According to the American Association of Colleges of Nursing, the Masters prepared nurse “recognizes that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.” Many research ideas emerge from practice and/or the educational environment. Formulating a well-built research question is challenging. Asking the right question facilitates the search process when conducting a review of the literature.

• Read the article “Asking the clinical question: A key step in evidence-based practiceLinks to an external site..”
• After reading the article, create your own PICOT question around the topic you selected that will be used for your Unit 2 Introduction to an Evidence-Based Practice Problem. In your discussion post, complete the following:
  1. Describe your selected topic and its significance
  2. Share and discuss your created PICOT question.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Picot-Solution

Anxiety Management Techniques for Patients on Hospice

Anxiety is a psychological condition prevalent among patients in hospice care (Kozlov et al., 2019). The patients often exhibit anxiety-related behaviors, like restlessness, irritability, and sadness. In this case, hospice care caregivers should indicate awareness of the unique factors instigating each patient’s anxiety. For instance, some patients get anxious due to pain from an underlying condition, regrets in life, and unaccomplished dreams. Henceforth, Gonella et al. (2019) illustrate various techniques that can be implemented to help patients manage anxiety and extend their lives. They include support from family members, friends, and loved ones which paves the way for reconciliation and forgiveness, reducing the patient’s burden. Counseling can also help patients cope with isolation and manage unexpected experiences in end-of-life care. Research on anxiety management techniques in end-of-life care provides a comprehensive framework for understanding the needs and wishes of the patients (Zweers et al., 2019). Respecting these needs is crucial in extending the patients’ lives in hospice care. Therefore, hospice caregivers must implement anxiety management techniques to elongate the lives of terminally ill patients.(Anxiety Management-Picot Sample Essay)

PICOT Question

In hospice patients with anxiety (P), how do spending time with loved ones and trusted friends (I) compared to the absence of loved ones and trusted friends (C) reduce irritability and restlessness (O) within the final six months to death (T)?

The PICOT framework describes a clinical question based on the anxiety levels of patients enrolled in hospice. The population highlighted in the framework are terminally-ill patients on a death bed (P) exhibiting the highest anxiety levels (Gonella et al., 2019). The presence of loved ones and trusted friends (I) is among the interventions for reducing irritability and restlessness (O) since it calms and assures the patients’ value. On the contrary, the absence of trusted friends and loved ones (C) reduces the time of enrolment in hospice below six months before death.(Anxiety Management-Picot Sample Essay)

References

Gonella, S., Basso, I., De Marinis, M. G., Campagna, S., & Di Giulio, P. (2019). Good end-of-life care in a nursing home according to the family carers’ perspective: A systematic review of qualitative findings. Palliative medicine, 33(6), 589-606. https://doi.org/10.1177/0269216319840275

Kozlov, E., Phongtankuel, V., Prigerson, H., Adelman, R., Shalev, A., Czaja, S., … & Reid, M. C. (2019). Prevalence, severity, and correlates of symptoms of anxiety and depression at the very end of life. Journal of pain and symptom management, 58(1), 80-85. https://doi.org/10.1016/j.jpainsymman.2019.04.012

Zweers, D., de Graeff, A., Duijn, J., de Graaf, E., Witteveen, P. O., & Teunissen, S. C. (2019). Patients’ needs regarding anxiety management in palliative cancer care: a qualitative study in a hospice setting. American Journal of Hospice and Palliative Medicine®, 36(11), 947-954. https://doi.org/10.1177/1049909119846844