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NRS 433 Topic 1 DQ 1

DQ 1: Describe the difference between a nursing practice problem and a medical practice problem.

Topic 1 DQ 1

PICOT is utilized by the health care community to identify and study a nursing practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process may not be relevant to nursing practice as they are based on a medical practice problem.

Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

Evidence based practice is a process used to review and analyze scientific evidence into to everyday practice and clinical decision making. Nurses uses EBP to provide safety, give quality care, and improve outcome of the patient overall experience.

The difference between nursing practice problems and a medical practice problem are as follow: Nurse deals with modalities of patient care. This type of practice entails comfort, support, promotion of recovery, prevention of trauma (such as falls), health screenings (diabetes, hypertension, etc.…), assessment, health education, and coordination of care. (Selecting a clinical nursing problem for research – wiley online library)


Medical practice problems entail the complexity of the patient medical condition or disease. They also identify the condition of the patient, cause, prognosis, and treat the problem. Example identifying a patient who is diagnose with cancer, the disease will be identified and addressed according. Should the patient receive chemotherapy versus surgery? Will the treatment be set up on an outpatient bases or inpatient?


It is important that PICOT is incorporated in nursing practice because as nurses we need to identify the patient problem, understand, or know what intervention will work best for caring for the patient. Comparison of which treatment will be more effective. Was the outcome accomplished after giving the treatment? How long did it take for the patient to received desired outcome.




Cristancho S, Lingard L, Regehr G. From problem solving to problem definition: scrutinizing the complex nature of clinical practice. Perspect Med Educ. 2017 Feb;6(1):54-57. doi: 10.1007/s40037-016-0314-0. PMID: 27921218; PMCID: PMC5285274.


Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1



Selecting a clinical nursing problem for research – wiley online library. (n.d.). Retrieved July 28, 2022, from https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1547-5069.1984.tb01388.x



EBP is crucial component of safe, quality patient care. Utilizing the EBP approach helps nurses and other clinicians provide the highest-quality and most co-efficient patient care (wgu.edu). It is essential that nurses know the current practices so that they can provide care to patients with complex and debilitating conditions. Moreover, EBP application enables nurses to include patients in their care plan. This allows patients to have a proactive role in their own healthcare since they can voice concerns, share their values and preferences and make suggestions on how they want to proceed.


What is evidence based nursing? https://www.wgu.edu/blog/evidence-based-practice-nursing2012.html

Hello Krishna,

Good post. The activities that are carried out in order to combine the perceived problem with medical technology in order to provide some kind of solution are referred to as medical problem-solving processes. In these processes, choices are made regarding the problems that need to be attended to and the actions that need to be taken. In point of fact, uncertainty (also known as a lack of reliable knowledge) is attached to the majority of available options. This means that uncertainty may be attached to a variety of factors, such as the situation as a whole, the problem that should be considered, the actions that should be taken, the possible outcomes of those actions or outcomes, and the values that are attached to the actions or outcomes (Tian et al., 2019). The medical problem perception serves as the primary compass for the problem-solving processes in the medical industry, and this perception is associated with varied degrees of uncertainty.


Tian, S., Yang, W., Le Grange, J. M., Wang, P., Huang, W., & Ye, Z. (2019). Smart healthcare: making medical care more intelligent. Global Health Journal3(3), 62-65.

Read Also: DQ 2: When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? 

NRS 433 Topic 1 DQ 1

NRS 433 Topic 1 DQ 1

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:DQ 1: Describe the difference between a nursing practice problem and a medical practice problem.

It is important to follow the PICOT format in every nursing research. PICOT is used to define the four components of a good clinical inquiry. P is an abbreviation for Patient/Problem. I is the intervention. C, implies comparison, O is the final result or the observation. One should take advantage of PICO to produce phrases, which you will then utilize in your literature search to find the most up-to-date evidence (Gaines, 2020). Once you have your PICO words, you may use them to rewrite your question using the terms you have created. In research questions that investigate the impact of treatment, the PICOT style is a useful way for summarizing research questions.


Gaines, K. (2020). The 2021 Nursing Diagnosis Guide. Nurse.org. Retrieved from https://nurse.org/resources/nursing-diagnosis-guide/ https://nurse.org/resources/nursing-diagnosis-guide/


Evidence-based practice refers to using the available evidence for decision making and providing efficient and effective care for patients on a scientific basis (Scott, 2009). Systematic implementation of EBP can enhance healthcare safety and improve patient outcome. A nursing practice problem is an issue encountered during nursing practice, such as during assessment related to the patient’s response to a health problem they are experiencing or potential health problems and life processes. For instance, while assessing a patient, the nurse may notice that the patient coughs prior to swallowing food, displays laryngeal elevation and repeatedly reports “something stuck” in their throat. The nurse may conclude a nursing diagnosis based on these symptoms of impaired swallowing. Nursing practice problems also includes physical, emotional and mental experiences. They are made independently by nurses. Nursing practice problems provides a basis for help nurses to choose appropriate interventions thereby attaining a particular outcome.

On the other hand, a medical practice problem focuses on patient’s disease, medical condition or pathological state and treatment. They are made by physicians , physician assistant or advanced nurse practitioner. An example of a medical diagnosis includes atrial fibrillation, hypertension and hepatitis. While nursing problems may be subject to change, medical diagnosis does not change and remains imprinted on patient’s medical history forever.

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