This paper seeks to answer the question how application of a practice-change model might serve to answer and implement the clinical query results generated by the PICOT.
First, let us specify what the PICOT technique is. According to Riva et al (2012), the PICOT format/technique is an effective approach of summing up a set of research questions which explore the effect of some therapy. All clinical questions should consider the following elements of the PICOT format: (P) population or sample of subjects the researcher will recruit in the study; (I) intervention or treatment which will be provided to these subjects; (C) comparison intervention or the usual standard of care; (O) outcome of the study interest; (T) time needed for data collection (Riva et al, 2012; Porter-O’Grady, 2009).
Second, let us review the basics of the practice-change model. The practice-change model has been used both to understand and to guide practice involvement interventions. Its primary goal is to facilitate an extremely challenging process of clinical practice changing within a fast-changing healthcare environment (Riekert, Ockene, & Pbert, 2013).
Finally, let us trace how the practice-change model can help the PICOT clinical query results. First of all, the PICOT technique is used at the first stage of the practice-change model, when the researcher needs to assess the need for some change in clinical practice. After the practice problem has been formulated, the realization of the PICOT query through the practice-change model occurs at the Stages Two (locating the best evidence), Three (critical analysis of the evidence), Four (designing practice change), Five (implementing and evaluating change in practice), and Six (integrating and maintaining the change in practice) (Mazurek & Fineout-Overholt, 2011). Practical implementation of the PICOT through the practice-change model, therefore, happens at the stages five and six, when the change is implemented and integrated into clinical practice.
- Melnyk, B. & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincot-Williams & Wilkins.
- Porter-O’Grady, T. (2009). Interdisciplinary shared governance: Integrating practice, transforming health care. Jones & Bartlett Publishers.
- Riekert, K., Ockene, J., & Pbert, L. (2013). The handbook of health behavior change, 4th edition. Springer Publishing Company.
- Riva, J., Malik, K., Burnie, S., Endicott, A., Busse, J. (2012). What is your research question? An introduction to the PICOT format for clinicians. The Journal of the Canadian Chiropractic Association, 56 (3), 167-171.