Health care professionals work hard to address patient needs as situations necessitate. Despite their commitment to delivering quality and patient-centered care, health care professionals face many challenges that hinder them from achieving the desired outcomes. Such challenges need to be analyzed in-depth and suitable interventions adopted to address and prevent them in the future. The outcomes depend on the approaches used to address a care issue. The purpose of this paper is to develop a PICOT question for a specific care issue and evaluate the evidence that could be used to answer the question.
Nurses play an instrumental role in health care delivery as primary care providers. They are involved in most processes regarding patient care, implying that patient outcomes always depend on how effectively nurses deliver their work. As a result, they should be mentally and physically healthy to execute their roles as professionally and ethically expected. To ensure continuity of care, new graduate nurses join the practice at different times. They are expected to get maximum support from their colleagues to execute their mandate confidently. However, they are typical targets of workplace incivility, with many experiencing bullying at some point during the transition from education to practice (Anusiewicz et al., 2019). Such nurses should be prepared to cope with practice challenges to adapt comfortably.
The impacts of workplace incivility cannot be overlooked at any point of care. Shi et al. (2018) found that graduate nurses transitioning to practice are highly vulnerable to workplace incivility due to inexperience and confidence problems. If not assisted, workplace incivility further affects their ability to provide patient care. For instance, workplace incivility has been found to cause distraction and emotional upset that put patients at risk (Khan et al., 2021). Bullied or intimidated nurses feel like they do not get the support needed, losing interest in their work. Such problems increase their vulnerability to medication administration malpractices, common among new graduate nurses (Armstrong, 2018). Patients should be protected from adverse outcomes by addressing workplace incivility effectively.
PICOT Question: In graduate nurses (P), can cognitive rehearsal training (I) compared to no intervention (C) empower graduate nurses to cope with workplace incivility (O) within six months?
The PICOT approach identifies the Problem/Population, potential Interventions, Comparison, Outcomes, and Timeline. It guides evidence search since the practice issue is known and proposed interventions identified. The process that follows primarily involves searching and appraising evidence on the proposed interventions to help address the practice issue.
The internet has a lot of information on workplace incivility and how to control it in health care settings. Information on the practicality of cognitive rehearsal is also extensive in websites, blogs, books, dissertations, and journal articles, among other sources. Reliable websites from government, health, and learning institutions can provide tips on workplace incivility control and help new nurses adapt to new climates. Books are also authoritative to a significant extent. However, journal articles are the most effective in answering the PICOT question among these sources.
When answering a PICOT question, nurses use the evidence-based approach to address a practice issue. They search for the best evidence from current, authoritative, accurate, and relevant sources. Accurate sources seek information from research studies. They are also peer-reviewed by experts in the same field. As a result, journal articles will be used to answer the PICOT question since they meet these criteria.
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