Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each.
PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.
Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.
EXPERT ANSWER AND EXPLANATION
Nursing vs. Medical Practice Problem
Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017).
For example, when a patient presents to the facility with headaches, fever, and other physical symptoms, a triage nurse could identify the condition as a nursing practice problem, where they offer the patient the relevant nursing diagnosis. On the other hand, when a patient is seen to have a condition which requires his pathology to be assessed and the healthcare giver recognizes that it could be stroke, then this is a medical practice problem.
Why PICOT should be based on Nursing Practice Problem
A PICOT seeks to address various elements of nursing care, and hence it should be primarily based on a nursing practice problem and not on a medical practice problem. In the nursing practice problem, the care needs of the patient from the time they get out of the healthcare environment to the time they are diagnosed by the doctor to the after-care periods are addressed (Meyer, 2017).
Also, in the nursing practice problem, there is collection of information about the patient, and this helps to draw relevant conclusions based on the PICOT questions. This way, it is easy to collect diverse data about the patient and their condition. Also, with the nursing practice problem, it is more likely that the PICOT will improve population health.
Meyer, M. N. (2017). Evidence-Based Practice: Success of Practice Change Depends on the Question. Evidence-Based Practice in Nursing: Foundations, Skills, and Roles.
Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516.
Alternative Expert Answer
How Nursing and Medical Practice Problems differ
Medical and Nursing Practice Problem
There is a difference between a nursing and a medical practice problem. The former is a clinical issue that a provider identifies and notes when assessing the patient, and it constitutes one physiological health, and the emotional and psychological responses linked to the patient’s physical health. An example is a patient with hypertension and diabetes developing stress because of their health. In this case, a nurse would want to know all these details about the patient including the manner in which they respond to the disease.
One can also look at this particular problem as one which can be addressed through patient education, counseling and health promotion (Cook et al., 2018). Conversely, the latter is about the medical condition or the pathology of a medical disorder in which the provider determines the patient’s disorder. If a provider measures the body’s insulin and manages to determine that body’s insulin level is low, they can conclude that the condition is type 1 diabetes (Yoo et al., 2019).
Basing PICOT on the Nursing Practice Problem
When preparing a PICOT, it is important to base it on the nursing practice problem (NPP). This is because the NPP addresses majority of the elements of the nursing care. Some of these elements include the diagnosis information, patient care goals, screening of the risks, and the outcomes. The PICOT also addresses all these elements considering that it focuses on the patient, their health, the intervention that can help promote recovery compared to another treatment, and results of the treatment. It equally focuses on the clinical outcomes (Ho et al., 2016). Given that the PICOT addresses all the elements of the nursing problem, it make sense to base PICOT on the NPP.
Cook, D.A., Pencille, L.J., Dupras, D.M., Linderbaum, J.A., Pankratz, V.S., & Wilkinson, J.M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLoS ONE 13(1), e0191943. Doi: https://doi.org/10.1371/journal.pone.0191943.
Ho, G.J., Liew, S.M., Ng, C.J., Hisham Shunmugam, R., & Glasziou P (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PLoS ONE 11(12), e0167170. Doi: https://doi.org/10.1371/journal.pone.0167170.
Yoo, J.Y., Kim, J.H., Kim, J.S., Kim, H.L., Ki, J.S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLoS ONE 14(12): e0226742. Doi: https://doi.org/10.1371/journal.pone.0226742.
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What is an example of a nursing practice problem?
Emotional and Physical StressTaking care of patients comes with significant emotional and physical demands. All these fall into the nurses who are required portray a great deal of emotional and physical dedication. In the long-run, this burden end up to contributing to work-related stress. Examples of work-related stresses include job dissatisfaction, conflict at work, fatigue and disgust, depression, reduced creativity and poor decision-making among others. To manage emotional and physical Stress, ANA has come up with various campaigns such as the Healthy Nation Challenge and Healthy Nurse. The intention of these campaigns is to engage and sensitize healthcare organizations, nurses, and employers on the importance of working on six key areas including mental health, rest, safety, physical activity, and nutrition.
Workplace ViolenceHealthcare providers are one of the main victims of workplace violence. On daily basis, nurses are exposed to different types of workplace violence including racial discrimination, sexual harassment, threats of assault, physical assaults, and verbal abuse among others. The effects of workplace violence especially to nurses range from minor to major physical injuries; temporary to permanent disability; and psychological trauma to death. As a way to curb workplace violence, various nursing organizations such as the ANA and OSHA have come up with several policies and guidelines. For instance, in 2015, ANA established ''Zero Tolerance'' policy whose main objective was to protect nurses and other healthcare workers from violence in the workplace. The policy advocated for creation of culture of respect and implementation of evidence-based practices geared towards creating a friendly work environment.
Job SafetyJob safety basically includes poor handling of patients especially those with back injuries. As a way of minimizing case of poor handling of patients, nurses usually undergo comprehensive training on how to use things such as assistive equipment.
Inadequate StaffingIn nursing, inadequate can be contributed by several factors include aging workforce, increased need for patient care, cost-cutting measures, and workplace violence. Some of the effects of inadequate staffing include increased burnout, high patient mortality rate, and low patient care among others. To curb nursing shortage, there is need to have effective legislation whose objective is to lower nursing shortage. Besides effective legislation, it is important to embrace technology that will make work easier for nurses. Some of the organization are currently utilizing several apps that aid in scheduling and credentialing to help minimize potential of working overtime.
What is a nursing practice problem example
- Inadequate Staffing
- Emotional and Physical Stress
- Workplace violence
- Job Safety
- Improving Self-care
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What are the five nursing problems?
- Inadequate Staffing
- Safety on the Job
- Workplace Violence
- Improving Self-Care