Tool 2.1 PICO Concepts for Developing a Purpose Statement

Tool 2.1 PICO Concepts for Developing a Purpose Statement



INSTRUCTIONS: Use this worksheet to explore concepts of interest for your EBP work. Organize using the PICO elements. Begin by identifying a goal or outcome first. Identify potential interventions last; interventions may evolve after reading the evidence. Use all PICO elements to write a purpose statement in one to two sentences. Use PICO elements to identify potential keywords related to the purpose statement.
Patient Population



Clinical Problem or Condition



Pilot Area









Anticipated Outcomes


EBP Purpose Statement




Keywords or Concepts for Identifying and Organizing Literature


Tool 2.2 PICO Elements for a Purpose Statement and Evidence Search



INSTRUCTIONS: Use this worksheet to develop a purpose statement or question. Describe each PICO element addressing the topic of interest. Identify the outcome before considering interventions; interventions may evolve after reading the evidence. Write a purpose statement and determine the kind of question. Use Table 2.1 to identify study designs most likely to answer this question. List related concepts, inclusion and exclusion criteria, and keywords or concepts for organizing evidence.

Step 1: Define elements or clinical question using PICO:

P = Patients or population to target:
Problem or condition to address:
Pilot area (e.g., unit/clinic):
I = Intervention (assessment or treatment):
C = Comparison:
O = Outcomes:
T = Time frame (optional):
Step 2: Purpose statement:



Step 3: Determine what your question is about (circle one):















Step 4: Identify study types that best address your question (circle one or more):
Experimental studies Observational studies Qualitative studies
Systematic review or meta-analysis


Case reports




Step 5: List the main terms and synonyms for your purpose statement. Typical number of concepts per question is two to three.
Concept 1: Concept 2: Concept 3:






Step 6: List inclusion and exclusion criteria:



Step 7: Keywords or concepts for organizing