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NRS 433 Topic 1 Discussion Question one

NRS 433 Topic 1 Discussion Question one

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

NRS 433 Topic 1 Discussion Question one

NRS 433 Topic 1 Discussion Question one

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

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.

  • Sheranda Fesler

replied toKrishna Turner

Jul 29, 2022, 2:43 AM

Replies to Krishna Turner

Thanks for your posting. Can you identify a Nursing practice problem and develop a PICOT?

The nursing practice problem that I used was diabetes and obesity which in a common problem in the United States. The nurse formulates PICOT questions for EBP projects. The nurse researcher must gather information and have an idea as to why the study should be performed, and then decide what questions are needed to further the research. (GCU, 2018)

P: Obese patient with diabetes

I: Diet and life-style changes

C: No changes in diet or life-style

O: More effective with controlling blood glucose

T: In one year period


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


Good post. EBP is significant because it strives to deliver the most effective care that is currently accessible, with the end goal of improving the results for patients. Patients have the right to anticipate receiving the most efficient care that is founded on the most credible available evidence. EBP encourages a culture of inquiry among healthcare workers and stimulates us to question our practices. Making sure that the decisions we make in practice are based on the most compelling evidence that’s currently available is an essential aspect of our job as health professionals. EBP also plays a part in ensuring that limited health resources are utilized effectively and that pertinent evidence is taken into account when choices about funding health services are made (Jordan et al., 2019).


Jordan, Z., Lockwood, C., Munn, Z., & Aromataris, E. (2019). The updated Joanna Briggs Institute model of evidence-based healthcare. JBI Evidence Implementation17(1), 58-71.

  • Sheranda Fesler

replied toCalorine Mahungana

Jul 29, 2022, 2:44 AM

  • Replies to Calorine Mahungana

Thanks for your posting. Can you identify a PICOT for one of the Nursing problems you discussed?

  • Hannah Haywood

replied toCalorine Mahungana

Jul 30, 2022, 12:27 AM

  • Replies to Calorine Mahungana

Hello Calorine,

I enjoyed reading your post! Swallowing dysfunction is a big problem in the healthcare field, especially when working with patients that have been on the ventilator for a prolonged amount of time or those suffering from stroke like symptoms. In the hospital I work in, we have a tab in our charting called “ICU safety and mobility” where we can chart a bedside nursing swallow evaluation. First we sit the patient up in a high-fowler’s position, then we try an ice chip. Then if that seems to be swallowed successfully, we try a sip of water. This is called a “water swallow test” (Fernando & Seely, 2020). If the patient then fails, we chart the fail and then order a bedside swallow evaluation by the speech pathologist via the ICU safety and mobility score. A PICOT of this problem would be

P- patient experiencing swallowing difficulties

I- slow, carefully monitored intake, and then swallow evaluation

C- patient mediated intake followed by potential choking

O- patient safety and proper treatment for swallowing dysfunction

T- 1-2 week observation of the patient with careful swallow evaluation and monitoring


Fernando, S.M., & Seely, A.J.E (2020).

Post-extubation dysphagia: The truth is hard to swallow,

Chest. 158(5).1806-1807 https://doi.org/10.1016/j.chest.2020.08.2049.


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