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 1

Despite the fact that influenza vaccination is a key public health intervention for reducing the disease burden, the uptake of the vaccines remain relatively low. Influenza is a key contributor to mortality and mortality not only in the US but across the world. According to the Centers for Disease, Control, and Prevention (2020), a considerable number of Americans do not take the flu shot. This is despite the massive campaign aimed at creating awareness on the importance of the vaccine. This leaves millions of people who are vulnerable to the disease at risk. The burden of the influenza epidemic not only affects the individual but also the health care system in terms of increased expenditure. Even though there has been increased manufacturing of influenza vaccines to alleviate the shortage, millions of the vaccines go unused leaving a considerable population unvaccinated. As such, this paper aims to explore evidence on the effectiveness of text messaging in increasing the uptake of influenza vaccine among the individual between the age of 30 and 70 years, literature search process and theoretical framework to support the research.

Problem Statement

The identified health problem is the low uptake of influenza vaccines among patients between 30 and 70 years of age. Despite the existence of clear recommendations of annual influenza vaccination, uptake of the vaccine has remained low especially among the high-risk group Seasonal influenza across the world causes three to five million severe cases and between 300,000 and 500,000 deaths annually. In 2019, the seasonal flu in the US leads to approximately 80,000 deaths, 49 million vases and 960,000 hospitalizations. Nowak, Cacciatore, and Len-Ríos (2018) indicate that the number of adults getting influenza shot has remained unchanged with remains remaining relatively below the federal government by 70%….Click link below to purchase full tutorial at $10