picot question for telehealth

Scenario: Your patient, who owns a bakery, recently participated in their employer's wellness program. How would you assess the patient and familys response to this telehealth tool? PICOT Question Worksheet Name: Fatme Bazzi 1. Must be double spaced and and written in Times New Roman 12 Font as per APA guidelines. With this unprecedented surge in use of telehealth, there is matter of delivering quality care. Numerous e-health business models are based on the ability to track user activity and construct profiles based upon the information being sought and individuals' purchasing histories (Thompson, Koumanakos and Hadjri, 2012). <> 22 0 obj endobj 18 0 obj Click "Next" below to start your research. 9 0000049276 00000 n 32 0 obj endobj Your PICOT question looks good but it is too broad. Crystal L. Fleischhacker Claude Moore Health Sciences Library Dr. Sikka is the Founder and Chief Medical Officer of SonoStik, LLC and advises Emergency Medical Innovations, LLC. The abrupt expansion of ambulatory telemedicine: implications for patient safety. independent and dependent variables, and statistical tests. Such virtual triage processes can protect other patients by directing potentially infected individuals to the most appropriate location to seek care or testing and keep them out of primary care waiting rooms. All sources and references must not be older than 5 years old. I created the PICOT Research Question Generator to help researchers create valid research questions "How do_________________(P) with_________________(I) perceive_________________(O)?". xY}W,]- lA~Twp9$WwA/=u=u_ano?jy?~C&1l8TiOx:R){So_I|6=nhxAHL2Ax`[=, Patient Satisfaction with Telehealth Services Compared to In-Office Visits: A Systematic Literature Review. For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? "Over six month period.." or "In three years"). Example:How do nursing schoolsteach, measure, and maintain nursing students' technological literacy throughout their educational programs? What are the qualitative differences in patient experience in telehealth versus in-person interactions with healthcare providers. O- keeping BMI below 25; healthy weight management. To craft a strong and reasonable foreground researchquestion, it is important to have a firm understanding of the concepts of interest. This article uses the Systems Engineering Initiative for Patient Safety (SEIPS) model to assess barriers related to telehealth implementation during the pandemic and the impact on patients, providers, technology, care processes, organizations, and the environment. In March 2020, HHS issued a series of new rules and temporary waivers designed to assist the medical community in addressing the COVID-19 pandemic. 0000047593 00000 n As with in-person visits, a quality assurance plan should be in place for telehealth visits. What action is taken for the users, potential users, or stakeholders? Nursing Research Guide. 15 0 obj How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)? It stands for: P--Patient/Problem I--Intervention C--Comparison O--Outcome. Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers. In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)? A guide for conducting nursing research at KUMC. Use of proper English grammar is a MUST! https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/A%20Multilayered%20Analysis%20of%20Telehealth%20-%20A%20FAIR%20Health%20White%20Paper.pdf. "The question needs to identify the patient or population we intend to study, the . In general, telehealth is the delivery of health care through technology such as mobile phones or computers. Use this worksheet to break down the parts of your PICO question. Scenario: Your female patient is concerned about her risk of developing breast cancer. ;L"Oh`1`a8r:9;b&`(3K}zf&x0/}wI6e n1:1.t X X;7L:3HeV~mU/24D:5l [*"B0OL0 9. 8KYXu'"t7WZ**8[-AUp|p[8pI:"T%bRR(2bR"3FB#3p8#Vt`YKte1#AvP 5 0 obj Analyze how telehealth affects patients' empowerment and patients' engagement in their own health. endobj HW]%7}_Q,u%)LC2! t ,rV%K:,SB+ufoh!eO$Cz3-T1b4$r6{}L{-SgC'\~JKXv))p:F.-w4Eots\o[Lwq41! A&\D;5)eiXHaP@@6b6w_lliq|"("2:WcF+axOSFz.>W]!IfAn?YZ &k+k:LgiHh> U1r(V zjCT^{6),9M~[fL]cElf [S|i>T OQ0)=N|_WC\3HOK[ERj=#=jQd Columbia, MD, Bryan Gale, MA Fusce dui le. endobj A Multilayered Analysis of Telehealth: How This Emerging Venue of Care is Affecting the Healthcare Landscape. This is a scholarly paper of 6 to 8 pages (excluding title page and reference page(s). below. Telehealth is often referred to or referenced as telemedicine (clinical services), but also includes a wider variety of healthcare services, including those provided by professionals other than physicians, such as nurses and pharmacists. Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients.2,3 Between 2014 to 2018, private insurance claims for all telehealth services increased by 624%.4 In 2018, the Centers for Medicare & Medicaid Services (CMS) reported that telehealth visits per beneficiary increased 79 percent between 2014 and 2016. As this suggests, deficient safeguarding in regards to confidential information is a very real danger in telemedicine practice (Thompson, Koumanakos and Hadjri, 2012). Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients. P- female non smokers w/ daily second hand smoke exposure, C- female non smokers w/o daily smoke exposure. Your dependent variable. <>stream Use PICO to generate terms - these you'll use in your literature search for the current best . Washington, DC, Eleanor Fitall, MPH [44 0 R 47 0 R 48 0 R 49 0 R 50 0 R 52 0 R 53 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R] Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. It may include clinical care services, education for both patients and providers, and public health or healthcare administrative services.1 Telehealth can be used as a tool to monitor, diagnose, treat, and counsel patients in circumstances where in-person care is not feasible, or when telehealth is more convenient or economical. The last element is optional. Keep in mind, you may not have all the pieces depending on your type of question, but it's a great jumping off point. %PDF-1.7 % However, this still only accounted for a small fraction of the Medicare budget, at 0.4 percent of total Medicare PFS spending.5 Historically, clinicians have been limited in the types of telehealth services eligible for Medicare payment. Federal Communications Commission. endobj R%S~E8EC tns;H]$-MhZ9\54sgK%!#fjYbj0>7tyTB4,A|:m;]CE+k +ikxF39hi:R*56jKI. The increased use of telehealth during the COVID-19 pandemic has not been without challenges. What are the reasons for behavior and decisions? Associate Professor, Attending Physician Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)? Accredited Professional Statistician. Students are expected to apply APA formatting to the entire document, including the title page/reference page(s), the level headings, and in-text citations/quotes. uuid:97e72aee-ae4d-11b2-0a00-a00d8b020000 Rapidly accelerating telehealth capabilities may be necessary for many institutions as the healthcare community tackles the COVID-19 epidemic. Published July 2019. Introduction; Research Toggle Dropdown. 0000002030 00000 n 3. Question: In POPULATION, does INTERVENTION as compared to COMPARISON/CONTROL GROUP result in OUTCOME? KWM_# T=mUlE,{w{]=-"U7d-+wV}8,%rqv~?Z=\eH0=pW\ztVC'@6l wNM[p;D3k.Pt#=j&ZY1[b`(+\\\\C2:\;\&%%%R ```66 2@JJ@fH1\$dll2d"ec.4j(ccCQ$5R..ii &3@ Is the presentation clear and easy to follow? PICOT Worksheet. Think about age, sex, geographic location, or specific characteristics that would be important to your question. AppendPDF Pro 6.3 Linux 64 bit Aug 30 2019 Library 15.0.4 The study population comprises patients presenting to a hospital with dyspnea or desaturation as measured with pulse oximetry. Pubmed Clinical Queries. This allows patients to receive care from the safety of their homes and avoid exposure to the virus during transit or at in-person appointments. endobj Remember that this must be in relation to selected patient population above. Published March 17, 2020. There are a variety of tools that can be utilized to address security concerns. <> What is the results of the intervention or service/how is success measured? Are 30- to 50- year old women (P) who have high blood pressure (I) compared with those without high blood pressure (C)at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? 3 0 obj Centers for Medicare & Medicaid Services. As such,it is often necessary to ask background questions, which ask for moregeneral, foundational knowledge about a disorder, disease, patient population, policy issue, etc. N=l%l+xD005$,K Your null and alternative hypotheses. Questions addressing the prediction of the course of a disease. 9. (Time is optional). Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. Nam lacinia p, s ante, dapibus a molestie consequat, ultrices ac magna. Appligent AppendPDF Pro 6.3 %PDF-1.5 Nam risus ante, sum dolor sit amet, consectetur adipiscing elit. 0000034769 00000 n 8 0 obj Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. Vqm``A`bC#[L i @.(v*| ^? Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic. 1 0 obj The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. This may require additional communication and outreach to the patient by nurses or medical assistants to review and update information regarding the patients medical history, validate that the reason for their visit is complete, accurate, and identifies the need for any necessary ancillary services (i.e. ]4&D3(S{+=mz]~$%""zW0U214.a~v[8';e%>~?p9;y(0F"#OeDCTQ4Q&;n\Y}=8YQGyxxCcq18eFNM)QE5liq"PZ;_FlJfO5Y2CvQr]J-u5Rm=MhgxlC\xK]w1%Pi(QMhSdiXH0v:a1t ~qQo 0KQcSI8|'ghRGT/'$EIl A systematic review and meta-analysis. 0000045635 00000 n What are the measures of effective blood sugar control? Short(Definitions(of(Different(Types(of(Questions( Finally, you will click on clinical placements within prison healthcare settings. Additionally, beneficiaries would have to travel to a local medical facility to get telehealth services and generally would be unable to receive these services at home. https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19. Her friend was recently diagnosed, and mentioned that her smoking might have been a factor. A PICOT question should be specific to make it researchable. Health Insurance Providers Respond to Coronavirus (COVID-19). What is the management strategy, diagnostic test, or exposure that you are interested in? <>/MediaBox[0 0 612 792]/Parent 11 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/StructParents 25/Tabs/S/Type/Page>> Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. Rockville, MD 20857 application/pdf To sign up for updates or to access your subscriber preferences, please enter your email address Questions around how to select treatments to offer our patients that do moregood than harm and that are worth the efforts and costs of using them. interventions, prevention, prognosis, diagnosis, or etiology, Telehealth, Telemedicine and Telecare: What's What? Course Hero is not sponsored or endorsed by any college or university. Questions addressing how one experiences a phenomenon or why we need to approach practice differently. Telehealth can assist healthcare systems, organizations, and providers in expanding access to and improve the quality of rural healthcare. "In__________________(P), how does__________________(I) compared to_________________(C) affect______________(O)?". <>1]/P 13 0 R/Pg 196 0 R/S/Link>> below and then select the answers that best fit your statistical objective. 0000031290 00000 n ), but is still a therapy question. AppendPDF Pro 6.3 Linux 64 bit Aug 30 2019 Library 15.0.4 PICO Question: Samples with different Specialties; Search this Guide Search. What is the context for the question? endobj xWN@}z}-I$RS_:\U Fwv=38{e5Q;;^U%i:+'.7NHd2jVpy[Qrw_$$p5$isng?vo!'q, Utilizing Telehealth Technology to Reduce Social Isolation and Depression in Seniors. 37 0 obj P refers to the population/ Patient or the problem. 6 0 obj Finally, you will click on a button and the PICOT Research Question Generator will present the following: Your PICOT question. I- refers to the intervention. using the PICOT framework. This worksheet will help you build a PICOT question and identify keywords for your searchable question. lab work, imaging), and ensure that the patient understands what to expect if they will be participating in a telehealth visit. What clinical domain does your question fall under. Electronic the University of Tennessee Graduate School of Medicine (UTGSM) as well as an Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. the Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment. Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? O refers to the outcome that is what one intends to achieve. :&VLp~3H Running head: EBP TELEHEALTH Evidence Based Practice: Use of Telehealth to Reduce Rehospitalizations in the CHF Population Chadwick Boberg, RN, BSN . Provide answers to the following: Identify and describe one practice-related issue or concern. If implemented appropriately, telehealth can be an incredibly effective approach to ensuring patient and provider safety during this unprecedented outbreak. Questions on how to reduce the chance of disease by identifying and modifying risk factors and how to diagnose disease early by screening. However, the overall safety of telehealth is less well studied. 0000003844 00000 n endobj 2 0 obj What is the core concept being examined by the review? 0000010941 00000 n 1 2023 picotnursingpapers.com. endobj In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? This allows patients to receive care from the safety of their homes and avoid exposure to the virus during transit or at in-person appointments. 0000008905 00000 n Assess and report the reading level of information presented in each website o Present a teaching plan to educate these patients about how to select a reputable and credible health website to manage their health. Chief, Innovative Practice and Telehealth Section, Department of Emergency Medicine (C) Comparison or alternative intervention, or issue of interest. Published March 2018. My name is Eric Heidel, PhD, PStat, and I am an Associate Professor of Biostatistics at If you want to create a 2020-05-04T07:16:06-07:00 For example, consider the PICO question outlined above: "For adolescents with type II diabetes does the use of telehealth consultations compared to in-person consultationsimprove blood sugar control? <>/Metadata 2 0 R/Outlines 5 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> This tool uses predefined filters to help you quickly refine PubMed searches on clinical or disease-specific topics. purpose of the DNP Project was to answer the following clinical question: In adult patients (ages 18-85) with a diagnosis of hypertension, what is the effectiveness of implementing an evidence- . Lorem ipsu, Explore over 16 million step-by-step answers from our library, s ante, dapibus a molestie consequat, ultrices ac magna. PICOT: The PICOT question that guided this project was among patients with a recent diagnosis of stroke (P), what is the effect of a telehealth appointment with a nurse practitioner (NP) for post discharge follow-up (I), compared to a standard face-to-face clinic appointment (C), on 30-day readmissions rates (O), within two months (T)? Note that even if you have an account, you can still choose to submit a case as a guest. 0000045497 00000 n Telehealth in the COVID-19 era: a balancing act to avoid harm. endobj 0000003423 00000 n 1. Given the shift in paradigm from telehealth as an alternative mechanism of care delivery to telehealth as an integral part of the health system, it is imperative to take a . With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment recommendations, more appropriate follow-up care, and a reduced likelihood of experiencing an adverse event as a result of delayed assessment and treatment. 0000047465 00000 n <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Who is the group of people being studied? 36 0 obj In addition to the more traditional uses of telehealth, the COVID-19 crisis has necessitated creative thinking about how telehealth technology can help protect providers. Augenstein, J. Using the PICOTS Framework to Strengthen Evidence Gathered in Clinical TrialsGuidance from the AHRQ's Evidence-based Practice Centers Program Using a structured question frameworkcan help you clearly define the concepts or variables that make up the specific research question. 2 0 obj It may be necessary, in some cases, to arrange for patients to obtain remote monitoring devices in advance of more complex virtual assessments. Rosswurm and Larrabee (1999) EBP model was used as a guiding framework for the pilot study. stream IMPAQ International Published March 30, 2020. o Explain why (what specific aspects of the website) you would recommend these websites to this population. 4. Telehealth, telemedicine, and ehealth are a few of the many overlapping terms and uses for telecommunications in health. endobj Then, you will enter text related to your PICOT question 6 0 obj See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. While telehealth is providing powerful approaches for protecting patients and providers during the COVID-19 outbreak, its increased and evolving use raises other potential patient safety concerns. Opportunities to Expand Telehealth Use amid the Coronavirus Pandemic. What kinds of interventions would fall under the umbrella of 'telehealth'? In order to most appropriately choose an information resource and craft a search strategy, it is necessary to consider whatkindof question you are asking: aspecific, narrow "foreground" question, or a broader background question that will help give context to your research? The evidence to support the role of telehealth is strong. endobj over the past 14 years (see About page; opens in new window). Telehealth typically involves the delivery of long-distance or remote healthcare via electronic communication and information technologies. dimer assay more accurate at ruling out deep vein thrombosis compared to ultrasound? Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care.