Proposing a "PICO" for evidence implementation projects: the Problem, Implementation/Intervention, Evaluation, Context, and Engagement (PIECE) approach.
This article explores the development and utility of the PIECE (Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement) planning and question framework as a structured approach for planning and conducting evidence implementation projects. Traditionally, the PI...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 1; pp. 176 - 183 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191017476&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191017476 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Jan2026 vid: 24 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 191017476 191017476 191017476 10.1097/XEB.0000000000000548 191017476 ppf: 176 ppct: 7 formats: tig: atl: Proposing a "PICO" for evidence implementation projects: the Problem, Implementation/Intervention, Evaluation, Context, and Engagement (PIECE) approach. aug: au: Munn, Zachary Cooper, Adam S. Porritt, Kylie Lizardono, Lucylynn Enuameh, Yeetey Akpe Kwesi Klugarová, Jitka Klugar, Miloslav Cardoso, Daniela Stannard, Daphne Kent, Bridie McArthur, Alexa affil: Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, University of Adelaide, Adelaide, SA, Australia sug: subj: Program Implementation Medical Practice, Evidence-Based Conceptual Framework Program Development Multidisciplinary Care Team Implementation Science Quality Improvement Australia Drug Administration Burns Pain Pain Management Hospitals ab: This article explores the development and utility of the PIECE (Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement) planning and question framework as a structured approach for planning and conducting evidence implementation projects. Traditionally, the PICO model has been used as a guiding framework for formulating clinical questions and structuring systematic reviews; however, the elements of PICO do not suit the unique requirements of evidence implementation projects in real-world settings. Each element of PIECE addresses a critical component of implementation: selecting a problem grounded in evidence, choosing effective interventions, defining evaluation metrics, assessing contextual factors, and engaging relevant stakeholders. Through examples of successful JBI implementation projects, we illustrate how PIECE can be used to conceptualize and execute implementation efforts. The proposed framework provides a structured yet flexible roadmap, allowing health care teams to initiate and sustain meaningful improvements. PIECE supports the planning phase of implementation projects, fostering better alignment with organizational goals and greater stakeholder engagement. As implementation science continues to evolve, PIECE offers a grounded approach for clinicians seeking to embed evidence into daily practice. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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