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Please help me select good topic for my paper using PICOT (have to include a PICOT) and please include citations This paper must be written

Please help me select good topic for my paper using PICOT (have to include a PICOT) and please include citations

This paper must be written on an issue in nursing. I have many ideas listed below that you can pick from or search through the book for topics regarding professional issues in nursing.

1. Nursing shortages (Is there a nursing shortage?)

2. Medical errors

3. Mandatory overtime in nursing

4. Whistle blowing in nursing

5. Technology in nursing

6. Self care in nursing

7. The use of social media in nursing

8. Professional nursing associations

9. Foreign nurse migration

10. Disaster planning

11. Academic integrity in nursing

12. Health care reform in the United States

13. Substance use in the nursing profession

14. Developing effective leaders to meet today's health care challenges

15. Advance practice nursing roles (striving for autonomy)

16. Unlicensed personnel compared to a registered nurse

17. Diversity in the Nursing profession

Please submit the topic of your paper and include a PICOT for this professional paper.

PICO is required for creating clinical questions in evidence-based research in nursing. Evidence-based research papers constitute a major part of thenursing assignments. In such papers, you need to design your clinical questions in accordance with the PICO framework. The framework is actually divided into four major elements.

A good clinical question will address most, if not all, aspects of the PICO. The following are the parameters defined by PICO (T) when it comes to designing of clinical questions:

P: Patient, Problem, Population

I: Intervention

C: Comparison

O: Outcome

T: Time frame, Type of Question, Type of study (this additional parameter is not always present but nonetheless it helps in the determination of a perfect clinical question)

Example PICO Questions In school-age children (P), what is the effect of a school-based physical activity program (I) on a reduction in the incidence of childhood obesity (O) compared with no intervention (C) within a 1 year period (T)?

PICO) Questions

Using a structured question frame can help you clearly define the concepts or variables that make up the specific research question. PICO(T) is the most common question frame used in health sciences research, where the question is composed of the:

  • Population/Problem/Patient
    • What is the problem to be addressed? What are the characteristics of the patient population, or disease of interest?
    • Think of this element as thedependent variable
  • Intervention
    • What is the relevant treatment or exposure? What action or change would affect the patient/problem/population?
    • Think of this element as theindependent variable
  • Comparison
    • What is the alternative to the intervention? (A different intervention? The usual standard of care? Not intervening at all?)
    • Think of this element like a "control group."
  • Outcome
    • What are the relevant effects?
    • Think of this element as what ismeasuredto show what the intervention has accomplished or improved.
  • Timeframe orType of Study (Optional)
    • Think of this element as additional, optional constraints to narrow the question.
      • In what time frame should the intervention achieve the outcome?
      • What type of study would best address the PICO question?

For example:

"Foradolescents with type II diabetes (P)does the use of telehealth consultations (I) compared toin-person consultations(C)improveblood sugar control(O)?

Framing Different Types of Clinical Questions

Framing Different Types of Clinical Questions

Different types of clinical questions are suited to different syntaxes and phrasings, but all will clearly define the PICO elements. The definitions and frames below may be helpful for organizing your question:

Intervention/Therapy

Questions addressing how a clinical issue, illness, or disability is treated.

"In__________________(P), how does__________________(I) compared to_________________(C) affect______________(O)?"

Etiology

Questions that address the causes or origin of disease, the factors which produce or predispose toward a certain disease or disorder.

"Are_________________(P), who have_________________(I) compared with those without_________________(C) at_________________risk for/of_________________(O) over_________________(T)?"

Diagnosis:

Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation.

In_________________(P) are/is_________________(I) compared with_________________(C) more accurate in diagnosing_________________(O)?

Prognosis/Prediction:

Questions addressing the prediction of the course of a disease.

In_________________(P), how does_________________(I) compared to_________________ (C) influence_________________(O)?

Meaning

Questions addressing how one experiences a phenomenon or why we need to approach practice differently.

"How do_________________(P) with_________________(I) perceive_________________(O)?"

Adapted from: Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

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