The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment (Attached)

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

2. Following the PICOT format (below), write a PICOT question in your selected nursing practice problem area of interest. 

PICOT Format: 



What is the problem and/or the patient population being studied?



Will a new medication be prescribed? Will there be a change in a   treatment or a procedure?



Will it be compared to a routine drug, treatment, or procedure?



What is to be accomplished? What are the desired outcomes?



For how long the data will be collected?

PICOT Example:

Gina, a BSN-prepared RN, is the manager of the geriatric unit 3-South. In the past 3 months, the 3-South unit has had 5 patients develop sacral pressure ulcers. The patients are turned every 2 hours and this practice and frequency is documented. The number of hospital-acquired pressure ulcers must be decreased. Gina believes if patients are turned more frequently, such as every 90 minutes instead of every 2 hours, there will be fewer pressure ulcers. Gina determines the following factors to develop a PICOT question: Patients/problem = Patients in the 3-South unit who require turning and positioning Intervention = Turned and positioned every 90 minutes Comparison = Patients who are turned every 2 hours Outcome = No pressure ulcers Time = 3 months

Based on this information, Gina develops a PICOT question: Will patients who are turned every 90 minutes instead of every 2 hours be free of pressure ulcers?

3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should NOT be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric (attached). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.