How does your intuitive/personal knowing integrate with what patients and families say about their experiences?

1. Nursing’s Ways of Knowing ._x000D_
From the perspective of your practice change interest (clinical outcomes, safety and quality, leadership or health policy) consider the specific ways of knowing as they have played into your awareness of the need for practice change?Further, consider how intuitive/personal or ‘unknowing’ knowing dimensions of practice integrate with broader social, cultural and theoretical dimension to create meaning and inform ideas for practice change._x000D_
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Give two specific examples from your practice. For example, let’s say that your practice change interest is in the way treatment decisions are made in end-of-life care for elderly patients. Which ‘Ways of Knowing’ have played primarily in to your observations and insights about this problem?_x000D_
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Examples of integration with broader social and cultural dimensions in this scenario of treatment decisions in end-of-life care: how does your intuitive/personal knowing integrate with what patients and families say about their experiences? What do you know about the cost of care, access to care or quality of care relative to the issue?_x000D_

2. Formatting your Problem Statement into a PICOT Question .

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In preparation for this discussion, first prepare interview notes with the following questions:_x000D_
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I’d like to validate a problem statement and begin to formulate a PICOT question with the needs of your organization in mind._x000D_
A problem I’d like to work to improve is _________ and some of the causes of this problem seem to be _______________. Would you agree? Are you asking questions within the organization about this problem? Do you have additional insights to the specific problem statement and the etiology_x000D_
What Outcomes would you hope result from addressing this problem?_x000D_
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Next make a phone interview (5-10 minute) appointment with a nursing or other leader in your chosen organization._x000D_
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What Population you will be working with to improve outcomes?_x000D_
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What intervention possibilities are there (these would be aimed at the etiology portion of your statement)?_x000D_
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To what existing practice in health care are you comparing the outcome of your intervention?_x000D_
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What outcome do you expect to see as a result of your intervention?_x000D_
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