NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach

Capella University NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach– Step-By-Step Guide

This guide will demonstrate how to complete the Capella University  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach

Whether one passes or fails an academic assignment such as the Capella University  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach 

The introduction for the Capella University  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach

After the introduction, move into the main part of the  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for  NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach

Health care professionals work hard to address patient needs as situations necessitate. Despite their commitment to delivering quality and patient-centered care, health care professionals face many challenges that hinder them from achieving the desired outcomes. Such challenges need to be analyzed in-depth and suitable interventions adopted to address and prevent them in the future. The outcomes depend on the approaches used to address a care issue. The purpose of this paper is to develop a PICOT question for a specific care issue and evaluate the evidence that could be used to answer the question.

Practice Issue to Explore via a PICOT Approach

Nurses play an instrumental role in health care delivery as primary care providers. They are involved in most processes regarding patient care, implying that patient outcomes always depend on how effectively nurses deliver their work. As a result, they should be mentally and physically healthy to execute their roles as professionally and ethically expected. To ensure continuity of care, new graduate nurses join the practice at different times. They are expected to get maximum support from their colleagues to execute their mandate confidently. However, they are typical targets of workplace incivility, with many experiencing bullying at some point during the transition from education to practice (Anusiewicz et al., 2019). Such nurses should be prepared to cope with practice challenges to adapt comfortably.

The impacts of workplace incivility cannot be overlooked at any point of care. Shi et al. (2018) found that graduate nurses transitioning to practice are highly vulnerable to workplace incivility due to inexperience and confidence problems. If not assisted, workplace incivility further affects their ability to provide patient care. For instance, workplace incivility has been found to cause distraction and emotional upset that put patients at risk (Khan et al., 2021). Bullied or intimidated nurses feel like they do not get the support needed, losing interest in their work. Such problems increase their vulnerability to medication administration malpractices, common among new graduate nurses (Armstrong, 2018). Patients should be protected from adverse outcomes by addressing workplace incivility effectively.

PICOT Question: In graduate nurses (P), can cognitive rehearsal training (I) compared to no intervention (C) empower graduate nurses to cope with workplace incivility (O) within six months?

The PICOT approach identifies the Problem/Population, potential Interventions, Comparison, Outcomes, and Timeline. It guides evidence search since the practice issue is known and proposed interventions identified. The process that follows primarily involves searching and appraising evidence on the proposed interventions to help address the practice issue.

Sources of Evidence to Answer the PICOT Question

The internet has a lot of information on workplace incivility and how to control it in health care settings. Information on the practicality of cognitive rehearsal is also extensive in websites, blogs, books, dissertations, and journal articles, among other sources. Reliable websites from government, health, and learning institutions can provide tips on workplace incivility control and help new nurses adapt to new climates. Books are also authoritative to a significant extent. However, journal articles are the most effective in answering the PICOT question among these sources.

When answering a PICOT question, nurses use the evidence-based approach to address a practice issue. They search for the best evidence from current, authoritative, accurate, and relevant sources. Accurate sources seek information from research studies. They are also peer-reviewed by experts in the same field. As a result, journal articles will be used to answer the PICOT question since they meet these criteria.

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Findings from Articles

Health care research has explored the effectiveness of cognitive rehearsal in addressing workplace incivility, and findings vary depending on the studied population, the scope of research, and the objectives of the researchers. Armstrong (2018) recommended combining educational training about the workplace and effective responses to enable nurses to deal with uncivil behaviors. Cognitive rehearsal was proposed as part of the educational training to enable nurses to identify and report uncivil behaviors. Increased knowledge on identifying incivility issues ensures that nurses are not easily distracted.

Two more articles provide valuable information on the importance of cognitive rehearsal training as an empowerment method for new nurses. Kim et al. (2020) advised health care administrators to be committed to identifying incivility toward junior nursing students and develop targeted programs to reduce clinical incivility. Cognitive rehearsal training is among the targeted programs that can work effectively for nurses when learning and during practice. Zhang and Xiong (2019) found cognitive rehearsal an effective method for improving environments in which care is provided. Besides empowering nurses to identify, resist, and report incivility, it improves interpersonal relationships and decreases turnover intention. Overall, these articles meet the credibility criterion and can answer the PICOT question authoritatively. They share similar characteristics for nursing research evidence, including authority, relevance, currency, and reliability. Although their study designs vary, they are extensive and conclusive on how cognitive rehearsal can help new nurses cope with workplace incivility.

Relevance of the Findings

Research relevant to a PICOT question should help health care providers address a practice issue comprehensively. Armstrong (2018) conducted a systematic review specifically on applying workplace training techniques to enable nurses to deal with incivility. It is detailed on when, how, and why the training is essential. Kim et al. (2020) explained the importance of targeted programs in improving nurses’ well-being. The study illustrates the expected outcomes when cognitive rehearsal and other methods are used for addressing incivility. However, the article focuses primarily on junior nursing students. Zhang and Xiong (2019) provide evidence on cognitive rehearsal as a coping strategy. However, the study reviews the effectiveness of the approach among many other methods. It is right to deduce that all the articles are relevant as far as addressing workplace incivility is concerned.

Cognitive rehearsal is a psychological intervention. It ensures that nurses are prepared to face a problem and can identify and respond to it confidently. Among the findings, Kim et al.’s (2020) article recommendations are the most likely to lead to positive outcomes. Kim et al. (2020) explained the outcomes achieved through cognitive rehearsal, including behavior change, adjustment, and improving the work environment. The article also explains how cognitive rehearsal can be combined with other methods for better outcomes.

Conclusion

A healthy workplace is crucial for nurses to deliver comprehensive patient care. Such a workplace is characterized by high collaboration, support, and protecting nurses from abuse and intimidation. As an issue hampering patient safety and health care quality, workplace incivility among new graduate nurses can be addressed via a PICOT approach. The population of concern would be the graduate nurses experiencing incivility, the proposed intervention would be cognitive rehearsal, and the outcome is improving coping ability. Research should be sourced from current, authoritative, and credible resources. The selected articles address workplace incivility from multiple dimensions, but cognitive rehearsal dominates the proposed interventions.

References

Anusiewicz, C. V., Shirey, M. R., & Patrician, P. A. (2019). Workplace bullying and newly licensed registered nurses: an evolutionary concept analysis. Workplace Health & Safety, 67(5), 250-261. https://doi.org/10.1177%2F2165079919827046

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106

Khan, M. S., Elahi, N. S., & Abid, G. (2021). Workplace incivility and job satisfaction: Mediation of subjective well-being and moderation of forgiveness climate in health care sector. European Journal Of Investigation in Health, Psychology and Education, 11(4), 1107–1119. https://doi.org/10.3390/ejihpe11040082

Kim, S. A., Hong, E., Kang, G. Y., Brandt, C., & Kim, Y. (2020). Effect of Korean nursing students’ experience of incivility in clinical settings on critical thinking. Heliyon, 6(7), e04367. https://doi.org/10.1016/j.heliyon.2020.e04367

Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. http://dx.doi.org/10.1136/bmjopen-2017-020461

Zhang, X., & Xiong, L. (2019). Impact of nurse horizontal violence and coping strategies: A review. Yangtze Medicine, 3(4), 289-300. https://doi.org/10.4236/ym.2019.34028

 Thank you for submitting your 3rd assessment! I hope you enjoyed applying the PICO(T) framework to your research question and found that it expedited the search process while giving you a systemic method.  You probably discovered that word choice regarding what terminology to include in the research process is vital.  I hope that this lesson will greatly benefit you in the future when the need to locate relevant and pertinent findings is required.  Nurses are the catalysts of and for change. You are learning the necessary tools to be successful with this responsibility. Kudos to you! You will do great things for our profession! Do you already see yourself making changes in practice? If so, are you learning how best to achieve this?   As you move on to the next assessment, please look at the scoring guide criterion that asks you to identify a specific evidence-based model to explain how the steps/stages/phases can be used to incorporate evidence-based changes into practice. Here are two links that will take you to the nursing evidence-based models from which to select from:   https://www.kau.edu.sa/Files/0004020/Subjects/EBP%20Changes%20project.pdf   https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1

Faculty Comments:You did a great job defining a practice issue to explore via a PICO(T) approach. You addressed the topic of COPD. This is a well-formatted PICOT question. To achieve a higher score, you could have noted how exploring the practice issue will benefit from a PICO(T) approach. Great start!