Topic : Adult population in ICU /does nursing adhere to protocol guidelines for safe removal in patients using Intravascular Catheters from May to August 2019?
OF note: the PICOT question has to be formulated to fit this example: and can be changed around if needed. (use topic above and formulate in the proper context/ question) as in the example below
This is just an Example of how it needs to be written: In disabled, older adult patients (P), how does the use of level- access showers (I), compared to bed bathing (C), affect patient hygiene(O) in one week ? (T)

CONTENT OF ASSIGNMENT:
Describes an area of practice that is “amenable for improvement.” (See Above TOPIC )

Formulate a searchable, answerable clinical question (PICOT) about the identified topic in an area of practice that includes patient/population, intervention/indicator, comparison/control, outcome, & time.

Identifies keywords from PICOT question to use in a future electronic database search.

FORMATTING/MISCELLANEOUS
• Uses APA 6th edition format, grammar, punctuation, and spelling.
• References within last five years

1. Briefly describe an area of practice that is “amenable to improvement” and which could therefore guide a potential quality improvement project.
2. Formulate a searchable, answerable clinical question (PICOT) about the identified topic in your area of practice.
Write your burning clinical question in the format that will yield the most relevant and best evidence for searching
3. Identify keywords from the PICOT question to use in a future electronic database search
4. The first part of the completed assignment should be 250-300 words (citation does not count as part of the word count).
Sources must be within the last 5 years

Part 2 of assignment
Expectations
Identifies 4 evidence-based articles & one evidence-based clinical practice guideline
Citation & uses APA format for citation
Design/methods
Sample/setting
Major variables studied
Measurement
Data analysis
Results
Level of evidence/Application to project notes

Conduct a preliminary online search on the topic in Part 1 selected in the PICOT Question assignement above , using your PICOT question and keywords. Follow the instructions below to complete the assignment.
Assignment grid attached
1. Conduct your search to find the most representative evidence articles on your topic.
Use one of the databases listed or a comparable one: PubMed or CINAHL.
o Use various MeSH (Medical Subject Heading) terms and combinations of terms from your PICOT question.
o Examine the MeSH terms derived for this paper.
o Adjust your search strategy to include combinations of the most relevant three to four MeSH terms.
o save the search strategies and searches.
o Restrict your searches to the most recent five years. Use four evidenced based articles and one evidence-based clinical practice guideline that can support a potential improvement project. Identify evidence that best addresses the focus of the topic for a potential improvement project.
2. Download and use the Evidnece grid to format the second document.
3. Use the Evidence Grid to summarize a beginning synthesis.