Professional nurses rely on research findings to inform practice decisions; they use critical
thinking to apply research directly to specific patient care situations.
Think about an independent nursing practice problem you care passionately about and would be
interested in searching for evidence. The below problems should not be used:
*medical/doctor/physician problems such as medications, or medications administration or
effects, diagnostics such as EKGs, labs, cardiac catherizations.
*staffing, nurse-to-patient ratios, workforce issues are organizational/system
/political/administrative/multi-stakeholder problems which nursing cannot solve
independently.
 Describe a significant nursing clinical issue, topic of interest, or practice problem that is
important to you. Describe why you chose the problem/topic.
 Write your clinical question in the PICO(T) format for your nursing practice problem. *To
write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT
Questions and Examples found in your required reading or access the following link:
NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)
 List each of your PICOT elements.
Share why you care about this nursing practice problem and why you believe the problem would
benefit from finding the best evidence.

Solution:

The independent nursing practice problem I am interested in is poor hand hygiene in healthcare facilities which results in increased health-associated infection (HAI) rates. I choose this problem mainly because it has been highly prevalent in our healthcare facility and as an independent nurse, I can take an action to address this problem. As put forward by the Centers for Disease Control and Prevention [CDC] (2019), 1 in every 20 hospitalized patients contract HIA……Please click the icon below to purchase full solution at $5