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NURS3170: Principles of Evidence-Based Nursing

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PICO

Introduction to PICO

PICO allows clinicians to phrase a question in a way that allows it to more easily be answered. PICO also can help formulate the search strategy by identifying the key concepts that need to be in the article that can answer the question.


Patient

Most important characteristics of the patient or population of interest

Intervention

The main intervention, exposure, or prognostic factor

Comparison

The main alternatives or the control group to consider

Outcome

Patient outcome, whether desired or of interest


The four parts above are necessary for all PICO questions. In addition to this, Time period of the study and Type of study can also be included to make PICOT or PICOTT questions.

Types of Questions

Primary Question Types

  • Therapy: how to select treatments to offer our patients that do more good than harm and that are worth the efforts and costs of using them.
  • Diagnostic tests: how to select and interpret diagnostic tests, in order to confirm or exclude a diagnosis, based on considering their precision, accuracy, acceptability, expense, safety, etc.
  • Prognosis: how to estimate a patient's likely clinical course over time due to factors other than interventions
  • Harm / Etiology: how to identify causes for disease (including its iatrogenic forms).

Other Question Types

  • Clinical findings: how to properly gather and interpret findings from the history and physical examination.
  • Clinical manifestations of disease: knowing how often and when a disease causes its clinical manifestations, and how to use this knowledge in classifying our patients' illnesses.
  • Differential diagnosis: when considering the possible causes of our patient's clinical problem, how to select those that are likely, serious and responsive to treatment.
  • Prevention: how to reduce the chance of disease by identifying and modifying risk factors, and how to diagnose disease early by screening.
  • Qualitative: how to empathize with our patients' situations, appreciate the meaning they find in the experience, and understand how this meaning influences their healing.

PICO Resources

Source

Adapted from Cantrell, S. (n.d.). LibGuides: Evidence-Based Practice: PICO. Retrieved August 22, 2024, from https://guides.mclibrary.duke.edu/ebm/pico