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

Presenting Your PICO(T) Process Findings to

Your Professional Peers

Student name

Capella University

NURS FPX4025

Professor’s Name

Submission Date

• NURS FPX 4025 Assessment 4 presents PICO(T) research findings on improving care coordination for children with Sickle Cell Disease. And demonstrate how to improve health outcomes.

Introduction

My name is _____, and today I want to share with you the outcomes of my PICO(T) and how I am going to improve care coordination for children with Sickle Cell Disease. One important role of today’s professional nurse is to disseminate the findings obtained through evidence-based research to enhance the care of patients – and in the case of sickle cell disease (SCD), to provide coordinated, evidence-based care for those who are affected by this condition, which has a profound effect on the health and well-being of children.

When nurses share research, they can work together to make informed decisions collaboratively, thereby improving patient outcomes. The results of PICO(T) research can also be used to reinforce nursing practice by allowing the nurse to deliver enhanced quality care to vulnerable patient populations.

Explanation of Diagnosis: Acute Heart Failure

Sickle-cell disease (SCD) is a genetic blood disorder that causes the red blood cells to take on the “sickle” shape and causes blockage of the blood vessels. This blockage also contributes to a decrease in the quality of life and pain crises, resulting in organ damage. As Tebbi. As pointed out by (2022), complications of SCD include stroke, infection, and noteworthy delays in growth and development in children. Therefore, SCD can be regarded as a severe risk potential over the long-term and will demand early, consistent, and comprehensive management techniques to address risks.

Children with SCD often have pain crises, which lead to frequent hospitalizations and school absences, disrupting the emotional, family, and health outcomes for each child. Jain et al. (2026) contend that poor pain management and failure to receive quality care delivery by the various groups of people with SCD will have a meaningful impact on the health outcomes and overall emotional well-being of PLWS. Therefore, nurses need to be aware of these risks and complications to ensure they deliver high-quality, patient-centered care for people with SCD.

PICO(T) Research Question

Research Question: For children with Sickle Cell Disease (P), how do improved care coordination (I versus C) affect the number and intensity of pain crises and health outcomes (O) experienced over 6 months (T)?

PICO(T) Components

• P (Population): Children who have Sickle Cell Disease (SCD)
• I (Intervention): Better coordination of care
• C (Comparison): Routine care
• (Outcome): Number & frequency of pain crises and health outcomes
• T (Time): Over 6 months

Explanation of PICO(T) Criteria Application

Clinical questions based on evidence to inform trustworthy research for enhanced patient outcomes underpin an evidence-based practice. PICO(T) provides nurses with a systematic method of recognizing the various patient populations, interventions used with the patient populations, and accepted measures that result from the intervention. Albertson et al. (2021) back that by creating structured questions to coordinate care, effectiveness across patient groups who overuse health care resources will improve. Timely and coordinated access to healthcare services is the main challenge a patient with SCD faces.

Evidence Summary

Many reliable sources have been analysed by various sources answering the PICO(T) question in relation to the care of children with Sickle Cell Disease (SCD). Every source gives a different perspective and/or piece of evidence addressing aspects of 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.

Schieve et al. (2022) conducted quantitative research that shows that adherence to guidelines for preventative care is associated with reducing the occurrence of complications in SCD children. 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. Moreover, Ge et al. (2023) offer additional evidence that community nurses can play a pivotal role with regard to effective chronic disease management and continuity of care with patients. This compilation of these sources offers great support, credibility, and relevance to defining EBP for children with SCD.

Analysis of Evidence and Answer to PICO(T) Question

Many studies have demonstrated that better care coordination among children with Sickle Cell Disease (SCD) leads to better outcomes. Coordinated care leads to fewer pain crises and more access to health care and family involvement in the care of their children. Using epidemiological evidence, Khatri et al. (2023) provide a convincing case for the importance of continuity and coordination of primary health care (PHC) in enhancing patient outcomes in any population with chronic disease. As such, coordinated care is among the best supported evidence-based interventions to improve the management of SCD in children.

Care coordination also helps lower the obstacles to care, including transportation, provider-provider gaps, and delays in follow-ups, which can cause non-timely care and potentially complications and hospitalizations. Among the keys to improving the outcomes of SCD patients noted by Schlenz et al. (2025) are positive provider relationships and providing support services. As a whole, these studies show that coordinated and supportive care significantly contributes to the well-being and health of children with SCD.

Assumptions Underlying the Analysis

The current analysis assumes that the perceived barriers to care across different populations of children with sickle cell disease (SCD) will be comparable, regardless of clinical setting or location, and that interventions to improve care coordination can be implemented within the scope of the current healthcare systems and resources. Additionally, based on the evidence cited by Connor. The evidence-based practice (EBP) models are consistently demonstrated to positively influence patient outcomes and to yield a return on investment for health care. Although these assumptions may sound reasonable, it is critical to consider them when applying any findings of the study to other clinical/community settings.

Key Steps of Care Based on Evidence

Evidence exists that certain important nursing care practices may have notable impacts on the outcome for children with sickle cell disease (SCD). One of these is the necessity for the nurses to establish a structured care coordination programme, where communication is possible between providers, between child and family, and between providers, child, and family members. This is confirmed by Freitas et al. (2025), who described the importance of an improvement in pain outcomes related to a nursing-led care coordination, education, and complication identification in children with SCD. These measures are included as they are directly related to the major barriers and facilitators from the literature surveyed.

Conclusion

This presentation has described the PICO(T) framework as it would relate to organizing care for a child with Sickle Cell Disease. Strong evidence has shown that when coordination of care is improved, a reduction in pain crises will occur and quality of life will be improved for children with SCD. Nurses are the primary implementers of the steps recommended in the evidence base, and by adopting the steps, the standard of care given to children suffering from sickle cell disease will be greatly improved.

For complete details and assessments of this class, visit: NURS FPX4025 Research and Evidence-Based Decision Making