PICOT Statement Paper

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A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.

Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.

PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.

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Running head: MENTAL HEALTH FOR HEALTHY PEOPLE 2020 Mental Health for Healthy People 2020 1 MENTAL HEALTH FOR HEALTHY PEOPLE 2020 2 The issue that is the focus of this project is improving the coordination of care for the purpose of improving patient outcomes. Care coordination can be defined as the practice of organizing patient care activities between several participants engaged in caring for the patient for the purpose of facilitating the delivery of care. The issue of care coordination can be observed in a variety of healthcare settings involved in the delivery of care to the patients. Care coordination requires effective collaboration between the healthcare staff involved in caring for the patient and it is an important practice that conserves the resources of the health care provider and also the patient’s time. Care coordination also facilitates accurate diagnosis and treatment since all the participants in the provision of patient care receive the relevant information about diagnosis and treatment from all the providers involved in caring for the patient (Cohen and Adler-Milstein, 2015). The main objective of care coordination in any health care setting is meeting the needs and preferences of the patients in the delivery of high-value and high-quality health care. This implies that the health care providers know the needs and preferences of the patient and thus communicated to the right providers at the right time so that this information can be utilized in guiding the delivery of appropriate, safe, and effective care. Care coordination has a significant impact on the quality of care provided by healthcare staff, work environment, and also on the patient outcomes. Effective care coordination improves the work environment in the provision of care by facilitating efficient and appropriate delivery of health care services both across and within systems. Care coordination also has a significant impact on improving the quality of care provided by healthcare staff because the absence of coordinated care can result in unsafe practices and also increases the risk of poor patient outcomes.an improvement in patient outcome is a major impact of care coordination whereby various studies have indicated that the clinical outcomes and satisfaction of patients are reported MENTAL HEALTH FOR HEALTHY PEOPLE 2020 3 to increase when there is an effective coordination between all the providers involved caring for the patient (McAllister, et al 2018). Care coordination also facilitates addressing the potential gaps in realizing the patients’ interrelated developmental, medical, behavioral, social, and financial needs for the purpose of achieving the best health care outcomes according to the preferences of the patient. The significance of the issue of care coordination includes helping to address some challenges that health care facilities are facing today. This is because care coordination helps to reduce the high rates of readmission which are caused by the lack of education in patients regarding their treatment plan or medication. Care coordination also has significance in addressing the problems faced by referral staffs since the disjointed nature of today’s health care systems pose a challenge to the referral staff in terms of dealing with lost information which may result to a less efficient care (Daveson, et al., 2014). The healthcare problem whereby specialists are not provided with adequate information on the patient’s test performed before can also be addressed by effective care coordination. The practical implication of care coordination to nursing include that the role of nurses in the process of care coordination is not clear. Therefore, their role and goals of each clinician should be clarified in order to avoid role conflict and confusion in care coordination. The solution to effective care coordination that can improve the patients’ outcome is implementing electronic health record (EHR) systems. EHRs can reduce fragmentation in the provision of care by integrating and organizing the health information of the patient and facilitating its quick distribution to all the care providers participating in patient’s care (Wu, et al. 2017). Accurate EHRs can facilitate all the providers involved in patient’s care to have up-to- MENTAL HEALTH FOR HEALTHY PEOPLE 2020 4 date and accurate medical information about a patient and thus improving quality care and patient outcomes. MENTAL HEALTH FOR HEALTHY PEOPLE 2020 5 References Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S. (2014). Need and unmet need for care coordination among children with mental health conditions. Pediatrics, 133(3), e530-e537. Cohen, G. R., & Adler-Milstein, J. (2015). Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers. Journal of the American Medical Informatics Association, 23(e1), e146-e151. Daveson, B. A., Harding, R., Shipman, C., Mason, B. L., Epiphaniou, E., Higginson, I. J., … Murray, S. (2014). The Real-World Problem of Care Coordination: A Longitudinal Qualitative Study with Patients Living with Advanced Progressive Illness and Their Unpaid Caregivers. PLoS ONE, 9(5), e95523. http://doi.org/10.1371/journal.pone.0095523 Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care-coordination intervention on linkage to primary care and ED utilization. The American Journal of Emergency Medicine. Lemke, M., Kappel, R., McCarter, R., D’Angelo, L., & Tuchman, L. K. (2018). Perceptions of Health Care Transition Care Coordination in Patients with Chronic Illness. Pediatrics, e20173168. McAllister, J. W., McNally, R. K., Rodgers, R., Mpofu, P. B., Monahan, P. O., & Lock, T. M. (2018). Effects of a Care Coordination Intervention with Children with Neurodevelopmental Disabilities and Their Families. Journal of developmental and behavioral pediatrics: JDBP. MENTAL HEALTH FOR HEALTHY PEOPLE 2020 6 Morton, S., Shih, S. C., Winther, C. H., Tinoco, A., Kessler, R. S., & Scholle, S. H. (2015). Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. The Annals of Family Medicine, 13(3), 250-256. Wu, F. M., Shortell, S. M., Rundall, T. G., & Bloom, J. R. (2017). The role of health information technology in advancing care management and coordination in accountable care organizations. Health care management review, 42(4), 282-291. While your paper as to content is thorough, you have justified the right margin (made it even) throughout your paper which throws all the spacing in your paper off. As I deduct 0.1 points for each APA infraction, you would wind up with 0 points for this assignment, so I am only deducting 3 points for all of the errors with the spacing and please make sure in the future you do not use an even right margin as it is not APA. Additionally, the other errors in your paper are graded per the Clarification of the Week Two Assignment Post in main forum.
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