identify a problem or concern that nursing can change and develop a PICO
question to guide the change project.
the form below to complete the PICO assignment in Milestone #1. This includes
filling in the table with information about your research question and your
Step 1: Select
the key PICO terms for searching the evidence. Clearly define your PICO
question. List each element P (problem, population, or problem), I
(intervention), C (Comparison with other treatment/current practice), and O
(Desired outcome). Is the potential solution something for which you (as nurse
or student) can find a solution through evidence research? Look in your book
for guidelines to developing your PICO question.
Step 2: Identify
the problem.What have you noticed in your work or school environment that isn’t
achieving the desired patient or learning outcomes? What needs to change in
nursing, what can you change with the support of evidence in the literature? Describe
the problem or practice issue that you want to research. What is your practice
area; clinical, education, or administration? (This is NOT where you will list
your PICO question)
Step 3: How was
the practice issues identified?How did you come to know this was a problem in
your clinical practice? Review the listed concerns and check all that apply.
Step 4: What
evidence must be gathered? Everyone should have a literature search. However,
what other sources of reliable information will be helpful for your particular
Step 5: What
terms will you use in order to make sure that your search is wide enough to
obtain required information but narrow enough to keep it focused? What
databases will you search? How will you narrow your search if needed?
What is the PICO question?____________________________________________________________
Define each element of the
P– (Patient, population, or
C– (Comparison with other
O– (Desired outcome):
What is the practice issue/problem?
What is the practice area?
How was the practice issue
identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
What evidence must be gathered?
(check all that apply)
___ Literature search
___ Expert Opinion
___ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)