Complete your PICOT using your approved proposed nursing practice problem

Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you might use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.American adults with heart disease

SBAR handover tools

C-Comparison-Sign-out sheets for communication

O-Outcome-Accurate and effective communication between nurse practitioners to ensure maximized safety for hospitalized heart disease patients

T-Timeframe One year

PICOT-Create a complete PICOT statement.In cohort patients suffering from cardiovascular/ heart diseases (P), can the use of SBAR handover tools (I) when compared to sign-out sheets (C ) reduce in-hospital deaths and improve communication between nurse practitioners and patients (O) over one year(T)?

Problem StatementCreate a problem statement for your PICOT. You will use this problem information throughout your final written paper. –In contemporary nursing practice, patient handover is an integral part. Complications in nurse handovers can lead to adverse outcomes. A lack of clarity in nursing handover leads to miscommunication, compromised patient safety, lengthened hospital stay, and increased rate of readmissions. SBAR handover tools have been widespread in care practice. They prevent miscommunication by creating a shared mental image of situations that require immediate attention or escalations and improving the exchange of critical information (Shahid & Thomas, 2018). SBAR tools get used in both primary and secondary healthcare settings. The SBAR tool provides a comprehensive, structured format through where medical information is provided in logical and concise sequence. Patients with cardiovascular diseases often require timely attention and escalation as several complications can develop throughout the hospital stay. Muller et al. (2018) outlined the adverse consequences of inappropriate nursing handovers during shift change, necessitating SBAR communication tools during shift change. Achrekar et al. (2016) revealed through a study that SBAR techniques in nursing practice could help nurses effectively communicate during the transition of care as it comprehensively includes all relevant information. Similarly, Haig and his colleagues conducted a quality improvement program through which he shared a standard mental model of handover communication among healthcare practitioners. The program resulted in the reconciliation in medication and reduction in the incidences of adverse health outcomes (Haig, Sutton & Whittington, 2006).3© 2021. Grand Canyon University. All Rights Reserved.The use of sign-outs is another approach to the transition of care from one healthcare practitioner to another. Sign-outs also provide a piece of structured information about the care needs of the patients and essential data about the patients that will inform appropriate care. However, the sign-outs might lack the salience of the SBAR tool used in communication. The information transfer can be incomplete or lead to misleading information being sent across the care setting. The handover should be frequently updated as the patient status can constantly change in the care situation. Therefore, it is essential to ensure smooth communication and reduce the chances of forgetting critical patient information, disrupting communication, and failing to be told. Handover tools used in practice should therefore be based on best practice evidence. This PICOT question will help healthcare professionals to explore the use of various types of handover tools and determine the best means through comparison.

ReferencesAchrekar, M. S., Murthy, V., Kanan, S., Shetty, R., Nair, M., & Khattry, N. (2016). Introduction of situation, background, assessment, recommendation into nursing practice: a prospective study. Asia-Pacific journal of oncology nursing, 3(1), 45. DOI:10.4103/2347-5625.178171Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: a shared mental model for improving communication between clinicians. The joint commission journal on quality and patient safety, 32(3), 167-175.https://medfam.umontreal.ca/wp-content/uploads/sites/16/9-article_communication_sbar.pdfMüller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ open, 8(8), e022202.https://doi.org/10.1136/bmjopen-2018-022202

What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation of your EBP project.