Comparison Between Nursing Practice problems and Medical Practice Problems

A nursing problem assesses the human response to a health issue while a medical problem focuses on the disease. The response identifies the risks and problems associated with the disease on the patient’s health. A nursing practice problem thus looks at a nurse’s general assessments of a disease affecting a patient. The assessment incorporates the needs of the patient from admission, diagnosis, and prognosis. A nursing problem also focuses on the signs and symptoms of the disease thus there is collection of data on the patient through the conduction of comprehensive physical examination (Milner and Cosme, 2017). An example of a nursing problem occurs when a patient presents to a healthcare facility with shortness of breath, dizziness, palpitations, and headaches. The nurses offer a relevant diagnosis to the patient by intervening and administering drugs to suppress the illness.

The medical problem model is based on the physical and biological aspects of the ailment. A medical problem thus focuses on the etiology of the disease such as the set of causes and method of causation of the disease. It emphasizes the way physicians analyze a problem to specify the pathogens responsible for the illness. A medical problem remains part of the patient’s health history after the condition is resolved while a nursing problem is restricted to a specific period. An example of a medical problem is congestive heart failure.

Why base PICOT on the nursing practice problem

A PICOT addresses diverse components of nursing care thus should be primarily based on a nursing practice problem. The nursing practice problem addresses the needs of the patient from the time they are diagnosed, recovery, and aftercare. Nursing practice problem also helps nurses identify a specific problem and ways to address the health issues thus improving the patient’s outcome, family members, and caregivers (Kim, Mallory, and Valerio, 2020). Nursing practice problem promotes the patient’s safety and quality care by utilizing evidence-based research that is brought about by collecting diverse data from patients and their conditions. The research helps to draw relevant conclusions based on the PICOT questions.




Kim, M., Mallory, C., & Valerio, T. (2020). Statistics for evidence-based practice in nursing. Jones & Bartlett Publishers.

Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516.

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