(Answered) NR 505NP Week 6: State of the Science Quality Improvement Paper Part 2


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.

Note: The process began in Week 2 with the formation of a PICO question. Week 4 was Part 1 of the paper which laid the ground work for the project. 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.

Activity Learning Outcomes

  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

  • Sunday by 11:59pm MT at the end of WEEK 6
  • Part 1 and 2 should be submitted as the final paper

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:  200pts


Preparing the Assignment:  Part 2 Criteria for Content


The abstract should be succinct, comprehensive, and follow and include these APA components (accurate, non-evaluative, coherent, readable and concise).

A description of the problem under investigation (one sentence), participants, and essential features of the quality improvement project which include setting, supporting theory, stakeholders and outcome measurements that would be used to determine efficacy of quality improvement project are included.

(See APA 6th ed., for abstract examples and explanation; p. 25-26)


State-of-the-Science Review of the Literature (ROL):

See Polit & Beck, 2018, 9th ed., Ch. 7 for description of ROL.

This section will describe the state of the science related to the PICO question and problem statement, purpose of the quality project.

  1. A minimum of 6 (six) appropriate 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” from the Chamberlain Library resources.  Be aware that information from .com websites may be incorrect and should be avoided.  References are current if within a 5-year time frame (3 years is best) unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.
  2. The evidence should be critically reviewed and synthesized.
  3. The strengths and limitations of the current evidence and current practice are described which provide evidence for practice change clearly supported
  4. The identified area of issue or gap in practice is made clear using evidence and is compelling and significant.
  5. No more than three (3) direct quotes are used.

Quality Change Plan:

In this section the writer will create an inter-disciplinary quality improvement plan for their future practice area.  The JH Action Planning Tool may be used as a guide but is not required to be submitted along with the project.  This section should be supported by scholarly in-text citations and include the following sections:

  1. Feasible plan for implementation: Select a model for use, such as the Plan/Do/Study/Act Model.
  2. Identification of key stakeholders with rationale for identification.
  3. Identification of appropriate interdisciplinary team members to assemble with rationale.
  4. A plan for outcome analysis (this should include independent and dependent variables as well as an overview of a method of statistical analysis (which statistics or outcome measures).
  5. Ethical considerations: Protection of Human Subjects.

Criteria for Format and Special Instructions:

  1. Page length:  Part 2 of the paper (excluding the title page and reference page) should be 10 pages maximum.
  2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th 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. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.
  4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific, scholarly writing.  First person writing should not be utilized.

Remember:  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.


Review of the Literature

A plethora of studies has studied the effectiveness of mobile texting on the uptake of the influenza vaccine. Among them is a study by Esteban-Vasallo et al. (2019) which used a quasi-experimental pre-post intervention study to examine the effect of text message reminders on the uptake of influenza vaccine among a targeted population group. The study showed an increase in the vaccine uptake among the intervention group (9.3%) as compared to the control group (7.1%). Esteban-Vasallo et al. (2019) also found that the persons who received the text message reminder had a 30% higher probability of getting the seasonal influenza vaccine. These findings are highly supportive of the QI project. The study used a large population sample. The study allowed for the establishment of eligibility criteria for participant selection, developed intervention, and confirmed outcome data through the electronic health records as well as public health registries. Further, the patients’ conduct in the succeeding campaigns would help in monitoring the long-term effects of the interventions. The study’s limitations include non-randomization was absent. However, the utilization of actual data provides more precise insights into the intervention’s feasibility and effects. Another limitation was the presence of possible errors in the sources of information used e.g. public registries, which could compromise the study’s outcomes. This identifies the need for future studies to use random sampling and error-free information sources to address these limitations….Click link below to purchase full tutorial at $15