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NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention

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    NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention

    Student Name

    Capella University

    NURS-FPX 8035 Foundations of Evidence-Based Practice in Nursing

    Prof. Name

    Date

    Restating the PICOT Question and Outcomes of the Intervention

    The investigation adheres to the PICOT framework: Among patients admitted to the hospital (P), does the implementation of incident reporting (I), as opposed to the absence of such reporting (C), result in improved patient safety (O) within a six-month timeframe (T)? The components of the PICOT framework encompass P (Patients admitted to the hospital), I (Incident reporting), C (No reporting), O (Enhanced patient safety), and T (Six months). This study draws inspiration from Petschnig and Haslinger-Baumann’s (2017) research, which explored the efficacy of incident reporting systems in hospitals for enhancing patient safety. The evaluation of the change process during the fifth and final stage of the evidence-based practice (EBP) framework holds significance in this research.

    The goal is to reduce patient, nurse, and staff injuries or falls within the hospital setting, coupled with the prevention of errors in medicine or care, and the absence of reported incidents, including allergies. Initial data reveals three incidents of patient falls and two reports of medication-induced allergies in 2018, while 2019 documented four patient falls, one nurse injury (broken arm), and one staff member requiring treatment (incident report).

    Following the introduction of an incident reporting system, 2020 witnessed no patient falls but reported one incident of medication error-induced allergy. Post-implementation, there was a substantial 100% reduction in patient fall incidents and a 50% decrease in allergy reactions compared to 2019. Moreover, there were no staff or nurse treatments in 2020, indicating the intervention’s efficacy in its initial year of implementation (Petschnig & Haslinger-Baumann, 2017).

    Continuation of the Intervention Plan

    The intervention is scheduled to span three months. To comprehensively assess the intervention using EBP principles, a set of complementary metrics must be identified, and data collection should occur continuously. Two crucial metrics are the number of incidents per week and the response time for each incident, facilitating the calculation of the average response time. Thorough planning of these metrics is essential to ensure comprehensive coverage of all facets of the intervention. Data collection parameters encompass incident category, personnel response time, incident duration, personnel recording the incident, patient age and gender, and the reason for initial admission. Regular weekly data collection and reporting on a weekly, monthly, or annual basis will aid in identifying short-term and long-term cyclical trends, guiding appropriate decisions and corrective actions.

    Sustaining the Intervention Strategy

    For any new intervention necessitating a process change, complete support from management is crucial. Therefore, the primary strategy for sustaining evidence-based practice (EBP) is for management to actively support staff (Carlfjord et al., 2018). Management should conduct strategy sessions, engaging with staff, nurses, and physicians through regular meetings. Incorporating their perspectives and opinions as part of the improvement feedback process will contribute to the sustained success of the intervention.

    References

    Carlfjord, S., Ohrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18(1), 1-9.

    Petschnig, W., & Haslinger-Baumann, E. (2017). Critical Incident Reporting System (CIRS): A fundamental component of risk management in health care systems to enhance patient safety. Safety in Health, 3(1), 1-16.

    Appendix

    I incorporated feedback received from previous reports. For example, APA recommends writing out numbers below ten as words, so I expressed all single-digit numbers as words. The journal title is capitalized, and “et al.” is used to cite a paper with three authors. My strength lies in gathering and analyzing data for improvement, while my weakness in planning has been addressed based on received feedback.

    NURS FPX 8035 Assessment 3 Restate The PICOT Question and Outcomes of the Intervention