PICOT Scenario Analysis

My PICO question seeks to address what best-practice might be in determining effective outcome monitoring. The most common practice is based on the tradition of careful clinical interview with

The PICOT question: Population of patients, patient’s family in the Emergency Department (P), Workplace violence prevention program to reduce the rate of physical and non-physical violence to hospital staff (I), Patient or workmate, with a violence prevention program compared to violence prevention program (C), Reduction in physical and non-physical abuse to hospital staff (O), Within a period of 60 day trial (T)?

PICO questions break down the components of an evidence based decision making process into chunks of information which are more easily compiled in order to formulate an appropriate research question. P= Patient problem or population, I= Intervention, C= Comparison (where it is applicable), and O=Outcomes. For this change project question, the PICO formatted question is broken down as follows:

Most hospitalized patients of 65 years and above have been established to be more vulnerable to falling within their homes or in a facility. These falls have been attributed to various causative agents that need to be assessed and managed in an attempt to completely avert falls (Wilbert, 2010). Prevention of falls should be mandatory since they cause more danger to patients, including breakage of the main bones and even death. As a result, the patient may develop a more serious condition such as decrease functional immobility in addition to that which caused hospitalization. Most of these falls have been found to be caused by therapeutic impacts and ignored diagnostic information (Naqvi, Lee & Fields, 2009). For instance, a great number of elderly people who are hospitalized are diagnosed with dementia at the time of admission; hence, such information needs to be taken into consideration during the care of such a patient. Dementia is likely to cause disorientation and confusion which may result in recurrent falls. Therefore, falls may be described as the abrupt and unintended loss of uprightness that leads to body displacement towards the ground falls (Wilbert, 2010). The purpose of this paper is to develop a falls prevention, management program that will reduce the number of falls occurring within an organization.

Every year, about one third of everyone over the age of 65 falls, and do not report it to their doctors. Falls are the leading cause of fatal and nonfatal injuries in older people (Falls Among Older Adults). Falls become more common as people age because their bones become more brittle and their muscle mass decreases. In society today, the baby boomers are aging, which means falls will continue to increase in frequency. When a person falls, it doesn’t just affect the victim; it affects everyone. In 2012, approximately $30 billion went towards medical costs that were associated with falls (Falls Among Older Adults). To prevent more people being injured and more money being spent, there has to be a change.

The sample group involved 280 old people who were 79-90 years old and have a history of falling especially in the last 6 months. The intervention recommended was assigned one of the four controlled groups which applied different balance and strength exercise.

The purpose of this study is to focus on an evidence based approach to reducing peanut allergies in children by introducing peanut based foods at an early age.

Since falls are a frequent obstruction to independent living among elderly persons, there has been a growing consciousness of the incidence of falls which has led to the development of a lot of community-based fall prevention programs for older adults. Yet, the potential impact of these programs is reduced by the lack of research on factors that may influence older persons' decisions to accept or reject fall prevention behaviors. In an exploratory descriptive study done by Aminzadeh & Edwards, (1998) a focus group approach was used to draw out qualitative data on seniors' views on the use of assistive devices in fall prevention. Four focus group interviews were carried out with a convenience sample of thirty community-living older adults in Ottawa, Canada. "The interviews documented

A focused clinical research question is comprised of four essential elements: the patient, population, or problem (P); the intervention of interest (I); the comparison of interest or the standard of care (C); and the outcome of interest (O). These four components represent the acronym PICO (Stone, 2002). As the elements of PICO become more precise, the review of the literature becomes more focused. For example, elements of PICO may translate into medical subject headings that can direct searches of the literature (Stone, 2002). Also, clinical questions for specific patient populations can be identified so that relevant information can be found on databases and Internet search engines easily (Adams, 2012). The facilitation of the data collection process is determined by how well the PICO components are articulated during the development of the focused clinical question (Stone, 2002).

In DC, community based fall prevention programs have been rising to address falls but fall related incident, injuries and the cost has continuously been rising among elderly people (Costello & Edelstein, 2008). In the study conducted by Berland et al. (2012), showed that in home health, not viewing patient safety as primary prevention, lack of investigation causing fall and frailty of elderly adult have been some factors contributing to falls in home health. Falls negatively impacts an individual living in their home by causing them physical, emotional problem, giving rise to additional cost by losing workdays and income.

Evidence Based Practice is crucial to support care provided to patient. It is imperative to get evidence base on proven clinical practice that provides valuable insights about human health and illness as per Polit and Beck (2017). The researcher must pick a topic to be research on and A PICOT question formulated. These questions help as a guidance on the research. The researcher then check to see what can be retrieve that are of importances to topic. In most case narrowing of the questions may help. The levels of evidence are important because it help with identifying hierarchy of evidence. The higher the Hierarchy of evidence the better evidence base information.

With the numerous intrinsic and extrinsic factors leading to falls, it is probable to regard each factor and recognize constructive steps and safe interventions proven effective for preventing falls. Here are several interventions that can be employed in the best interest of the medical center:

People with lack of knowledge about falls have more chances of falling. The proposed implementation plan would prevent falls in adults and elderly by making them acknowledge preventive measures. Proper prevention and awareness programs against falls supports the facts that before the implementation of the project, no knowledge was provided to patients relating to the factors that cause a person to fall. The issue that could rise prior to the plan implementation would be whether every common individual of age will have access to the programs. Therefore, it should be considered that certain measures must be assessed so that no person finds the program difficult. To make sure that the program is carried out effectively, health organizations would be asked for approval of the plan. Permission would also be sought from the officials of the government. From this project, the outcome measures would bring out vital knowledge among the older people with positive results. Overall, falls prevention would be achieved.

Develop a PICO question using the PICO model to help guide your decision about patient care based on the best

Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they