1 NU 403: PICOT Question Development Form Use this form to draft copies of your PICOTand for Final Submission to Instructor First draft due 9/20 for peer review Submit 9/27 to instructor for review Final Submission for grade due 11/1 to Instructor-Upload into Canvas COMPLETE THE ENTIRE FORM Name your clinical interest area: _________________________________________ Describe the rationale for the selection of the practice area (200 words). Include your rationale for the selection of your individual area of clinical interest, and discuss its importance to nursing. This section is to include a brief description of the background of the problem and why it is important to nursing. This section needs to be written in a "scientific manner", and not be focused on your personal opinions. Take a look at the introduction section to a research article for an example of this style of writing. Consider including incidence/prevalence data to describe the scope of the problem (if available), or other general background information. (This information will be helpful for you later when assembling your poster). Remember - just 200 words. 1. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 2. What are the PICOT components? (Preliminary draft) P – (Patient, Population, or Problem): ________________________________________________________________ ________________________________________________________________ I – (Intervention): ________________________________________________________________ ________________________________________________________________ 2 C – (Comparison with other treatments, if applicable): ________________________________________________________________ ________________________________________________________________ O – (Outcomes): ________________________________________________________________ ________________________________________________________________ T – (Time, if applicable): ________________________________________________________________ ________________________________________________________________ 3. What evidence must be gathered? (Circle all that apply) a. Literature review b. Standards (regulatory, professional) c. Guidelines d. Expert opinions e. Patient preferences f. Clinical expertise 4. State your compelling clinical question using the PICOT format. ______________________________________________________________________ ______________________________________________________________________ _______________________________________________________________ Instructor Feedback: ______________________________________________________________________ ______________________________________________________________________ ______________________________
