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Related Experiment Video

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Proposing a "PICO" for evidence implementation projects: the Problem, Implementation/Intervention, Evaluation,

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  • 1Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, University of Adelaide, Adelaide, SA, Australia.

JBI Evidence Implementation
|December 23, 2025
PubMed
Summary
This summary is machine-generated.

The PIECE (Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement) framework aids healthcare teams in planning evidence implementation projects. It offers a structured roadmap for embedding research into practice and achieving sustained improvements.

Keywords:
JBIevidence-based health careimplementation scienceknowledge translationquality improvement

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Area of Science:

  • Implementation Science
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • The PICO model is standard for clinical questions but inadequate for real-world evidence implementation.
  • Evidence implementation projects require a framework addressing practical, contextual, and engagement factors.

Purpose of the Study:

  • To introduce and describe the PIECE (Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement) framework.
  • To demonstrate the utility of PIECE for planning and executing evidence implementation projects.
  • To provide a structured approach for healthcare teams to embed evidence into practice.

Main Methods:

  • The PIECE framework is detailed, outlining each component: Practice/Problem, Intervention, Evaluation, Context, and Engagement.
  • Successful JBI (Joanna Briggs Institute) implementation projects are used as illustrative examples.
  • The framework's application in conceptualizing and executing implementation efforts is explored.

Main Results:

  • PIECE provides a structured yet flexible roadmap for evidence implementation.
  • The framework facilitates alignment with organizational goals and enhances stakeholder engagement.
  • PIECE supports the critical planning phase of implementation projects.

Conclusions:

  • The PIECE framework offers a practical approach for clinicians to implement evidence into daily practice.
  • It addresses key components of implementation science, including problem selection, intervention choice, evaluation, context, and engagement.
  • PIECE promotes meaningful improvements in healthcare settings through systematic planning and execution.