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 PICOT Question: In hospitalized patients (P), does the implementation of incident reporting (I) in comparison to the absence of such reporting (C) lead to an enhancement in patient safety (O) within a 6-month study duration?

Background and Study Context: The elements of PICOT are as follows: P (Patients admitted to the hospital), I (Incident reporting), C (No reporting), O (Improved patient safety), and T (Six months). This inquiry is grounded in the study conducted by Petschnig and Haslinger-Baumann (2017), which examined the efficacy of incident reporting systems in hospitals and their implementation to enhance patient safety. The evaluation of the effectiveness of the change process within the fifth and final stage of an evidence-based practice (EBP) framework is central to this investigation.

Outcome Measures: The desired outcome is the absence of patient, nurse, and staff injuries or falls within the hospital environment, coupled with zero errors in medicine or care, and no reported incidents, including allergies.

Data Findings: Initial data reveals three incidents of patient falls and two allergy reports due to medication errors in 2018, while 2019 witnessed four patient falls, one nurse injury (broken arm), and one staff member requiring treatment (incident report). Subsequent to deploying an incident reporting system, 2020 reported no patient falls, but one incident of medication error-induced allergy. Post-implementation, there was a notable 100% reduction in patient fall incidents and a 50% decrease in allergy reactions compared to 2019. Furthermore, there were no staff or nurse treatments in 2020, suggesting the intervention’s effectiveness in the first year of deployment (Petschnig & Haslinger-Baumann, 2017).

Continuation of the Intervention Plan

Evaluation Metrics: The intervention is slated to span three months. To comprehensively evaluate the intervention using EBP principles, a set of complementary metrics must be identified, and data collection should occur continuously. Two key metrics are the number of incidents per week and response time for each incident, which enables the calculation of average response time. Thorough planning of these metrics is crucial to ensure comprehensive coverage of all intervention aspects.

Data Collection Parameters: Data collection parameters include 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 facilitate the identification of short-term and long-term cyclical trends, informing appropriate decisions and corrective actions.

Sustaining the Intervention Strategy

Management Support: For any new intervention necessitating process change, full support from management is imperative. Thus, the primary strategy for sustaining the evidence-based practice (EBP) is for management to proactively support staff. Management should conduct strategy sessions, engaging with staff, nurses, and physicians through regular meetings. Incorporating their views 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 integrated feedback received from my earlier reports. For instance, APA recommends writing out numbers below ten as words, so I rendered 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