Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project.

Directions: Use the form below to complete the PICO assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO elements.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICO question. List each element P (problem population or problem) I (intervention) C (Comparison with other treatment/current practice) and O (Desired outcome). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research Look in your book for guidelines to developing your PICO question.
Step 2: Identify the problem. What have you noticed in your work or school environment that isn t achieving the desired patient or learning outcomes What needs to change in nursing what can you change with the support of evidence in the literature Describe the problem or practice issue that you want to research. What is your practice area; clinical education or administration (This is NOT where you will list your PICO question)
Step 3: How was the practice issues identified How did you come to know this was a problem in your clinical practice Review the listed concerns and check all that apply.
Step 4: What evidence must be gathered Everyone should have a literature search. However what other sources of reliable information will be helpful for your particular question
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused What databases will you search How will you narrow your search if needed
PICO Worksheet
What is the PICO question
Does risk assessment and prophylaxis pre-op help reduce VTE in adults pediatrics and adolescents post-op
_______________________________________________________Define each element of the question below:
P- Among adults pediatric and adolescent patients
I- does risk assessment and stratified venous thromboembolism prophylaxis
C- Compared to no prophylaxis
O- reduce VTE occurrence without an increase in adverse effects
What is the practice issue/problem
Prophylaxis of Venous Thromboembolism (VTE) post surgery in adults children and adolescents. Often the thought is that because it is a surgery center this should not be a problem. But after having a patient expire two days after shoulder arthroscopy. We researched the patient s chart and we had put SCD s on the patient during surgery. This was the correct thing to do but this was a nursing measure that we were doing and did not have all the physicians by in. This practice area is clinical and also education. I think there is a potential solution to prevention of pulmonary embolus post op. My concentration will apply to the pediatric and adolescent population. But I also plan on looking at the adult side too. Both adult and pediatric areas are lacking the buy in of our surgeons.What is the practice area

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