QUESTION
PICOT
Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.
The PICOT question will provide a framework for your capstone project change proposal.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Describe the problem in the PICOT question as it relates to the following:
Evidence-based solution
Nursing intervention
Patient care
Health care agency
Nursing practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment is part of a continuing assignment for the next 8 weeks. Research is on Coumadin and how to properly manage the medication with education to patients proper diet taking medications correctly.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Subject | Nursing | Pages | 4 | Style | APA |
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Answer
Flu Vaccination among Health Care Workers (HCWs)
Introduction
Seasonal influenza is the cause of hospitalization of thousands of people in the United States. According to study conducted by Bert et al. (2020), influenza causes the death of about 40,000 individuals of which mostly are young and the old individuals, and it has been recognized by World Health Organization (WHO) as number nine cause of death in the United States. At its centre of spread, health workers have been recognized as the major contributors because they are exposed to the patients as well as the communities. Studies reveal that only about 60 percent of healthcare workers get annual vaccination, a figure that is much below the target which is 90 percent (Durando etal., 2020). Remarkably, mandatory vaccination of healthcare workers against seasonal influenza has been recommended by many stakeholders, stating that healthare workers have the ethical obligatory to protect not only the patients but also the communities that they interact with on their daily activities. It is in this context that this project identifies an evidenced-based practice (EBP) that can assist healthcare workers to participate in mandatory and annual influenza vaccination to break the chain of spread of the disease.
PICO Question
The EBP will use the acronym “PICO” which stand for; P- population or disease; I- intervention; C-comparison; O-outcome. As such, the PICO question in this particular case is; among Health Care Workers (HCWs) (P), how does an education intervention that include evidence-based information on the risks of influenza and the efficacy of the vaccine (I) compared to no educational intervention (C) improve the rate of nurses accepting the seasonal influenza vaccine (O)?
Evidenced-Based Solution
The evidenced based solution to low rate of influenza vaccination among burses is education. A study conducted by Durando et al. (2020) reveals that the laxity among nurses to boycott mandatory and annual influenza vaccination has been caused by lack of information about the consequences that are contributed by influenza. According to the study conduct by Bert et al. (2020), educational intervention plays an important role in compliance with influenza vaccination. Health Care Workers (HCWs) should be aware of what the vaccine is, its mode mechanisms, and its risk and side effects. The educational program is likely to address the risk factors of contracting the disease and health workers who report to work with symptoms of the disease hence spread. The education intervention incorporates the leadership model program that gives senior leaders the opportunity to interact with other employees and support the program by citing its importance within and outside the hospital.
Nursing Intervention
Nurses are identified as fundamental to quality healthcare. They are considered to do the bulk of the work. In this particular project, nurses are the major problem. Instead of protecting lives of patients as well the community as a whole they are the agents who spread influenza (Conte et al., 2017). It is in this context that senior nurses should take the responsibility of teaching the junior nurses on the importance of annual vaccination. On the same note, it should be the role of all other Health Care Workers to ensure that the populations that they are taking care of are safe and protected from these emerging and existing diseases.
Patient Care
Patient care is one of the core responsibilities of every nurse or any healthcare provider. In the event that they are part of agents that spread diseases in the community and among patients, they fail to fulfill their obligatory responsibility. It is in this context that Health Care Workers must be at the forefront when it comes to taking care of patients. By being vaccinated for influenza, they protect patients as well as the community.
Health Care Agency
Health care agencies that will benefit from this evidence-based practice are the hospitals. A study conducted by Di Martino et al. (2020) reveals that some hospital do not serve their purposes of provision of care. Basically, hospitals are reservoirs for several diseases. As part of critical component of hospitals, nurses have the responsibilities that such institutions are safe for patients and their families,
Nursing Practice
It is important to improve health worker’s competence in efficient execution of their services and responsibilities. It is, therefore, essential to develop training programs which will equip these healthcare practitioners with adequate skills and competence about influenza (). This will not only enhance nursing staff professionalism but aid in achieving the core healthcare goal of quality patient outcome.
References
Bert, F., Thomas, R., Lo Moro, G., Scarmozzino, A., Silvestre, C., Zotti, C. M., & Siliquini, R. (2020). A new strategy to promote flu vaccination among health care workers: Molinette Hospital's experience. Journal of evaluation in clinical practice, 26(4), 1205-1211.
Conte, A., Quattrin, R., Filiputti, E., Cocconi, R., Arnoldo, L., Tricarico, P., ... & Brusaferro, S. (2016). Promotion of flu vaccination among healthcare workers in an Italian academic hospital: An experience with tailored web tools. Human vaccines & immunotherapeutics, 12(10), 2628-2633.
Di Martino, G., Di Giovanni, P., Di Girolamo, A., Scampoli, P., Cedrone, F., D’Addezio, M., ... & Staniscia, T. (2020). Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region. Vaccines, 8(2), 248.
Durando, P., Alicino, C., Dini, G., Barberis, I., Bagnasco, A. M., Iudici, R., ... & Massa, E. (2016). Determinants of adherence to seasonal influenza vaccination among healthcare workers from an Italian region: results from a cross-sectional study. BMJ open