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Week 3 Assignment: Problem/PICOT/Evidence Search

Week 3 Assignment: Problem/PICOT/Evidence Search

Week 3 Assignment: Problem/PICOT/Evidence Search

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes
This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)


PICOT and Evidence Appraisal Worksheet – Week 3

Part 1: PICOT Question



Your Instructor’s Name:

Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.

Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet.

Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame).  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 PICOT question and also read the required articles.

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 PICOT 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 question?

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? Week 3 Assignment: Problem/PICOT/Evidence Search


PICOT Question
What is the PICOT question?


Define each element of the question below:

P– (Patient, population, or problem):

I– (Intervention):

C– (Comparison with other treatment/current practice):

O– (Desired outcome):

T– (Time Frame):


What is the practice issue/problem?


What is the practice area?

___ Clinical

___ Education


___ Administration

___ Other

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

___ Other:

What evidence must be gathered? (check all that apply)
___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

Search terms:


Databases to search:
Search Strategies:


Part 2: Evidence Appraisal



Your Instructor’s Name:

Purpose: To find evidence to support an intervention that will change the outcomes.

Directions: Type your search question below. Find FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. All of your sources must be peer-reviewed articles, written within the last 5 years and from the CCN Library. Using the table below, insert and describe your four chosen resources.

Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual and the resources in Course Resources.

Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article, written within 5 years and from the CCN Library.

Step 3: Level of Evidence. Refer to page 23 in your text for levels of evidence.

Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations? What was the sample?

Evidence Appraisal

  APA Reference for Article Type of Source and Purpose of Research Level of Evidence Describe Sample Brief Description of Research
Study 1          
Study 2          
Study 3          
Study 4          

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