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

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.