This assignment provides the opportunity for the graduate nurse practitioner student to become familiar with research processes which are specific to quality improvement. The graduate nursing student will develop a State of the Science Evidence-Based Practice Project that is focused on quality improvement. The process begins in Week 2 with the formation of a PICO question that will shape the problem and define the focus of the project. Part 1 lays the ground work for the project by focusing on the problem statement, purpose, introduction and overview of literature search strategy with the development of an article matrix using the Johns Hopkins Individual Evidence Summary Tool.

Part 2 of the Project adds the following elements: Abstract, Review of the Literature (State of the Science), strengths and limitations of current evidence, and development of a quality enhancement (improvement) plan that addresses limitations of current practice evidence.

For more information, see Week 6 State of the Science Evidence-Based Practice Project Part II.

Course Outcomes

CO#1 Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. PO 1

CO#2 Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes. PO 2, 5

CO#4 Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. PO 1, 2, 3, 5

Due Date: Part I Sunday 11:59 PM MT at the end of Week 4.

Total Points Possible: 350 Points Total (Part I: 150 points Part II: 200 Points)

Requirements for Part 1 (150 points)

Part 1: Criteria for Content: Sections: All sections should have scholarly resources integrated as in-text citations that support the content. APA current edition is required for all elements of the paper.

  1. Introduction: Overview of Selected Evidenced-Based Practice Quality Improvement Project. Overview should include rationale for selection of the project topic based upon scholarly resources. The introduction should also include an overview of the purpose or aim of the paper.
  2. Problem Discussion:

Identification of the selected problem for the quality improvement project: A comprehensive discussion of the selected problem should be included. It should contain the following elements:

  • Explanation of the selected problem in detail.
  • Identify the stakeholders impacted by the concern.
  • Identify the consequences/importance of the selected concern; state rationale for selection of the topic.
  • Identify a purpose statement (the specific aim) for this EBP proposal.
  1. PICO question and Literature Search Process: This section identifies the PICO question that will used for this EBP proposal. The literature search parameters will also be identified. It should contain the following elements:
  • Identify the PICO question in correct format with all required elements
  • Identify the steps used to conduct a literature review for this EBP proposal by including:
    • The specific library databases used
    • The key search terms and phrases used
    • The minor (additional) search terms and phrases used
    • Identify any specialty organization that is relevant to this EBP proposal
    • Include the following documents in your appendix:
      • Johns Hopkins Question Development Tool
  1. Theoretical Framework: This section presents the theoretical framework that will used in this Quality Improvement Project. It should contain the following section:
  • Explain the theoretical framework to be used in this EBP proposal. Has this theory been used, tested, in your topic area? Be sure to include references that support your choice of theory.
  • Describe how the identified theoretical framework is to be applied to this Quality Improvement Projectl.

Preparing the Assignment

Criteria for Format and Special Instructions

  1. Page Length: Part 1 of the paper (excluding the title page and reference page) should be at 5-6 pages maximum. Points may be lost for not meeting these length requirements. Up to five (5) extra points may be deducted for page length issues as determined by your course faculty. This is relative to each section of the paper.
  2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
  3. A minimum of 6 (six) topic related research-based scholarly references (articles) must be used. Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may be used but will NOT count as scholarly references for this assignment. For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Library Guide Course Resources tab. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.
  4. Ideas and information from scholarly, peer reviewed, sources must be cited and referenced correctly throughout the paper to include the reference list.
  5. Rules of grammar, spelling, word usage, and punctuation are to be followed and consistent with formal, scientific, scholarly writing. First person writing should not be utilized.


State of the Science Quality Improvement Paper Part

With the advancement of medical science in a few decades, life expectancy has increased considerably. However, the growth of the aging population prevalence of chronic conditions has also increased rapidly. One of the most prevalent conditions, affecting a considerable number in the US is Congestive heart failure. Congestive Heart Failure (CHF) is a leading cause of mortality and morbidity in the US (Savarese & Lund, 2017). In view of this, CHF readmission rates have remained a key burden on the health care system. As such, there is a need to address this issue not only to enhance the patient’s quality of life but to reduce the health care expenditure. This paper explores how the use of in-home monitoring impact readmission rates in CHF patients.

Problem Statement

CHF is becoming a widespread condition which is increasingly robbing the patients quality and quantity of their life. Nearly, 6.5 million people in the United States, are suffering from CHF. CHF cause 1 in 8 deaths as per 2017 (Centre for Disease Control and Prevention, 2019)…Click link below to purchase full tutorial at $10