Nursing PICO Question Poster

Do supplements and complementary alternatives to medicine (CAM) in older adult women influence osteoporosis prevention?

I have attached the articles I used to research the PICO question as well as my annotated bibliographies. I attached the poster template and the project rubric (only poster for this assignment)
Family Centered Care (FCC) in Pediatrics M. Curley, A. Frazier, M. Frost, T. Harrison & L. Shields

Implications for Clinical Practice

 Peer reviewed scholarly articles  Nursing Reference Database

 PubMed Database  Medline Database

References

Search for Evidence

Clinical Question

Critical Appraisal of the Evidence

Statement of Problem Presentation of the Evidence

 Nurses should foster open communication and develop relationships with patients and family, to make them feel as if they are being incorporated

into their medical care.  Health-care teams should work together to

provide cohesive care, ensuring the information is not only given to other members of the health- care team but also the patients and their family

members.  Nurses and health care professionals should

recognize the boundaries toward incorporating FCC into their practice (lack of time/ resources,

poor communication skills) to promote conversation about FCC and attempt to

incorporate FCC’s positive attributes into their future practice.

 Future health-care professionals (i.e nursing and medical students) should receive education regarding the importance of FCC so they can

incorporate it into their practice.  Unit demographics should be taken into consideration when determining which aspects

of FCC are important to patients and their families.

 The evidence from these articles concludes that FCC initiatives are beneficial to the

quality of care of pediatric patients and their families, in a wide variety of medical settings.

 Despite the strong support of FCC initiatives, some researchers believe that more research

should be done in the field. Researchers advise that more research should be done in

outpatient, non-western, and non-white populations. P: Hospitalized pediatric patients and their families.

I: The effect of a nurse implementing FCC initiatives in the treatment of the pediatric inpatient population. C: The effect of a nurse not incorporating FCC initiatives in the treatment of the pediatric inpatient population. O: The perceived quality of care of the pediatric patient and his/her family increases.

PICO Question Does the implementation of FCC initiatives increase the perceived quality of care of the pediatric patient and his/her family?

Article Citation

Authority

Intended Audience

Compare/Contrast

Increase Knowledge/

Promotes EBP

 Curley, M. Q., Hunsberger, M., & Harris, S. (2013). Psychometric

Evaluation of the Family- Centered Care Scale for Pediatric

Acute Care Nursing. Nursing Research, 62(3), 160-168.

doi:10.1097/NNR.0b013e318286d 64b

 The principle author, Martha Curley, not only has her PhD, but is also a registered nurse, Fellow

of the Academy of Nursing (FAAN) and also Professor of Nursing at the University of Pennsylvania.

 As this article is providing actual evidence to support nursing practice, the target

audience are nurses and nursing educators interested

in improving their relationships with their patients and families.

 This article is unique from the rest, because the

information presented is in quantitative form. (Data is converted in

numbers to show trends, correlations, etc)

 Nursing knowledge: highlights aspects of nursing care in FCC that

parents deem most important. From this nurses can identify

specific aspects to focus on when providing care.

 Evidenced based practice: FCC is beneficial towards the perceived

quality of care of patients and their families.

 Frazier, A., Frazier, H., & Warren,

N. (2010). A discussion of family- centered care within the

pediatric intensive care unit. Critical Care Nursing Quarterly,

33(1), 82-86. Retrieved from 10.1097/CNQ.0b013e3181c8e015

 Angela Frazier is a pediatric registered nurse (RN) in a PICU.

 This article is aimed toward nurses and other health professionals who are

interested in how FCC can be implemented in the PICU

setting.

 This article is unique from the rest primarily because

the research is directed toward patients and

families in an intensive care situation, where the environment can affect

nursing action and communication.

 Nursing knowledge: Extensive staff training is

recommended to improve interpersonal skills for extensive family

interactions in stressful situations  Evidenced based practice:

Patients and family members greatly benefit from FCC in the PICU when

implemented through EBP.  Frost, M., Green, A., Gance-

Cleveland, B., Kersten, R., & Irby, C. (2010). Improving family-

centered care through research. Journal of Pediatric Nursing, 25(2),

144-147.

 The principle author, Michelle Frost, is a pediatric registered

nurse. (RN)

 Nurses and nurse educators in the field of pediatrics who are

currently practicing may be interested in this article to determine if the policies of FCC are effective and useful toward their specific roles.

 This group of researchers actually assessed the staff and families’ perceptions

of how FCC could improve; improvements

were then made, and evaluated for impact.

 Nursing knowledge: FCC initiatives should be tailored to a

unit demographic  Evidenced based practice:

Different demographics have different FCC needs. When taken into

consideration by staff, quality of care increases.

 Harrison, T. M. (2010). Family

centered pediatric nursing care: State of the science. Journal of

Pediatric Nursing, 25(5), 335-343. doi: 10.1016/j.pedn.2009.01.006

 The author, Tondi M. Harrison, is not only a registered Nurse (RN)

but also has her PhD and is currently an Associate Professor of Nursing at University of Minnesota

 As the article was published in the Journal of Pediatric

Nursing, the information within the article is pertinent to health-care professionals in

the pediatric field.

 The article highlights the need to not only focus on

FCC in hospitalized children, but also attempt

to implement the practices in primary care

settings.

 Nursing knowledge: There are proven obstacles in the way

of implementing FCC practices, but nurses must implement these practices for the quality of their patient’s care.  Evidenced based practice:

FCC is beneficial for the quality of patient care when implemented

through evidenced based practice.

 Shields, L. (2009). Models of care: Questioning family-centered

care. Journal of Clinical Nursing, 19(17-18), 2629-2638. doi:

10.1111/j.1365-2702.2010.03214

 Linda Shields, a professor of Pediatric Nursing and Child Health at Curtin University in Australia, a

registered nurse in Australia, and a Fellow of the Royal College of

Nursing (FRCN) is an expert on this topic because of her multiple

designations within the nursing field.

 Nurses and health-care professionals who support

FCC should read this article in order for them to actually

evaluate the effectiveness of their practice.

 Unlike the previous articles, Shields asserts

that there is little evidence to support the benefits of FCC, and even goes as far as to say that the FCC is

not effective in non- western cultures.

 Nursing knowledge: Effective communication skills are

necessary for health-care workers to develop, and that these workers must

be dedicated to the actual implementation of FCC.

 Evidenced based practice: Further research is needed about FCC to promote the actual effectiveness of incorporating FCC into evidence-based

practice, and makes suggestions toward further practice.

 Curley, M. Q., Hunsberger, M., & Harris, S. (2013). Psychometric Evaluation of the Family-Centered

Care Scale for Pediatric Acute Care Nursing. Nursing Research, 62(3), 160-168.

doi:10.1097/NNR.0b013e318286d64b

 Frazier, A., Frazier, H., & Warren, N. (2010). A discussion of family-centered care within the

pediatric intensive care unit. Critical Care Nursing Quarterly, 33(1), 82-86. Retrieved from

10.1097/CNQ.0b013e3181c8e015

 Frost, M., Green, A., Gance-Cleveland, B., Kersten, R., & Irby, C. (2010). Improving family-centered care

through research. Journal of Pediatric Nursing, 25(2), 144-147.

 Harrison, T. M. (2010). Family centered pediatric nursing care: State of the science. Journal of Pediatric

Nursing, 25(5), 335-343. doi: 10.1016/j.pedn.2009.01.006

 Shields, L. (2009). Models of care: Questioning family-

centered care. Journal of Clinical Nursing, 19(17-18), 2629-2638. doi: 10.1111/j.1365-2702.2010.03214

Reviewed by: Megan Shea, SCSN

 In the inpatient pediatric population, there is often a perceived barrier between the medical

team and the patient and family. Family centered care (FCC) initiatives, including

mutual respect, family/ patient participation in health care, information sharing and

collaboration, have all been evaluated for the potential effect that these initiatives can have on a patient and family’s perceived quality of

care.

Recommendations  Family centered care (FCC) practices are very important for

nurses to understand and incorporate into their treatment of the pediatric population. Essentially, COMMUNICATION IS

KEY! The nurse must ensure that he/she communicates with the family and patient to ensure their needs are met. Each family and patient’s needs are unique; this fact should also be taken into consideration when providing medical care.

The needs of the patient and the family should be relayed to other members of the medical team, and there should

always be room for open discussion regarding patient care. An example of this would be Family- Centered Rounding

(such has been recently implemented at Children’s Hospital Boston) When a patient and his/her family feel as if they are

being cared for on a comprehensive level, their perceived quality of care increases. Family Centered Care (FCC) is

especially important in pediatrics because family is more readily involved in care, and are often the first source of

information for the medical team.

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