The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Group 3:

Course Project Case Study: Mrs. Ingrassia is an 80-year-old female Caucasian resident in a long-term care facility.  After several falls, she was admitted six months ago due to not being able to adequately care for herself.  Her husband and daughter visit daily and is very involved in her care.  Mrs. Ingrassia speaks Italian as a first language but is proficient in English.  She is Roman Catholic and attends mass in the facility weekly.  She is a retired factory worker.  She has a medical history of gestational diabetes (50 years ago), hypertension, CHF, hypothyroidism, shingles, and depression.  Her husband was recently diagnosed with lung cancer and will be undergoing chemotherapy over the next few months.

Orders include:

NAS diet

Ambulate with gait belt and 1 standby assist

Fall precautions

Furosemide 40 mg PO daily

Potassium Chloride 20 meq PO BID daily with meals

Levothyroxine 75 mcg PO daily

Metoprolol ER 100 mg PO daily

Celexa 20 mg PO daily

Do not resuscitate

Written Assignment Topics: The Written Group Assignment are to be completed with your assigned group for weeks/modules 5, 6 and 7. The topics for your written assignment are as follows: The written assignments are not a part your group course project.

Module 05- Lung Cancer

Module 06- Shingles

Module 07- Gestational Diabetes