1
Table 1:
Organizational Needs Assessment: Practice Gap Identification
What is currently What should be What do the stakeholders 1. Why is there a gap in What evidence do you have to demonstrate
happening in the happening in the (decision-makers) & the practice? there is a practice gap (NDNQI, AHRQ Quality
practicum site that practicum site evidence identify as the gap Indicators, National Hospital Quality Measures, CAHPS
between what is currently 2. What factors are contributing Hospital Survey, Joint Commission
causes clinical based on current ORYX®, etc.)?
problems? evidence? happening and what should be to the gap in practice?
happening (this is your practice
gap)?
Staff members The geriatric There is an increase in the Inadequate staffing making it Complaints from patients that they do not
engage in irregular unit number of patient falls in the impossible for the current nurses receive adequate attention.
rounding of patients, should be using geriatric unit. Although staff to see each patient on hourly
including those in the purposeful hourly members practice patient basis. Quarterly reports of patients falls in the
geriatric unit who are rounding (an rounding, the practice is irregular geriatric unit.
disoriented and at a evidence-based and not purposeful. A purposeful
higher risk of falls. practice) to rounding is conducted every hour Nurses complain they have excessive
prevent patient for each patient. workloads making it impossible to conduct
falls. purposeful rounding.
PICOT Problem Statement:
P (Population - example: For elderly patients in my hospital’s geriatric unit.)
I (Intervention - example: Implementation of purposeful hourly rounding by nurses.)
O (Outcome, measurable - example: Reduce the number of patient falls within 6-months).
Table 1:
Organizational Needs Assessment: Practice Gap Identification
What is currently What should be What do the stakeholders 1. Why is there a gap in What evidence do you have to demonstrate
happening in the happening in the (decision-makers) & the practice? there is a practice gap (NDNQI, AHRQ Quality
practicum site that practicum site evidence identify as the gap Indicators, National Hospital Quality Measures, CAHPS
between what is currently 2. What factors are contributing Hospital Survey, Joint Commission
causes clinical based on current ORYX®, etc.)?
problems? evidence? happening and what should be to the gap in practice?
happening (this is your practice
gap)?
Staff members The geriatric There is an increase in the Inadequate staffing making it Complaints from patients that they do not
engage in irregular unit number of patient falls in the impossible for the current nurses receive adequate attention.
rounding of patients, should be using geriatric unit. Although staff to see each patient on hourly
including those in the purposeful hourly members practice patient basis. Quarterly reports of patients falls in the
geriatric unit who are rounding (an rounding, the practice is irregular geriatric unit.
disoriented and at a evidence-based and not purposeful. A purposeful
higher risk of falls. practice) to rounding is conducted every hour Nurses complain they have excessive
prevent patient for each patient. workloads making it impossible to conduct
falls. purposeful rounding.
PICOT Problem Statement:
P (Population - example: For elderly patients in my hospital’s geriatric unit.)
I (Intervention - example: Implementation of purposeful hourly rounding by nurses.)
O (Outcome, measurable - example: Reduce the number of patient falls within 6-months).
