PICOT Assignment 3

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PICOT question- In an adult inpatient psychiatric unit with patients with one or more active DSM-V diagnoses (P), how does staff engagement following TIC and the tidal model guidelines (I) compared to our current standard of care of maintaining therapeutic milieu and de-escalation as needed (C) affect incidences seclusion, restraints and harm of other patients and staff (O) over 12 month period (T)? A systematic review is usually conducted by experts to answer a clear clinical question by reviewing studies (Melnyk & Fineout-Overholt, 2015). The parachute articles states its design was systematic review of random control trials (Smith, 2003). After reading my peers comments and rereading the article, I see the satirical nature of the article.