1.Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practic

Here is an example of a PICOT Question

P (population):  For patients age 65 and older at the ABC Primary Care Clinic,

I (intervention):  does implementing the Beers Criteria screening tool,

C (comparison):  compared to current practice,

O (outcome):  reduce the number of potentially inappropriate medications (polypharmacy),

T (time):  within one month.

This PICOT identifies a clinical practice problem (polypharmacy in the elderly). The population identifies patients age 65 and older (this is the typical age referenced in current literature).  The Beers Criteria is a well-supported evidence-based intervention for which numerous studies have been based.  You could also use established guidelines by agencies (CDC, WHO, AHA, etc.).  The comparison is that there is not currently a current practice or protocol in effect at the Primary Care Clinic.  The outcome is measurable.  In this example, you would be able to conduct a pre-intervention review of patient charts to establish who is polypharmacy (that you have perhaps identified as taking five or more prescription medications) per the medications listed on the Beers Criteria.  Then you would implement the screening over a period of weeks.  After that, you would conduct a post-intervention patient chart review to identify the reduction in prescription medications.  You would then have measurable values… the pre- and post-intervention numbers.  Evaluation must be based on measurable outcomes.

Question templates for asking PICOT questions:

Link for PICOT

https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_start_with_a_PICOT_question.7.aspx