CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval
CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval
The department has conducted a review of your PICOT-D question in an effort to support the development of your project. Please note that this review is a FINAL APPROVAL of the PICOT-D and will require permission by the DNP Program Lead for any changes to this statement beyond the date of this approved review. We highly discourage changes as they may prevent you from progressing.
PICOT-D Question:
Mandatory questions: Are you an APRN? YesWhat is your expected graduation year? 2024
All projects must have a minimum of 3 original research studies to support the intervention. (One of the three original research articles to support your intervention need to come from the US or Canada if you are a Canadian resident). The other research studies can come from the UK, Denmark, India, New Zealand, or Australia (preferred) or from any of the 131 countries listed in the International Compilation of Human Research Standards 2020.
*** In DNP-955A You will be required to have a total of 15 research articles to support the intervention (3 from PICOT, plus other original research)
Original Research Articles (Use permalinks and attach a pdf copy of each of the quantitative original research articles):
IMPORTANT PLEASE STOP AND READ:
This is your Final Approved PICOT-D statement. Please maintain this copy and please include it in each course ISP going forward, in addition, this is the FINAL approved statement to be shared with all DNP course instructors going forward.
If you need to make a change to this PICOT-D statement, you must work with your current course instructor to review and approve any possible changes and your instructor must notify the DNP Program Lead. Making a change to your PICOT-D statement past this date may lead to your delay and success in this program, there must be a valid significant reason to change this PICOT-D statement going forward. It will require you to stop and re-gain permission prior to progressing. This final approval is tracked in CRM.
You may not begin your intervention or collect any data related to your project until you have GCU IRB approval, which typically occurs in 960A. Prior to your project courses, you will be working on designing a project in preparation for the submission of your proposal in 955A. Ensure you are accessing the resources in the DC network and in the classroom. You do not need to resubmit your PICOT to the department.
Congratulations on your work so far! We are so glad you have chosen Grand Canyon University.
THIS FINAL PICOT-D STATEMENT IS APPROVED.
_______________________________________________________Date: _____________________________
DNP PICOT-D REVIEWER Name/Credentials
For it is God who works in you to will and to act in order to fulfill his good purpose. (Philippians 2:13)
Criteria for Acceptable Research to Support the Doctor of Nursing Practice (DNP) Direct Practice Improvement (DPI)
As a reminder, the DNP project is a DPI grounded in quality improvement.
The practice problem must originate from the project site and be supported with current data (from the project site) that confirms the need for an evidence-based solution to improve the specific, measurable patient outcome.
Your intervention is coming from the scientific evidence rather than someone elses opinion of the evidence.
You must translate empirical research or implement a clinical practice guideline
The manuscript will require synthesizing 15 quantitative research studies (no older than 7 years from your anticipated graduation year). All articles must include a statistically significant p-value (p 0.05) for the outcome you identify in your PICOT. For your literature review table, you must include five primary research articles and ten secondary research articles.
The 5 primary articles must be obtained by the time you are in 815A, and they must meet the criteria identified in the Guidelines for the Translation of Research (see the guidelines below).
The 10 secondary research articles may include:
Systematic reviews without meta-analysis and that are not of randomized controlled trials.
Clinical practice guidelines that support the translation of the research into practice.
Retrospective studies can be included, but they must account for less than half of the total number of secondary research studies.
You will need two to three pilot studies (max of three) using the pilot project criteria discussed in the Guidelines for the Translation of Research and Guidelines for Implementing Clinical Practice Guidelines.
Guidelines for the Translation of Research:
If you are translating research, PICOT approval requires three (3) original quantitative primary research articles.
You MUST have 1 original research article from the USA and/or Canada (depending on residency) to support the intervention.
The other research articles may be added from the US, Canada, UK, Denmark, India, New Zealand, Germany, and Australia (preferred) or the International Compilation of Human Research Standards 2020 Edition, by DNP-815A:
https://www.hhs.gov/ohrp/international/compilation-human-research-standards/index.htmlAll articles must be published within 7 years of your graduation year.
All articles must contain a statistically significant p-value (p 0.05) for the outcome you identify in the PICOT.
Your supporting research must align with the intervention and outcome you indicate in the PICOT.
Refer to Appendix A for guidance on articles that include interventions with multiple components. Sometimes the authors will include results with a p-value for individual intervention components.
The following information should be highlighted in each research article:
The date of the publication
The location where the research was conducted
The methodology and design of the research
The population description and sample size that were included in the research
A description of the intervention you identified in the PICOT and how it was implemented
The statistically significant p-value (p 0.05) for the outcome you identified in the PICOT
Research Methodologies:
Randomized Controlled Trials (RCTs)
Cohort Studies
Case-control studies
Systematic reviews with a meta-analysis (see the requirements below)
Systematic Reviews of Randomized Controlled Trials (see the requirements below)
Mixed methods (see the requirements below)
Pilot/Quality Improvement projects (see the requirements below)
Other methodologies will be considered upon review of the article
If a systematic review is used, the following criteria must be met:
A systematic review with a meta-analysis of quantitative research within 7 years of your anticipated graduation date.
A systematic review of randomized controlled trials within 7 years of your anticipated graduation year.
It cannot be a systematic review alone.
One pilot/quality improvement project may be accepted to support your PICOT if it meets the following criteria:
This cannot be the article that will be translated
The project has original research in support of the pilot
Methodology and design are present
The p-value is present (must be statistically significant p 0.05)
Must include a sample size of at least 30!
One clinical practice guideline (CPG) may be included as one of the 3 articles sent to support the PICOT.
Example: You plan to translate the work of Wilford and Fetter (2022), who conducted research that indicates the use of ultrasound on patients who are determined to be difficult IV starts will impact the rate of IV insertion attempts. The Emergency Nurses Association (ENA) has a CPG with the same information as Wilford and Fetter (2022). You can include the Wilford and Fetter (2022) article you will translate, the ENAs CPG, and one additional original research article or a pilot study.
One mixed-methods study may be accepted as a primary research article, AND one mixed-methods study may be accepted as a secondary article.
The following CANNOT be used to support your PICOT:
No Masters Thesis and Doctoral Dissertations
No summaries, reports, expert opinions, editorials, animal, or lab studies permitted.
No retrospective studies can be included in the top 5 primary articles.
Guidelines for Implementing Clinical Practice Guidelines (CPGs):
If you are implementing a clinical practice guideline, PICOT approval requires one clinical practice guideline and two (2) original quantitative primary research articles. The two original quantitative primary research articles must meet the criteria identified in the Guidelines for the Translation of Research (see the section above).
You must obtain the empirical research the guideline was built from. The guideline you select will support the implementation of EBP intervention.
Locate the CPG and pull it from the organization which developed it. If you are not a member, you may need to write to the organization to obtain a copy of the guidelines.
The guideline must be from the US. International guidelines from the World Health Organization (WHO) and the National Institute for Health and Care Excellence (NICE) guidelines are accepted.
You will need to find all the current research within 7 years that built the CPG and list them.
Suppose the clinical practice guideline is older than 7 years from your graduation year. In that case, you must contact the organization and obtain a statement that the CPG is the most current standard of practice.
The following information should be highlighted in the CPG you plan to implement:
The name of the organization that developed the guideline
The date of the publication or latest update
The origin of the guideline (It should be from the US, but some international guidelines will be considered for approval.)
A description of the intervention you identified in the PICOT (including the identifying number, tool, strategy, etc. if it is indicated in the guideline) and how it should be implemented
The population the guideline is intended for use on
The outcome you identified in the PICOT that the guideline indicates you should achieve
You may also use one pilot study to support the use of the CPG.
The project has original research in support of the pilot
Methodology and design are present
The p-value is present (must be statistically significant (p 0.05)
Must include a sample size of at least 30!
The following CANNOT be used to support your CPG: A pilot project that was conducted at a healthcare organization, meaning you cannot take someone elses project and use it as a CPG. The CPG must have the original research in the references from which the CPG was developed.
Appendix A
An example article with an intervention that provides a p-value for individual components of the intervention is linked below.
Suppose an intervention includes more than one component, and the article you are translating provides a separate statistically significant p-value for each component of the intervention. In that case, you may use the p-value for the intervention component you will implement.
Example: Senner et al. (2019) researched to determine if there was a statistically significant change in the mucositis index value with chlorhexidine, Vitamin E, and honey. In the results section of the article, the authors provided a p-value for each intervention component. So, if you wanted to translate Senner et al.s research and only wanted to use Vitamin E and not include honey or chlorhexidine, you could because a separate p-value was provided for the use of Vitamin E. If the p-value that is provided in the article is not individualized for each component of the intervention, you would have to implement all three parts of the intervention (honey, Vitamin E, and chlorohexidine). The p-value for the intervention included in the article should indicate statistical significance for all three intervention components.
Example Article Link:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=30745073&site=edslive&scope=site&custid=s8333196&groupid=main&profile=eds1
