Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
Please use this example that you use in the last discussion is been approved for this paper.
 As a nurse who works in a pediatric setting inpatient and outpatient, the issue that I observed is the increased delays and refusal of vaccination last year. When parents refuse to immunize their children, then it becomes a public health concern. At the same time, there are reasons why parents are opposing the immunization of their children. What are the possible reasons for this refusal? Can patient education improve the rates of vaccination? Is there a relationship between the MMR vaccine and Autism Spectrum Disorder (ASD)? What are their concerns regarding vaccinations and what is its link with chronic diseases? Side effects of parents’ refusal to vaccinate their children have been on the rise in the last decade. The parent’s negative perception of measles-mumps-rubella (MMR) because of its association with Autism Spectrum Disorder (ASD).
My PICOT questions are;
            In parents of children between twelve months and six years old (P), how does patient education regarding the importance of the MMR vaccination and the unlink relation with Autism Spectrum Disorder (ASD) (I) equated with no education irrespective of the parental decision (acceptance/rejection) concerning vaccination (C) improve the MMR vaccination rates (O) in a period of six months (T).

Directions

1. Read these guidelines including the grading rubrics below.

2. Download and use the required PICOT Worksheet form (Links to an external site.)Links to an external site...
3. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
4. Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form.
5. Submit the completed PICOT Worksheet form.
Example 1:
What is the PICO(T) question?
Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers
Example 2:
What is the PICO(T) question?
For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days
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Please see the grading criteria and rubrics on this page.
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Rubric
NR439_PICOT_Worksheet September 2018

NR439_PICOT_Worksheet September 2018
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePICOT question
Question or nursing problem is identified and is an independent nursing decision.
50.0 pts
Outstanding Question or nursing problem identified that is an independent nursing decision
44.0 pts
Very good Question or nursing problem is identified that is an independent nursing decision
40.0 pts
Competent Question or nursing problem is identified that is an independent nursing decision.
19.0 pts
Question or nursing problem is identified but is not an independent nursing decision.
0.0 pts
PICOT question missing.
50.0 pts
This criterion is linked to a Learning OutcomePICOT elements
PICOT elements are correctly identified. Outcomes are measurable.
50.0 pts
PICOT elements are correctly identified. Outcomes are measurable.
44.0 pts
One PICOT element is not correctly identified. Outcomes are measurable.
40.0 pts
Two PICOT elements are not correctly identified. Outcomes are not measurable
19.0 pts
Three or more PICOT elements are not correctly identified. Outcomes are not measurable.
0.0 pts
PICOT elements are missing.
50.0 pts
This criterion is linked to a Learning OutcomePractice issue and scope of the problem
Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.
50.0 pts
Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.
44.0 pts
Practice issue/problem is partially described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.
40.0 pts
Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.
19.0 pts
Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is not identified. Identification of the practice issue is not clear. Scope of the problem is not identified
0.0 pts
Not answered.
50.0 pts
This criterion is linked to a Learning OutcomeEvidence
Appropriately identifies the types of evidences that should be gathered.
20.0 pts
Identifies and documents four types of evidence needed for review.
17.0 pts
Identifies and documents three types of evidence needed for review.
16.0 pts
Identifies and documents two types of evidence needed for review
7.0 pts
Identifies and documents one type of evidence needed for review.
0.0 pts
Does not document types of evidence.
20.0 pts
This criterion is linked to a Learning OutcomeRationale for Evidence
Gives rationale for the types of evidence that is gathered.
20.0 pts
Thoroughly describes rationale for checked types of evidence.
17.0 pts
Good description of rationale for checked types of evidence.
16.0 pts
Partial description of rationale for checked types of evidence.
7.0 pts
Minimal rationale for checked types of evidence.
0.0 pts
Rationale missing.
20.0 pts
This criterion is linked to a Learning OutcomeSearch Terms
Describes search terms that are manageable and will yield good results.
5.0 pts
Thoroughly describes manageable search terms.
4.0 pts
Good description of manageable search terms.
3.0 pts
Partially describes manageable search terms.
2.0 pts
Minimally describes manageable search terms.
0.0 pts
Search terms are absent.
5.0 pts
This criterion is linked to a Learning OutcomeHow to Narrow Search in the Library
Provides a description of how the library search will be narrowed to produce relevant returns.
5.0 pts
Thoroughly describes how to narrow searchFull Marks
4.0 pts
Good description how to narrow search.
3.0 pts
Partially describes how to narrow search.
2.0 pts
Minimally describes how to narrow search.
0.0 pts
No description given.
5.0 pts
This criterion is linked to a Learning OutcomeAssigned PICOT Worksheet Form Use
0.0 pts
0 points deducted
Assigned PICOT Worksheet form used for this assignment. 0 points deducted
0.0 pts
20 points (10% ) deducted
Assigned PICOT Worksheet form NOT used for this assignment results in a deduction of 20 points (10%). 20 points deducted
0.0 pts
Total Points: 200.0
 

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