PICOT: Question on Evidence Based Approach

Introduction

In the contemporary world of healthcare, the evidence-based nursing practice remains a requisite concerning the aspect of delivering high-quality care, which the capacity of optimizing the patients' outcome. Recent research shows that when the best evidence from the perspective of providing patient care is applied, the outcome is enhanced. Nevertheless, irrespective of the responsiveness of the need for nursing practicing by the use of best evidence, the notion of attaining and sustaining nursing evidence-based practice remains challenging. As if that is not enough, various researches undertake that the aspect of incorporating evidence-based practice on a day to day nursing and clinical practice lacks consistent. This paper addressing issues in nursing practice upon which if there is a certain degree of change proposals implemented would result in improved patients' care (Friese & McCullagh, 2017). Traditional nursing practice and evidence-based approaches fail to agree to make nursing practice proceeds on adopting the tradition that lacks value addition in the modern human health environmental influences and the medical world in general.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

Why Change Proposal to Enhance Human Health Environmental Issues Using Evidence-Based Approach Is Paramount?

A qualitative investigation conducted by the use of samples shows the need to take into account the rights of the patient's choice in healthcare, together with the aspect of reflecting self-determination of the patients' value. The literature of nursing ethics on education has concentrated on describing the decision-making model to assist nurses. This is particular in coming up with resolutions that can bring the required solution of the by way of changing the existing perspectives of nursing practices. There is a need for proposing changes in line with the development that emerges out of medical ethics, especially in the field of bioethics. Considering that the principle-based bioethics valuable reaction to the growth of medical, including transplanting along with life-prolonging technological advancements, the concentration of the individual association without broader relational concerns increases criticisms. Hence it is necessary to widen the healthcare ethics viewpoints taking into consideration principle-based ethics besides virtue ethics, feminist tactics, communitarianism, and care-based ethics. It is not pleasing considering the perception that some nurses rely on their peers in forming opinions hence the reason for having high scores concerning the norm-based ethical making about the resolution of DIT (Defining Issues Test). Other nurses who do not rely on peers make independent decisions hence have high scores on principled based decision making ethical (Boswell & Cannon, 2015). From these perspectives, it is therefore essential to have a change proposed that results in reconciling the ethical decision making, thereby conforming to self-held values regardless of any benefit of the group. It is equally imperative to have a dichotomy of nurses and non-active nurses all to be ethically active in all nursing practices using the current evidence-based approach.

PICOT

In the practices of nursing, PICOT is an abbreviation for patient/ population problem, Intervention, Comparison, Outcome (symptoms) as well as Time frame. It is worth noting that the notion PICOT stands commonly applied in therapy, prognosis, Etiology as well as diagnosis. Nursing practices operate under a code of ethics, providing that the primary concern of the nurses in all their undertakings remain the patients. Various researchers undertake that practicing nurses tends to value their patients, and the main focus in their operations and care prioritizes the best interests of the patients (Holloway & Galvin, 2016). Above that, when it comes to diagnosis, it takes place with the consideration of the objective and subjective of the data collection. In such a scenario, the wellbeing of the proposed change must identify and describe the existing health problems.

According to Moran, Conrad, and Burson (2016), depending on the practice setting, nurses usually use diagnostic terms developed by the North America Nursing Diagnosis or else by the medical diagnostic terminology. At this phase, the environmental issues stand addressed. Planning/ outcome remains the phase at which nursing identifies the optimal outcome. Hence there is a need for identifying the range of interventions towards dealing with the health problems in that way developing implementations plans. At this point, intervention being the constituent of the process for nursing practice incorporates the implementation of the nursing activities promoting health besides preventing Injury along with illness. Nurses at this level are expected to function educators in the nursing process, thereby informing patients, families, workers as well as whole community concerning the health hazards linked to the environment and how they protect themselves. The intervention also requires adopting the role of an advocate. Such an undertaking is often challenging in that nurses lack training on the advocacy techniques paramount in representing population or patients in other setting apart from the health care facilities. It is necessary that nurses outspread the concept of advocacy into the viewpoint of the workplace communities when dealing with the environment and compare it with related issues concerning health often intertwined with social and political factors within a given time frame. Nursing process implementation by the use of PICOT demands expansion of the tools along with methods. This is essential in assessing patients, diagnostic purposes, and development of the treatment besides intervention incorporating clinical environmental factors.

Conclusion

In the present day, the evidence-based approach to nursing practice requires an accepted systematic framework, including the nursing process about planning, assessment, intervention, and evaluation. Awareness of the prescribed description, systems as well as definitions of the nursing practice remains central in determining how health concepts stand presentable in the demonstration of health issues in line with the nursing practice. Integration of PICOT, an evidence-based approach into the nursing practice scope, illustrates the continued desire for improving human health environmental issues in contemporary society.

References

Boswell, C., & Cannon, S. (2015). Introduction to nursing research. Burlington, MA: Jones & Bartlett Learning.

Friese, C. R. & McCullagh, M. C. (2017). Lessons Learned From a PracticeBased, Multisite Intervention Study With Nurse Participants. Journal of Nursing Scholarship.

Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley & Sons.

Moran, K. J., Conrad, D., & Burson, R. (2016). The doctor of nursing practice scholarly project. Jones & Bartlett Publishers.