NURS-FPX4025 - NURS FPX 4045 Assessment

Capella University, NURS-FPX4025, RN-TO-BSN

NURS FPX 4025 Assessment 4 Presenting Your PICO(T) Process Findings to Your Professional Peers

Leave a Comment / Capella University, NURS-FPX4025, RN-TO-BSN / NURS FPX 4045 Assessment

NURS FPX 4025 Assessment 4 Presenting Your PICO(T) Process Findings to Your Professional Peers Student Name Capella University NURS-FPX4025 Research and Evidence-Based Decision Making Professor Name Submission Date Presenting Your PICO(T) Process Findings to Your Professional Peers My name is ___, and today I will be giving a presentation on my PICO(T) process results on how to enhance care coordination among children with sickle cell disease. Sharing evidence-based results is a large-scale role in professional nursing practice today, which enhances patient outcomes and coordinates evidence-based care provision to patients affected by sickle cell disease (SCD) – a disease that significantly affects the health and well-being of children. By sharing research, nurses are able to collaborate in coming up with informed decisions, thus enhancing patient outcomes. PICO(T)-based research findings can also be used to reinforce nursing practice, as they allow nurses to offer superior quality care to populations of vulnerable patients. Explanation of Diagnosis: Acute Heart Failure Sickle cell disease (SCD) is a genetic disorder of the blood that leads to the red blood cells assuming an abnormal shape of a sickle, resulting in blockage of blood vessels. This blockage further causes pain crises, which lead to organ damage and a much lower quality of life, as Tebbi. Complications of SCD have been observed to include stroke, infection, and severe retarded growth and development delays among children (2022). Thus, SCD is potentially risky in the long term and will demand early, regular, holistic management approaches to reduce the risks. Severe crises of pain in children with SCD may lead to frequent hospitalisations and lost school time; consequently, affecting emotional balance, family life, and general health outcomes of individual patients in a negative way. Jain et al. (2026) believe that insufficient pain management and insufficient care delivery among different groups of people with SCD will largely contribute to the deterioration of health conditions and general emotional well-being. It is therefore urgent that nurses learn about these risks and complications to be capable of offering effective patient-centred care to individuals with SCD. PICO(T) Research Question Research Question: What is the difference between improved care coordination (I) and usual care (C) with children with sickle cell disease (P) in terms of the frequency and intensity of pain crises and health outcomes (O) during six months (T)? PICO(T) Components · P (Population): Children with sickle cell disease · I (Intervention): Improved care coordination · C (Comparison): Standard care · (Outcome): Frequency and severity of health outcomes and pain crises · T (Time): Over 6 months Explanation of PICO(T) Criteria Application The core of an evidence-based practice is the use of clinical questions that are based on evidence to create credible research and enhance patient outcomes. PICO(T) helps nurses to have a structured approach to identifying the different patient populations, interventions applied to the patient populations, and recognized measures that emanate from the interventions. Albertson et al. (2021) confirm that a more effective intervention can be developed based on the development of structured questions to orchestrate care, as work with patient groups that inappropriately use healthcare resources will be carried out more effectively. The question is in response to the main barriers that SCD patients face in an attempt to access timely and integrated healthcare services. Evidence Summary Some reliable sources have been consulted to respond to the PICO(T) question on pediatric Sickle Cell Disease (SCD) patient care. All sources offer a specific point of view or evidence in terms of better care coordination and/or better outcomes. Schlenz et al. (2025) performed a National Institutes of Health (NIH) funded qualitative research study looking at barriers and facilitators of comprehensive pediatric SCD care; this peer-reviewed source is very trustworthy and applicable to addressing challenges encountered by children with SCD in relation to accessing care. The quantitative research by Schieve et al. (2022) demonstrates the difference between adherence to preventative care and decreased morbidity of complications in children with SCD. Freitas et al. (2025) performed a rapid review that confirms nurses play an important role in coordinating patient care, educating patients, and advocating for patients. Also, Ge et al. (2023) give additional reasons that community nurses can play a key role in the organization of successful chronic disease management and continuity of care among patients. These sources come as a great source of support, credibility, and relevance in the definition of evidence-based nursing practice among children with SCD. Analysis of Evidence and Answer to PICO(T) Question According to several studies, the better the care coordination of children with sickle cell disease (SCD), the better their outcomes. Increased coordination of care implies fewer pain crises, increased access to health care, and more family involvement in the care of their children. Khatri et al. (2023) demonstrate that continuity and coordination of primary health care (PHC) are crucial to enhancing patient outcomes in chronic disease populations. Therefore, coordinated care can be considered one of the most evidence-supported interventions to enhance SCD management in children. Besides, care coordination minimizes systemic barriers, including transportation, provider knowledge gaps, and appointment delays, which cause a lack of timely treatment and unnecessary complications and hospitalizations. According to Schlenz et al. (2025), developing positive relationships with providers and providing support services were some of the keys to enhancing the outcomes of SCD patients. On the whole, these papers show that integrated and supportive care can significantly increase the health and well-being of children with SCD. Assumptions Underlying the Analysis Assuming that perceived barriers to care among various pediatric populations with sickle cell disease (SCD) will be similar regardless of clinical setting/location, it should be noted that the current analysis assumes that care coordination interventions can be feasibly implemented within existing healthcare systems/resources, also, according to the pieces of evidence that Connor references. (2023), evidence-based practice (EBP) models demonstrate steady evidence of patient outcomes and a payoff on health care investments. Although these assumptions are valid, they should be kept in mind when extending any of the findings of the study to other clinical/community settings. Key Steps of Care Based on Evidence There

NURS FPX 4025 Assessment 3 Applying the PICO(T) Process

NURS FPX 4025 Assessment 3 Applying the PICO(T) Process Student Name Capella University NURS-FPX4025 Research and Evidence-Based Decision Making Professor’s Name Submission Date Applying the PICO(T) Process Sickle Cell Disease (SCD) is a blood disorder that is characterized by a genetic characteristic of defective red blood cells. This interferes with the red blood cells and leads to their sickling, which complicates blood circulation and results in severe issues (Tebbi, 2022). This exposes children to suffering, hospitalization, and a poor life. Children (girls and boys) with SCD lead their lives with the disease. Evidence-based practice (EBP) or the combination of research, practitioner, and patient preferences is one of the most important approaches to improve patient care. The aim of this article is to apply the PICO(T) process to create a question, conduct a literature search, and review a research article to practice caring for children with sickle cell disease (SCD). Overview of the PICO(T) Process The PICO(T) process is used to help inform clinical questions for a practice and research study. The process consists of population (P), intervention (I), comparison (C), outcome (O), and time (T). Our population is kids with sickle cell. Its intervention is the coordination and comparison of care and usual care (Albertson et al., 2021). The outcomes will be the reduction of pain crises and improvement, and the timeframe of the intervention could be six months. The PICO(T) model may help health professionals to get more knowledge about a problem, analyze the evidence, and implement it into practice to promote health outcomes. Description of the Diagnosis Sickle cell disease is a long-term genetic blood disorder that typically begins during childhood. It can be attributed to abnormal haemoglobin and stiffening and clumping of the red blood cells (Egesa et al., 2022). This leads to obstruction of blood vessels, pain, reduction in blood flow and oxygen delivery. This may lead to excruciating pain, exhaustion, and hospitalization. Adverse health outcomes are also associated with the disease, such as poor health outcomes, high costs of health care, and low quality of life. Pain in children is common and impacts attendance at school and everyday life, as well as mood disorders (Shearer et al., 2022). In the absence of proper disease management, serious complications include high levels of organ damage, stroke, infections, and retarded growth and development of children. Minorities and poor families are also vulnerable, underserved groups that are greatly affected by SCD. The issue of health care inequalities is a significant determinant of the disease. Families have barriers like the unavailability of health care, transportation, and financial problems (Im et al., 2025). This leads to the same access to disease diagnosis, management, and treatment. We must know about these inequalities and minimize them to help children with sickle cell disease. Development of the PICO(T) Question One of the problems of children with sickle cell disease is a lag in time before the patients and treatment can be approached during a crisis, and time coordination problems. This could lead to unsatisfactory results and complications. This has since been done, whereby a provision of a clinical question in PICO(T) format is made. The PICO(T) question is as follows: In children with sickle cell disease (P), how does improved care coordination (I) and the usual care (C) affect the number and severity of recurrent pain crises and health outcomes (O) in six months (T)? The elements of the question are informed. The population of interest is child patients with SCD. The intervention is more about the coordination between the health care providers, children, and their families. The control is typical inconsistent care. The results are a reduced number of pain episodes and improved health (Milne et al., 2024). The time represents the time for the intervention to have an effect. Literature Search Strategy To answer the PICO(T) question, literature searches were carried out to determine an information source. The literature search was done in PubMed, CINAHL, and Google Scholar. This covered the words (and possibly also covered) sickle cell, children, pain crisis, coordination of care, and access to services. The research articles had to be peer-reviewed, and a current article (preferably published 2022 onwards) with human children patients with sickle cell disease. We ranked the articles based on the journal, the credentials of the author, and the methodology. Therefore, we were able to select three scholarly articles. Summary of Selected Scholarly Articles Article 1, Schlenz et al. (2025), is a qualitative policy paper about the facilitators and barriers to sickle cell disease for children. Parents were interviewed on barriers to health care. Coordination, support, and communication were important for good care. Lack of transport and knowledge were some of the barriers to health care. The second article by Schieve et al. (2022) is a quantitative investigation of compliance with recommended preventive health care services among children with SCD to avoid complications. It demonstrates that compliance with the preventative health care recommendation correlates with good health and with a decreased number of complications. This paper provides very robust statistical evidence for good practice. The third paper, Freitas et al. (2025), is a rapid review that looks at the role of hospital nurses for children and families with sickle cell anemia. They discover that nurses become critical in the role of care coordinators, educators, and advocates of the patient (child) and family, and of the health care team. The results also support the fact that nursing care, consisting of therapeutic education, identification of complications, and collaboration with other health care team members, positively influences pain and other outcomes. The articles also confirm that quality nursing care decreases complications and enhances the quality of life for patients with sickle cell disease. Credibility and Relevance of Evidence The three articles are valid as they have been published in high-profile journals and by experts. Appropriate research designs have been chosen by the authors, such as quantitative and qualitative studies, which also adds to the studies’ validity. It is also acceptable since some of the studies are funded