07 Sep Develop a 5-9 page problem statement that presents?information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research.? TOPIC: Veterans homeles
Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research.
TOPIC: Veterans homelessness, sheltering our protectors. How to prevent homelessness and provide education to prevent housing problems for veteran service members.
Instructions
Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
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. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked above) to better understand how each criterion will be assessed.
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.
Intervention Overview (1–2 paragraphs).
· 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 double-spaced pages.
· Number of resources: 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
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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 validity of a proposed project.
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Capella University
MSN Practicum and Capstone
Assessment 2 Problem Statement (PICOT)
Nicole DuBack
March 03, 2022
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Need Statement
Coronavirus disease 2019 (COVID-19) is a public health disaster that has not been
encountered for a hundred years (2021). The World Health Organization confirmed and named
the coronavirus which caused unexplained pneumonia as a severe respiratory syndrome
coronavirus 2 (SARS-CoV-2) on January 12, 2020 (2021). In the early stages of the COVID-19
epidemic, most of the pediatric cases, children ages 1-17 years old, had occurred as a part of a
family cluster. This means the source of infection for children was from the adults within the
family. The widespread COVID-19 vaccination amongst adults is much higher than that of
children making increased pediatric infections as a leading source of community transmission.
The pediatric population accounts for 10,603,034 reported cases and children represent 18.4% of
all cases as of January 20, 2022 (APA, 2022). Children are an important part of the whole
population to build an immune barrier of COVID-19, children infected with COVID-19 bring a
burden to families and society and COVID-19 can become severe as well as fatal to children.
Progressive vaccination of the pediatric population for COVID-19 is important for the overall
prevention and control of this virus.
Population and Setting
The Children’s Hospital Colorado organization will serve as the setting identified and the
target population is the community in which the organization serves over all campuses. COVID-
19 cases in children can result in hospitalizations, MIS-C (inflammatory syndromes), long-term
complications and death. Vaccination along with other preventative measures can protect
children from this virus. It is important that we address the pediatric population and their need
for the COVID-19 vaccine for many reasons. In the summer of 2021 from late June to the end of
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August the hospitalizations amongst children and adolescents had increased fivefold
(Coronavirus Disease 2019, 2021).
In the Children’s Hospital Colorado organization, we have several campuses and clinics
where we see the opportunity to address the vaccination concerns of parents and caregivers to
promote the COVID-19 vaccine amongst the pediatric population. There are hundreds of
children and family that come in and out of our organization’s multiple campuses daily. Many of
these patients are battling congenital issues, cancer, organ transplants, severe injury, and multiple
other diagnosis that places them into a higher mortality rate without having to contend with the
complications of COVID-19. Children are our future, safe and effective vaccines are available to
thousands of pediatric healthcare providers, pharmacies, and federally qualified centers to
support our nation’s fight against COVID-19.
Intervention Overview
The long-term effect of COVID-19 infection in children is still unknown, which makes
balancing the benefits and risks of vaccination accurately are difficult. The studies on COVID-19
are being updated and published monthly, prior to peer review. Unfortunately, several initial
influential papers have been retracted after the peer review process was completed due to
detection of flaws in the study. This initial information is shared on social media quickly making
it difficult to disprove the false information provided. Pressure has been put on to pediatricians to
vaccinate the pediatric population, having the data of potential risks and benefits not always
being straightforward. The intervention that is scientifically proven to help combat the virus is a
2-dose vaccine.
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The indirect risks to COVID-19 in the pediatric population are isolation, reduced interactions,
and a disruption in their education. Children who are vaccinated have less of a risk to contract
the virus if in a classroom with a child who is COVID-19 positive, which reduces the days of
missing class when falling ill. Children who are vaccinated are protected from serious illness
making complications due to COVID-19 less likely as well as lower viral loads. Vaccinated
children have a reduced duration of shedding the disease and the initial vaccine effectiveness in
children is currently 95% (Emonts,2022).
Comparison of Approaches
As of February 2022, there is not another form of medical treatment approaches to COVID-
19 prevention amongst the pediatric population. We can however compare preventative
behaviors that are initial interventions against the vaccine amongst the pediatric population.
These behaviors include but are not limited to wearing a mask when going out, staying home as
much as possible, social distancing, and washing hands frequently.
Initial Outcome Draft
The proposed intervention is to create an organizational change within the organization to
improve the family experience of care, pediatric populations health and overall decreasing the
cost of care within the organization when it relates to covid-19.The primary goal is to increase
family education and awareness to the benefits and need for the COVID-19 vaccine amongst the
pediatric population. The increase in education and awareness would hopefully. Influence more
patients and families to vaccinate their children while reduce hospital stays and costs related to
COVID-19 admissions.
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Time Frame
The approval process will start with Children’s Hospital Colorado’s epidemiology
department, move through leadership in perioperative services, and then the executive
leadership team within the organization’s education department. To predict the implementation of
this new process in an organization such as Children’s Hospital Colorado is difficult to do
currently. The time frame is variable and based on not only the approval process mentioned
above but on a trial period, staffing education, and any other unforeseen obstacles that may
occur.
Creating an Implementation Timeline is helpful in listing tasks, responsible parties and
estimate time for execution. Having already defined our goal, increasing education surrounding
the COVID-19 vaccine in the pediatric population through perioperative services is the first step.
We have researched the need for this information to be disseminated to the families and patients
in this area and are now waiting approval to move forward with the how we can get that
information out efficiently and effectively. The next steps are to implement the change, evaluate
the outcomes and maintain.
Literature Review
There are approximately 28 million children between the ages of 5 and 11 years old in the
United States, and there are nearly 2 million cases of COVID-19 within this age group during the
pandemic(COVID-19 Vaccines for Children & Teens, 2022). COVID-19 can make children very
ill and at times cause them to be hospitalized and complications can lead to death. As of mid-
October 2021, children ages 5 to 11 years have experienced more than 8,300 COVID-19 related
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hospitalizations, nearly 100 deaths and is one of the top 10 cause of death amongst this
population(COVID-19 Vaccines for Children & Teens, 2022).
Multisystem inflammatory syndrome associated with COVID-19 in children (MIS-C) is
condition where different body parts can become inflamed, including the heart, lungs,
kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C
associated with COVID-19(Multisystem Inflammatory Syndrome(MIS), 2020). However, we
know that many children with MIS-C had the virus that cause COVID-19, or had been around
someone with COVID-19. MIS-C can be serious, even deadly, but most children who were
diagnosed with this condition have gotten better with medical.
Researchers at Denver-based University of Colorado led a study involving patients 18 years
and younger tested for COVID-19 at 56 U.S. National COVID Cohort Collaborative facilities up
to Sept. 24, before the emergence of omicron coronavirus variant(Masson, 2022). Among 10,245
hospitalized children, 1,423 (13.9%) met the criteria for MIS-c related to COVID-19 with 8
percent needing mechanical ventilation and 1.3 percent died(Masson, 2022).
The risks the pediatric population not being vaccinated seem to be significantly higher than
the risk of being vaccinated. The COVID_19 vaccination was 94% effective at preventing
hospitalization and 98% effective at preventing the need for serious medical intervention
according to a study performed by Dr. Adrienne Randolph, a critical care physician at Boston
Children’s Hospital(Fliesler, 2022). A second study led by Dr. Randolph showed the risk of
MIS-C in unvaccinated children to COVID-19 is likely higher and more severe than the risk of
myocarditis, which is generally rare and when it occurs, symptoms are generally mild and
subside quickly (Fliesler, 2022).
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References
A.A.P. (2022, January 20). Children and COVID-19: Data Report. AAP. Retrieved January 25,
2022, from https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-
infections/children-and-covid-19-state-level-data-report/
American Academy of Pediatrics. (2022, February 25). COVID-19 Vaccines. Retrieved March 2,
2022, from https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-
infections/covid-19-vaccine-for-children/about-the-covid-19-vaccine-frequently-asked-
questions/
Coronavirus Disease 2019. (2021, November 2). Centers for Disease Control and Prevention.
Retrieved January 25, 2022, from https://www.cdc.gov/media/releases/2021/s1102-
PediatricCOVID-19Vaccine.html
COVID-19 Vaccines for Children & Teens. (2022, January 11). Centers for Disease Control and
Prevention. Retrieved March 1, 2022, from https://www.cdc.gov/coronavirus/2019-
ncov/vaccines/recommendations/children-teens.html#:%7E:text=Teens%20ages
%2012%20to%2017,younger%20than%2012%20years%20old.
COVID-19 in babies and children. (2022, January 28). Mayo Clinic. Retrieved March 2, 2022,
from https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-
in-babies-and-children/art-20484405
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Emonts, M. (2022, February 1). COVID-19 interventions in children: a balancing act. Archives
of Disease in Childhood. Retrieved March 1, 2022, from https://adc.bmj.com/content/107/3/e12
Fliesler, N. (2022, January 10). COVID-19 vaccination in teens: Benefits far outweigh risks.
Boston Children’s Answers. Retrieved March 2, 2022, from
COVID-19 vaccination in 12- to 18-year-olds: What does the science say?
Healthcare Workers. (2020, February 11). Centers for Disease Control and Prevention. Retrieved
February 11, 2022, from https://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-
hcp.html
How to Talk with Parents about COVID-19 Vaccines. (2021, November 29). Centers for Disease
Control and Prevention. Retrieved January 25, 2022, from
https://www.cdc.gov/vaccines/covid-19/hcp/pediatrician.html
Masson, G. (2022, February 10). 8 risk factors tied to severe COVID-19, MIS-C in kids. 8 Risk
Factors Tied to Severe COVID-19, MIS-C in Kids. Retrieved March 1, 2022, from
https://www.beckershospitalreview.com/patient-safety-outcomes/8-risk-factors-tied-to-
severe-covid-19-mis-c-in-kids.html
Multisystem Inflammatory Syndrome(MIS). (2020, February 11). Centers for Disease Control
and Prevention. Retrieved March 1, 2022, from https://www.cdc.gov/mis/mis-c.html
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N.C.B.I. (2021, October 7). Expert Consensus on COVID-19 vaccination in Children.
Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/PMC8494629/. Retrieved January 25,
2022, from https://www.ncbi.nlm.nih.gov
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Problem Statement (PICOT) MSN Practicum and Capstone
Ashli Smith Capella University
Dr. Dewitt
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Problem Statement (PICOT)
Need Statement
For over a year, the nation has been ravaged by one of the most significant pandemics the
nation has experienced in history. This infectious virus mutated from a family group of viruses
called Coronaviridae (World Health Organization, 2021). Serve acute respiratory syndrome
coronavirus 2 (SARS-CoV-2) or coronavirus disease of 2019 (COVID-19) mutated to a highly
contagious novel virus (He, Deng and Li, 2020). The suspected origin of COVID-19 is from a
wet market in Wuhan, China (Platto et al., 2020). COVID-19 can be transmitted in several
different ways. The primary transmission mode is through droplets from either a person's mouth,
nose, or eyes. These small particles can be transmitted from talking, coughing, sneezing, or even
breathing. Coronavirus affects the respiratory system, which could lead to pneumonia and other
long-term effects (Fauci, Lane, and Redfield, 2020)
According to Murphy and Wu, over four million people have died worldwide from
COVID-19, and a little over seven hundred thousand of those deaths came from the United
States. (Murphy and Wu, 2021). Since the beginning of the pandemic, there has been misleading
information circulating in the media. This project will aim to identify evidence-based practice
that justifies steps to prevent the spread of the coronavirus within the community and educate the
community on vaccines and the number of cases in Jackson, Tennessee.
Population Setting
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Jackson Madison General Hospital (JMGH)is a six hundred forty-two-bed hospital that also has
various outpatient clinics located in the heart of Jackson, Tennessee (West Tennessee Healthcare,
2021). Jackson is known for its live music scene and cultural diversity. JMGH and clinics
encounter a larger number of clients/patients that are over the age of forty. Studies have shown
that the elderly population is more at risk of communicable disease due to the lack of proper
recourses or education (Friebe and Schmidt-Hertha, 2021).
According to Bernhard and colleagues, the elderly population's participation in education has
decreased due to their education level or background. For instance, some of the elders in the
population can be compromised of migrants' or below standard living, which can affect the way
they learn or participate in education on health (Friebe and Schmidt-Hertha, 2021). The project's
target audience is the vulnerable population, such as the elderly and children who are
patients/clients at JMGH and the outpatient clinic at risk of contracting the coronavirus. As a
result of the increasing number of cases in the Jackson area, serval interventions will be
implemented.
Intervention Overview
One of the critical interventions will be education. A website will be created that contains
information about COVID-19. The information will consist of weekly updates on the number of
cases within Jackson, ways to prevent the virus, steps to maintain the symptoms, and any
changing clinical protocols. The informatics team will update the website with any new
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information. The importance of updating the clinical portion will aid in successfully execute the
intervention. Giving the patients, clients, and staff accurate information is the primary goal.
Another intervention has seminars within the community to educate people on steps to
prevent the spread of the virus. The seminars will be held at the regional inter-faith association
(RIFA), an outreach ministry that caters to the community's needs. Its located heavily populated
area of Jackson and serves over two hundred people daily. RIFA serves the elderly population by
giving them food boxes that consist of meals for seven days. (RIFA, 2021). When the food boxes
are being delivered, the staff will educate the person on handwashing and wearing a mask while
in public.
Along with education, the person will receive a gift bag with hand sanitizer and m
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