Question

Can someone help me get started? This is the case scenario

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses' awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses "collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources" (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality	Safety
Patient satisfaction Patient education	Falls
Non-pharmacological pain management	Errors (any). Examples include: Medication Patient identification Communication
Readmissions Length of stay Costs	Healthcare Associated Infections (HAIs). (Any type) Examples include: Central Line Associated Blood Stream Infections (CLABSI) Catheter Associated Urinary Tract Infections (CAUTI) Ventilator Associated Pneumonia (VAP) Surgical Site Infections (SSI) Sepsis
Discharge Teaching/Coaching Transitions of Care/Level of Care	Pressure Ulcers Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

QUESTIONS???

Criteria

Clinical Nursing Practice Problem Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.

Clinical PICOT Question Using the AAACN Template for Asking PICOT Questions located in #5 of the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.

Answer 1

Quality or safety clinical priority area:
Readmission
Length of stay
Costs
Rationale:
Increased number of readmission and length of stay due to hospital-acquired condition that increase the costs this is due to inadequate nursing facility and beds,Unpreparedness of care, less treatment option,poor advanced directives, and unavailable resources..
Reducing length of stay is the best practice for quality care..focusing on this barriers an reduce the length of stay,readmission and costs..Reduction of length of stay and readmission mostly associated with patient outcomes..At the local level is is important to monitor the effects of cost containment and increase the health care facilities which is needed for followup visit and strict standard precautions for medical and surgical patient to avoid infections..
Evidence based practice is the problem solving approach for each clinical practice..PICOT format:
P- Population. I- intervention, C- comparison, O-outcome, T-time
PICOT questions
How do hospitalized older adults (P)with a surgery of hip replacement(I) compared with younger population (C) increased risk of hospital acquired infection (O) during   their hospital stay(T)?