GI bleed PICO(T) question

GI bleed Please write this assignment based on PICO(T) question last time

GI bleed PICO(T) question

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The PICOT Question In adult patients with gastrointestinal tract (GI) bleed (P), how effective is Digital Rectal Exam (I) compared to no Digital Rectal Exam (C) in detecting the source of bleeding (O) during the pre-admission period (T)?

See instruction attached and last assignment you wrote (attached as well)

Assessment 3 Instructions: Critical Appraisal of Evidence-Based Literature

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

Introduction: GI bleed PICO(T) question

Assessing the relevance and quality of a scholarly publication is an essential skill for the refinement of evidence-based knowledge. You will learn about specific study methods and designs, and then you will be able to determine the level of evidence a study represents in EBP.

EBP plays an important role throughout the development of your capstone project, including selecting a researchable topic for improvement. For this assessment, you will learn about different appraisal tools, including a rapid appraisal, to apply in the EBP process. You will also learn how to conduct a comprehensive appraisal of qualitative research and how to translate qualitative evidence into practice (Melnyk & Fineout-Overholt, 2019).

You will also evaluate interventions from the evidence-based literature for merit and appropriateness. Some examples might include a particular type of evidence-based therapy, a new policy, a quality improvement initiative, et cetera. Consider these questions:

  • Would the intervention be an appropriate solution for the clinical or practice problem?
  • Is the intervention feasible for the organization?
  • What type of resistance might we encounter?
  • What impact could the outcome have on the organization?
Reference: GI bleed PICO(T) question

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.


The purpose of this assessment is to evaluate and critically appraise the available evidence pertaining to the patient safety issue. This is an important step in the evidence-based practice process. The evidence should be appraised for merit, implicit bias, and relevance to the topic. Moreover, evidence should be from current, peer reviewed sources. Clinical practice guidelines and consensus statements are usually updated every 10 years. Consider this guideline when evaluating the current literature.


Keeping with the previous scenario, remember that as Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. This includes ensuring the use of quality literature.

Instructions: GI bleed PICO(T) question

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

  1. Review the Capella Library Guide on how to Create an Annotated Bibliography.
  2. Review the Capella Library Guide on how to Critically Appraise the Evidence.
  3. Review the Capella Writing Center Guide, In-text Citation: Paraphrasing, Summarizing, Quoting, focusing on how to paraphrase.
  4. Create an introductory paragraph that includes a summary of the health care safety problem, your PICO(T) research question, and a thesis statement.
    • Revise a summary of the health care safety problem that you have created from one of your previous assessments.
      • Improve it with details from the evidence and scholarly writing traits.
    • Revise your PICO(T) question based on what you have learned in your research.
      • Apply PICO(T) components within the question appropriately.
      • Refine PICO(T) components with detail and specificity.
      • Compose a professional level PICO(T) question that the researcher might have used as a foundation for the study.
    • Write a strong thesis statement. Review the Capella Writing Center Guide, Writing a Strong Thesis Statement.
  5. Explain in a paragraph the critical appraisal tool that you are using to evaluate your articles.
    • Include a statement about why you selected this critical appraisal tool.
  6. Choose five articles from literature published within the last five years and write an annotative bibliography for each article. Each annotation should include the following:
    • Type the APA citation for each article, and underneath it, include the following in the annotation:
    • Write a brief summary of the study in the article in your own words, including the purpose, method, design, and results.
      • Include examples from the study to illustrate the quality of the study.
      • Provide scholarly support for the assertions made in your appraisal of the study.
      • Evaluate the quality of the study by applying a critical appraisal tool.
    • Explain why the article is relevant to the patient safety issue.
      • Provide context about how the study contributes to the body of literature.
  7. Propose 1-3 interventions that may improve or solve the patient safety problem.
    • Interventions selected must come from evidence-based literature analysis.
    • Interventions should also be crafted based on consideration of what is already recognized as best practice in your state or nationally, knowledge gained through experience and other experts, and local patient or organizational preferences.
  8. Write a closing summary paragraph.
  9. Submit a complete reference list of all sources used in the development of the protocol in APA format.

Additional Requirements

  • 5-7 pages, not including references.
  • Double spaced, Times New Roman, 12 point font.
  • Minimum of eight resources, including textbook and course resources.
  • Include the following headings to organize your paper:
    • Introduction.
    • Critical Appraisal Tool.
    • Annotative Bibliography.
    • Proposed Intervention.
    • Conclusion.
    • References.
  • Reference page in APA format with appropriate citations.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.
    • Evaluate the resource quality using the critical appraisal tool including scholarly support.
  • Competency 3: Assess the quality of the research methods reported in peer-reviewed health care literature.
    • Explain in a paragraph the critical appraisal tool used to evaluate articles.
    • Annotate each article by summarizing the study purpose, method, design, results, and context about how the study contributes to body of literature.
  • Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.
    • Propose an intervention that addresses the patient safety issue within a clinical or health care setting, supported by evidence-based analysis and consideration of recognized best practice.
  • Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
    • Write a scholarly introduction paragraph that includes the summary of the patient safety issue, the PICOT research question, and an appropriate thesis statement.
    • Summarize the paper in a well-organized closing paragraph.
    • Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.


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