(Could include geographic location, or details about the setting of interest)? Telehealth typically involves the delivery of long-distance or remote healthcare via electronic communication and information technologies. 1350 Jefferson Park Avenue P.O. Published March 30, 2020. What is the context for the question? 0000006474 00000 n <>24]/P 27 0 R/Pg 45 0 R/S/Link>> Questions on how to reduce the chance of disease by identifying and modifying risk factors and how to diagnose disease early by screening. 193 0 obj In the text box below, enter text describing the comparator that is being administered and click on the Submit button. independent and dependent variables, and statistical tests. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. What time periods should be considered? 0000002623 00000 n ;L"Oh`1`a8r:9;b&`(3K}zf&x0/}wI6e n1:1.t X X;7L:3HeV~mU/24D:5l [*"B0OL0 9. 8KYXu'"t7WZ**8[-AUp|p[8pI:"T%bRR(2bR"3FB#3p8#Vt`YKte1#AvP <> Claude Moore Health Sciences Library PICOT In rural or underserved areas (P), how does the implementation of telehealth (I) compared to a traditional in-person office or home-visit practice (C) affect improving the use of palliative care/end of life care (O) within one year after the implementation (T). Please select your preferred way to submit a case. Example:How do nursing schoolsteach, measure, and maintain nursing students' technological literacy throughout their educational programs? Accessed April 26, 2020. In general, telehealth is the delivery of health care through technology such as mobile phones or computers. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Telehealth in the COVID-19 era: a balancing act to avoid harm. AppendPDF Pro 6.3 Linux 64 bit Aug 30 2019 Library 15.0.4 Evidence Based Practice Question (PICO Question) Do weekly telehealth visits in adults over the age of 65 improve loneliness and depression as measured by UCLA loneliness, PHQ-2, and PHQ-9 scales over a 3-month period? The elements include (P) which represents population, patient or problem, (I) which represents intervention or indicator, (C) which stands for comparison, (O) which represents outcome, and (T) which stands for time of study. <>11]/P 19 0 R/Pg 196 0 R/S/Link>> As such,it is often necessary to ask background questions, which ask for moregeneral, foundational knowledge about a disorder, disease, patient population, policy issue, etc. Safeguards are required, such as password protection, in order to ensure that issues of confidentiality of patient data are enforced (Lateff, 2011). Box 800722 What is the management strategy, diagnostic test, or exposure that you are interested in? Telehealth Nursing Essay, It is true of many rural and remote locations that insufficient access to health care provision results in lower health status when compared to their urban counterparts. using the PICOT framework. 0000049147 00000 n Ensure the use of Level 2 headings. You can also use the full version Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients. Resources to Support Expansion of Telehealth Capabilities During COVID-19: National Consortium of Telehealth Resource Centers, Centers for Disease Control and Prevention. An official website of 0000003368 00000 n To sign up for updates or to access your subscriber preferences, please enter your email address O- keeping BMI below 25; healthy weight management. I- refers to the intervention. long term transition support programs (residency/mentorship), no or limited transition support / orientation. endobj endobj <> PICOT research question related to between-subjects, within-subjects, correlational, multivariate, 2023 picotnursingpapers.com. PICOT Worksheet. Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. Health care provided via technology should be . e1A'>PpOFwql| 0000031290 00000 n AHIP Blog. endobj <> over the past 14 years (see About page; opens in new window). Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. What kinds of interventions would fall under the umbrella of 'telehealth'? Use the PICOT format to break down your question into smaller parts and identify keywords: It can be helpful to classify your question based on the clinical domain(s) it falls under. These types of guidance documents help to ensure that patients are receiving telehealth and in-person care in a consistent way, that the capabilities and limitations of telehealth are communicated effectively, and can ease the adjustment for providers with minimal prior experience performing telehealth. https://www.cms.gov/newsroom/press-releases/president-trump-expands-telehealth-benefits-medicare-beneficiaries-during-covid-19-outbreak. (Time is optional). Accredited Professional Statistician. In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? 32 0 obj Telehealth Nursing Essay. Eight research . Is there a control or alternative management strategy you would like to compare to the intervention or indicator? (I) Intervention, treatment, or issue of interest. In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? Such virtual triage processes can protect other patients by directing potentially infected individuals to the most appropriate location to seek care or testing and keep them out of primary care waiting rooms. Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)? Us, Quick-Start Guide to Telehealth During a Crisis, COVID-19 Telehealth Resources - Building a Telehealth Program, Telehealth and Telemedicine Publications and Resources, https://www.fcc.gov/general/telehealth-telemedicine-and-telecare-whats-what, https://www.ahip.org/wp-content/uploads/IB_Telehealth-031219.pdf, https://www.healthaffairs.org/do/10.1377/hblog20200315.319008/full/, https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/A%20Multilayered%20Analysis%20of%20Telehealth%20-%20A%20FAIR%20Health%20White%20Paper.pdf, http://www.medpac.gov/docs/default-source/reports/mar18_medpac_ch16_sec.pdf?sfvrsn=0, https://www.cms.gov/newsroom/press-releases/president-trump-expands-telehealth-benefits-medicare-beneficiaries-during-covid-19-outbreak, https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19, https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf, https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19, The Role of Telehealth in the COVID-19 Crisis, In Conversation With Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. However, the overall safety of telehealth is less well studied. Provide answers to the following: Identify and describe one practice-related issue or concern. Escalation protocols should be identified, developed, and applied in the context of a given practice and should cover the range of scenarios that a practice may encounter, including the need for a higher level of care, such as an emergency visit, or the need for diagnostic studies. %%EOF endobj endobj endobj It is important for institutions to maintain good patient safety culture and ensure that providers have the opportunity to learn from what went right and what went wrong in telehealth cases. A "foreground" question in health research is one that is relatively specific, and is usually best addressed by locating primary research evidence. What are the unique barriers or challenges related to blood sugar management in adolescents with TII diabetes? Comparator, Outcome, and Time) endobj IMPAQ International In 2016, telehealth accounted for $27 million in Medicare spending under the physician fee schedule (PFS). Telehealth. What is the effect ofinstruction via web-based video lectureson the achievement of learning outcomes in among nursing studentscompared to exclusive use of in-person instruction? In adult patients with total hip replacements (, https://libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Cline Library. (KKc ]ROSU6Mpk45xr^MzFKOg{K/-i}>?\=oJQq,- uuid:0d82ba4f-b276-11b2-0a00-90a288020000 Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic. Institutions should establish escalation protocols that dictate when a patient receiving telehealth services should be transitioned to urgent in-person follow-up care, or even to receiving emergency services. Published March 30, 2020. 5 0 obj Or, check out the page that shows how PICOT can be "mapped" onto 21 popular 62 0 obj <>23]/P 22 0 R/Pg 196 0 R/S/Link>> The extensive uptake of telehealth has considerably transformed health care delivery since the beginning of the COVID-19 pandemic and has imposed tremendous challenges to its large-scale implementation and adaptation. <>stream Telemedicine is a care delivery model that focuses on Healthy People 2020 goals of Vqm``A`bC#[L i @.(v*| ^? Evaluating Health-Related Websites for Populations Telehealth Nursing Essay, o For the preferred patient population, identify two credible health-related web sites that would be useful to ensuring this populations effective health status. Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)? You remember reading about the limitations of duplex ultrasound and calfveins, and are wondering if a d-dimerassay can help you rule out DVT more accurately. Question: Are female non-smokers with daily exposure to second-hand smoke over a period of ten years or greater more likely to develop breast cancer when compared with female non-smokers without daily exposure to second hand smoke? This question could be more specific (Gender specific? You may choose to build on the practice issue you identified in NR500NP/NR501NP. What is a good PICO(T) questions regarding telehealth during the Access to over 100 million course-specific study resources, 24/7 help from Expert Tutors on 140+ subjects, Full access to over 1 million Textbook Solutions. below and then select the answers that best fit your statistical objective. Teamwork before and during COVID-19: the good, the same, and the ugly. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from acase-control study. This allows patients to receive care from the safety of their homes and avoid exposure to the virus during transit or at in-person appointments. Patient Satisfaction with Telehealth Services Compared to In-Office Visits: A Systematic Literature Review 2021-10-15T10:45:49-07:00 Project Plan Process . Your patientand her wife have lived together for 10 years, and while she doesn't smoke, her partner does. 2021-10-15T10:45:49-07:00 <> We're comparing an alternative therapy (turmeric tea) with a more standard drug therapy (Plaquenil). While telehealth is providing powerful approaches for protecting patients and providers during the COVID-19 outbreak, its increased and evolving use raises other potential patient safety concerns. <>/P 31 0 R/S/Link>> A guide for conducting nursing research at KUMC. Scenario: Your female patient is concerned about her risk of developing breast cancer. 34 0 obj However, this still only accounted for a small fraction of the Medicare budget, at 0.4 percent of total Medicare PFS spending.5 Historically, clinicians have been limited in the types of telehealth services eligible for Medicare payment. Sites, Contact However, recent action by the Federal Government has greatly expanded Medicare telehealth coverage.6,7. The George Washington University endobj T- Time period(ie. endobj <> 45 0 obj Your patient and her wife have lived together for 10 years, and while she doesn't smoke, her partner does. 214 0 obj endobj Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers. 15 0 obj Lorem ipsu, Explore over 16 million step-by-step answers from our library, s ante, dapibus a molestie consequat, ultrices ac magna. Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care. 91 42 Use PICO to generate terms - these you'll use in your literature search for the current best . The first question asked by the STOIC investigators centers on the diagnosis of COVID-19 by using thoracic CT. However, there are critical precautions that can be taken to minimize the risk to patient safety. 2. Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? endobj Policies, HHS Digital See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. Learn more information here. Questions around how to select treatments to offer our patients that do moregood than harm and that are worth the efforts and costs of using them. 1. 0000032454 00000 n %PDF-1.7 % Policy, U.S. Department of Health & Human Services. Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? 10.6% of patients are homeless. I have taught the PICOT To craft a strong and reasonable foreground research question, it is important to have a firm understanding of the concepts of interest. https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/A%20Multilayered%20Analysis%20of%20Telehealth%20-%20A%20FAIR%20Health%20White%20Paper.pdf. endobj This form may be used for educational & research purposes without permission. Accessed May 6, 2020. 3. endobj Its expanded use has served as a means of ensuring the safety of both patients and frontline providers, as well as conserving use of critical personal protective equipment (PPE) supplied. Accessed April 26, 2020. the University of Tennessee Graduate School of Medicine (UTGSM) as well as an Questions addressing the causes or origin of disease, the factors that produce or predispose toward a certain disease or disorder.
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