choose topics, such as medications, medical tests and procedures that nurses cannot influence. Keep it simple; it will make this assignment and the week 6 assignment so much easier. Here are some potential PICOT topics:

· Addiction

· Adherence

· Alarm safety

· Comfort

· Delirium

· Depression

· Diabetes management

· Discharge teaching

· Falls

· Functional ability

· Health and wellbeing of nurses

· Hospital readmission rates

· Infection control

· MobilityPain

· Prenatal teaching

· Prevention of post operative complications

· Prevention of pressure ulcers

· Sleep disturbances

· Stress

Begin by selecting a topic that is of 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.

Note: Please use the above 3 bullet highlighted in red as subheadings.

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.

NURS_350_OL – NURS 350- The Clinical Issue and Research Questions Developed Using PICOT
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeTopic/ Relevance to Nursing33 to >29.37 ptsMeets or Exceeds ExpectationsA 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 ptsMostly Meets ExpectationsA 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 ptsBelow ExpectationsA 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 ptsDoes Not Meet ExpectationsAn 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 Questions33 to >29.37 ptsMeets or Exceeds ExpectationsAll 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 ptsMostly Meets ExpectationsOnly 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 ptsBelow ExpectationsFew 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 ptsDoes Not Meet ExpectationsResearch questions are missing or are not framed as PICOT questions.33 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics34 to >30.26 ptsMeets or Exceeds ExpectationsFollows 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 ptsMostly Meets ExpectationsFollows 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 ptsBelow ExpectationsFollows 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 ptsDoes Not Meet ExpectationsDoes 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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Running Head: PRENATAL CARE The Clinical Issue and Research Questions Developed Using PICOT

Prenatal Care – Background, Significance in Nursing, and PICOT questions

Alice Pon

West Coast University – Ontario

Professor Dr. Shiva Metghalchi

June 27, 2020

This study source was downloaded by 100000778131734 from CourseHero.com on 11-07-2021 13:42:58 GMT -06:00

https://www.coursehero.com/file/64899910/N350-PICOTdocx/

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Prenatal Care: The Clinical Issue and Research Questions Developed Using PICOT

Background

Prenatal is a term refers to the entire period when a woman is pregnant, including

antepartum and intrapartum periods; prenatal care or antepartum care is defined as the health

care associating to pregnancy that a woman receives during the gestation and before the onset of

labor (Durham & Chapman, 2019). According to the Centers for Disease Control and Prevention,

approximately 210 million women become pregnant and 130 million births take place each year,

however, approximately 10 million women experience related pregnancy complications every

year and 800 women die from complications every day (Rosenberg, 2002). The death rate is

highly related to lack or no prenatal care during women’s pregnancy period. Many of these life-

threatening complications are preventable if detected and managed early through prenatal care.

Without prenatal care, the risk for neonatal death increases to 40% for wellbeing women, and up

to 80% for pregnant women that are in high-risk categories such as advanced maternal age over

35, hypertension, diabetes, smokers, alcoholics, illicit drug users, ectopic pregnancy, and Rh-

negative blood (Finnegan & Sheffield, 2004). Infection, genetic disorders, abortion, hemorrhage,

miscarriages, and obstructed labor complications can be reduced if treatments are made during

prenatal and intrapartum visits; the infectious disease that can affect fetus overall conditions

including HIV, pneumonia, herpesvirus, rubella, and tuberculosis, which are preventable if

proper actions are taken (Finnegan & Sheffield, 2004). Obstetric visit during prenatal care

benefit both maternal and fetal wellbeing as early detection of diseases and infections can

facilitate the medical professions to prompt appropriate interventions; additionally, provides

counseling and answers inquiries such as diet, exercise, birth plans, and breastfeeding, for

potential mothers to prepare for labor and postpartum periods.

This study source was downloaded by 100000778131734 from CourseHero.com on 11-07-2021 13:42:58 GMT -06:00

https://www.coursehero.com/file/64899910/N350-PICOTdocx/

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Prenatal Care: The Clinical Issue and Research Questions Developed Using PICOT

Significance in Nursing

Prenatal visits to a health care physician often include a well-women physical exam,

weight checks, and providing a urine sample to check for glucose and protein levels; the initial

visit will have provider to confirm pregnancy and estimated due date for the birth (Durham &

Chapman, 2019). Furthermore, depending on maternal conditions, certain blood tests, and

screening, such as ultrasonography and Alpha-fetoprotein AFP, will be ordered to check maternal

and fetus’s health. Prenatal care in nursing involves patient assessments, health promotions, and

education for expectant mothers. Patient assessments are essential to obtain a patient’s medical

and nursing history that might interfere with the current pregnancy and to determine the patient’s

current knowledge or readiness for childbirth. Nurses’ roles in prenatal care often include

promoting a safe outcome to pregnancy, assisting the mothers in self-care of the discomforts

during pregnancy, establishing a trusting relationship, and fostering positive feelings by the

pregnant woman and her family involving the childbearing experience (ICNP, 2017).

Discomforts are common during pregnancy and it is the nurse’s responsibility to recognize

abnormal signs and symptoms to report to the physician immediately for further investigation.

Failure in completing nursing prenatal care will highly increase the risk related to maternal

and/or neonatal complications and mortality.

PICOT Questions

1. In pregnant women who are 25 years old or older, how does early prenatal care as

compared to late/no prenatal care increases the chances for the successful delivery of the

fetus in 10 months?

This study source was downloaded by 100000778131734 from CourseHero.com on 11-07-2021 13:42:58 GMT -06:00

https://www.coursehero.com/file/64899910/N350-PICOTdocx/

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Prenatal Care: The Clinical Issue and Research Questions Developed Using PICOT

2. In pregnant women who are 25 years old or older, how does following prenatal

recommended diets as compare to taking marketed prenatal vitamins decreases the

chances for neonatal neural tube defect in the antepartum period?

3. In pregnant women who are 25 years old or older, how does prenatal suggested daily

exercise/activity as compare to a sedentary lifestyle reduce pregnancy complications in

the antepartum period?

This study source was downloaded by 100000778131734 from CourseHero.com on 11-07-2021 13:42:58 GMT -06:00

https://www.coursehero.com/file/64899910/N350-PICOTdocx/

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Prenatal Care: The Clinical Issue and Research Questions Developed Using PICOT

References

Durham, R. and Chapman, L. (2019). Maternal-Newborn Nursing: The Critical Components of

Nursing Care. 3rd edition. F.A. Davis: Philadelphia.

Finnegan, L. and Sheffield, J. (2004). Infectious Disease and Maternal Morbidity and Mortality.

Emerging Infectious Diseases. Retrieved from:

https://wwwnc.cdc.gov/eid/article/10/11/04-0624_05_article#suggestedcitation

ICNP, International Council of Nurses. (2017). Prenatal Nursing Care. Retrieved from:

https://www.icn.ch/sites/default/files/inline-

files/ICNP_Catalogue_Prenatal_Nursing_Care.pdf

Rosenberg, J. (2002). Neonatal Death Risk: Effect of Prenatal Care Is Most Evident After Term

Birth. Perspectives on Sexual and Reproductive Health. Retrieved from:

https://www.guttmacher.org/journals/psrh/2002/09/neonatal-death-risk-effect-prenatal-

care-most-evident-after-term-birth

This study source was downloaded by 100000778131734 from CourseHero.com on 11-07-2021 13:42:58 GMT -06:00

https://www.coursehero.com/file/64899910/N350-PICOTdocx/

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