PICOT

PICOT

PICOT is considered to be an element that is used in the clinical question, (P) standards for the patient population, (I) explains the interventions or the issue that one is interested in. (C)Is the comparison of the intervention, (O), is the outcome of the interest, and finally (T), is the time which is taken to implement the intervention in order to be able to achieve the result. Therefore, in this case, the PICOT question is that will longer, or shorter training sessions help to prevent peritonitis. Peritonitis is the process of inflammation at the peritoneum which is seen to be like a silver membrane of the abnormal wall, and it covers the organs within the abdomen as a result of fungal or bacterial infection (Figueiredo, de Moraes, Bernardini, Poli-de-Figueiredo, Barretti, Olandoski & Pecoits-Filho, 2015).

The population is one the keywords of the PICOT, and from the evidenced-based practice, a study about adults from Brazil was taken to help understand if the longer or shorter training session can help to prevent peritonitis. The study included adult patients from 122 PD centers who were reporting monthly to the nurses at the PD clinics (Zhang, Hawley & Johnson, 2016). The data collected was including age, race, and gender, the cause of the end-stage renal disease, and the last treatment they went through.

Intervention for the adults diagnosed by the peritonitis was to be under individual training; based on the evidence-based, the patients were trained by the caregiver, and this training was subjected for a number of hours within the day for specific days. Therefore, this is the time that the nurses spend with the patients teaching them how to train. Therefore, 1 to 10 days of training was implemented before the insertion of the catheter and catheter implantation (Mueller, Kirkpatrick & Richter, 2018).

Group training and individual training comparison were done, and in most cases, we realized that patients who were trained by the nurses individually were able to improve their condition as compared to the patients who were going through group training (Figueiredo, de Moraes, Bernardini, Poli-de-Figueiredo, Barretti, Olandoski & Pecoits-Filho, 2015).

The outcome of the training based on time is that we realized that patients who went through training within 10 before implantation were not at risk as compared to the patient who went through the training after 10 days of implantation. Therefore, most of the patients who were going through long hours of training were able to recover from peritonitis as compared to patients who went for a shorter time of training (Zhang, Hawley & Johnson, 2016).

References

Figueiredo, A. E., de Moraes, T. P., Bernardini, J., Poli-de-Figueiredo, C. E., Barretti, P., Olandoski, M., & Pecoits-Filho, R. (2015). Impact of patient training patterns on peritonitis rates in a large national cohort study. Nephrology Dialysis Transplantation, 30(1), 137-142.