Nursing Question

DNP graduates are prepared to assume leadership roles in healthcare, identify clinical practice problems, translate evidence into
practice, and implement and evaluate evidence-based solutions to positively impact patient and population outcomes.
The student will write a scholarly paper that identifies a clinical problem and clinical site to address the problem. The paper will
define evidence-based practice (EBP) and the problem/population, intervention, comparison, and outcomes (PICO) framework for
addressing clinical practice problems, identify a clinical practice problem and provide a one sentence problem statement, describe the
problem’s significance, and ask a clinical question in PICO format that can guide inquiry for EBP solution(s).
*Please note: If entering NSG 7431 Project I: Mentored Scholarship next semester, the identified clinical practice problem for this
assignment should be about the practice problem to be addressed by the Doctor of Nursing Practice (DNP) project.
*If not entering NSG 7431 next semester, identify and discuss any clinical practice problem that should be addressed by an EBP
intervention for this assignment.

Assignment Criteria:
Students will develop a scholarly paper that addresses the following criteria:
1. Define evidence-based practice (EBP).
2. Explain the PICO Framework.
3. Identify a clinical practice problem.
4. Discuss the significance of the clinical practice problem (Background).
5. Write a one sentence problem statement.
6. Use the PICO Framework to construct a one sentence clinical question to drive inquiry for EBP solution(s).
7. Discuss a potential EBP solution that can be applied in the clinical practice setting as a DNP project.

8.The scholarly paper should be in narrative format, 4 to 5 pages in length, excluding the title and reference pages.

9. Include an introductory paragraph, purpose statement, and a conclusion.
10. Include level 1 and 2 headings to organize the paper.
11. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’), and in a scholarly manner. To clarify: I,
we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
12. Include 4-5 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical
Directory) that are less than five years old.
13. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

HERE IS MY PROPOSED PROBLEM/PICOT QUESTION:

The following is a DNP clinical problem proposed in PICOT format. In Hispanics/Latinos (the patient population), how does adequate screening (experimental intervention) compared with inadequate screening (comparison intervention) affect mortality (the outcome)?

Answer preview

Advanced practice nursing involves exploring and addressing more complex clinical problems using empirical evidence. An evidence-based practice (EBP) involves the process of searching and critique of ”best evidence” such as from randomized controlled trials to better understand and explain a challenging clinical question to deliver up-to-date care to the patient (Melnyk, & Fineout-Overholt, 2019). One standard tool available to advanced nurse practitioners (ANPs) for application of best evidence in practice is the PICO ((P) Patient/population, (I) Intervention, C (Compared), and O (Outcome)). Pinheiro et al. (2017) identify cancer as a leading cause of mortality among Latino/Hispanic in the United States. ANPs can utilize the PICO framework to search and critique available evidence to answer the clinical question to promote higher quality, up-to-date care to this population.

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