Use of the PICO(T) Approach When Caring for Patients with Dementia

NURS FPX 4030 Assessment 3: Practice Issue:

CKD is one of the chronic diseases that have continuously distorted the health of the American population for years.

PICO(T)-Formatted Research Question:

• P (Patient/Population/Problem): Lifestyle changes have to be made by adult patients who are diagnosed with Chronic Kidney Disease (CKD) Stage 3.
• I (Intervention): Implementing a program that provides structure to your exercise.
• C (Comparison): This intervention will consist of a comparison of physical activity and standard care.
• O (Outcome): Several physical aspects of one’s body are developed during this time; such as cardiorespiratory endurance, muscle strength, functional movement, flexibility, and balance.
• T (Time Frame): In the time frame of six months.

Exploration of Practice Issue:

A key practice problem here is the development of a treatment regime for CKD patients, this will focus on the psychosocial component to maximize physical function and the quality of life (QoL) through systematic exercise plans (Rao et al., 2021). Through the PICO(T) method we can put the target population (CKD cases), intervention (the structured exercise program), comparison (traditional physical activity or standard care), outcome (improvement of physical functioning and quality of life), and timeframe (over six months) more precisely than ever before. 

NURS FPX 4030 Assessment 3:, This way of approach makes nurses generate a research question that shows evidence-based practice, enabling them to identify pertinent information and inform the decision-making regarding the parameters of the exercise regime for CKD patients. Investigating this theme through the PICO(T) approach increases the performance and improvement of evidence-based prevention and treatments for CKD management.

Identification of Sources of Evidence

Peer-Reviewed Journals: 

Scholarly journals like “The Journal of Renal Nutrition” and “The American Journal of Kidney Disease” are resources endorsed for their quality in publications of research work related to CKD management and intervention (Smith, 2023). Studies from the journals are subjected to elaborate peer-reviewing processes, thus assuring the strength and truthfulness of the facts being presented.

Clinical Practice Guidelines: 

For example, the National Kidney Foundation and KDIGO organizations have approved the guidelines based on research to give evidence for CKD management (Chen et al., 2019). These guidelines are developed in a structured way, through sequential analysis of scientific publications and taking the expert opinion into account; as such, they are considered pillars of EBP.

Randomized Controlled Trials (RCTs): 

By using RCTs, we will be able to find out if the structured exercise programs improve CKD patients’ lives (Hellberg et al., 2019). We will have the necessary data to answer our PICO(T) question. Randomly dividing participants between the intervention and control groups helps set up the definitive conclusion about the role of the exercise interventions on fundamental functioning and improved quality of life measures.

Meta-Analyses and Systematic Reviews: 

Meta-analyses and systematic reviews that accumulate data from multiple studies provide a better picture of how exercise intervention helps class 5 patients (Hu et al., 2020). They lead to pooled effect sizes across studies and identify possible sources of variation, thereby meeting the goal of understanding the overall impact of exercise among those with CKD.

Clinical Trials Registries: 

Ascertaining an ongoing or forthcoming trial which is clinically investigating exercise strategies in proteinuria kidney patients can be done through looking up clinical trial registries like ClinicalTrials.gov (Cheung et al., 2021). Even though these resources are not necessarily the ones that directly address the TQ, they can award a glance into the latest updates in research and prospects on the topic being focused on.

Findings from Articles

 People will learn to understand that sustainability should not merely be considered a lifestyle, but a responsibility that we collectively carry towards our planet.

American Journal of Kidney Diseases:

The American Journal of Kidney Diseases published a paper by Pasko and Kirby (2021), which presents revised competencies and expectations for medic