Picot question: Does implementing a clinical practice protocol by nurse practiti

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Jul 26, 2022


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Picot question: Does implementing a
clinical practice protocol by nurse practitioners using education for managing
hypertension in adult (18-65) Hispanic patients could decrease cardiovascular
risk and systolic high blood pressure over twelve months in primary care
The interventions in those patients will include
weight loss, diet (DASH and Mediterranean), blood pressure check at home, exercise,
avoid alcohol and cigarette, provide education in Spanish, low cholesterol and
of 6 months: Decrease systolic BP and BMI, helping decrease cardiovascular
disease (CVD).
Long-term of 12 months: Decrease of
systolic BP achieving normal BMI leading to fewer pharmacological interventions
and less CVD incidence in most of the patients.
Process evaluations:
the patient weight and BMI every three months.
the patient’s BP log to assess a decrease in systolic BP.
patient cholesterol, HgA1c, and triglycerides.
Outcome evaluations
Evaluate every Hispanic patient who
presents to the clinic with hypertension regardless of the hypertension stage
every three months to assess for results.
Evaluate every adult Hispanic
patient 12 months after initiating intervention to assess for results
compared with baseline.
Assignment Prompt
The capstone project is completed and developed as a
scholarly paper. This is a final project designed to apply skills learned in
the program. Students will build on previously completed work in the required
sections. Include a clear, problem statement. Establish synthesis of literature
and evidence-based practice in all content sections. Apply concepts of cultural
competency and cultural literacy within the background section and Purpose or
Aims of the Study section. Integrate thorough discussion of effective
collaboration of the advanced nursing role through leadership, collaboration
and improving outcomes in the proposed interventions section. Apply ethical
reasoning and integrate advocacy and decision making within the
methods/design/sampling section. Throughout the paper, develop critical,
relevant, and consistent connections between evidence and the thesis.
The capstone project includes the
following sections:
1. Title
2. Abstract
3. Background
& Significance
4. Literature
5. Supporting
6. Purpose
or Aims of the Study
7. Theoretical
Model or Framework (Iowa model)
8. Methods/Design/Sampling
9. Proposed
10. Expected
11. Anticipated
12. Possible
13. Potential
Implications to Practice
14. References
15. Poster
16. Appendices
Length: 15 pages (No included Title page,
reference, poster, and appendices).
Format: APA 7th ed.
Research: Minimum of five scholarly
references from within the last five years
Abstract: Provides
a professional, scholarly synopsis of the capstone project
States the purpose of the capstone clearly and
Provides a brief rationale for the capstone project.
Describes the design and methodology of the main
activities of the project
Describes the expected results or the outcomes of the
Provides a summary statement that shows the possible
implication of the capstone project to student’s clinical practice setting or
Utilizes 250-300 words maximum


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