Problem/PICOT/Evidence Search (PPE) Worksheet 2025

Purpose Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).  This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources. Course Outcomes This assignment enables the student to meet the following Course Outcomes. CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7) CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8) CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8) CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8) Directions Read over each of the following directions. You must read the Assignment Practice Scenario below before completing the PPE Worksheet. Download and use the required PPE Worksheet (Links to an external site.) . Review the information provided in our library of how to search for journal articles here (Links to an external site.) . Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.) . You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.) . Click on the envelope at the top of the page. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question , use the NR439_Guide for writing PICOT Questions and Examples. N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question. Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet. Submit the completed PPE Worksheet on the Week 3 Assignment page. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. Transcript (Links to an external site.) Assignment Practice Scenario Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17). The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018): Quality Safety Patient satisfaction Patient education Falls Errors. Examples include: Non-pharmacological pain management  Medication Patient identification Communication Healthcare Associated Infections (HAIs). Examples include: Readmissions Length of stay  Central Line Associated Blood Stream Infections (CLABSI) Costs Catheter Associated Urinary Tract Infections (CAUTI) Ventilator Associated Pneumonia (VAP) Surgical Site Infections (SSI) Sepsis (Screening or Prevention) Discharge Teaching/Coaching Pressure Ulcers Transitions of Care/Level of Care  Skin Integrity Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee. Best Practices For questions about this assignment, please contact your instructor. Spell check for spelling and grammar errors prior to final submission. Please see the grading criteria and rubrics on this page. Please use your browser’s File setting to save or print this page. Scholarly Sources and Citations Use APA format in citations and references. References American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice . http://www.aacnnursing.org/Education-Resources/AACN-Essentials Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett. Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell. Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies . http://qsen.org/competencies/pre-licensure-ksas/

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Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment 2025

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. To Prepare Review the Episodic note case study for this week’s Assignment. Based on the Episodic note case study: Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment. Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Lab Assignment Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg Murphy’s, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. By Day 7 of Week 10

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