The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal.
On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.
Essential Components of the Final Project Proposal will include:
Evidence-base practice requires that nurses make the best use of research to help them in decision-making. In creating your PICO question you have to determine the type of question: background or foreground (LibGuides: Nursing: Asking Your Question (PICO), 2020). Background questions ask for general knowledge about a condition or thing and foreground questions ask for specific knowledge to inform clinical decisions or actions (LibGuides: Nursing: Asking Your Question (PICO), 2020). The PICO is the framework and a structure recommended for clinical questions leading to evidence-based practice (LibGuides: Nursing: Asking Your Question (PICO), 2020).
The PICO is a mnemonic.
P – Patient and problem
I – Intervention or exposure
C – Comparison or control
O – Outcome
T – Time frame
My PICO question is: In African American men how does the medical community decrease the disparity in mortality rate compared to white men with diabetes? P – African American men I – closing gap between disparities C- In comparison of black men to white counterparts O – decreased mortality rate. As a black man with diabetes with an RN degree I have seen and experienced the difference in care between black and white patients with diabetes. The goal is to gain the tools to help decrease disparities and to “just care for people” without preconceived ideas based on ethnicity. This becomes important when increasing cultural competency. In spite of the significant advances in medical diagnosis and treatment of chronic diseases, evidence shows that racial and ethnic minorities receive lower quality healthcare than whites and this leads to greater morbidity and mortality rates (Egede, 2006). The Institute of Medicine (IOM) reports of racial and ethnic differences in health care and because they are associated with worst outcomes, this makes them unacceptable (Egede, 2006).
Egede, E. M. L. S. (2006, June 1). Race, ethnicity, culture, and disparities in health care. Journal of General Internal Medicine. https://link.springer.com/article/10.1111/j.1525-1497.2006.0512.x?error=cookies_not_supported&code=c8b99aa8-670c-42d5-9d5e-9237572165c8
LibGuides: Nursing: Asking Your Question (PICO). (2020, November 5). Oregon Health & Science University. https://libguides.ohsu.edu/c.php?g=261503&p=3885206
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