NURS FPX 6085 Assessment 2 Problem Statement (PICOT)

NURS FPX 6085 Assessment 2 Problem Statement (PICOT) 

Petronilla Benjamin

Capella University

NURS FPX6085

Prof. 

March 2025

Problem Statement (PICOT)

Evidence-based, authentic, genuine healthcare practice is based on systematically developed PICOT (population, Intervention, evaluation, latest outcomes, Time) questions guiding scientific research and decision-making. Systematic organization enables clinicians to accurately determine clinical bothering states and recognize evidence-based, authentic, genuine interventions through means of targeted studies and analytical methods (Labra et al., 2021). The designed strategy ensures clinical questions remain new and quantifiable, resulting in further efficient evidence-based programs for the improvement of affected character care services. The highest-ranked NURS FPX 6085 Assessment 2 Problem Statement (PICOT) question guiding the analysis is:

In emergency department nurses (P), how does implementation of a comprehensive IV insertion educational program with hands-on simulation training (I), compared to standard onboarding instruction (C), affect IV first-attempt success rates and catheter-related complications (O) over a three-month period (T)?

The PICOT question addresses:

• Population: Emergency department nurses
• Intervention: a holistic IV insertion educational program with hands-on simulation
• Comparison: esteemed onboarding training on IV insertion
• Outcome: IV initial success fees and catheter-related headaches
• Time: 3-month duration

Problem Statement

Need Statement

Rough emergency rooms during the course of the medical aid faced super alarming situations with intravenous catheter insertion procedures, tending to result in multiple procedures, high-dose impacted woman or man distress, and capability complications. Inadequate standardization of IV practices is one of the causes for variable effects, especially in the pattern of excessive-quantity intervals, sometimes for employees under higher stress and time urgency (Tamminga et al., 2023).

NURS FPX 6085 Assessment 2 Problem Statement (PICOT)

Emergency nurses always complain of feeling no confidence in dealing with problematic IV access cases, despite this being a crucial medical skill required in regular practice. Organizational truths commonly recognized about IV-related headache charges, such as infiltration, phlebitis, and infection, affect patient safety and enjoyment (Kaphan et al., 2024). The economic effects of prolonged ED stays and other supply uses as a result of futile measures are burdensome for already-strained departmental resources. Ensuring evidence-based, strict IV placement policies by focusing on education is an essential choice to ensure the highest level of emergency care implementation.

Assumptions

The evaluation requires formal education to significantly enhance IV insertion outcomes, and the practicing variations offered currently are inherently a consequence of know-how shortcomings. The evaluation assumes emergency nurses embrace additional education and will include novel practices regardless of time limitations. NURS FPX 6085 Assessment 2 Problem Statement (PICOT) evaluation requires detailed data that precisely reflects cutting-edge practices, and management will facilitate profitable, useful resource use for coaching. Apart from this, it also presumes that improvement on the first try will necessarily mean fewer complications and more positive, useful aid consumption.

Population and Setting

The intended population comprises enrolled nurses floating in the emergency department. The nurses reflect several stages of experience, from new graduates to veterans with extensive emergency nursing practice, with many protective solid point certificates in emergency nursing (Castner et al., 2021). The put is utilized by a demographically severely afflicted character population, geriatric, pediatric, and medically complex patients who repeatedly present difficult vascular entry to traumatic scenarios. The emergency room contains remedy rooms separated into acute care, speedy care, and integral care areas that each have distinctive challenges for IV insertion procedures. Implementation will escalate along the course of normal shifts so that equitable software programs in an actual clinical setting in which nurses automatically perform IV insertions for some unspecified duration in the future of the workday.

Potential Challenges

Imposing exceptional IV practices in the emergency department presents numerous challenges. Employee pool scheduling limitations may also limit involvement in training education as the department is unstable and impacted by natural drift and 24-hour operation desires (Little & Choudhury, 2022). The likely resistance to change may be from veteran nurses with better character strategies after practicing for decades (Cheraghi et al., 2023). With such a large number of women or men populations with heterogeneous vascular access needs, the strategies need to be flexible in the location of 1-fits-all possibilities. Moreover, maintenance of daily exercise routines with excellent leadership styles and priorities demands careful engagement by all of the stakeholders.

The SMART objective of the project is as follows

• Specific:  Implemented a comprehensive IV insertion training program with simulation hands-on training for emergency department nurses to enhance vascular access practice.
• Measurable: Boom first-strive IV completion expenses simultaneously to reduce documented IV-related headaches in evaluation compared to baseline branch records.
• Achievable: Add a primarily based, definitely training curriculum with simulation intervals scheduled during overlap shifts and provide integral assets, which include practice tool and scientific mentors.
• Relevant: Address the mentioned call for standardized IV practices in the guise of the implementation of the method of developing nurse competency and confidence in the handling of problematic vascular get proper of entry to, ultimately improving affected guy or gal care outcomes.
• Time-bound: Aggregate instruction implementation for all emergency department nurses within 3 months, final results measurement achieved to some degree of degree over the next 3-month timeframe.

Computer program IV insertion training needs assessment requirements to quantify the costs of first-attempt success before and after putting in place standardized documentation. Patient self-reported ratings of pain influenced by IV insertion attempts are likely to quantify scaling procedural comfort (Cozzi et al., 2021). Infiltration, phlebitis, and blood infection concern charges ought to be monitored using repeated chart audits (Kaphan et al., 2024). Emergency department throughput time can most likely filter international performance benefits from enhanced IV insertion expertise.

Time Estimate

Within the first two weeks, a multidisciplinary group will develop baseline files and finish the educational course, and acquire quintessential simulation devices. Weeks 3 to 5 will be spent on training the first cohort of trainers and competency verification devices. In NURS FPX 6085 Assessment 2 Problem Statement (PICOT) , in weeks six to nine, all emergency department nurses will receive didactic training and hands-on simulation training in small groups during overlap shifts. Adoption of new practices through bedside mentoring will intensify upward of weeks ten through twelve with a weekly records series. The fourth month will continue to provide positive support, general performance feedback, and the gathering of the last outcome measures.

Areas of Uncertainty in Implementation Timeline

The simulation hardware buying style and the acquisition of approved working shoes can also result in non-timely training intervals due to device loss or scheduling issues.
Staff infection or unforeseen peak events must generate disruptions in intended learning phases by virtue of the fact that the medical center would want variable rescheduling capabilities (Boutros et al., 2023).
Some of the nurse contributors will require additional education time than expected, considering their outstanding initial capacity. Applying new methods might also encounter an unforeseen intense learning strategy that would exceed expectations as a quit give-up outcome with a consequent delay in final deployment (Potthoff et al., 2022). Additional interaction methods beyond timeline expectations are likely better for overcoming professional staff resistance to change.

Literature Review

Normal proof corroborates that intravenous catheterization competence is underdeveloped among emergency room nurses despite being an inherent method that impacts patient outcomes. Based on Lee (2022), scientific traditional performance competence in assessment among nursing college students in universities was learned much better by those students who were taught with digital reality simulation education in comparison with those trained on normal IV arm simulators. The İsmailoğlu et al. (2020) review illustrated that the use of computer simulation enhanced psychomotor ability among college students as opposed to university students determined to utilize video-based education techniques sequentially.

The Bahl et al. (2024) study corroborated that standardized education within the emergency room was utilized to improve vascular proper access to advanced medical exercise needs and first peripheral intravenous right of proper access to tried successfully together with longer catheter employment in medical institution patients with challenging insertion net web sites. A study conducted by Chen et al. (2020) also identified virtual truth interventions to have an effective decrease in down pain and anxiety in college-aged emergency patients who presented with method IV strategies. The body of literature indicates a revealing demand for the extension of IV training packages to include technology-based complete simulation. Issues with the location of proximity intravenous (IV) access remain a difficult task among emergency departments, outside of delays impacting individual patient care results and staff routine standard performance. Daily to Amick et al. (2022), a virtual mastery simulation-based course greatly enhanced nurses’ proficiency for ultrasound-guided peripheral IV catheter insertion, resulting in first-attempt success rates.

NURS FPX 6085 Assessment 2 Problem Statement (PICOT)

A study by Chang et al. (2024) identified that nursing university college students had more knowledge, accomplishment, and skill acquisition with IV insertion using virtual reality simulation programs. Hackett et al. (2021) showed that ICU nurses acquired a three-degree peripheral IV to get proper entry to coaching that offered approximately higher initial-attempt achievement rates for pediatric victims as a final result, minimizing the demand for specialists to get proper of get entry to organizations. Stone et al. (2023) performed a review of tutorial methods of ultrasound-guided peripheral intravenous catheter placement in emergency rooms, but declared that emergency rooms employ different technologies and require standard training for better medical outcomes.

According to Shibuya et al. (2024), optimal invasive method nurse training packages involve learning through lectures and hands-on mentoring instead of adopting advanced technical methods. Evaluation tools need to be standardized, and randomized controlled trials need to be conducted to enhance fact-gathering. Kim et al. (2024) discovered in their research that current IV insertion educator training programs especially compromise hybrid styles of lectures and hands-on exercise practice at the same time, although optimum ways of assessment techniques for some evaluation of education outcomes in clinical practice environments do not exist. The results collectively illustrate the relevance of specialized IV education interventions.

Relevance, Currency, Sufficiency, and Trustworthiness of the Evidence

The evidence is critiqued on the application of CRAAP criteria (Kurpiel, 2024). The literature review was largely up-to-date and Relevance in Relevance when discussing the intravenous catheterization training topic, with the majority of available articles out there the last four years of publication recently performed in emergency departments.
The forex study was formerly prone to direct existing exercises in vascular access training. The evidence was gathered in sufficient relevance by employing the evaluation of various training modalities combined with virtual reality and simulation-based complete strategies without delay in clinical environments. The validity of the assets was generally solid, but the evaluation could also be enhanced by other studies of large pattern sizes. Precision was already as rapid as feasible through the utilization of measurable results. The objective of collaborative studies places the cost of specialist training interventions, although system assessment standardization was learned to be empty. Medical insurance that affects the strategy to meet a diagnosed requirement 

Healthcare Policy that Impacts the Approach to Address an Identified Need

Medical needs and indicators significantly impact intravenous catheterization exercise improvement activities. Key US suggestions affecting the website are the health center-received condition discount computer program application for Medicare and Medicaid care that punishes hospitals for preventable complications and The Joint Rate’s nationwide affected person protection ambitions that aim at contamination prevention at the conclusion of invasive methods (Centers for Medicare & Medicaid offerings, 2023; The Joint price, 2025).
NURS FPX 6085 Assessment 2 Infusion Nurses Society’s Standards of Infusion Practice of Care offer evidence-based criteria for peripheral IV insertion and care that any education software package must contain.

Ethical issues are also required, with beneficence-seeking programs to maximize impacted individual outcomes through raised first-strive satisfaction fees, while at the same time, nonmaleficence yearns for headache minimization encompassing infiltration or infection (Varkey, 2020). Justice concerns demand equal application at a location of several groups of affected individuals, and ensuring autonomy requires the incorporation of informed consent practices in internal instruction content and attire. The company guidelines on the prevention of healthcare-associated infections for Healthcare Research and Beautiful present paradigms for catheter-associated contamination prevention that must be treated under education courses (AHRQ, n.d.). The suggestions, requirements, and moral issues together constitute an entire framework for developing effective interventions that grace each technical ability and affect individual outcomes.

Missing Information

In spite of the entire assessment, information on country-level guidelines and institution-level recommendations governing nurse workflow privilege for ultrasound-guided procedures is still lacking. Facts about simulation coaching credentialing standards and institution-level privileging policies on utilizing ultrasound with the precious asset of nurses are quite scarce. Additionally, there could be limited studies of insurance reimbursement guidelines that could influence implementation choices.

Conclusion

NURS FPX 6085 Assessment 2 Problem Statement (PICOT) requiring a full IV insertion training software program for emergency department nurses fills a multicomponent need based on the valuable asset of utilizing up-to-date evidence. The multicomponent strategy integrating didactic instruction with simulation aligns with sanctioned healthcare standards and ethical care while prioritizing quantifiable increases in first-attempt success rates and hassle reduction.
But provision issues and records shortages by the United States of America of the United States of US-specific directions, the evidence-based Intervention provides a pragmatic approach to maximizing affected person protection, enhancing departmental effectiveness, and evolving nursing capability in vital scientific skills.

References

https://www.ahrq.gov/hai/cauti-tools/impl-guide/index.html

https://doi.org/10.1016/j.ekir.2023.10.019

https://doi.org/10.1097/SIH.0000000000000545

https://doi.org/10.1177/11297298231219776

https://doi.org/10.3390/healthcare11212902

https://doi.org/10.1016/j.annemergmed.2021.03.006

https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/hospital-acquired-condition-reduction-program-hacrp

https://doi.org/10.1016/j.nedt.2023.106002

https://doi.org/10.1111/jocn.15088

https://doi.org/10.1186/s12912-023-01460-0

https://doi.org/10.1007/s00431-021-04169-x

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