PICOT is Patients/Problem, intervention, Comparison, Outcome and Time (Helbig, 2018). These are the source of proving evidenced based practice (EBP) problems focusing on nursing solutions. A nursing practice problem will dedicate its attention on the aftermath of the holistic care of the patient while managing the disease.
The nursing practice will focus on developing care plans on helping the patient manage the disease for example diabetes. While a patient is undergoing the management phase, the nurse will assist in meal plans as well as making sure the patient has access to meals that are appropriate for their health and if not making sure the patient is given resources.
Medical practice problems are related toward the actual care of the patient on managing their disease medically by checking their labs, right medications, understanding of the disease and goal of managing the disease. By allowing PICOT to be used to prove evidenced based practice will allow nurses to gain the correct information to apply to their nursing care for patients. This is a very important practice that nurses should always challenge and use PICOT to support their EBP.
Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Nursing research: Understanding methods for best practice. Retrieved from: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1
The difference between a nursing practice problem and a medical practice problem is the focus of the patient is not the same. A nursing practice problem, the focus is on the patient as a whole such as caring for the patient’s physical health and emotional health. The nursing practice problem centers on the many ways to improve the all-inclusive care as well as the patient’s outcome (Helbig, 2018).
A medical practice problem focuses on treating a medical condition, disease or injury by using medication or surgical procedures. For example, I work in obstetrics, the doctor’s goal is to deliver the baby either vaginally or by cesarean section and then prescribe medication for pain or other treatments for maintaining comfort.
The goal of the nursing practice is to prevent complications after the birth, pain management, provide emotional support, education and collaborate with other health care team members such as lactation consultants or social workers.
Most nursing interventions use Evidence-Based Practice which help nurses to provide improved quality of care for patients (Helbig, 2018). It is important to ensure the PICOT question is based on a nursing practice problem because it helps the nurse to identify a problem regarding a patient which requires attention.
By following the PICOT outline, P-patients/problem, I-intervention, C-comparison, O-outcome and T-time, the nurse can develop a plan of care, interventions and make sure they are evidence-based.
Helbig, J. (2018). History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process. In Nursing Research:
Understanding Methods for Best Practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/home