PICOT Question and Literature Search.

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. PICOT Question and Literature Search. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below.

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The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the \”Literature Evaluation Table\” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. PICOT Question and Literature Search. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. PICOT Question and Literature Search.

Student Name:

Summary of Clinical Issue

Hospital acquired infections (HAIs)are a major public health problem which have continuously resulted in increased morbidity and mortality rates. This clinical condition presents a huge socioeconomic burden to the healthcare system following the associated implications. These include treatment bills, rehospitalization, long hospital stays, disabilities and deaths. Moreover, the increasing rates of antimicrobial resistance (AMR) challenge the management of these infections particularly in the healthcare units with already immune compromised patients. Contaminated hospital environments as well as health care workers are increasingly implicated in the multi‐resistant organisms (MRO) transmission and persistence together with other pathogens. This has triggered the need to reduce these infections through identification of effective measures to reduce and prevent the HAIs. PICOT Question and Literature Search.

Hand hygiene through hand washing has thus been identified as significant prevention measures to HAIs. However, limited research on compliance, techniques and effectiveness exist particularly in the acute care settings. The compliance is also considered minimal which challenges the efforts of reducing HAIs. Proper hand washing entails the use of clean running water and application of soap till lathering occurs. This is followed by vigorous rubbing of hands for at least 20 seconds and scrubbing the surfaces. Soap washes away bacteria and viruses and hence is considered to be a more effective measure to the prevention of HAIs compared to alcohol-based hand sanitizers. This is because, soap washes away bacteria and viruses that cause infections contrary to sanitizers which may be selective to certain pathogens.

PICOT Question:

Inacute care inpatients (P), does handwashing with soap and water (I) compared to the application of alcohol-based hand sanitizers(C), decrease Hospital Acquired Infection (HAIs) rates (O) within 3 months (T)? PICOT Question and Literature Search.

PICOT Question and Literature Search.