Evidence-based practice in healthcare

Follow these directions: I. Post answers to the following: Share the area of practice that is of interest to you and amenable for a potential evidence-based improvement project. Identify a real or potential clinical/health care problem. Briefly describe the problem. The problem can be real or hypothetical. Briefly describe what outcomes you could use to identify the problem (INTERNAL DATA) and then how you would measure these outcomes to determine if there was improvement. Provide an applicable reference (i.e., an article that discusses your outcome(s) and a measurement tool). Formulate a searchable, answerable clinical question (PICOT [or a PPCO questions see the Waldrop article]) about your identified problem and to guide a potential improvement project. Write your clinical question in the PICOT (or PPCO) format that will yield the most relevant and best evidence relative to the problem. Don’t forget about the “T,” time. Think about this as the time you are evaluating the effect of the intervention on the patient, not the time that you intend to collect data for all patients. For instance, if you are comparing blood pressure medicine effects for Drug A and guided imagery, then the comparison time frame would be the duration of action of the drug. For example: “in patients age 60+ with a diagnosis of hypertension, does the administration of Drug A compared to the use of guided imagery, produce a lower systolic blood pressure for 12hours?” You might be collecting data for 12 months, but your time frame for each patient will be shorter, even if you look at BP measurements every day for 12 months. Identify keywords (at least five) from your PICOT (or PPCO) question to use in a future electronic database search. These five keywords MUST be derived from the National Library of Medicine’s Medical Subject Headings (MESH) terms. &feature=youtu.be Please follow these instructions: Include at least three references (one of which may from an assigned textbook). Please note that you should be using at least some empirical literature to support your project proposal – i.e., articles that discuss an EBP project and include the methods and results from this project (and not an SLR, scoping review, or guidelines’ article that may review a number of other studies). Please use headings for the various components of your main discussion board post. In other words, I want to clearly see that you have responded to each question/component within the instructions.