Based on your annotated bibliography interest, per our discussion of suggested new PICO question, here it is: P=New Nurses Crossover Design (Have two interventions) C=Pre-test (Start with the usual standard with a crossover design)

Based on your annotated bibliography interest, per our discussion of suggested new PICO question, here it is: P=New Nurses Crossover Design (Have two interventions) C=Pre-test (Start with the usual standard with a crossover design) on cultural competence in working with the elderly African American patient Intervention 1: Then the control group of nurses “cross over into participating in presentation on cultural competency understanding in working with elderly African Americans  Intervention 2: Post-test O=Increase with post-test score