My PICOT would be:
P – The population of interest for this project is registered nurses who worked in the Emergency Department full time
I – The intervention is educational training about compassion fatigue. The intervention takes place off the unit and during a scheduled work tour.
C- The comparison is a survey taken by RNs prior to the education.
O- The outcome is reduction of compassion fatigue after the education.
T- The time frame is 6 months.
At 6 months, ED RNs take the same survey and values are compared. “Clinicians must critically evaluate research before attempting to implement the findings into practice” (Peterson, et.al, 2014, p 67).
My PICOT question is “Are RNs who work in the ED, who are educated about compassion fatigue, less likely to suffer from CF?”
According to the article I found, “compassion fatigue (CF) is a relatively recent concept that refers to the emotional and physical exhaustion affecting healthcare providers, usually as a consequence of caring” (Hamilton, Tran, & Jamieson, 2016, p 1). The article goes on to state that nurses have been more vocal than doctors about the effects of compassion fatigue over the years. It also states that the ED is a breeding ground for CF.
This article is extremely relevant to my clinical question. As with any other issue, education is usually key to prevention and treatment.
References:
Hain, D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11–21.
Hamilton, S., Tran, V. & Jamieson, J. (2016). Compassion fatigue in emergency medicine: The cost of caring. Emergency Medicine Australasia, 28(1), 100-103. doi:1111/1742-6723.12533
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.)Sudbury, MA: Jones & Bartlett.
Peterson, M. H., Barnason, S., Donnelly, B., Hill, K., Miley, H., Riggs, L., & Whiteman, K.(2014). Choosing the best evidence to guide clinical practice: Application of AACN levels of evidence. Critical Care Nurse, 34(2), 58–68. doi:10.4037/ccn2014411
In my current role as Assistant Director of an inpatient surgical unit we strive to have the best possible patient outcome. In our ever changing health care system more and more focus is on how to decrease hospital stay and decrease patient recovery time. My focus for this assignment will be same day surgery for total joint replacement. Question: Can patients successfully recover from a total joint procedure if discharged same day?
P = Joint replacement patients
I= discharged same day surgery
C= previous inpatient joint replacement patients through chart review.
O= successfully recovery after surgery with no readmissions related to joint replacement.
T= 3 months
Searchable terms would be same day surgery, pain management for joint replacement, and home care after joint replacement.
References
Houser, J. (2015). Nursing research: reading, using and creating evidence (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Queen, K. H. (2015, July 20). Outpatient joint replacement at white fence surgical suites patients safely return home the same day after hip knee and shoulder surgery. Forbes, 196(1), 56-57. Retrieved from http://eds.b.ebscohost.com.proxy.chamberlain.edu:8080/eds/detail/detail?vid=12&sid=977bc023-8168-48da-8543-
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