The PICO statement will provide a framework for your Capstone Project (The project students must complete during their final course in the RN-BSN program of study). Review the PICO article “Evidence-Based Practice, Step by Step: Asking the Clinical Question” (2010)
The first step of the EBP process is to develop a question from a practice problem. Start with the patient and identify the clinical problems or issues that arise from clinical care.
Review the PICO article “Evidence-Based Practice, Step by Step: Asking the Clinical Question” (2010) along with the PICO PowerPoint.
Following the PICO format, write a PICO statement in an area of interest to you, which is applicable to your proposed Capstone Project.
Always, research commences with a research challenge that needs to be solved. A problem can be studied by collecting and analyzing researchable data. Evidence-based nursing practice promotes the use of research’s best evidence, in addition to clinical experience and patient preference when making medical decisions (Norwood, 2010). Based on quantitative and qualitative studies, particular problem aspects should be assessed to determine how researchable it is.
Reasons for the research problem
In nursing, nursing problems emerge from diverse reasons. This may be as a result of patients’ concern regarding certain diseases’ diagnosis, treatments and their success, disease prevention and promotion, social emerging issues, and issues arising from nursing literature. As a result, it is warranted that nursing practice needs to be combined with evidence-based research so as to improve healthcare (Norwood, 2010). Patients and medical practitioners acknowledge sleep disorders as an emerging concern. Due to sleep disorders, many people are suffering from increased stress levels yet they are not aware. Nursing literature indicates that hormonal changes result to sleep disorders and many women are affected.
The significance of the problem
The problem under research is beneficial to nurses since it improves their practice and they are able to learn about significant ways through which patients suffering from critical sleep disorders can be treated. Some of the sleep treatment therapies include cognitive-behavioral therapy and continuous positive airway pressure therapy. These are treatment practices that can be applied easily and play a huge role in minimizing the prevalence of sleep disorders (Burns & Grove, 2011).
The feasibility of the problem
There is a need for diverse study subjects in nursing research. Sleep disorders include sleep apnea, insomnia, restless leg syndrome, narcolepsy, REM sleep behavior disorder, cataplexy, hypnagogic hallucinations, and sleep paralysis. Based on the specific disorder, the study subjects will be required to be available. Adequate time should be created for the research and there should be cooperation between the stakeholders, study subjects, and researchers so as to ensure success of the research. Nurses should possess knowledge on all the sleep disorders as well as their symptoms so that proper inferences are made in relation to the approaches to be used for treatment (Arizona State University College of Nursing and Health Innovation’s Center, 2010).
Normally, evidence-based practice has roots in informed problem statements. In the present day, sleep disorders are a crucial emerging issue. Their causes include emotional difficulties, diet, other diseases, hormonal imbalances, and some medications. Women suffer the most compared to men and they normally complain of fatigue, headache, and insomnia (Arizona State University College of Nursing and Health Innovation’s Center, 2010). If there are hormonal levels changes involving estrogen, cortisol, and progesterone, the occurrences of sleep disorders is more, for example, insomnia. The level of progesterone hormone varies during the menstrual cycle and results to altered sleep patterns in the pregnant women. Estrogen levels influence sleep patterns in the postmenopausal women. Cortisol is a stress hormone and if there are changes in its normal levels, insomnia is the result. Globally, millions of people are being affected by sleep disorders, which is a cardinal concern. Hence, comprehending the influence of hormones in facilitating sleep disorders will promote the adoption of efficient and correct measures so as to minimize the problem.
What effects do reproductive hormones’ changes have on sleep disorders in both males and females during the reproductive age?
Components of the question
The major components are the variables being studied and population of interest. Hence, there will be a full clarification of the intervention of interest, population of interest, desired outcome, comparison variable, and relevant time frame.
Arizona State University College of Nursing and Health Innovation’s Center. (2010). Evidence- Based practice, step by step. Asking the Clinical Question: A Key Step in Evidence- Based Practice.
Burns, N., & Grove, S. K. (2011). Understanding nursing research: Building an evidence-based practice. 5th ed. St. Louis, MO: Saunders/ Elsevier.
Norwood, S. L. (2010). Research essential: Foundations for evidenced-based practice. Boston, MA: Pearson.