(Answered) NR 505NP Week 3: Johns Hopkins PICO Development Tool Re-Submission


The focus for discussion board this week is revise the PICO question submitted in Week 2 using the Johns Hopkins PICO Development Tool.  This question will be the starting point for your State of the Science Project Paper.  The focus of the State of the Science (SOS) paper will be a quality improvement topic of your choosing.

Note: The process began in Week 2 with the formation of a PICO question using the Johns Hopkins PICO Development Tool.  Week 4 will be Part 1 of the paper which 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 in Week 6 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. Refer to the rubric for additional requirements.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

  1. Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings (CO1)
  2. Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes (CO2)
  3. Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies (CO4)

Due Date

The Johns Hopkins PICO Development Tool re-submission should be uploaded to the assignment box by Sunday 11:59 pm MT of week 3. 

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

Total Points Possible:  20


  1. Read the week 2 PICO question comments from your instructor.
  2. Revise as necessary.
  3. Resubmit the Johns Hopkins PICO Development Tool.
  4. Additionally, submit a 2 paragraph minimum (4-5 sentences per paragraph) narrative that describes one ethical dilemma or ethical consideration that is connected to your PICO question. In order to include this ethical component, review and critique the articles in your review of literature.
  5. All scholarly sources utilized in the narrative should be cited using APA.
  6. Finalize your question and continue to develop Part I of your State of the Science Quality Improvement Paper.
  7. No partial credit is given for this assignment. 


 1. What is the problem?


The substantial burden of influenza on affected individuals as well as the healthcare system in the country cannot be overlooked.  Even though the supply of safe and effective influenza vaccine was limited in previous years, the last couple of years has witnessed profound advances in manufacturing and distribution. This, in turn, has played a pivotal role in alleviating such shortages. This notwithstanding, in most cases, it has been revealed that millions of vaccines go unused, leaving a large proportion of the population unvaccinated. According to a study by Nowak, Cacciatore and Len-Ríos (2018) established that the number of adults getting seasonal influenza vaccination has remained below unchanged since 2013 and below the federal target of 70 percent.  Besides, the economic burden of influenza in 2018 was approximately  $11.2 billion  (Putri,  Muscatello, Stockwell, & Newall, 2018).


……Click link below to purchase full tutorial at $10