NURS 3290: Nursing Research 2 - BSN Program

Evidence-based practice (EBP) is a systematic approach to patient care decision-making based on current, best available research evidence. 

The first step in EBP involves re-phrasing a clinical patient care issue in the form of a focused, searchable, and answerable question. 

PICO(T) is a template for creating a well-built clinical question for evidence-based inquiry.

P - Patient/Population/Problem

I - Intervention/Variable of Interest

C - Comparison (can be "standard care" or "usual care", or the opposite of I - "no meditation," "no exposure to smoke", etc.)

O - Outcome(s)

T - Time

In _____ (P), what is the effect of _____ (I), compared with _____ (C), on _____ (O) within _____ (T)?

Your required textbook provides a wealth of material for generating and brainstorming ideas for PICO(T) Questions. 

Be sure to review Chapter 8 in your Introduction to Evidence-Based Practice text for ideas and examples of clinical questions for EBP research.

Two copies of this book are on reserve in the Mulford Library. To use a copy in the library, please ask a staff member at the library front desk to retrieve it for you. 

Helpful web resources for PICOT question ideas can be accessed below: 

PICO(T) Question Example: 

"In adult cancer patients experiencing fatigue (P), what is the effect of meditation (I), compared with standard care (C), on quality of life (O) within 6 months (T)?" 

Building a Database Search Strategy for the PICO(T) Question: 

• A well-built PICO(T) question forms the basis of a database search strategy for finding research literature.
• Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). 
• Relevant elements of your PICO(T) question can be used to develop a "starter" list of keywords (including synonyms) to use in a database search. Most commonly, the most important parts of a PICO(T) question for searching are the P, I, and O. 
• After developing a "starter" list of search terms, you can then begin brainstorming your search strategy for combining terms with OR or AND, and using other techniques such as a truncation (i.e. a keyword search for letharg* will also find articles with the term lethargic or lethargy):