Week i2
Forming ithe iPICO iQuestion i(graded)
Form ia iPICO iquestion ithat iyou iwill iuse ifor iyour ichange iproject. iInclude ieach ielement iof ithe iPICO
iquestion. iHow idid iyou idevelop ithis iquestion? iWhy iis iit iimportant ito iyour iclinical ipractice?
Respond
This isection ilists ioptions ithat ican ibe iused ito iview iresponses.
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Responses
Responses iare ilisted ibelow iin ithe ifollowing iorder: iresponse, iauthor iand ithe idate iand itime itheiresponse
iis iposted.
Sort iby iRead/Unread Sort iby iResponse i Sorted iAscending, iclick ito isort idescending Sort iby
iAuthor i Sort iby iDate/Time*
(an iinstructor iresponse)
Collapse Mark ias iRead i i i Introductory iPost Instructor iCard iEmail ithis iAuthor
i /22/2015 i11:11:53 iAM
4
Please ishare ia iPICO iquestion irelated ito inursing iin iyour ispecific ijob isetting ithat iyou iplan ito iuse iforiyour
icourse iproject iin ithis iclass.
Discuss ithe ifollowing: iHow idid iyou icome iup iwith ithis iquestion? iWhat iinternal iand iexternal idata icanibe
iidentified ithat iare irelevant ito ithis iproblem?
Again, iplease iremember, ithis ishould ibe ia iPICO iquestion/statement ithat igoes iwith ithe iproblem iyouiwill
ibe iaddressing iin iyour iChange iProject ifor ithis icourse, iso ibe isure ito iread ithe iCourse iProject iGuidelines
iunder ithe iCourse iProject iFiles iin iDoc iSharing ifor imore iinformation iregarding ithe iassignments ifor iit
iwhen iidentifying iyour iquestion.
,Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Lisa iHunt iEmail ithis iAuthor 5/13/2015
i8:42:10 iPM
Hello iall
I iwork ion ia imedicine/stroke iunit iand ithis ipopulation iis iat ihigh irisk ifor ifalls. i Many iof ithe icva ipatients
isuffer iright iside ibrain iinjury iaffects itheir iunderstanding. iMany iof ithe ipatients imay istate ithey
iunderstand ito icall ibefore igetting iup iand iwill iforget ito icall ifor ihelp iwhen ithey ineed ito igo ito ithe
ibathroom. iMany iof ithe ifalls ion ithe iunit iare idue ito ithe ipatient itrying ito iget iup iand igo ito ithe
ibathroom. iOn imy iunit iwe ihave ihad i27 ifalls iand iare iworking idiligently ito idecrease ithis inumber
ithrough ire ieducating ithe istaff ion ifall ipreventive iequipment, iassessing ipatient ifor ihigh irisk ifactors
iand idoing ipurposeful ihourly irounding. iMy ihospital iinstituted ipurposeful ihourly irounding iin ithe
iorientation iprocess iand ishould iinclude itoileting ithe ipatient, iand ichecking ithe ipatient ito iensure
isafety imeasures iare iin iplace iand ito ireduce ifalls iwith iinjury. iThe iquestion iraised iis, iare iall istaff
imembers ireally idoing ipurposeful ihourly irounding ito iensure ipatient isafety iand isatisfaction. iHourly
irounding iis ian iEBP iand ihas ishown ito iincrease ipatient isatisfaction.
My iquestion iis idoes ipurposeful ihourly irounding ihelp idecrease ifalls iif idone ipurposefuly
P: i population/stroke ipatients
I: i purposeful ihourly irounding
C: i not idoing ipurposeful ihourly irounding
O: i prevent/decrease ithe inumber iof ifalls
Reference:
http://www.strokesmart.org/article?id=251
http://www.ncbi.nlm.nih.gov/pubmed/20803880
Lisa
,Respond
(an iinstructor iresponse)
Collapse Mark ias iRead i i i RE: iIntroductory iPost Instructor iCard iEmail ithis iAuthor
i /16/2015 i1:20:23 iPM
5
This iis ia ivery igood iquestion ito iaddress ifor istroke ipatient isafety iLisa i- iyou ihave iput iit iinto iPICO
iformat iwell.
Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Saynetta iGeorge iEmail ithis iAuthor
i /13/2015 i10:49:41 iPM
5
Hello iProfessor iCard iand iclass,
I iam iin ia irecent ichange iof idynamics ito ia itelephonic icase imanager ifor ia imanaged icare iorganization
ifrom ia ifloat inurse iat ia ihospital. iI ihave irealized ithe ibedside iis ibecoming imore iand imore idifficult ifor
ime. iMy iPICO iincludes ithe irationale iI ihave ifor ileaving ithe ibedside iwhich iis iworking ithe iunit iwith iless
inurses, ior iin inurse islang i"working ishort" iInternal idata iincludes ithe ihospital iincreasing iour ipay iand
iproviding ibonuses ito ithe inurses iwho istay iin ispite iof ithe ishortage iand iburnout ithey iexperience. iThe
iexternal idata ican ibe ithat inurses iare ileaving ithe ibedside idue ito iimpossible idemands iand iearly
iburnout irelated ito iconstantly ibeing iasked ito iwork ishort iand iwhen ierrors ioccur iwe iare isuspended ior
iwritten iup. iPatient isafety iand isatisfaction isurveys iare ilow ibecause iclient's ifeel ias iif ithey iare ibeing
iignored.
P= iProblem iNot ienough inursing istaff ito iaccommodate ithe iclient iload
I= iIntervention iAdd imore inursing istaff ito iadd icoverage ithat iincreases iclient isafety
C= iComparison iAs iwe ilook iat iother ihospitals iin iother icities iwhat iis itheir inurse-client iratio iand ihowican
iwe iimplement ithe imanner iin iwhich iwe ican ihave isafer iclient iratios
, O= iOutcome iHow iare iour iclient's iimproved iby ioverworked inurses iand iis iburnout ia ipossibility iandihow
ican ihospitals iprevent iunderstaffing
T- iHow ilong ishould inurses ibe imade ito iwork iin ithese idangerous iconditions ibefore ilaw imakers
iimplement ichanges iand icreate inew ilaws ito iprevent ithis ifrom ioccurring. iWill iclient's ibe iseriously ihurtior
ieven idie ibecause iof ia inursing istaff ishortage?
Renee
American iNurses iAssociation. i(2010). iNursing: iScope iand istandards iof ipractice i(2nd ied.). iSilver
iSpring. iMD: iAuthor
Dearholt, iS. iL., i& iDang, iD. i(2012). iJohns iHopkins inursing-evidence-based ipractice:
Model iand iguidelines i(2nd ied.). iIndianapolis, iIN: iSigma iTheta iTau iInternational
Respond
(an iinstructor iresponse)
Collapse Mark ias iRead i i i RE: iIntroductory iPost Instructor iCard iEmail ithis iAuthor
i /16/2015 i1:25:33 iPM
5
Good idiscussion iof ithis iquestion iSaynetta i- iin iaddition ito ilooking iat ihow iother ihospitals istaff, iyou
ishould ibe icomparing ihow iincreased istaffing i(your iintervention) iwith ithe icurrent ipractice iof istaffinginow
ito isee iif ithere iwould ibe iimproved ipatient ioutcome.
Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Saynetta iGeorge iEmail ithis iAuthor
i /16/2015 i10:31:19 iPM
5
Hi iProfessor iCard,
Forming ithe iPICO iQuestion i(graded)
Form ia iPICO iquestion ithat iyou iwill iuse ifor iyour ichange iproject. iInclude ieach ielement iof ithe iPICO
iquestion. iHow idid iyou idevelop ithis iquestion? iWhy iis iit iimportant ito iyour iclinical ipractice?
Respond
This isection ilists ioptions ithat ican ibe iused ito iview iresponses.
Collapse iAll
i Print iView Show iOptions
Responses
Responses iare ilisted ibelow iin ithe ifollowing iorder: iresponse, iauthor iand ithe idate iand itime itheiresponse
iis iposted.
Sort iby iRead/Unread Sort iby iResponse i Sorted iAscending, iclick ito isort idescending Sort iby
iAuthor i Sort iby iDate/Time*
(an iinstructor iresponse)
Collapse Mark ias iRead i i i Introductory iPost Instructor iCard iEmail ithis iAuthor
i /22/2015 i11:11:53 iAM
4
Please ishare ia iPICO iquestion irelated ito inursing iin iyour ispecific ijob isetting ithat iyou iplan ito iuse iforiyour
icourse iproject iin ithis iclass.
Discuss ithe ifollowing: iHow idid iyou icome iup iwith ithis iquestion? iWhat iinternal iand iexternal idata icanibe
iidentified ithat iare irelevant ito ithis iproblem?
Again, iplease iremember, ithis ishould ibe ia iPICO iquestion/statement ithat igoes iwith ithe iproblem iyouiwill
ibe iaddressing iin iyour iChange iProject ifor ithis icourse, iso ibe isure ito iread ithe iCourse iProject iGuidelines
iunder ithe iCourse iProject iFiles iin iDoc iSharing ifor imore iinformation iregarding ithe iassignments ifor iit
iwhen iidentifying iyour iquestion.
,Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Lisa iHunt iEmail ithis iAuthor 5/13/2015
i8:42:10 iPM
Hello iall
I iwork ion ia imedicine/stroke iunit iand ithis ipopulation iis iat ihigh irisk ifor ifalls. i Many iof ithe icva ipatients
isuffer iright iside ibrain iinjury iaffects itheir iunderstanding. iMany iof ithe ipatients imay istate ithey
iunderstand ito icall ibefore igetting iup iand iwill iforget ito icall ifor ihelp iwhen ithey ineed ito igo ito ithe
ibathroom. iMany iof ithe ifalls ion ithe iunit iare idue ito ithe ipatient itrying ito iget iup iand igo ito ithe
ibathroom. iOn imy iunit iwe ihave ihad i27 ifalls iand iare iworking idiligently ito idecrease ithis inumber
ithrough ire ieducating ithe istaff ion ifall ipreventive iequipment, iassessing ipatient ifor ihigh irisk ifactors
iand idoing ipurposeful ihourly irounding. iMy ihospital iinstituted ipurposeful ihourly irounding iin ithe
iorientation iprocess iand ishould iinclude itoileting ithe ipatient, iand ichecking ithe ipatient ito iensure
isafety imeasures iare iin iplace iand ito ireduce ifalls iwith iinjury. iThe iquestion iraised iis, iare iall istaff
imembers ireally idoing ipurposeful ihourly irounding ito iensure ipatient isafety iand isatisfaction. iHourly
irounding iis ian iEBP iand ihas ishown ito iincrease ipatient isatisfaction.
My iquestion iis idoes ipurposeful ihourly irounding ihelp idecrease ifalls iif idone ipurposefuly
P: i population/stroke ipatients
I: i purposeful ihourly irounding
C: i not idoing ipurposeful ihourly irounding
O: i prevent/decrease ithe inumber iof ifalls
Reference:
http://www.strokesmart.org/article?id=251
http://www.ncbi.nlm.nih.gov/pubmed/20803880
Lisa
,Respond
(an iinstructor iresponse)
Collapse Mark ias iRead i i i RE: iIntroductory iPost Instructor iCard iEmail ithis iAuthor
i /16/2015 i1:20:23 iPM
5
This iis ia ivery igood iquestion ito iaddress ifor istroke ipatient isafety iLisa i- iyou ihave iput iit iinto iPICO
iformat iwell.
Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Saynetta iGeorge iEmail ithis iAuthor
i /13/2015 i10:49:41 iPM
5
Hello iProfessor iCard iand iclass,
I iam iin ia irecent ichange iof idynamics ito ia itelephonic icase imanager ifor ia imanaged icare iorganization
ifrom ia ifloat inurse iat ia ihospital. iI ihave irealized ithe ibedside iis ibecoming imore iand imore idifficult ifor
ime. iMy iPICO iincludes ithe irationale iI ihave ifor ileaving ithe ibedside iwhich iis iworking ithe iunit iwith iless
inurses, ior iin inurse islang i"working ishort" iInternal idata iincludes ithe ihospital iincreasing iour ipay iand
iproviding ibonuses ito ithe inurses iwho istay iin ispite iof ithe ishortage iand iburnout ithey iexperience. iThe
iexternal idata ican ibe ithat inurses iare ileaving ithe ibedside idue ito iimpossible idemands iand iearly
iburnout irelated ito iconstantly ibeing iasked ito iwork ishort iand iwhen ierrors ioccur iwe iare isuspended ior
iwritten iup. iPatient isafety iand isatisfaction isurveys iare ilow ibecause iclient's ifeel ias iif ithey iare ibeing
iignored.
P= iProblem iNot ienough inursing istaff ito iaccommodate ithe iclient iload
I= iIntervention iAdd imore inursing istaff ito iadd icoverage ithat iincreases iclient isafety
C= iComparison iAs iwe ilook iat iother ihospitals iin iother icities iwhat iis itheir inurse-client iratio iand ihowican
iwe iimplement ithe imanner iin iwhich iwe ican ihave isafer iclient iratios
, O= iOutcome iHow iare iour iclient's iimproved iby ioverworked inurses iand iis iburnout ia ipossibility iandihow
ican ihospitals iprevent iunderstaffing
T- iHow ilong ishould inurses ibe imade ito iwork iin ithese idangerous iconditions ibefore ilaw imakers
iimplement ichanges iand icreate inew ilaws ito iprevent ithis ifrom ioccurring. iWill iclient's ibe iseriously ihurtior
ieven idie ibecause iof ia inursing istaff ishortage?
Renee
American iNurses iAssociation. i(2010). iNursing: iScope iand istandards iof ipractice i(2nd ied.). iSilver
iSpring. iMD: iAuthor
Dearholt, iS. iL., i& iDang, iD. i(2012). iJohns iHopkins inursing-evidence-based ipractice:
Model iand iguidelines i(2nd ied.). iIndianapolis, iIN: iSigma iTheta iTau iInternational
Respond
(an iinstructor iresponse)
Collapse Mark ias iRead i i i RE: iIntroductory iPost Instructor iCard iEmail ithis iAuthor
i /16/2015 i1:25:33 iPM
5
Good idiscussion iof ithis iquestion iSaynetta i- iin iaddition ito ilooking iat ihow iother ihospitals istaff, iyou
ishould ibe icomparing ihow iincreased istaffing i(your iintervention) iwith ithe icurrent ipractice iof istaffinginow
ito isee iif ithere iwould ibe iimproved ipatient ioutcome.
Respond
Collapse Mark ias iRead i i i RE: iIntroductory iPost Saynetta iGeorge iEmail ithis iAuthor
i /16/2015 i10:31:19 iPM
5
Hi iProfessor iCard,
