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Culturally Congruent Evidence-Based Practice in an International Outreach Course for Prelicensure Nursing Students

Davis, Janet H.; Bustos, Belen Samai; Spoljoric, Diane

doi: 10.1097/01.NEP.0000000000000555

The PICO (Population/Problem, Intervention, Comparison, Outcome) framework is widely accepted for posing evidence-based practice questions. This framework offers prelicensure nursing students a structured process for synthesizing nursing knowledge with the best available evidence to make decisions for practice. However, students in an international outreach course may find that evidence-based practice is not available in-country; furthermore, it may not be congruent with a population’s culture. Faculty guidance helps students enrolled in international outreach courses to integrate cultural competence into the PICO structure. A case study illustrates how the framework was applied during an undergraduate nursing outreach course to Nicaragua.

About the Authors Janet H. Davis, PhD, RN, CNE, is an assistant professor, Purdue University Northwest, Hammond, Indiana. Belen Samai Bustos, BSN, RN, is a registered nurse, Indiana University Health University Hospital, Hammond, Indiana. Diane Spoljoric, PhD, RNC, is an associate professor, Purdue University Northwest, Westville, Indiana. This work was partially funded through the Ronald E. McNair Post-Baccalaureate Achievement Program. For more information, contact Dr. Davis at

The authors have declared no conflict of interest.

Online date: July 19, 2019

© 2019 Lippincott Williams & Wilkins, Inc.
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