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Running head: RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 1 Research Critiques and PICOT Statement Final Draft Student’s Name Institutional Affiliations
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 2 Introduction The primary objective of the health care service is to enhance the patient’s quality of life. However, the use of potentially inappropriate prescriptions has become rampant in the clinical setting affecting elderly patients in primary nursing care. This problem has been linked to numerous injuries that occur among vulnerable elderly patients in primary care. This paper aims to revise the PICOT question, article critiques, and provide an evidence-based change in the nursing practice. The paper will also establish the relationship between the PICOT question, the nursing practice problem, and the research articles. Revised PICOT Question The formulation of the clinical problem and associated interventions will be done through a PICOT question method. The revised PICOT question for this study is; for elderly patient aged 65 years and above (P), is controlled use of potentially inappropriate prescription (I), compared to uncontrolled use of potentially inappropriate prescription in primary care (C) result in reduced risk of falling and other associated medical consequences (O), within eight months (T). Background of Studies Qualitative Studies The elderly population experiences a high preference for issues ranging from multi- morbidity to endurance from various prolonged health conditions. As such, serious medication is required to help them manage the symptoms of these health conditions and prevent future complications. Heser et al. (2018) carried out a qualitative study to better understand the contextual elements that may result in chronic potentially inappropriate medication in the care unit. The researchers identified the significance of their study as providing insight that may help
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT 3 develop control guidelines and learning programs to reduce potentially inappropriate medication in the elderly population. There are various research questions for this study. What is the patient’s perspective regarding this problem? What are the consequences of an inappropriate prescription on the quality of life of the elderly? The purpose of this study was to discover the contextual factor leading to chronic potentially inappropriate medication. Potentially inappropriate medications are often associated with some injuries that occur among the elderly population. Clyne et al. (2016) conducted a qualitative study to identify factors that have the potential to influence the occurrence of this clinical problem, including prescription environment complexity, and the paternalistic relationship between the doctor and the patient.

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