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I need a page with bullet points and 2 pages with an abstract of the PICOT question

Final PICOT Question and Introduction to the Problem
Hortensia Corredera
Larkin School of Nursing
The PICOT question formulated for this paper is:
For ICU patients, will bedside shift report improve quality patient care when compared to shift
report at the nurses’ station during their hospital stay?
Significance of the problem
The significance of the problem is viewed as an opportunity to reduce errors and to improve the
quality of nursing care provided to patients. In many facilities, bedside shift report (BSR) is carried
out behind closed doors, either at the nurse’s station or in a private office. Some healthcare
organizations even allow nurses to record their reports for the next shift to listen to later ( Halms,
2017). But a growing number of research indicates that shift report away from the bedside is not
ideal for safe, effective patient care. Patients don’t feel included when report is not at the bedside,
and errors leading to patient harm are more likely to occur (Ford, Heyman, Chapman, 2016).
Unfortunately, sentinel events are more likely to occur during change-of-shift when patients are left
alone for longer periods of time.
Reference:
Ford, Y., Heyman, A., & Chapman, Y. (2016). Patients’ perceptions of bedside handoff: The need for
a culture of always. Journal of Nursing Care Quality, 29(4), 371-378.
Halms, M. A. (2017): Nursing handoffs: Ensuring safe passage for patients. American Journal of
Critical Care, 22(2), 158-161
Literature summary table for quantitative studies
Author, title, year in APA reference citation
Problem
Purpose
Sample/popu
lation
Ford, Y., Heyman, A., & Chapman, Y. (2016).
Patients’ perceptions of bedside handoff: The need for a
culture of always. Journal of Nursing Care Quality,
29(4), 371-378
Lack of
bedside
handoffs or
poor
implement
ation of
these has
been a
challenge
leading to
poor
patient
outcomes
and
satisfaction
The fall
rates and
patient and
nurse
satisfaction
scores are
a severe
concern
facing
healthcare
facilities.
McAllen, E. R., Stephens, K., Swanson-Biearman, B.,
Kerr, K., & Whiteman, K. (2018). Moving shift report
to the bedside: An evidence-based quality improvement
project. OJIN: The Online Journal of Issues in
Nursing, 23(2).
https://doi.org/10.3912/OJIN.Vol23No02PPT22
Major
findings/concl
usions
To
assess
the
impact
of
bedside
handoffs
on
patients’
reported
trust in
their
nurses
Patients
admitted to
adult ICU
units at a
hospital in
the
Midwestern
United
States.
Data
collectio
n
method
Surveys
To
compare
Bedside
reporting
and
standard
shift
report in
how they
influenc
e patient
safety
and
Nurses and in Surveys
patients in a
532-bed
acute care
facility in the
Midwestern
United States
Implementatio
n of bedside
report
increases
patient safety
and nurse
satisfaction
The most
significant
percentage of
the
participants
felt safer and
satisfied with
healthcare
when bedside
handoff
occurred.
Labriole, J., MacAulay, C., Williams, K., Bunting, D.
R., & Pettorini-D’Amico, S. (2018). Implementing
bedside shift report: Walking the walk and talking the
talk. Nursing2020, 48(3), 1-4.
https://doi.org/10.1097/01.NURSE.0000529809.90912.30
Pevec, A. (2020). Bedside Shift Report: A Way to
Improve Patient and Family Satisfaction with Nursing
Care.
https://soar.usa.edu/cgi/viewcontent.cgi?article=1025&c
ontext=scholprojects
nurse
satisfacti
on
In practice, To test
a nurse
the
might fail
performa
to
nce of
formulate
structure
proficient
d
informatio Bedside
n for
Reports
exchange. in
As a result, improvin
handoff
g patient
takes a
safety
longer time and
and forces nurse
nurses to
satisfacti
stay late.
on
Patients
also spend
too much
time
without an
attendant
Handoff
To
issues are a assess
cause and
the
contributor impact
of adverse of
events in
bedside
acute and
handoff
critical
on
Clinical
manager,
Care
manager and
ten registered
nurses
Experim
ents and
surveys
Shift report
implemented
at the bedside
improves
nurses’
satisfaction
and patient
safety
Registered
nurses,
patients, and
families on
ICU
Survey
Bedside
handoff
improves
patient/family
satisfaction
care
facilities
patient
safety
and
family
satisfacti
on
Literature summary table for qualitative studies
Author, title, year in
APA reference
citation
Halm, M. A.
(2013). Nursing
handoffs:
Ensuring safe
passage for
patients. American
Journal of Critical
Care, 22(2), 158162.
Problem
Purpose
Sample
Data collection
method
Patients’ clinicians’
and financial
outcomes are
critically important
to a healthcare
organization.
Addressing these
concerns has been a
challenge for many
hospitals
To address the
PICO question:
“What effect do
standardized
nursing handoffs
have on patients,
clinicians’, and
financial
outcomes?”
Qualitative research Systematic review
articles from
CINAHL and
Google limited to
the five years from
2016 to 2020.
Dorvil, B. (2018).
The secrets to
successful nurse
bedside shift
report
implementation
and sustainability:
nursing
management, 49(6),
20.
Poor
communication
during bedside
report and lack of
such reports is the
cause of several
medical errors
To find how an
evidence-based
bedside shift
reporting practice
23 research articles
from PubMed,
CINAHL and
MEDLINE
Systematic
literature review
Major
findings/themes
Change-of-shift and
interdepartmental
handoffs have a
positive impact on
clinical
performance,
patient outcomes
and satisfaction,
and financial
outcomes of the
facility
Bedside shift report
increases nurses’
satisfaction,
teamwork, report
accuracy,
efficiency, and
nursing
accountability
RAPID CRITICAL APPRAISAL QUESTIONS FOR COHORT STUDIES
Publication #1
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Unknown
Yes
No
Was follow-up sufficiently long and complete?
Yes
No
Unknown
Were objective and unbiased outcome criteria used?
Yes
No
Unknown
Did the analysis adjust for important prognostic risk
factors and confounding variables?
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
Yes
No
Unknown
How likely Is the outcome event(s) in a specified
period?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Will the results lead directly to selecting or avoiding
therapy?
Are the results helpful in reassuring or counseling
patients?
There is a close relationship
between predictors and the
targeted outcomes
___________________________
The outcomes of bedside handoffs
are likely to be experienced
immediately after the
implementation of the outlined
strategies ________________
The projected study estimates are
exact
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Yes
No
Unknown
Yes
No
Unknown
Publication #2
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Was follow-up sufficiently long and complete?
Were objective and unbiased outcome criteria used?
Unknown
Did the analysis adjust for important prognostic risk
factors and confounding variables?
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
How likely Is the outcome event(s) in a specified
time?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Yes
No
Unkno
wn
There was strong relationship
between bedside handoffs and
patient satisfaction ____________
Bedside handoffs have a high
potential to influence patient
satisfaction immediately
The study outcomes were quite
precise in relation to the
objectives
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Yes
No
Unknown
Were objective and unbiased outcome criteria used?
Yes
No
Unknown
Did the analysis adjust for important prognostic risk
factors and confounding variables?
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
How likely Is the outcome event(s) in a specified
period?
Yes
No
Unkno
wn
Will the results lead directly to selecting or avoiding
therapy?
Are the results helpful in reassuring or counseling
patients?
Publication #3
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Was follow-up sufficiently long and complete?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Unknown
There was a strong correlation
between the expected outcomes
and predictors
Implementation of bedside
reporting improves patient safety
and nurse satisfaction with time
The study sample is yielded
precise outcomes as evident in the
participants’ responses
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Yes
No
Unknown
Were objective and unbiased outcome criteria used?
Yes
No
Unknown
Did the analysis adjust for important prognostic risk
factors and confounding variables?
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
How likely Is the outcome event(s) in a specified
time?
Yes
No
Unknown
Will the results lead directly to selecting or avoiding
therapy?
Are the results helpful in reassuring or counseling
patients?
Publication #4
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Was follow-up sufficiently long and complete?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Unknown
There was a close connection
between predictors and outcomes
Outcomes would be experienced
upon the implementation of the
strategy
Outcomes from the participants
demonstrated high precision
Yes
No
Will the results lead directly to selecting or avoiding
therapy?
Yes
No
Are the results useful for reassuring or counseling
patients?
Yes
No
Yes
No
Yes
No
Unknown
Were objective and unbiased outcome criteria used?
Yes
No
Unknown
Did the analysis adjust for important prognostic risk
factors and confounding variables?
No
Unknown
Yes
Publication #5
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Was follow-up sufficiently long and complete?
Unknown
Unknown
Unknown
Unknown
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
How likely Is the outcome event(s) in a specified
time?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Will the results lead directly to selecting or avoiding
therapy?
Are the results useful for reassuring or counseling
patients?
Publication #6
Are the results of the study valid?
Was there a representative and a well-defined sample
of patients at a similar point in the course of the
disease?
Was follow-up sufficiently long and complete?
Were objective and unbiased outcome criteria used?
Did the analysis adjust for important prognostic risk
factors and confounding variables?
What are the results?
What is the magnitude of the relationship between
predictors (i.e., prognostic indicators) and targeted
outcome?
How likely Is the outcome event(s) in a specified
period of time?
How precise are the study estimates?
Will the results help me in caring for my patients?
Were the study patients similar to my own?
Will the results lead directly to selecting or avoiding
therapy?
Outcomes demonstrated a
proportional relationship with the
predictors
Bedside handoffs have a high
potential to influence patient
satisfaction immediately
Precision was a bit low
considering the margin in
participants’ responses
Yes
No
Unknown
No
Unknown
No
Unknown
Yes
Yes
Unknown
Yes
No
Yes
No
Yes
Yes
No
No
Unknown
Unknown
Unknown
There was a strong relationship
between bedside handoffs and
patient satisfaction
Bedside handoffs have a high
potential to influence patient
satisfaction immediately
Precision was slightly lower based
on findings from different studies
Yes
No
Yes
No
Unknown
Unknown
Are the results useful for reassuring or counseling
patients?
Yes
No
Unknown
Picot Question Publications (references)
Ford, Y., Heyman, A., & Chapman, Y. (2016). Patients’ perceptions of bedside handoff:
The need for a culture of always. Journal of Nursing Care Quality, 29(4), 371-378.
https://nursing.ceconnection.com/ovidfiles/00001786-201701000-00003.pdf
Halms, M. A. (2017): Nursing handoffs: Ensuring safe passage for patients. American Journal of
Critical Care, 22(2), 158-161
https://littletonhealthcare.org/images/NursesPages/files/Nursing%20HandoffsEnsuring%20Safe%20Pasage%20for%20Patients.pdf
Labriole, J., MacAulay, C., Williams, K., Bunting, D. R., & Pettorini-D’Amico, S. (2018).
Implementing bedside shift report: Walking the walk and talking the
talk. Nursing2020, 48(3), 1-4. https://doi.org/10.1097/01.NURSE.0000529809.90912.30
McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018). Moving
shift report to the bedside: An evidence-based quality improvement project. OJIN: The
Online Journal of Issues in Nursing, 23(2).
https://doi.org/10.3912/OJIN.Vol23No02PPT22
Pevec, A. (2020). Bedside Shift Report: A Way to Improve Patient and Family Satisfaction with
Nursing Care.
https://soar.usa.edu/cgi/viewcontent.cgi?article=1025&context=scholprojects
Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and
sustainability. Nursing Management, 49(6),
20.https://dx.doi.org/10.1097%2F01.NUMA.0000533770.12758.44

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