1. NRSG 790: Methods for Research and Evidence Based Practice
Module 5: Problem identification

2. Getting Started What is the problem? How do we know it exists?
Do we see an outcome deficit, or an area for improvement?
Avoid the mistake of identifying a solution first, then go in search of a problem
Unclear as to the standard?
Is one practice better than another?
What does the evidence say?
Click to learn more

3. P I C O T PICO Components Patient Population Problem Intervention
Comparison with other interventions
Outcomes that are measurable P I C O T

4. Hospitalized Adolescents with Diabetes

5. What is Your PICO?
Hospitalized adolescents with diabetes P
An alternative to print (you specify based on research evidence) I
Printed education materials C
Reduction of HgA1C to target goal O
6-12 months post program T
Students are not permitted to use this PICOT for their paper assignments

6. Construct Well-Built Clinical Questions
Background Questions
Ask for general knowledge about a disorder
How does the problem occur (what is the cause, incidence, prevalence)
What are the effects and complications of the problem (physical, social, psychological, economic, health-care system)
How do we generally manage the problem?
Foreground Questions
Ask for specific knowledge about managing a specific effect of the problem
What is the best practice intervention to achieve a desired physical, social, psychological, economic, health-care delivery outcome