Clinical Problem: Reducing CLABSI (central line-associated bloodstream infections) in ICU units the paper should include Overview, create PICO question Population, Interventions, Comparison, and Outcomes, Review of literature and problems associated Problem Identification: Identify a clinical problem that you observed in the clinical site. Digging up clinical problems can start with observations of clinical practice on your unit, asking staff about the problems they face when delivering care, looking through policies and procedures and guidelines of care to assess if there is a standard or policy to improve practice. Talking with patients about their perceptions of the care they are receiving and asking clinical questions that address the clinical implication of the observation. Is there a problem, a patient or a population there is negatively affected by the present standard of practice? Once this P factor is determined without a present resolution, then a clinical question should be developed using the PICO process. • The population – this could be a patient, a problem, a population, a unit, a division, or organization problem. • The time limit- that you are going to do this project—remember, it does not have to be long, just long enough to get your results. You may set a time limit of 1 week but find out after 4 hours that it does not work. You can terminate the cycle at that point because you got your results. • Review of literature: What level of knowledge is out there to address the problem, are there any evidence-based guidelines already published. Most of the literature reviewed should utilize systematic reviews, meta-analysis, or clinical guidelines. Individual studies review expert opinion articles and clinical articles can be used as supportive literature for clinical issues with limited research . Example: Steps to execute: Problem and population same day post-surgical patients do not answer the survey about satisfaction with services. Found that if surveys are easily accessible the response may be increased.
