(Solution) XAP1 — XAP TASK 2





724.8.5 : Foundations of Inquiry

The graduate differentiates between quality improvement processes, evidence based practice, and research.

724.8.6 : Literature Review and Analysis

The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.

724.8.7 : Ethics and Research

The graduate demonstrates understanding of the ethics of nursing research, particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences.

724.8.8 : Patient Outcomes

The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory.

724.8.9 : Data Collection, Analysis, and Dissemination

The graduate describes the process of data collection, analysis, and implementation of evidence that can improve clinical practice from an interprofessional perspective.


In this task, you will identify a healthcare problem and develop a PICO question that can be answered using evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice.


Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Write a summary of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem that can be used to develop a PICO question.

Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.


2.  Explain the significance of the problem from part A1.

3.  Describe the current healthcare practices related to the problem from part A1.

4.  Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences).

B.  Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:

1.  Discuss two research evidence sources and two nonresearch evidence sources that you considered.

Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old.

C.  Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.

D.  Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points:

Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.

Note: Upload a copy of the full text of the articles with your submission.

•  author, journal name, and year of publication

•  research design (e.g., quantitative, qualitative, mixed design, systematic review)

•  sample size (e.g., numbers of study participants, number of articles, number of control group participants)

•  outcome variables measured (e.g., identify what the research is measuring)

•  quality (using the following scale: A, B, C) 

•  results/author’s conclusions (e.g., briefly summarize the outcome)

E.  Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.

F.  Describe a process for implementing the practice change from part E in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.

2.  Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers described in part F2.

4.  Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.


G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

H.  Demonstrate professional communication in the content and presentation of your submission.


Evidence Based Practice and Applied Nursing Research

Healthcare problem

When a patient does not engage in active monitoring of diabetes related health issues many crises can result.  Self-management of blood glucose levels and medication self- administration should be the number one priority of a diabetic patient.  Maintaining this self-observation can prevent a health crisis.  Of concern is the importance medical professionals stress to diabetics relative to self-care, both acutely and continuously.  Perhaps with training and persistence medical professionals will regard this as critically important to reduce the number of hospitalizations and diabetic complications in general.

Significance of the problem

Chronic diabetes mellitus in the United States is on the rise and its frequency is associated with mortality rates and diabetic-related health crises increasing (Wong, et al., 2015).  Emergency department visits and inpatient hospital stays related to diabetes are expected to reach 138 billion dollars annually in the United States (Wong, et al., 2015).  Not considering for a moment the impact of these health crises on the diabetic, the financial burden alone on the national health care system appears unsustainable. Despite efforts to build programs to address diabetes education, attendance by diabetic patients is disturbingly low (Schwennesen, et al., 2015).  The idea that the diabetic patient seems disconnected from the importance of self-management is, not only risky for the diabetic, but not understood by health care professionals (Scwennesen, et al., 2015).

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