Advanced practice nursing

DNP graduates are prepared to assume leadership roles in healthcare, identify clinical practice problems, translate evidence into
practice, and implement and evaluate evidence-based solutions to positively impact patient and population outcomes.
The student will write a scholarly paper that identifies a clinical problem and clinical site to address the problem. The paper will
define evidence-based practice (EBP) and the problem/population, intervention, comparison, and outcomes (PICO) framework for
addressing clinical practice problems, identify a clinical practice problem and provide a one sentence problem statement, describe the
problem’s significance, and ask a clinical question in PICO format that can guide inquiry for EBP solution(s).
*Please note: If entering NSG 7431 Project I: Mentored Scholarship next semester, the identified clinical practice problem for this
assignment should be about the practice problem to be addressed by the Doctor of Nursing Practice (DNP) project.
*If not entering NSG 7431 next semester, identify and discuss any clinical practice problem that should be addressed by an EBP
intervention for this assignment.

Assignment Criteria:
Students will develop a scholarly paper that addresses the following criteria:
1. Define evidence-based practice (EBP).
2. Explain the PICO Framework.
3. Identify a clinical practice problem.
4. Discuss the significance of the clinical practice problem (Background).
5. Write a one sentence problem statement.
6. Use the PICO Framework to construct a one sentence clinical question to drive inquiry for EBP solution(s).
7. Discuss a potential EBP solution that can be applied in the clinical practice setting as a DNP project.

8.The scholarly paper should be in narrative format, 4 to 5 pages in length, excluding the title and reference pages.

9. Include an introductory paragraph, purpose statement, and a conclusion.
10. Include level 1 and 2 headings to organize the paper.
11. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’), and in a scholarly manner. To clarify: I,
we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
12. Include 4-5 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical
Directory) that are less than five years old.
13. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).


The following is a DNP clinical problem proposed in PICOT format. In Hispanics/Latinos (the patient population), how does adequate screening (experimental intervention) compared with inadequate screening (comparison intervention) affect mortality (the outcome)?

Requirements: narrative format, 4 to 6 pages in length, excluding the title and reference page

provide an outline with this paper as well. I will send a list of textbooks used for this class aswell as it is mentioned in the criteria above.


This is my problem/PICOT question:

The following is a DNP clinical problem proposed in PICOT format. In Hispanics/Latinos (the patient population), how does adequate cancer screening (experimental intervention) compared with inadequate cancer screening (comparison intervention) affect mortality (the outcome)?

American Psychological Association. (2020). Publication manual of the American Psychological

Association (7th ed.). ISBN: 978143383216-1

Astalos-Chism, L. A. (2019). The doctor of nursing practice: A guidebook for role development

and professional issues (4th ed.). Jones & Bartlett. ISBN-13: 978-1284066258.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing &

healthcare: A guide to best practice (4th ed.). Wolters-Kluwer’s Health. ISBN: 9781496384539.

Zaccagnini, M., & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new

model for advanced practice nursing (4th ed.). Jones & Bartlett. ISBN-13:978- 1284167078.

McEwen, M., & Wills, E. (2019). Theoretical basis for nursing (5th ed.). Lippincott, Williams &

Wilkins. ISBN-13:978-1496351203 ISBN-10: 9781496351203.

Plichta, S. B., & Kelvin, E. (2012). Munro’s statistical methods for health care research (6th ed.).

Lippincott Williams & Wilkins. ISBN/ISSN: 9781451115611

Answer preview

Moreover, there are significant variations in risks in cancer mortality rates by sub-ethnicity. For instance, the Cuban has the highest mortality risks from stomach and liver cancers, while the Mexican has the lowest risks (Pinheiro et al., 2017). Similarly, there are sub-ethnic variations in ovarian cancer mortality, with the Puerto Ricans at the highest risks (Chen et al., 2018). Ovarian cancer-specific death risks are lowest among the Mexicans and the other Latino groups. However, the Ovarian Cancer mortality rates between the Cuban and the Puerto Ricans are not significantly different.

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Advanced practice nursing