Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research.
Introduction:
You will develop a proposal for an intervention plan to fulfill a need within a specific population. (I have attached a PDF I thought this project could be about. Starting at page 20 is where it starts involving things in this project. The problem is the length of time for patient medication refills in ambulatory care, specifically Internal Medicine patients. Patients have to wait over a week after electronic request through the patient portal (supposedly the fastest route), as messages go through multiple channels before finally getting to the doctor to sign off. There are many staff members involved including nurses and medical assistants forwarding messages, receiving faxes and phone calls, then submitting to the doctors who are equally overwhelmed with the amount of requests. This proposed initiative would bring in a team of pharmacists and pharmacy techs to receive the refills requests directly, then send in with specific protocols which would lower the amount of requests to physicians by 80-90% and make turnaround time 24-48 hours. Please contact me with any questions, or feel free to write as you please on it as I will go in after and change anything necessary. Also, if you feel it is not a good fit and have a stronger idea, if you could just run it by me first as it needs to be in the ambulatory setting)
First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.
Preparations:
Read Guiding Questions: Problem Statement (PICOT) [DOC] (attached). This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.
At minimum, be sure to address the bullet points below, as they correspond to the grading criteria.
Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.
Your Problem Statement (PICOT) should be structured as follows:
PART 1: PROBLEM STATEMENT (2–3 PAGES)
Need Statement (1 paragraph).
Analyze a health promotion, quality improvement, prevention, education or management need.
Population and Setting (1–2 paragraphs).
Describe a target population and setting in which an identified need will be addressed.
Explain an overview of one or more interventions that would help address an identified need within a target population and setting.
Comparison of Approaches (1–2 paragraphs).
Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
Initial Outcome Draft (1 paragraph).
Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Time Estimate (1 paragraph).
Propose a rough time frame for the development and implementation of an intervention to address and identified need.
PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)
Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.
ADDRESS GENERALLY THROUGHOUT
Communicate problem statement and literature review in way that helps the audience understand the importance and validity of a proposed project.
Additional Requirements:
Length of submission: 5–9 pages, double-spaced.
Number of resources: Minimum of 10–15 resources. (Your final project summation will require 12–18 unique sources across all sections.)
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
Font and font size: Times New Roman, 12 point.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
Explain an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting.
Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
Analyze a health promotion, quality improvement, prevention, education, or management need.
Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
Describe a quality improvement method that could impact a patient, population, or systems outcome.
Competency 4: Design patient- and population-centered care to improve health outcomes.
Propose a rough time frame for the development and implementation of an intervention to address an identified need.
Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
Evaluate and synthesize resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need.
Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Note: You will also be assessed on two additional criteria unaligned to a course competency:
Communicate problem statement and literature review in a way that helps the audience to understand the importance and validicixty of a proposed project.
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