Question

The first photo is the directions ends at step 5, the second photo starts with PICOT question please answer every question. thank you in advance.

PICOT Worksheet – Week 3

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.

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: Identifies and documents four sources of evidence. What evidence must be gathered? What sources of reliable information will be helpful for your particular question? Describes rationale for all checked types of evidence

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?    Define each element of the question below: P- (Patient, population, or problem): I- (Intervention): C- (Comparison with other treatment/current practice): O- (Desired outcome): T- (Time Frame):
What is the practice issue/problem? What is the scope of the issue? What is the need for change?
What is the practice area? (check all that apply) ___ 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 is a time waster ___ Clinical practice issue has no scientific base ___ Other:
What evidence must be gathered? (Identifies and documents four sources of evidence. Describes rationale for all checked types of evidence)
___ Literature search ___ Guidelines ___ Expert Opinion ___ Patient Preferences	___ Clinical Expertise ___ Financial Analysis ___ Standards (Regulatory, professional, community) ___ Other
Search terms/How to narrow the search?

Answer 1

PICOT format helps in formulating a complete research question.

1.PICOT question:

In adults over than the age of 65 with Alzheimer’s Disease (P), how does nonpharmacological interventions are effective (I) comparing to medications (C) in reducing behavioral and psychiatric symptoms of dementia (O) over the course of 3months.

2.P- (Patient, population, or problem): adults over than the age of 65 with Alzheimer’s Disease

I- (Intervention): nonpharmacological intervention (exercise, musical therapy, art therapy)

C- (Comparison with medications)

O- (Desired outcome): reduce behavioral and psychiatric symptoms of dementia

T- (Time Frame): 3 months.

3.The problem is Alzheimer's disease is high in incidence which is an irreversible , progressive, degenerative neurologic disease characterized by gradual loss of cognitive function and disturbances in behaviour & affect. Patient becomes depressed, suspicious, paranoid , hostile and even combative. As disease progresses patient may become agitative with increased physical activity . Counselling and support are essential for those patients along with health education about treatment strategies and progression of disease to family members will be necessary.

4..Clinical and education considered the practice area. As the therapies are given in a support community or home .

5.The practice issue is identified by Safety/risk management concerns and Unsatisfactory patient outcomes.

6.The evidences about recent researches carried out in boosting non pharmacological intervention in dementia patients. Also should collect details regarding musical therapy , art therapy , dance and also therapies involving medical response dogs.

.To gather evidences literature search, patient preferences(regarding the therapy choice), guidelines and  Standards (Regulatory, professional, community) should be followed and analysed.

7.To narrow the search for the terms multiple databases can be used , list of key words can be used, using quotation marks to keep words together as a phrase, selecting peer reviewed or scholarly journal articles filtering for the last three to five years also can get guidance of any healthcare provider who worked in a alzheimer's treatment facility.