The purpose of this assignment is to develop a PICOT question. A PICOT (Patient, Intervention, Comparison, Outcome and Time) 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. Using the "PICOT Question" template, formulate a PICOT question applying the PICOT format that addresses the approved clinical nursing problem from Topic 2. The PICOT question will provide a framework for your capstone project change proposal. 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. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Question

Dan Palmer · Accepted Answer

PICOT Question Development PICO(T) Question: In acute care setting (P), how does bedside shift reporting (I) compared to traditional shift reporting (C) affect patient satisfaction (O) within three months (T)? PICO(T) Question Template P Population Patients admitted in acute care settings I Intervention Bedside shift reporting C Comparison Traditional shift reporting O Outcome Patient Satisfaction T Timeline Three months PICOT Question In__________acute care setting_____(P), how does ______ bedside shift reporting _________ (I) compared to ______ traditional shift reporting _________ (C) affect _____patient satisfaction__________ (O) within___three months ___________(T)? Problem Statement Shift reporting plays an essential role in determining the quality of patient care. There are various approaches to shift reporting, including the mostly applied traditional face-to-face reporting in a designated area, tape-recorded, and via the telephone or video conferencing when face-to-face is not possible. Each of these approaches has its merits and demerits. However, using an inappropriate approach could result in several challenges, including poor interprofessional collaboration, low patient engagement, missed care events, medical errors, and low patient satisfaction, among other issues (Raeisi et al., 2019). The capstone initiative will focus on implementing bedside shift reporting as a substitute for traditional reporting, aiming to improve patient outcomes. Population The impact of poor handover reporting mostly affects patients who are admitted. The capstone will specifically target patients admitted to acute care settings. It is anticipated that by implementing the bedside handover approach, nurses will enhance the level of input patients have in their care, thereby fulfilling the goal of providing patient-centered care (Poelen et al., 2023). The approach will also capture the input of family members in ensuring that the best interventions are adhered to after the shift handover is completed. Therefore, based on the setting, there will be two main targets for the intervention; the care providers and the patients within the acute care setting. Nursing Intervention The selected nursing intervention is a transition from traditional handover to bedside shift reporting. Bedside shift reporting entails the change-of-shift report between the off-going and oncoming nurses at the bedside (Cruchinho et al., 2023). The process, in most cases, involves the patient and their family members. Studies have identified bedside shift reporting increases accountability among care providers, reduces missed care events and medical errors, and enhances patient satisfaction, thus selected as the best approach for the capstone. Comparison The comparison intervention is the use of a traditional handover system, which is currently in place. This involves the exchange of shift reports in a designated area other than the bedside. The method has its own merits, including a shorter duration of handing over and simplicity in terms of implementation. However, the method fails to capture patient or family input during handover and is prone to missing key details if proper documentation is not done in the first place. Outcome The anticipated outcome after implementing the intervention is an observable change in patient satisfaction. From the literature, bedside shift reporting is linked to higher satisfaction scores, which comes as a consequence of other benefits, including enhanced patient engagement, better quality of care, and reduced incidences of errors and missed care events (Raeisi et al., 2019). Time Frame The effectiveness of the proposed intervention will be measured three months after implementation. Patient satisfaction scores will be based on their experience during the period under admission, and then the cumulative data collected, aggregated, and analyzed three months after implementation. References Cruchinho, P., Teixeira, G., Lucas, P., & Gaspar, F. (2023). Influencing factors of nurses' practice during the bedside handover: A qualitative evidence synthesis protocol. Journal of Personalized Medicine, 13(2), 267. https://doi.org/10.3390/jpm13020267 Poelen, A., van Kuppenveld, M., & Persoon, A. (2023). Nurses' perspectives on shift-to-shift handovers in relation to person-centered nursing home care. Nursing Open, 10(8), 5035–5043. https://doi.org/10.1002/nop2.1740 Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8, 173. https://doi.org/10.4103/jehp.jehp_460_18

PICO(T) Question Template
P	Population	Patients admitted in acute care settings
I	Intervention	Bedside shift reporting
C	Comparison	Traditional shift reporting
O	Outcome	Patient Satisfaction
T	Timeline	Three months
PICOT Question
In__________acute care setting_____(P), how does ______ bedside shift reporting _________ (I) compared to ______ traditional shift reporting _________ (C) affect _____patient satisfaction__________ (O) within___three months ___________(T)?
Problem Statement
Shift reporting plays an essential role in determining the quality of patient care. There are various approaches to shift reporting, including the mostly applied traditional face-to-face reporting in a designated area, tape-recorded, and via the telephone or video conferencing when face-to-face is not possible. Each of these approaches has its merits and demerits. However, using an inappropriate approach could result in several challenges, including poor interprofessional collaboration, low patient engagement, missed care events, medical errors, and low patient satisfaction, among other issues (Raeisi et al., 2019). The capstone initiative will focus on implementing bedside shift reporting as a substitute for traditional reporting, aiming to improve patient outcomes.
Population
The impact of poor handover reporting mostly affects patients who are admitted. The capstone will specifically target patients admitted to acute care settings. It is anticipated that by implementing the bedside handover approach, nurses will enhance the level of input patients have in their care, thereby fulfilling the goal of providing patient-centered care (Poelen et al., 2023). The approach will also capture the input of family members in ensuring that the best interventions are adhered to after the shift handover is completed. Therefore, based on the setting, there will be two main targets for the intervention; the care providers and the patients within the acute care setting.
Nursing Intervention
The selected nursing intervention is a transition from traditional handover to bedside shift reporting. Bedside shift reporting entails the change-of-shift report between the off-going and oncoming nurses at the bedside (Cruchinho et al., 2023). The process, in most cases, involves the patient and their family members. Studies have identified bedside shift reporting increases accountability among care providers, reduces missed care events and medical errors, and enhances patient satisfaction, thus selected as the best approach for the capstone.
Comparison
The comparison intervention is the use of a traditional handover system, which is currently in place. This involves the exchange of shift reports in a designated area other than the bedside. The method has its own merits, including a shorter duration of handing over and simplicity in terms of implementation. However, the method fails to capture patient or family input during handover and is prone to missing key details if proper documentation is not done in the first place.
Outcome
The anticipated outcome after implementing the intervention is an observable change in patient satisfaction. From the literature, bedside shift reporting is linked to higher satisfaction scores, which comes as a consequence of other benefits, including enhanced patient engagement, better quality of care, and reduced incidences of errors and missed care events (Raeisi et al., 2019).
Time Frame
The effectiveness of the proposed intervention will be measured three months after implementation. Patient satisfaction scores will be based on their experience during the period under admission, and then the cumulative data collected, aggregated, and analyzed three months after implementation.

Statistic	Value	Source
Healthcare quality improvement	Up to 30% improvement in patient outcomes	Evidence-based practice implementation studies
Cost reduction	15-25% decrease in healthcare costs	Healthcare efficiency research
Patient satisfaction	20% increase in satisfaction scores	Clinical outcome studies
Implementation barriers	83.8% of nurses cite lack of authority as primary obstacle	PMC Research Study

Component	Definition	Example
P – Patient/Population	The specific group or demographic	“Adult patients with diabetes”
I – Intervention	The treatment or action being considered	“Continuous glucose monitoring”
C – Comparison	The alternative treatment or control	“Traditional fingerstick monitoring”
O – Outcome	The desired result or measure	“Improved glycemic control”
T – Time	The duration or timeframe	“Over 6 months”

The purpose of this assignment is to develop a PICOT question. A PICOT (Patient, Intervention, Comparison, Outcome and Time) question starts with

PICOT Question Development

PICOT Question Development – Sample Answer

The Complete Guide to PICOT Questions: Mastering Evidence-Based Practice in Healthcare

What is a PICOT Question?

Why PICOT Questions Matter

Key Statistics on Evidence-Based Practice

The PICOT Framework Components

Understanding Each Element

Step-by-Step Guide to Writing PICOT Questions

Step 1: Identify the Clinical Problem

Step 2: Define Your Patient Population

Step 3: Specify the Intervention

Step 4: Identify the Comparison

Step 5: Determine the Outcome

Step 6: Set the Timeframe

PICOT Question Examples by Specialty

Critical Care Nursing

Pediatric Nursing

Mental Health Nursing

Geriatric Care

Common Mistakes and How to Avoid Them

Mistake 1: Vague Population Definition

Mistake 2: Unclear Interventions

Mistake 3: Unmeasurable Outcomes

Mistake 4: Unrealistic Timeframes

Evaluating Your PICOT Question

Quality Checklist

Searchability Test

Advanced Applications

Quality Improvement Projects

Implementation Science

Tools and Resources

Digital Tools

Professional Resources

Conclusion

References

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