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.
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.
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).
The PICOT question will provide a framework for your capstone project.
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.
ANSWER
Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):
Violence against health workers is an issue of concern that needs to be researched on and addressed. Clinical workers undergo hard times working in clinics and other health institutions that are prone to different forms of violence. These may range from psychological torture to physical assaults. About 38% of health workers suffer physical violence in a way or another while at work places. There are many others who are subjected to threats and verbal abuses. Ironically, most of these abuses are perpetrated by the patients who seek medical services in hospitals. Whenever there are conflicts, health workers most likely become victims of political violence. Health workers at great risk of suffering violence include the nurses, doctors and other staff who have direct contact with patients.
We cannot sit back and keep mum about the various kinds of violence meted on health workers across the world. Not only does violence impact negatively on psychological and physical well-being of healthcare workers, but also affects their work motivation. Consequently, these abuses compromise quality service delivery in healthcare institutions. Besides, health sectors may realize significant financial loss caused by violence.
PICOT Question: Does establishing and enforcing laws to protect health practitioners from violence improve the wellness and service delivery of the staff?
| Criteria | Article 1 | Article 2 | Article 3 |
| APA-Formatted Article Citation with Permalink |
Wood, S (2020, October 5) Violence Against Health Care Workers: Legislative Responses. Violence Against Health Care Workers: Legislative Responses | Bill of Health (harvard.edu)
|
Wallace, S (2019, March, 2019) Violence Against Healthcare Workers: A Rising Epidemic. Violence Against Healthcare Workers: A Rising Epidemic (ajmc.com)
|
Occupation Health & Safety (2019, November, 25) Congress Bill Works to Protect Health Care Workers from Violence Congress Bill Works to Protect Health Care Workers from Violence — Occupational Health & Safety (ohsonline.com)
|
| How Does the Article Relate to the PICOT Question? | The article focuses on highlighting the statistics that indicate the percentages of various violent actions meted on women and the laws that can help curb violence. | The article gives the types of workplace violence and gives the specific causes of the violence. | The article delves on protection of healthcare workers |
| Quantitative, Qualitative (How do you know?) | The various cases highlighted are drawn from various states across the US. The article gives examples of the specific health workers who have suffered violence in those states highlighting the percentages of various forms of violence in some states. It will also give an insight into the workplace violence prevention act which was introduced in February, 2019. | Violence against healthcare is given with the number of hospitals that various types of violence were witnessed. The article shows the percentage of the violence cases to the American nurses. | The protection of health workers is key. The article gives a graphical representation of the cases in US. It tells of how the various health workers lack protection from the government. |
| Purpose Statement | The purpose of this article is to furnish my research with relevant information on the violence prevention act and show how many states have delved to enact their own legislation. The article will help understand the laws that can be enacted to defend health workers. | This article purposes to expound on the abuses; especially verbal abuses at the work place. | This article intends to give protective measures that can safeguard healthcare workers.
|
| Research Question | What is the effect of violence on Health workers to the well-being of the staff in public hospitals? | What can various stakeholders do to curtail violence to the healthcare workers? | What measures can we take to protect healthcare workers? |
| Outcome | Violence can be prevented by enacting and enforcing special laws. | Violence can be curtailed if hospital management form units to combat violence. | |
| Setting
(Where did the study take place?) |
Us department of labor, Washington. | Wisconsin | |
| Sample | |||
| Method | Surveys, experiments and interviews | Case studies, observational trials, surveys | Questionnaires, interviews, experiments. |
| Key Findings of the Study | Violence against nurses occur majorly due to lack of respect by the clients who seek medical services.
Lack of proper laws to protect health workers from violence expose health workers to great risk. |
There are no units to combat violence in the hospital management.
Healthcare workers sometimes retaliate in reporting cases |
|
| Recommendations of the Researcher | Proper laws that target to punish violent hospital need to be enacted to safe guard health workers.
The public should be sensitized on the importance of respecting health workers. |
Hospital direct care staff should initiate unit specific plans to combat violence.
Healthcare workers should not retaliate in reporting cases of violence meted on them. The police investigation department should quickly investigate and bring to books the perpetrators. |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-Formatted Article Citation with Permalink | Kimani, P. 2020, (September, 17) COVID-19 and the ‘Essential’ Yet Underappreciated Front-Line Health Care Worker. Bill of Health. COVID-19 and the ‘Essential’ Yet Underappreciated Front-Line Health Care Worker | Bill of Health (harvard.edu)
|
Longton, J. (2015, March) A look at violence in the workplace against psychiatric aides and psychiatric technicians. A look at violence in the workplace against psychiatric aides and psychiatric technicians : Monthly Labor Review: U.S. Bureau of Labor Statistics (bls.gov)
|
Dressner, M. (2018, November) Occupational injuries and illnesses among registered nurses Occupational injuries and illnesses among registered nurses : Monthly Labor Review: U.S. Bureau of Labor Statistics (bls.gov)
|
| How Does the Article Relate to the PICOT Question? | The article gives data on the number of healthcare workers who are unremunerated yet their work is hefty. | The article focuses on highlighting the statistics that indicate the percentages of various violent actions meted on women and the laws that can help curb violence. | |
| Quantitative, Qualitative (How do you know?) | The number of healthcare practitioners who are have been abused in various hospitals is highlighted. | The various cases highlighted are drawn from various states across the US. The article gives examples of the specific health workers who have suffered violence in those states highlighting the percentages of various forms of violence in some states. It will also give an insight into the workplace violence prevention act which was introduced in February, 2019. | |
| Purpose Statement | This article furnishes my research with knowledge on how nurses who risk their lives by attending to Covid-19 are abused and unappreciated. | The purpose of this article is to furnish my research with relevant information on the violence prevention act and show how many states have delved to enact their own legislation. The article will help understand the laws that can be enacted to defend health workers. | |
| Research Question | What measures can the government take to ensure nurses who handle Covid-19 patients are protected? | What is the effect of violence on Health workers to the well-being of the staff in public hospitals? | |
| Outcome | The governments can increase the remuneration of healthcare workers to feel appreciated. | Violence can be prevented by enacting and enforcing special laws. | |
| Setting
(Where did the study take place?) |
Chicago | Washington. | |
| Sample | |||
| Method | Surveys, experiments and interviews | Case studies, observational trials, surveys | Surveys, experiments and interviews |
| Key Findings of the Study | Healthcare workers should not retaliate in reporting cases of violence meted on them. The police investigation department should quickly investigate and bring to books the perpetrators. | Violence against nurses occurs majorly due to lack of respect by the clients who seek medical services.
Lack of proper laws to protect health workers from violence expose health workers to great risk. |
|
| Recommendations of the Researcher | There are no units to combat violence in the hospital management.
Healthcare workers sometimes retaliate in reporting cases |
Proper laws that target to punish violent hospital need to be enacted to safe gurad health workers.
The public should be sensitized on the importance of respecting health workers. |
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