Question Development tool

In Week 6,you began to search the literature discovering more information about your problem. This week, you will complete a Question Development tool and you will identify your EBP question. Below you will find questions from a Question Development Tool referred to in the following text: Dang, D., & Dearholt,S.L. (2018). Johns Hopkins Nursing EBP Model and Guidelines. Sigma Theta Tau International. List and answer each question. Some will require several paragraphs for a  answer.

1.What is the problem? Is there any data that supports that this is a problem at your hospital, clinic, etc.? Data that supports that this is a national problem?

2.Why is the problem important and relevant? What would happen if it were not addressed?

3.What is the current practice?

4.How was the problem identified?(Check all that apply)

____Safety and risk management concerns_

___Quality concerns_

___Unsatisfactory patient, staff, or organizational outcomes_

___Variations in practice within setting

____Variations in practice compared to community standard_

___Current practice that has not been validated_

___Financial concerns

5.Name each PICO component

P(population, patient or problem) = ___________________________

The Covid-19 Pandemic has brought with it unprecedented operational challenges to healthcare systems worldwide.  Overcrowding in the emergency department and staffing difficulties have become a problem in much of the world’s hospitals.  Overcrowding can contribute to poor patient satisfaction, delayed patient evaluation leading  to increased morbidity and mortality, longer length of stays, and an increased number of patients  leaving without being seen  (Gardner et al. 2017). The Emergency departments I’ve worked in have always been complexed with dependance on many systems and subsystems to deliver excellent patient care efficiently and accurately, medical supply issues, staffing difficulties, and operational challenges are now part of the daily obstacles to providing patient care.

“Today, more than ever, we face the need for appropriate tools that can assist in dealing with difficulties introduced by the increase in the complexity of disaster management problems, consideration of environmental impacts, increase in resilience and the introduction of the principles of sustainability” (Simonovic, 2015).  The increased patient census has put a strain on virtually every facet of patient care subsequently the patient experience has changed.

There has been a lot of focus in my department on mitigating the overcrowding and streamlining patient flow through the department and virtually no focus on the potential negative impacts on the patient experience. In my paper I chose to focus on the potential negative impacts this has had on the patient experience, “Has the covid-19 pandemic negatively affected the patient experience in the Emergency Department”?

The rise in the number of patients presenting to the Emergency Department with covid-19 symptoms has changed the way we operate and triage patients. Due to infection control constraints, we are no longer able to safely use hallway beds to help decompress the waiting room as we have in the past. This increase in patient volume has resulted in longer wait times, which has led to a decrease in patient satisfaction.

To improve the patient experience, it is important to understand the factors that contribute to satisfaction. This can be accomplished using evidence-based practice. “Formulating a clinical question in a systematic way makes it possible to find an answer more quickly and efficiently, leading to improved processes and patient outcomes” (Stillwell et al. 2010).

The PICO question for this problem is as follows:

P: Patients presenting to the Emergency Department with covid-19 symptoms

I: Length of time spent in the Emergency Department (<5 hours.)

C: Length of time spent in the Emergency Department (> 5 hours)

O: Report improved patient satisfaction and patient experience

Do Emergency Department (ED) patients with COVID-19 symptoms (P) have a length of time in ED less than 5 hours (I) report improved patient satisfaction and experience (O)?

EBP Question Development Points Possible:24pointsDue:Sunday,11:59 p.m. EST/EDT

In Week 6,you began to search the literature discovering more information about your problem. This week, you will complete a Question Development tool and you will identify your EBP question. Below you will find questions from a Question Development Tool referred to in the following text: Dang, D., & Dearholt,S.L. (2018). Johns Hopkins Nursing EBP Model and Guidelines. Sigma Theta Tau International. List and answer each question. Some will require several paragraphs for a complete answer.

1.What is the problem? Is there any data that supports that this is a problem at your hospital, clinic, etc.? Data that supports that this is a national problem?

2.Why is the problem important and relevant? What would happen if it were not addressed?

3.What is the current practice?

4.How was the problem identified?(Check all that apply)

____Safety and risk management concerns_

___Quality concerns_

___Unsatisfactory patient, staff, or organizational outcomes_

___Variations in practice within setting

____Variations in practice compared to community standard_

___Current practice that has not been validated_

___Financial concerns

5.Name each PICO component

P(population, patient or problem) = ___________________________

I (Intervention)= ___________________________

C(comparison with other interventions) = __________________________

O(outcomes are qualitative or quantitative measures to determine the success of the change) = ___________________________

6.State your EBP question.

References

Gardner, R., Friedman, N., Carlson, M., Bradham, T., & Barrett, T. (2018). Impact of revised      triage to improve throughput in an ED with limited traditional fast     track population.    The American Journal of Emergency Medicine, 36(1), 124-127.     doi:10.1016/j.ajem.2017.10.016

Simonovic, S. P. (2015). Systems approach to management of disasters-A missed             opportunity?. IDRiM Journal, 5(2), 70-81.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-     based practice step by step: Asking the clinical question: A key   step in evidenced-based     practice. The American Journal of Nursing, 110(3), 58-61