(Solution) NR585NP Week 2 Assignment PICOT Question Worksheet

NR585NP Week 2 Assignment PICOT Question Worksheet

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

While many different models for evidence-based practice (EBP) exist, a core methodology is shared within each. Central to EBP models is the review of scholarly sources to appraise the quality of evidence available regarding an identified practice issue or intervention. To guide the process, the development of a PICOT statement is often the first step.

A PICOT statement includes a brief description of the problem and population impacted, intervention, comparison, outcome, and anticipated timeframe to better understand the issue. This step provides clarity and direction as the critique of evidence from scholarly literature is initiated. The PICOT statement will be used in future assignments in this course.

General instructions

  1. Download the Week 2 PICOT Worksheet TemplateLinks to an external site.Open this document with ReadSpeaker docReader to complete this assignment. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
  2. Complete the PICOT Worksheet Template using the scenario provided in the Week 1 announcements.
  3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  4. Use APA in-text citations and complete references to support your writing.
  5. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric).

  1. Practice Problem
    1. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.
    2. Explain why the issue/concern is important to nurse practitioner practice.
    3. Provide an in-text citation from one scholarly source to support your writing.
  2. PICOT Elements: Discuss each of the following PICOT elements in one or two sentences.
    1. P-Population:
      1. What is the nursing practice concern or problem and whom does it affect? Be specific and narrow down your population. The population should be client-focused.
    2. I–Intervention:
      1. What evidence-based solution for the problem would you like to apply?
      2. Provide an in-text citation from one scholarly source to support your writing.
    3. C–Comparison:
      1. What is another solution to the problem? This is typically the current practice, an alternative solution, or no intervention.
    4. O–Outcome:
      1. How will you know the intervention worked?
      2. How will you measure the outcome?
      3. The outcome must be measurable from a baseline.
    5. T–Timeframe:
      1. What is the timeframe or the target completion date?
  3. PICOT Question: Write a PICOT question using standard formatting: In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?
    1. Use the standard PICOT format and label each element.
      1. P-Population
      2. I-Intervention
      3. C-Comparison
      4. O-Outcome
      5. T-Timeframe
  4. Keywords: Identify keywords for each element of the PICOT question that could be used to support a literature search. Use Appendix B from Melnyk & Fineout-Overholt (2023) for guidance.
    1. P =
    2. I =
    3. C =
    4. O =
    5. T =

Solution:NR585NP Week 2 Assignment PICOT Question Worksheet

  1. Practice Problem
  2. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.

The clinical problem identified is the overreliance on opioid prescriptions for post-operative pain management. More than 80% of surgical patients use opioids for pain management, out of which about 10% continue using for prolonged periods postoperative periods, increasing the risk of addiction, overdose, and related adverse effects such as respiratory depression, cognitive impairment, and gastrointestinal issues (nausea and constipation) (Dowell, 2022; Hyland et al., 2021). More so, despite high levels of opioid overreliance by prescribers due to it being the standard approach because of rapid analgesic effects, only less than 50% report sufficient pain relief, with 75 to 88% having moderate, severe/ extreme self-reported pain severity levels (Hyland et al., 2021).

  1. Explain why the issue/concern is important to nurse practitioner practice. Provide an in-text citation from one scholarly source to support your writing.

Taking this and the associated adverse effects into account, opioid overreliance is a crucial issue that must be addressed, especially in postoperative settings where pain control is critical for patient recovery and rehabilitation. Nurse practitioners (NPs) have central roles in leading, implementing, and sustaining evidence-based change to reduce opioid overreliance and enhance safer pain management options, especially due to their expertise in pain management and patient education. Being the front-line/ direct care providers, NPs can assess pain levels accurately, monitor for signs of opioid dependency, and offer patient and family education about the benefits of multimodal pain management approaches (Langnas et al., 2021). They can also develop individualized pain management plans that incorporate both pharmacologic and non-pharmacologic methods, reducing the need for opioids. NPs also engage in multidisciplinary teams to effectively integrate non-opioid interventions, track patient outcomes to assess the effectiveness of non-opioid strategies, and advocate for broader adoption based on results (Echeverria-Villalobos et al., 2020).

  1. PICOT Elements – Discuss each of the following PICOT elements in one or two sentences:

P-Population – The patients affected are postoperative adult surgical patients who are at high risk of using opioids for pain management (Lawal et al., 2020).

I–Intervention– The evidence-based solution to reduce opioid overreliance is enhanced recovery after surgery (ERAS), a multimodal pain management approach that emphasizes non-opioid interventions. Studies demonstrate the effectiveness of non-opioid analgesics and multimodal strategies, including acetaminophen, NSAIDs, regional anesthesia, and non-pharmacological approaches like physical therapy and mindfulness in effective pain management with lesser risks and associated improvement in patient satisfaction….Click on the PayPal icon below to purchase full solution for $10

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