PICOT-NURSING- Research Paper

Running head: PICOT QUESTION 1 PICOT statement PICOT QUESTION 2 PICOT Question A PICOT is a consistent technique for establishing subject researchable queries and a sound PICOT makes the procedure of locating and assessing proof simpler (Northern Arizona University, 2018). Generally, a PICOT formats stands for (P) population and problem, (I) intervention, (c) comparison, (O) outcome, and (T) time frame. Problem / Population Shortage of clinical care providers in the United States causing large number of unattended patients, which affect clinical care outcome Intervention / Indicator Joining hands with nursing institutions in order to train nurses while getting their services in a mutual beneficial manner and promotion of self-care Comparison / Control The number of attended patients and recovery time before joining hands with nursing institutions and promoting self-care Outcomes Increased number of attended patients in the shortest time possible and improved patient recovery PICOT-NURSING- Research Paper

Time Frame Shortest time possible Question In clinical provider shortages, does self-care promotion and joining hands with nursing institutions, compared to before implementation of the intervention, increase patient recovery and the number of patients attended in the shortest time possible? PICOT QUESTION 3 Reference List Northern Arizona University, (2018). Ask: write a focused clinical question. Retrieved from: http://libraryguides.nau.edu/c.php?g=665927&p=4682772 Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Criteria Article 1 Article 2 Article 3 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone Project © 2015. Grand Canyon University. All Rights Reserved. Article 4 Criteria Article 5 Article 6 Article 7 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone © 2017. Grand Canyon University. All Rights Reserved. Article 8 Literature Review Various academic journals were explored using both Grand Canyon University Library website and this author’s place of employments healthcare library website. Various databases searched included: CINAHL complete, Cochrane Library, Joanna Briggs Institute EBP, Nursing and Allied Health Collection, OVID Nursing Essential Collection, PUB MED, and EBSCO Host. The criteria used for the search were per reviewed articles from 2011 to 2017. PICOT-NURSING- Research Paper

Key words searched included: oncology or cancer patients, neutropenia, infection, CLABSI, oral hygiene or oral care, and mouth care. There was a total of 23 articles researched. Some articles provided study results about methods to reduce central line-associated blood stream infections (CLABSI), in the acute care setting and in patients with neutropenia. Other studies focus on the impact of oral care in oncology patients. A quantitative study was done, evaluating the purpose of a protocol for oral care in hematology-oncology patients undergoing chemotherapy, and hematopoietic stem cell transplant (HSCT) recipients (Elad et al., 2015). PICOT-NURSING- Research Paper

Another study was done on reducing central line-associated bloodstream infections on an oncology unit in an academic medical center. This study concluded that after a six-month education series, and implementing an audit system, there was reduction in CLABSI rates in the inpatient oncology unit (Page et al., 2016). Citation: Elad, S., Raber-Durlacher, J. E., Brennan, M. T., Saunders, D. P., et al (2015). Basic oral care for hematology-oncology patients and hematopoietic stem cell transplantation recipients: a position paper from the joint task force of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) and the European Society for Blood and Marrow Transplantation (EBMT). Supportive Care Cancer, 23(1), 223-226. Hematology-oncology and hematopoietic stem cell transplantation (HSCT) patients are usually immunocompromised due to their disease and/or side effects from treatment (Elad et al., 2015). Oral complications in hematology-oncology and HSCT patients can may be harmful, causing other morbidities and even death. Basic oral care (BOC) in cancer patients should be part of the patients’ routine basic daily care to reduce the risk of infection and maintain good oral health. The purpose of this quantitative experimental study, was to stress the significance of BOC before, during and after chemotherapy and HSCT. The study was done by the members of the Oral Care Study Group, Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) and the European Society for Blood and Marrow Transplantation (EBMT). PICOT-NURSING- Research Paper

The study was done to develop a protocol for BOC; to prevent systemic infections, reduce discomfort and maintain oral function. Developing a protocol for BOC could also help healthcare providers manage hematology-oncology and HSCT patients. The protocol recommends seeing a dentist who is familiar with hematology-oncology and HSCT patients prior to treatment. During treatment, the protocol recommends brushing four times a day with a soft toothbrush using a toothpaste with fluoride and frequent bland solution rinses, such as chlorhexidine. After treatment, the protocol recommends continuous follow up with a dentist and continue to maintain good oral hygiene. The results of this study showed that following the BOC protocol reduces the oral microbial load, reduces plaque buildup, and helps prevent infection, control oral pain, maintain oral function and improves quality of life for hematology-oncology and HSCT patients. .. PICOT-NURSING- Research Paper