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Nursing questions

Drive practice change.

Two supplied practice questions, each run through the same five steps. The step that carries the marks is the last one: whether the question is answerable in 8 to 10 weeks, which for one of them it plainly is not.

Editorial process

Last reviewed · August 22, 2026

01

Five steps, twice, and the feasibility step decides

Work both questions through the same five steps rather than writing an essay about either. Splitting PICOT is mechanical once you are careful about the C and the T. In the first question the population is children aged five to nineteen with a body mass index of thirty or above, the intervention is motivational interviewing during a regularly scheduled well-child visit, the comparison is practice as usual, the outcomes are body mass index, blood pressure, quality of life and daily physical activity, and the time is eight to ten weeks. In the second the population is adult critical care patients, the intervention is a research-based skin integrity bundle, the comparison is standard care, the outcome is the incidence of hospital-acquired pressure injury, and the time is again eight to ten weeks. Notice that practice as usual and standard care are real comparisons rather than absences, and describing what they consist of on the unit is part of specifying the C.

Then take the measurement and feasibility questions seriously, because they are where the assignment stops being clerical. Name real instruments rather than saying outcomes will be measured: body mass index percentile for age, a validated paediatric quality-of-life inventory, accelerometry or a physical activity questionnaire, and for the second question the Braden Scale for risk with staged pressure injury incidence per thousand patient days as the outcome. The feasibility answers then differ sharply, and saying so is the point. Pressure injury incidence moves within weeks and a critical care unit generates enough cases to see it, so eight to ten weeks is plausible. Body mass index in children does not move meaningfully in eight to ten weeks, and the interval between well-child visits means many participants would receive the intervention once. Recommend a shorter-term proximal outcome for that question instead, such as change in reported physical activity minutes, which can move inside the window.

Likely learning objectives

  • Decompose a practice question into PICOT elements accurately.
  • Derive search terms from the elements rather than from the topic.
  • Name validated instruments for each quantifiable outcome.
  • Judge whether an outcome can move within the stated timeframe.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

Practice Question 1: Does motivational interviewing during a regularly scheduled well-child visit for children between 5-19 years with a BMI of 30 and above as compared to practice as usual, influence BMI, BP, quality of life, and daily physical activity over 8-10 weeks? · Identify the PICOT elements. · What are key search terms identified in the practice question? Conduct a library search using these search terms to locate a research study addressing this practice problem and consider the following. · What is the research-evidence based intervention addressed in the study? · What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data? · Is this practice question answerable within 8-10 weeks? Why or why not? Practice Question 2: In the adult critical care population, does a research-based skin care integrity bundle, compared to standard care, influence the incidence of hospital-acquired pressure injuries over an 8-10 week time period? · Identify the PICOT elements. · What are key search terms identified in the practice question? Conduct a library search using these search terms to locate a research study addressing this practice problem and consider the following. · What is the research-evidence based intervention in the study? · What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data? · Is this practice question answerable within 8-10 weeks? Why or why not?

Course-wide instructions that accompany this question

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

02

Turn the brief into deliverables

  1. 01PICOT elements for both practice questions.
  2. 02Key search terms for each.
  3. 03A located study for each practice problem.
  4. 04The evidence-based intervention and quantifiable outcomes identified.
  5. 05Named measurement tools with reliability or validity noted.
  6. 06A reasoned feasibility judgement for each question.
03

PICOT elements, search terms, measures, then the timeframe

01

PICOT for the well-child question

Split the first practice question into its five elements precisely.

What the assessor is likely looking for

The comparison stated explicitly as practice as usual.

02

PICOT for the pressure injury question

Split the second practice question, noting the outcome is an incidence rate.

What the assessor is likely looking for

An outcome expressed as a rate with a denominator.

03

Search terms and the studies found

Derive terms from the elements and identify a study for each problem.

What the assessor is likely looking for

Search terms traceable to a PICOT element.

04

Instruments for each outcome

Name validated tools and note their reliability or validity.

What the assessor is likely looking for

A named instrument rather than a measurement in principle.

05

Answerable in eight to ten weeks?

Judge each question separately and propose a proximal outcome where it fails.

What the assessor is likely looking for

Two different answers, each argued from how fast the outcome moves.

04

Where to find the studies behind each practice question

Recommended databases

  • PubMed Central
  • CINAHL
  • Cochrane Library
  • AHRQ PSNet

Search sequence

  1. 1.Search using the PICOT elements as terms rather than the topic label.
  2. 2.Find a motivational interviewing trial in paediatric weight management and note its duration.
  3. 3.Find a pressure injury bundle study and note how incidence was expressed.
  4. 4.Check the validation evidence for each instrument you name.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Motivational Interviewing

StatPearls, NCBI Bookshelf · 2024

Review before citing

Motivational interviewing, for what the intervention in the first question actually involves.

Stages of Change Theory

StatPearls, NCBI Bookshelf · 2023

Review before citing

Stages of change, for why a single well-child visit is a weak dose of the intervention.

06

Before you submit this assignment

Common mistakes

  • Omitting the comparison because practice as usual sounds like an absence.
  • Saying outcomes will be measured without naming an instrument.
  • Answering the feasibility question yes for both questions.
  • Using the topic as the search term instead of the PICOT elements.
  • Ignoring that a well-child visit interval limits how often the intervention can occur.

Submission checklist

  • Are all five PICOT elements present for both questions?
  • Do your search terms come from the elements?
  • Is a specific instrument named for each outcome?
  • Are the two feasibility answers different, with reasons?
  • Have you proposed an alternative outcome where the timeframe fails?

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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