evidence-based practice project that includes the development of a PICO question Discharge Teaching_ My PICO(T) question:  In Congestive Heart patients

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evidence-based practice project that includes the development of a PICO question Discharge Teaching_

My PICO(T) question: 

In Congestive Heart patients with chronic conditions (P), will 

detailed discharge teaching combined with telehealth/home health follow-up visits decrease (I) versus not receiving discharge teaching or follow-care (C) provide 

better patient outcomes and prevent readmissions (O) over a period of three months (T)? Page 1 of 7

Submit by the due date and time listed in your syllabus.

Overview
This assignment will allow you to create an evidence-based practice project that includes the
development of a PICO question and follows the initial steps of the Iowa Model. You will share
your findings using an APA formatted paper.

Submitting your assignment
• Save this document to your desktop as a Word document.

Grading Rubric
Use this rubric to guide your work the assignment. Points are awarded for each section based
on content and clarity of expression.

Paragraph

Accomplished

(Maximum points
awarded)

Proficient

(Points awarded based on
content)

Needs Improvement

(Minimum points
awarded)

Initial PICO
question
completed /
nursing research
article selected.

Research article is a
quantitative article, nursing
focused, and is 5 years or
less from current
publication date.

Article must be uploaded
in pdf format

Please note: if you forget
to upload your nursing
quantitative research
article, a 5 point penalty
will be applied to your
paper

5 to > 3 points

Research article is a quanti-
tative article that is nursing
focused but is greater than
5 years old.

3 – >2 points

Research article is not
nursing focused or is a
qualitative article, sys-
tematic review, meta-
synthesis, meta-analysis,
meta-summary, integra-
tive review, clinical infor-
mation article or “how-to”
article.

No article uploaded.

2 to >0 points

Opening
Paragraph

(Paragraph #1)

Introduction statement(s)
present.

PICO question with all el-
ements present.

Statement of importance
with two facts such as
costs, morbidity, mortality,
safety. Include related
statistics with citation and
is 5 years or less from
current publication date.
Facts must be from a
source besides the primary

No introduction
statement(s).

PICO statement is
incomplete.

Statement of importance
incomplete or missing.

Citation is incomplete or
missing.

Facts are from the primary
article, the guideline, or the
fourth resource.

No introduction
statement(s).

PICO statement grossly
incomplete or missing.

Statement of importance
missing.

No citation

Page 2 of 7

Paragraph

Accomplished

(Maximum points
awarded)

Proficient

(Points awarded based on
content)

Needs Improvement

(Minimum points
awarded)

research article, the
guideline, or the fourth
resource

10 – >8 points

9 – >3 points

3 – >0 points

General format.
Paper is five to seven
double spaced pages (not
including cover page or
references). Paper
includes the following
headings: Summary of
Research Article, Major
Variables, Strengths and
Weaknesses, Practice
Guideline, Fourth
Resource, Conclusion

5 points

Paper more than six pages,
headings missing, or incor-
rect headings.

4 – 1 points

Paper greater than six
pages and headings miss-
ing or incorrect.

0 points

Summary
paragraph for
your nursing
quantitative
research article.

(Paragraph #2)

Correctly identified design,
sampling method, and
setting of study.

Identified major findings of
study.

Major findings include
information from the
Results and / or
Discussion sections.

Major findings clearly tied
to PICO question.

Facts connected to your

nursing practice.

15 points

Design, sampling method,
or setting incorrect.

Identified findings are not
the most important findings.

Only one finding includes
results or discussion sec-
tions.

Major findings not clearly
tied to PICO question.

Facts not clearly connected

to your nursing practice.

14 – >3 points

Design, sampling method,
and setting not identified.

No major findings clearly
identified from the article.

No findings from the
results or discussion
sections

No attempt to connect the
major findings from the
article back to the PICO
question.

No attempt to connect the
major findings from the
article back to your

nursing practice.

3 – >0 points

Major research
variables.

(Paragraph #3)

All major research
variables included.

Conceptual definition for
each variable mentioned
or its absence noted.

Operational definition for
each variable mentioned.

Correct level of
measurement given for

Some major variables
missing or variables
included that are not
actually major research
variables.

Incorrect or missing
conceptual or operational
definitions.

Incorrect or missing levels
of measurement.

Paragraph missing.

Page 3 of 7

Paragraph

Accomplished

(Maximum points
awarded)

Proficient

(Points awarded based on
content)

Needs Improvement

(Minimum points
awarded)

each variable.

10 points

9 – >1 points

0 points

Two additional
strengths or
weaknesses from
your nursing
quantitative
research article.

(Paragraph #4)

Two strengths or two
weaknesses or one
strength and one
weakness are specifically
identified from your
nursing quantitative
research article.

The student choices for
strengths / weaknesses
must focus on the methods
used by the authors for
sampling, measurement
methods used (ex. a
questionnaire), or how the
data was collected (data
collection) with examples
from the student’s
research article.

10 – >8 points

Only one strength / or
weakness explained well
with second strength /
weakness only identified.

Strengths / weaknesses not
based on sample,
measurement methods, or
data collection.

8 – >3 points

Strength / weaknesses
identified are not based
on these three critique
skills.

No strengths /
weaknesses identified.

3 – >0 points

Clinical practice
guideline
summary.

(Paragraph #5)

Name of the clinical prac-
tice guideline and specific
website identified.

Guideline is the most re-
cent version or published
within the past five years.

Three facts clearly identi-
fied that were found within
the guideline and relate to
the practice of a BSN.

Facts clearly tied to PICO
question.

Facts connected to your

nursing practice.

10 – >8 points

Name of the clinical
practice guideline or
website not clearly
identified.

Fewer than three facts
clearly identified that were
found within the guideline or
facts not specifically related
to the practice of the nurse.

Facts vaguely tied to PICO
question. Facts vaguely
connected to your nursing
practice.

8 – >3 points

Name of the clinical
practice guideline and
website not stated.

What is given is not a
clinical practice guideline.

No clearly identified facts
from the guideline.

Facts not tied to PICO
question or nursing
practice.

3 – >0 points

“Fourth
resource”
summary.

(Paragraph #6)

Three facts clearly
identified from the fourth
resource which is 5 years
or less from current
publication date.

Facts clearly tied to PICO

Less than three facts clearly
identified from the fourth
resource.

Facts not clearly tied to PI-

No facts clearly identified
from the fourth resource.

Fourth resource is not an
academic source.

No attempt to connect
facts from the fourth

Page 4 of 7

Paragraph

Accomplished

(Maximum points
awarded)

Proficient

(Points awarded based on
content)

Needs Improvement

(Minimum points
awarded)

question.

Facts connected to your

nursing practice.

10 – >8 points

CO question.

Facts not clearly connected

your nursing practice.

8 – >3 points

resource back to the
PICO question.

No attempt to connect
facts from the fourth
resource back to your
nursing practice.

3 – >0 points

Closing
Paragraph(s)

(Paragraph #7
and #8, if
needed)

PICO question is restated.

A summary of what was
learned (from all sources)
is present.

Recommendations for
practice are offered.

10 – >8 points

Missing one or more of the
following elements:

PICO question.

A summary of what was
learned.

Recommendations for prac-
tice.

8 – >3 points

No PICO question.

Poor or no attempt to
summarize information
from the resources.

No / vague
recommendations for
practice are offered.

3 – >0 points

APA Style and
Formatting

APA formatting for this paper will follow the guidelines for general formatting, in text-
citations, margins, headings (if desired) alignment and line spacing, font type and size,
paragraph indentation, page headers, and the reference page as explained in the 7h
edition of the APA Manual.
Helpful Hints:

• Do not use 1st person in a formal paper.

• Do not use direct quotes, instead summarize and paraphrase what you
are reading. Direct quotes will receive multiple point deductions. These
deductions are separate from the 15 points for APA.

• Please do not forget to use the approved CONHI cover page.

• Check your references format before submitting your paper. A ten-point
deduction will be applied to your paper if the References page is
omitted.

The first time an APA error is discovered, it will be pointed out to you and a point will
be deducted from your paper. Maximum number of points deducted for APA errors:
15 points

Excessive Direct
Quotes

Note! Five points will be deducted for each direct quote in the paper. If
the quotes exceed 10, then fifty points will be deducted.

Page 5 of 7

Instructions for Completing Your Assignment
o Step one: Using the topic you chose, identify a nursing clinical practice question that you would

like to explore.

o Step two: Use the PICO(T) question in the final form approved by your instructor or coach.

o Step three: Search for a nursing quantitative research article (or two) that relates to your PICO

question using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other data-

base that contains nursing research articles. Please note: you can use the article that you sub-

mitted in Module Two to meet this requirement so long as it was approved.

o The article you will find must meet the following mandatory requirements:

▪ It must be based on the approved topic list unless other arrangements were

made with your instructor or coach.

▪ It must be from a nursing research journal or have a nurse as an author.

▪ It must be no more than 5 years old from the current publication year.

▪ It must include implications and / or interventions that are applicable to nursing

practice.

▪ It may not be a qualitative article, systematic review, meta-synthesis, meta-

analysis, meta-summary, integrative review or a retrospective / quality im-

provement study. For more information on how to recognize these types of ar-

ticle see Grove & Gray (2019) pp. 21-23.

▪ It may not be a clinical information article or “how-to” article.

o Step Four: Collecting More Evidence (Do the research)

▪ Find a credible scholarly or government resource published within the past 5 years that

provides you with at least two facts (ex. costs, morbidity, mortality, safety, or other re-

lated statistics) for why your clinical problem is important (provide statistics). (The in-

ternet is a great place to get this information…just don’t forget to cite this information

and add it to your reference page).

▪ Find a clinical practice guideline that relates to your question. It must have information

that relates to the role of the nurse. Guideline is the most recent version or published

within the past five years. (It is true that guidelines are not always updated within 5

years so you will need to discuss this.) There are several websites listed in your textbook

that can help with searching for guidelines. The UTA library also has resources for clini-

cal practice guidelines.

▪ Find a clinical “how-to” article, a nursing professional practice website, a systematic lit-

erature review, a meta-analysis, or some other credible academic resource published

within the past 5 years that relates to your practice question.

▪ Hint: Did you notice that you will be finding a total of four different sources of infor-

mation for your PICO question? To re-cap, these four sources are:

• Statistics you are reporting in paragraph one.

• Nursing quantitative research article for paragraphs 2, 3, and 4

• Clinical Practice Guideline (paragraph 5)

• A source of your choosing (paragraph 6)

Page 6 of 7

o Step Five: Write up your findings in APA format and submit them to assignment portal by the

due date and time listed in your syllabus. Here’s how to write up your findings:

▪ Start with a 7th edition APA cover page. An example is provided by the instructor.

▪ Paragraph #1: This is your opening paragraph. Start with an introduction statement.

What is your PICO question? Describe why was it important (share the dollars, morbidity

/ mortality, statistics, safety stats you found with citation)?

▪ Paragraph #2: What did your nursing quantitative research article add to your

knowledge on this topic? State the design (descriptive, correlational, predictive correla-

tional, experimental, or quasi-experimental), sampling method, and setting of the study

(this should only take one sentence: e.g. “Smith and Johnson conducted a predictive

correlational study using a convenience sample from a psychiatric outpatient clinic.”).

State the major findings of the study (maximum 3 findings). The findings you share

should come from the results or discussion settings and should be relevant to your PICO

question and your practice as a nurse.

▪ Paragraph #3. Mention the major research variables in your article. Do not include de-

mographic variables unless they are important to the results of the study. For each ma-

jor variable, give a conceptual and operational definition (if the authors did not give a

conceptual definition you can say “not given”). Give the level of measurement for each

variable (nominal, ordinal, interval, or ratio).

▪ Paragraph #4: Using the skills you have learned in your critique of a research article, de-

scribe two strengths or two weaknesses (or one strength and one weakness) that you

found as you read this article. Go back to what you learned in your article critique about

sampling methods, measurement methods (ex. questionnaires), and data collection (how

did they collect the data to make sure you are being thorough in your assessment. Be

specific, so that your instructor, if reading the article, can find them too. Do not re-state

the limitations provided by the authors of your study unless they have to do with the

study’s sampling, measurement methods, or data collection. Do not discuss the re-

search design or the descriptive or inferential statistics used by the authors as a strength

or weakness of the study, as this is not related to with the study’s sampling, measure-

ment methods, or data collection.

▪ Paragraph #5: What is the name and website of the clinical practice guideline that you

found? Share at least three facts that you found within the guideline that is relevant to

the PICO question and your practice as a BSN nurse and cite the guideline appropriately.

▪ Paragraph #6: Identify the fourth resource you found (clinical “how-to” article, a nursing

professional practice website, a systematic literature review, or a meta-analysis) that re-

lates to your practice question. Share at least three facts that you found within this

source that is relevant to the PICO question and your practice as a nurse, and cite ap-

propriately.

▪ Paragraph #7 (and #8 if needed): re-state your PICO question and briefly summarize

what you have learned through your search. What would you recommend, if anything,

as a change in practice for nurses? Why? Remember, this is your closing paragraph(s).

▪ Note to students about writing up your findings:

Page 7 of 7

o This is a formal APA paper. Look at the Rubric for more APA information for this pa-

per.

o Your paper must be no more than seven pages (double spaced), not including the

cover page and references. Use the following headings for paragraphs 2 through 7:

Summary of Research Article, Major Variables, Strengths and Weaknesses, Practice

Guideline, Fourth Resource, Conclusion

o Turn your paper (as a word document) and article (in pdf format) that you used for

paragraphs 2, 3, and 4 in to the assignment submission link in Module Four at the

due date and time listed in your syllabus.

o Possible points for this assignment: 100 points

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