As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately. The patients’ need of narcotics is around the clock until the pain subsides. The lack of staff in the surgical floor is a problem the institution has been dealing with for the last year and the problem still has not been corrected. The patient’s satisfaction is compromised, and the nurse patient ratio is high.
Step 1: Identify the problem – Cultivate a spirit of inquiry
Explain, in your own words, what is the problem?
What are the data and sources that validate the problem?
- Safety
- Quality indicators
- Practice observations
- Patient satisfaction
- Other
Why is the problem is relevant?
What is the current practice?
- Create the clinical question utilizing the PICOT format – Ask clinical questions utilizing the PICOT format
P = Patient Population
I = Intervention or issue
C = Comparison Intervention or Status
O = Outcome
T = Timeframe to accomplish the O
Final Clinical Question: _________________________________________
- Searching for the best evidence
The student will look at the different databases to search for the strongest evidence that will be used to answer the clinical question.
- Critically appraise the evidence – Summarize the evidence
The student will evaluate the evidence and will choose the ones that will help to answer the clinical question. They will create a summary of the best information found and synthesize the findings.
- Integrate the evidence with clinical expertise
- Develop best evidence recommendations
- Create an action plan
- Implement action plan
- Reports results to stakeholders
- Create a report to the stakeholders
- Disseminate findings
- Hospital administration meeting – PowerPoint
General Instructions
- Remember that your work must be original and must not contain material copied from books or the internet. You
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