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

Successful Completion

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

Accreditation

The 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

Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity. Activities with pharmacology hours are to assist the APRN in fulfilling the pharmacotherapeutic education requirements for licensure and certification renewals.

Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion.

Refund Policy

Continuing Education Activities are nonrefundable.