Picot question
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Week 2: Discussion Question – PICOT Question
Discussion Topic
Top of Form
Discussion Prompt
Post a clinically relevant research question using the PICOT format. How did you arrive at this topic and question? Why is it important?
Expectations
Initial Post:
APA format with intext citations
Word count minimum of 250
References: 2 high-level scholarly references within the last 5 years in APA format.
Plagiarism free.
Turnitin receipt.
PICO: Developing the Answerable Clinical Question
Approved PICOt/Clinical Questions for Capstone (Education and Leadership majors may elect to choose a topic aligned with their major.
Discussion Question – PICOT Question
“Will it assist lower blood pressure if Asian Americans over the age of 40 who have hypertension adhere to their meds, diet, and exercise regimen?”
Population: Adult Asian Americans over the age of 40 years old
Intervention: Drug compliance, as well as the implementation of a diet and exercise program to regulate blood pressure
Comparison: Noncompliance with medicine, exercise, and nutrition regimens among Asian-American adults.
Outcome: Bring down your blood pressure to a normal level of less than 120 at the systolic level and 80 at the diastolic level.
Time: At least a six-month time frame is required.
In those with high blood pressure, the blood’s constant pressure on the artery walls is so great that it increases the risk of health issues, including heart disease, in the long term (Mayo Clinic Staff, 2018). During my time working in the telemetry unit, I’ve seen several Asian seniors who were admitted to my floor due to a hypertension emergency. As far as I’m aware, a large proportion of the Asian population still rejects Western medicine in favor of traditional herbal cures. It’s not uncommon for people to worry that their medication will do more damage than good. Because of my ethnicity, I want to educate the Asian community about how medicine and a healthy diet may help people regulate their blood pressure. To protect patients from developing cardiovascular disease, blood pressure medicine has a favorable impact. Educate them on how to control their blood pressure by making dietary changes and engaging in 30 minutes of moderate to vigorous exercise three times daily. According to Lu et al. (2019), cardiovascular disease (CVD) may be exacerbated by hypertension.
Reference
Lu, X., Juon, H.-S., He, X., Dallal, C. M., Wang, M. Q., & Lee, S. (2019). The Association Between Perceived Stress and Hypertension Among Asian Americans: Does Social Support and Social Network Make a Difference? Journal of Community Health, 44(3), 451–462. https://doi.org/10.1007/s10900-018-00612-7
What other resources did you utilize this week?
Bottom of Form
Approved Clinical Questions For PICOT Development List
Implementing a clinical practice protocol/guideline for the management of [hypertension or disease] in [the homeless or population/clinic type]
Developing a clinical protocol to prevent [community acquired pneumonia or disease] in [vulnerable populations] in primary care
Identifying barriers to [diabetic treatment or disease or health promotion] adherence in a community primary care clinic
An educational program to improve [influenza and/or pneumococcal or type] vaccination rates among [population]
Evaluation of an intervention protocol to improve adult vaccination rates among [older adults or population]
Primary care providers’ adherence to treatment guidelines for the management of [Type II diabetes or disease] in a [rural or type] clinic
The implementation of a clinical protocol to identify and manage [COPD or disease] in [the working poor or vulnerable population or setting]
Evaluation on implementing [smoking cessation or disease prevention/health promotion] primary clinic in long-term care
Improvement of screening rates for [sexually transmitted diseases or disease prevention targets] in a primary care clinic
Implementing a peer review process in a primary care clinic or setting
The effectiveness of implementing the [Geriatric Depression Scale or standardized assessment instrument] for the treatment and management of [depression or disease] in primary care
Evaluating the use of computer reminder systems for providers to improve treatment guideline adherence in [community care or setting]
Screening for mild cognitive impairment in a primary care setting
Primary care provider practice patterns for the treatment and management of [pain or disease] in [older adults or population]
Effectiveness of obesity management strategies in [working adults or population] with [cardiac risk factors or disease] in primary care
The impact of the Adult-Gerontology Primary Care Nurse Practitioner’s role in a healthcare home model
Identification of perceived barriers to care of [women or population] seeking treatment for [depression or disease] in primary care
Culturally sensitive care for [Asian Americans or population] seeking treatment for chronic [hypertension or disease] management in primary care
Barriers and facilitators to implementing a culturally sensitive clinical protocol in [Hispanic men or population] with [prostate cancer or disease]
Evaluation of [cost or type] outcomes of a primary care model that includes a psychiatric-mental health care nurse practitioner overlay service
Development of a [cardiac or disease/type] risk profile to identify high risk [women or population] in primary care
Effective [ADHD/Other] Screening of Children in the Primary Care Setting
Reducing BMI of Overweight and Obese [Children or population]: Evidence-Based Approach
Expedited Partner Therapy: An Option in the Treatment of [Genital Chlamydial Infection or other STI]
Effectiveness of the Use of Insulin [pens/pump]: An Analysis of the [Hispanic adult or population] Patient’s Satisfaction and Outcomes
An Effective Plan to Reduce Polypharmacy in a [State Prison or Long-term Care Facility]
The Role of Reminder Cards and Telephone Follow-Up on Office Visits on Adherence of Patients with [T2DM or other chronic diseases]
Effects on A1C among Insulin Managed Diabetic Patients following an Electronic, Patient-Centered, Feedback System: An Evidence-Based Practice
The Effect of Language in the Delivery of Care in [Home Health or other community settings]
The Effect of Culture and Eating Habits on [Childhood or population] Obesity in [the United States or state]
The Effectiveness of [Basic Daily Monitoring or other intervention] for [Elderly or population] with Heart Failure to Reduce Hospital Readmission
Adherence to Diet and Exercise to Reduce Hyperlipidemia in [Adults or population]
Evidence-Based Practice in Management of Acute Otitis Media: Topical versus Systemic Treatments
[Walking 3x/week or Other exercise activity] for 45-minutes Reduce Blood Sugar levels in [African- Americans or population] with Type II Diabetes
Implement a [Brisk Physical Activity or other activity} to Improve BS Levels in [Women with GDM or population]?
Asthma Treatment in Pediatric Patients: Spacer versus Conventional Inhaler
Concurrent use of Probiotics during Antibiotic Therapy Reduce the Incidence of Developing Antibiotic-associated Diarrhea
The Role of Nurse Practitioner in the [Breast Cancer Risk Assessment or other Assessment] on [Hispanic Women or populations]
Brain Exercise Reduce the Cognitive Decline in Patients with [Cognitive Decline or population]
Measuring the Effectiveness of 5-2-1-0 every day to Reduce Obesity in [Children or population]
Spiritual Care: The Missing Link in Health Care Among Patients with [Advanced Cancer in Palliative Care or population]
Effectiveness of Nurse Practitioner’s Home Visits in Improving Patient Adherence in the Management of [Hypertension or population]
Nurse Practitioner’s Focus Patient Education to Prevent Complications of [Pre-eclampsia or population]
Providing Education to [Reduce Hb1Ac or Other measures] in Adherence with Current [Diabetes or other chronic diseases] Guidelines
Utilization of Nurse Practitioners in the [Emergency Department or other Community Settings] on Patient Satisfaction, Provider to Patient time, and Length of Stay
Use of NP-led Triage Orders in Emergency Department for Early Patient Discharge
Screening of Patients with Drug-Seeking Behaviors in [Emergency Department or other Community Setting]
Developing an Education-based Approach to Increase Awareness on [Prostate Cancer or other] Screening
Reducing [HPV or another preventable disease] Incidences with Vaccination among the [Latino Population ages 11-26 in the United States or population]
Evaluate the Effectiveness Of Post-Discharge Follow-Up Among [Congestive Heart Failure or high-risk population] Patients on Reduction of Hospital Readmission, Improve Quality Of Life, Medication Reconciliation, Self-Care Skills and Coordination of Care During Transition to Home [Other]
Primary Care Provider Practice Patterns for the Identification, Treatment, and Management of [early onset sepsis disease or other diseases] in [pediatric or populations]
Evaluation on Implementing and Follow-up with Health Screening Guidelines [Colonoscopy or other Screening] in a Primary Clinic or other Community Setting
Primary Care Provider Practice Patterns for the Treatment and Management Follow-up after UC or ED visit in [older adults or population]
Barriers and facilitators to implementing a culturally sensitive clinical protocol in [refugee men or population] with [depression or other chronic diseases]
Approved Clinical Questions For PICOT Development List
Implementing a clinical practice protocol/guideline for the management of [hypertension or disease] in [the homeless or population/clinic type]
Developing a clinical protocol to prevent [community acquired pneumonia or disease] in [vulnerable populations] in primary care
Identifying barriers to [diabetic treatment or disease or health promotion] adherence in a community primary care clinic
An educational program to improve [influenza and/or pneumococcal or type] vaccination rates among [population]
Evaluation of an intervention protocol to improve adult vaccination rates among [older adults or population]
Primary care providers’ adherence to treatment guidelines for the management of [Type II diabetes or disease] in a [rural or type] clinic
The implementation of a clinical protocol to identify and manage [COPD or disease] in [the working poor or vulnerable population or setting]
Evaluation on implementing [smoking cessation or disease prevention/health promotion] primary clinic in long-term care
Improvement of screening rates for [sexually transmitted diseases or disease prevention targets] in a primary care clinic
Implementing a peer review process in a primary care clinic or setting
The effectiveness of implementing the [Geriatric Depression Scale or standardized assessment instrument] for the treatment and management of [depression or disease] in primary care
Evaluating the use of computer reminder systems for providers to improve treatment guideline adherence in [community care or setting]
Screening for mild cognitive impairment in a primary care setting
Primary care provider practice patterns for the treatment and management of [pain or disease] in [older adults or population]
Effectiveness of obesity management strategies in [working adults or population] with [cardiac risk factors or disease] in primary care
The impact of the Adult-Gerontology Primary Care Nurse Practitioner’s role in a healthcare home model
Identification of perceived barriers to care of [women or population] seeking treatment for [depression or disease] in primary care
Culturally sensitive care for [Asian Americans or population] seeking treatment for chronic [hypertension or disease] management in primary care
Barriers and facilitators to implementing a culturally sensitive clinical protocol in [Hispanic men or population] with [prostate cancer or disease]
Evaluation of [cost or type] outcomes of a primary care model that includes a psychiatric-mental health care nurse practitioner overlay service
Development of a [cardiac or disease/type] risk profile to identify high risk [women or population] in primary care
Effective [ADHD/Other] Screening of Children in the Primary Care Setting
Reducing BMI of Overweight and Obese [Children or population]: Evidence-Based Approach
Expedited Partner Therapy: An Option in the Treatment of [Genital Chlamydial Infection or other STI]
Effectiveness of the Use of Insulin [pens/pump]: An Analysis of the [Hispanic adult or population] Patient’s Satisfaction and Outcomes
An Effective Plan to Reduce Polypharmacy in a [State Prison or Long-term Care Facility]
The Role of Reminder Cards and Telephone Follow-Up on Office Visits on Adherence of Patients with [T2DM or other chronic diseases]
Effects on A1C among Insulin Managed Diabetic Patients following an Electronic, Patient-Centered, Feedback System: An Evidence-Based Practice
The Effect of Language in the Delivery of Care in [Home Health or other community settings]
The Effect of Culture and Eating Habits on [Childhood or population] Obesity in [the United States or state]
The Effectiveness of [Basic Daily Monitoring or other intervention] for [Elderly or population] with Heart Failure to Reduce Hospital Readmission
Adherence to Diet and Exercise to Reduce Hyperlipidemia in [Adults or population]
Evidence-Based Practice in Management of Acute Otitis Media: Topical versus Systemic Treatments
[Walking 3x/week or Other exercise activity] for 45-minutes Reduce Blood Sugar levels in [African- Americans or population] with Type II Diabetes
Implement a [Brisk Physical Activity or other activity} to Improve BS Levels in [Women with GDM or population]?
Asthma Treatment in Pediatric Patients: Spacer versus Conventional Inhaler
Concurrent use of Probiotics during Antibiotic Therapy Reduce the Incidence of Developing Antibiotic-associated Diarrhea
The Role of Nurse Practitioner in the [Breast Cancer Risk Assessment or other Assessment] on [Hispanic Women or populations]
Brain Exercise Reduce the Cognitive Decline in Patients with [Cognitive Decline or population]
Measuring the Effectiveness of 5-2-1-0 every day to Reduce Obesity in [Children or population]
Spiritual Care: The Missing Link in Health Care Among Patients with [Advanced Cancer in Palliative Care or population]
Effectiveness of Nurse Practitioner’s Home Visits in Improving Patient Adherence in the Management of [Hypertension or population]
Nurse Practitioner’s Focus Patient Education to Prevent Complications of [Pre-eclampsia or population]
Providing Education to [Reduce Hb1Ac or Other measures] in Adherence with Current [Diabetes or other chronic diseases] Guidelines
Utilization of Nurse Practitioners in the [Emergency Department or other Community Settings] on Patient Satisfaction, Provider to Patient time, and Length of Stay
Use of NP-led Triage Orders in Emergency Department for Early Patient Discharge
Screening of Patients with Drug-Seeking Behaviors in [Emergency Department or other Community Setting]
Developing an Education-based Approach to Increase Awareness on [Prostate Cancer or other] Screening
Reducing [HPV or another preventable disease] Incidences with Vaccination among the [Latino Population ages 11-26 in the United States or population]
Evaluate the Effectiveness Of Post-Discharge Follow-Up Among [Congestive Heart Failure or high-risk population] Patients on Reduction of Hospital Readmission, Improve Quality Of Life, Medication Reconciliation, Self-Care Skills and Coordination of Care During Transition to Home [Other]
Primary Care Provider Practice Patterns for the Identification, Treatment, and Management of [early onset sepsis disease or other diseases] in [pediatric or populations]
Evaluation on Implementing and Follow-up with Health Screening Guidelines [Colonoscopy or other Screening] in a Primary Clinic or other Community Setting
Primary Care Provider Practice Patterns for the Treatment and Management Follow-up after UC or ED visit in [older adults or population]
Barriers and facilitators to implementing a culturally sensitive clinical protocol in [refugee men or population] with [depression or other chronic diseases]
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