24 Jun Based on my instructor’s feedback and comments- ATTACHED, I need to fix the attached PICOT-D Question submission.? Please the document attached and the professor’ comments

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DNP Learner Name: Marian Alli________ Current Course: DNP-815A Scientific Underpinnings

PICOT-D Question Template
P	Population	Adolescent population with mental health issues
I	Intervention	Ask Suicide-Screening Questions (ASQ)
C	Comparison	The existing tools
O	Outcome	The possibility of patient referrals
T	Timeline	8 weeks
D	Data	Electronic Health Record
What is your licensure?	APRN RN Is this practice change within the scope of your nursing practice? YES No By submitting this form, I am attesting I have read my state's Nurse Practice Act, and the project is within the scope of my practice.
PICOT	In the adolescent population with mental health issues, how does Ask Suicide-Screening Questions (ASQ) impact patient referrals to the psychiatric department over 8 weeks?
Problem Statement	It was not known if the implementation of __ Ask Suicide-Screening Questions (ASQ) ___would impact ___ patient referrals to the psychiatric department among ___ adolescent population
Purpose Statement	The purpose of this quality improvement project was to determine if the implementation of _ Ask Suicide-Screening Questions (ASQ)___ (intervention, make sure you have the evidence-base here) would impact ___ patient referrals to the psychiatric department among _______ adolescent population. The project was piloted over an eight-week period in an urban eastern, primary care clinic
Original Research articles: List all original research articles that support the intervention. Ensure there are hyperlinks to the articles and or embed the document. (Required)	1. Aguinaldo, L. D., Sullivant, S., Lanzillo, E. C., Ross, A., He, J., Bradley-Ewing, A., Bridge, J. A., Horowitz, L. M., & Wharff, E. A. (2021). Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics. General Hospital Psychiatry, 68, 52-58.  https://doi.org/ 10.1016/j.genhosppsych.2020.11.006 2. Horowitz, Lisa M., PhD, MPH, Bridge, J. A., PhD, Pao, M., MD, & Boudreaux, E. D., PhD. (2014). Screening youth for suicide risk in medical settings. American Journal of Preventive Medicine, 47(3), S170-S175.  https://doi.org/ 10.1016/j.amepre.2014.06.002 3. Horowitz, L. M., Bridge, J. A., Pao, M., & Boudreaux, E. D. (2014). Screening youth for suicide risk in medical settings: Time to ask questions. American Journal of Preventive Medicine, 47(3 Suppl 2), S170-S175.  https://doi.org/ 10.1016/j.amepre.2014.06.002 4. Inman, D. D., Matthews, J., Butcher, L., Swartz, C., & Meadows, A. L. (2019). Identifying the risk of suicide among adolescents admitted to a children's hospital using the ask Suicide‐Screening questions. Journal of Child and Adolescent Psychiatric Nursing, 32(2), 68-72.  https://doi.org/ 10.1111/jcap.12235 5. Milliman, C. C., Dwyer, P. A., & Vessey, J. A. (2021). Pediatric suicide screening: A review of the evidence. Journal of Pediatric Nursing, 59, 1-9.  https://doi.org/ 10.1016/j.pedn.2020.12.011

References

Agency for Healthcare Research and Quality, Rockville, MD. (2017) Introduction and evidence

for early mobility: A protocol to get patients out of bed faster: Facilitator guide. Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html

Creswell, J. W. & Creswell, J.D. (2018). Research design: Qualitative, quantitative, and mixed

methods approaches. (5th ed.) Thousand Oaks: Sage Publications.

Engel, H. J., Tatebe, S., Alonzo, P. B., Mustille, R. L., & Rivera, M. J. (2013). Physical Therapist-Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center. Physical Therapy, 93(7), 975–985. https://doi-org.lopes.idm.oclc.org/10.2522/ptj.20110420

Fisher, S. R., Kuo, Y. F., Graham, J. E., Ottenbacher, K. J., &Ostir, G. V. (2010). Early ambulation and length of stay in older adults hospitalized for acute illness. Archives of internal medicine, 170(21), 1942–1943. https://doi.org/10.1001/archinternmed.2010.422Organization for Economic Co-operation and Development. (2019). Length of hospital stay. Retrieved from https://data.oecd.org/healthcare/length-of-hospital-stay.htm

I, (Marian Alli), verify that I have completed and logged (5) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Lopes Activity Tracker for verification purposes and will be sure that all approvals are in place from my faculty and practice immersion preceptor/mentor before the end of the course.

© 2022. Grand Canyon University. All Rights Reserved.

04.30.2021

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PICOT-D Question Submission – Rubric

POPULATION: Good 4.6 points/5 A description of population being assessed is complete and includes a direct link to practice improvements that can be measured through patient and practice outcomes.

Criteria Comments: The ASQ states that it should be used for patients 8 years to 18. I see you have stated just adolescents. What is the reason for that?

INTERVENTION: Good 4.6 points/5

A description of the intervention is complete and includes a sufficient amount of evidence and is supported by literature.

Criteria Comments: If your tool is more than 5 years old, you need to name current researchers using this tool within the last 5 years. (Whose research or Clinical Practice Guideline says to implement this to use ASQ as a positive way to get referrals to mental health?) You have to name that research such as: The purpose of this quantitative quasi-experimental quality improvement project is to determine if or to what degree the implementation of Ali and Kronsberg’s research using the ASQ tool…….

Example:

· If it is research, state: Translation: ie: In obese adults in a primary care clinic does the translation of Kronsberg’s research on the Lose Weight Fast Diet impact BMI compared to current practice over 8 weeks?

· If it is a Clinical Practice Guideline, state: ie: In obese adults in a primary care clinic does the Wilford Diabetic Association’s Lower Your A1c Guideline impact A1c levels compared to current practice over 12 weeks?

COMPARISON: Satisfactory 4.4 points/5

A description of the comparison information is included but lacks evidence and measurable outcomes.

Criteria Comments: The C from the PICOT must be written out. State compared to current practice.

OUTCOME: Excellent 5 points/5

A description of the outcome is extremely thorough with substantial evidence.

Criteria Comments: No comments.

TIMELINE: Excellent 5 points/5

RATIONALE: Excellent 7.5 points/7.5

ORIGINAL RESEARCH: Satisfactory 4.4 points/5

Criteria Comments: The Aguinaldo article cannot be reached using the doi. It is asking that we purchase the article. You must submit the permalink to the article for it to be reviewed. The 1st Horowitz article is not a study; it is just a written paper. The articles must be original research studies. The 2nd Horowitz article is the same as the first. The Inman article is a pilot program that cannot be used to support your PICOT. The Milliman article's doi does not lead me to that specific article. After I found the correct article, it was a literature search, not an original study.

MECHANICS OF WRITING : Excellent 2.5 points/2.5

DOCUMENTATION OF SOURCES: Good 4.6 points/5

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Criteria Comments: The links do not always lead to the full article as is required.