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Health, Medicine, Nursing
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Topic:

How Effective Are Chairs and Bed Alarms in Older Dementia Patients

Coursework Instructions:

My homework is online at chamberlain college of nursing.My using ID is d40517813 password Sugarcan2414 week 3 evidence base practice under resources Picot worksheet.As per my professor, we can use the same Picot question from week 2.My PICO question from two was: How effective are chairs and bed alarms in older dementia patients in the long term care facility in reducing the risk of falls.
P: Older dementia patients in long term facility.
I: The use of bed and chair alarm
C: No use of alarms
O: Reduce the risk of falls
OT Worksheet – Week 3
Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.
Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles.
Step 2: Identify the problem. What have you noticed in your work or school environment that isn't achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question)
Step 3: How was the practice issues identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.
Step 4: What evidence must be gathered? What sources of reliable information will be helpful for your particular question?
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed?
PICOT Question
What is the PICOT question?
What is the practice issue/problem? What is the scope of the issue? What is the need for change?
What is the practice area?
___ Clinical
___ Education
___ Administration
___ OtherHow was the practice issue identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
___ Literature search
___ Guidelines
___ Expert Opinion
___ Patient Preferences ___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms/How to narrow the search?

Coursework Sample Content Preview:
PICOTandEvidence Appraisal Worksheet – Week 3
Part 1: PICOT Question
Name:
Date:
Your Instructor’s Name:
Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.
Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles.
Step 2: Identify the problem. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question)
Step 3: How was the practice issues identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.
Step 4: What evidence must be gathered? What sources of reliable information will be helpful for your particular question?
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed? 
PICOT Question

What is the PICOT question?
How effective are chairs and bed alarms in older dementia patients in the long term care facility in reducing the risk of falls.
Define each element of the question below:
P- (Patient, population, or problem): Older dementia patients in long term facility
I- (Intervention): The use of bed and chair alarm
C- (Comparison with other treatment/current practice): No use of alarms
O- (Desired outcome): Reduce the risk of falls 
T-(Time Frame): Length of stay in hospitall

What is the practice issue/problem?
There are various fall prevention practices including use of alarms and motion sensors to alert nurses and there is a need to evaluate whether this approach is effective. Patient fall is associated with worsening health outcome, including injuries and longer stay in hospital.

What is the practice area?
___ Clinical
___ Education

___ Administration
___ Other

How was the practice issue identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns

___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process ...
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