PICO Question and Problem Statement Essay

PICO Question and Problem Statement Essay

EVIDENCE-BASED PRACTICE 2 PICO Question and Problem Statement Essay

Evidence-Based Practice.

Student’s Name:

Professor’s Name:

Date.

The topic selected: In the acute care setting, does the implementation of a nurse-led rounding program compared to no rounding program decrease patient falls?

PICO Elements	Keywords
P=	patient in the acute care setting,
I=	nurse-led rounding program
C=	no rounding program
O=	decrease patient falls

Scope of the problem

Patient falls in acute care setting has been identified as one of the major challenges in the healthcare system. As provided in the EB articles researched, in the acute care setting the rate of patient falls ranges from 2% to 5%. From this stat, it has been established that 3 to 7 patients fall in every 1000 patients -days are reported on a daily basis. Perhaps over 30% of inpatients’ falls in acute care setting often results in injuries. Out of this 30%, 4% to 6% falls result in severe injuries (Melnyk et al., 2017). Among the primary causes of patient falls in acute care settings include the use of certain medications such as hypnotic, slippery high-gloss floors that have been made of excess glare, gait insatiability, acutely ill patients, urgency, declined or altered mental state as well as inconsistency. Also, lack of adequate patient assessment along with communication failures among healthcare professionals can be attributed to causes increased cases of patient falls in the acute care setting.

Significance of the problem.

Proper understanding of what is patient falls, their causes, risk factors, and impacts on patient experience will provide more insights on how better to formulate and implement evidence-based approaches to significantly reduce falls and perhaps improve the quality of patient care. The cost of treating patients falls is estimated to be around $4000 per %. Implementation of patient fall prevention strategus will help improve the quality of care provided to inpatients (Melnyk et al., 2017).

Significance of the nursing problem: How is the problem significant to nursing? How does the problem negatively affect nursing practice?

The significance of understanding why patient falls should be a major concern to nurses and the healthcare sector at large is that it is the role of nurses to ensure that they provide patient-centered care services that meet the health needs of the patients. preventing patient falls is significant to nurses as this serves as the first approach to maintaining guaranteeing patient safety while in hospitals. The problem affects nursing practice in the sense that if an increased number of patient falls are recorded, then this often serves as an indication of declined quality care hence impacting patient experience with regard to care services provided to them (Melnyk et al., 2017).

References

Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, A. (2017). The first U.S. study on nurses’ evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16-25. doi:10.1111/wvn.12269

Rolfe, G. (2018). Evidence-based practice and practice-based evidence. Exploring Evidence-based Practice, 99-112. doi:10.4324/9781315764559-8

Stevens, K. R. (2017). undefined. Research for Advanced Practice Nurses. doi:10.1891/9780826118394.0003

PICO Question and Problem Statement Essay