Problems with PICO and PURPOSE as a Contemporary Solution

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Nurses overuse PICO—the mnemonic for population/patient/problem, intervention, comparison, outcome—as a fundamental component of evidence-based practice (EBP). This session meets the needs of participants, from beginners to advanced, using EBP to improve outcomes. The session reviews the science behind PICO and the gap created from PICO's overuse. PURPOSE—a mnemonic for population, users, responsible team, problem, outcomes, settings, effort-timeframe—has elements established in implementation science associated with improved adoption of EBP (ie, local context and patient perspective). Missing is representation of the most vulnerable patients. Importantly, PURPOSE is a contemporary solution for diversity, equity and inclusion.

Objectives

Identify the background to the ubiquitous use of PICO and the resulting consequences.
Discuss how to create an evidence-based practice (EBP) purpose statement using the PURPOSE elements to incorporate patient perspectives and diversity, equity and inclusion.
Create an EBP purpose statement using PURPOSE elements to apply to one practice learned at the NTI in their setting.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.