Chat with the Rasmussen Library

Chat Hours

Monday-Thursday

12pm-8pm CT

Friday Offline
Saturday Offline
Sunday 4pm-8pm CT

Chat Expectations and Guidelines

Submit a Question

Submit Your Question
Your Info
Fields marked with * are required.

Answered By: Kristie Keuntjes
Last Updated: Nov 16, 2016     Views: 198

PICO is a strategy used in the first step of Evidence Based Practice (EBP) when researching to formulate a searchable clinical question to develop key terms.  

P

Patient, Population, or Problem

What are the most important characteristics of the patient?

I

Intervention

What do you want to do for the patient?

C

Comparison

Are you trying to decide between two drugs, a drug, no medication, or diagnostic tests?

O

Outcome

What do you hope to accomplish, measure, or improve for the patient?

 

Steps of EBP

1.  Ask:  Formulate an answerable question (PICO).

2.  Acquire:  Find the best available resources to answer the question.

3.  Appraise:  Critically appraise the evidence for validity, impact, relevance, and applicability.

4.  Apply:  Implement the results by combining the evidence and clinical expertise.

5.  Evaluate:  Assess effectiveness of the decision.

This particular assignment asks you to follow the first three steps of EBP:  Ask, Acquire, and Appraise.


For this particular assignment, you are asked to use the PICO format above to design your own question.  It may be something you are familiar with or something you imagine to be an issue in nursing.  Keep it simple!  For example:

Patient A is receiving chemotherapy.  To manage the patient's nausea and vomiting, the doctor has given them prochlorperazin.  The patient calls and informs the nurse that they have read ginger is just as effective as the prochlorperazin and is wondering if this is true.

P

Patient, Population, or Problem

Patient receiving chemotherapy and is experiencing moderate nausea and vomiting 

I

Intervention

Use of ginger

C

Comparison

Ginger as effective as prochlorperazin

O

Outcome

Reduce the moderate nausea and vomiting 

 

Formulated Question:  In patients receiving chemotherapy who are experiencing moderate nausea and vomiting, is the use of ginger as effective as prochlorperazin in reducing it?

By completing the PICO chart above, a formulated question was created to guide the research process.


Once you have your formulated question in place, it is time to research reliable databases or websites and find three articles that are related to your PICO.  Make sure to include these articles on your references page.
 

Here are some resources to help you complete your research:


After you have found your articles, you need to analyze them.  Write one paragraph about each article addressing the similarities and/or differences in the articles related to your PICO.

  • What are the strengths of the article?
  • What are the weaknesses?
  • Is the article relevant to your research?
  • Does the article add anything new to your research?

You have formulated your question, you have completed the research, and you have evaluated the articles.  It is time to bring all of this information together.  We have included a possible template for your use - check it out below under Links & Files.

Remember, if you should have any additional confusion or need any clarification, you can always reach out to your instructor.

Related Topics