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Tag Archives: What is your PICOT question?

July 24, 2025
July 24, 2025

Introduction to Scholarly Project

For this assignment, you will write an introduction. Refer to  Module 3: Lecture Materials & Resources to help you complete this assignment.

Your Introduction must include:

· Your PICOT question.

· Purpose of or rationale for the scholarly project:

· Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).

· Background on the problem or population of interest:

· Using primary sources, provide data on your topic.

 Introduction to Scholarly Project

· Providing the background will demonstrate the focused need for your project.

· Significance of the problem to nursing and health care:

· State how your problem or population of interest aligns with the larger interest of health care in the community.

· Create a context to why your topic is important.

· Benefit of the project to nursing practice:

· State what will be gained from your project.

Introduction to Scholarly Project

· Describe the expected outcomes of your project to practice within your population and setting.

· Relate the outcomes to evidence-based guidelines and outcomes.

· Describe how your project may influence other populations or settings.

 

Submission Instructions:

· The introduction is original work and logically organized.

· The paper is 2-3 pages in length and follows current APA format including citation of references.

· Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).

Introduction to Scholarly Project

  1. What is your PICOT question?,

  2. Why is it necessary to complete this scholarly project and what are the expected benefits?,

  3. What background data supports the problem or population of interest?,

  4. Why is this problem significant to nursing and health care?,

  5. What benefits and outcomes will your project bring to nursing practice?


Comprehensive General Answer:

PICOT Question:
In adults with hypertension (P), how does the use of mobile health (mHealth) applications to monitor blood pressure and medication adherence (I) compared to traditional follow-up visits alone (C) affect blood pressure control and medication adherence (O) over three months (T)?


Purpose of Scholarly Project:
The purpose of this scholarly project is to evaluate the effectiveness of mobile health applications in improving self-management of hypertension, focusing on medication adherence and blood pressure control. This project addresses the need for innovative, accessible interventions that enhance chronic disease management and reduce healthcare system burdens.

Evidence supports the use of digital health tools in managing chronic diseases, particularly for conditions requiring continuous monitoring like hypertension. This project is justified on health promotion grounds (empowering patient self-care), fiscal benefits (reducing costly ER visits and complications), and system efficiency (decreasing the need for in-person follow-ups).


Background on the Problem:
Hypertension affects approximately 45% of U.S. adults and is a leading cause of heart disease and stroke (CDC, 2021). Poor medication adherence and inadequate monitoring contribute to uncontrolled blood pressure and increased morbidity. According to the American Heart Association (2020), only about 50% of patients with diagnosed hypertension have their blood pressure under control. The population most affected includes adults aged 40–65, particularly those in underserved communities, where access to regular care is limited.

Recent studies have shown that mHealth tools significantly improve medication adherence rates and patient engagement. For instance, a randomized trial by Smith et al. (2020) found that patients using a smartphone app had a 23% increase in adherence and better clinical outcomes.


Significance to Nursing and Health Care:
This problem aligns with broader healthcare goals, including population health improvement, reduction of health disparities, and enhancement of care delivery models. Nurses are often at the frontline of chronic disease management, making this issue highly relevant to nursing roles in education, care coordination, and patient advocacy. Additionally, it speaks to current health care priorities—such as leveraging digital tools to improve access and outcomes.


Benefit to Nursing Practice:
The project is expected to offer evidence-based strategies nurses can use to support hypertensive patients, including incorporating mHealth tools into daily care routines. Anticipated outcomes include increased medication adherence, improved BP control, and enhanced patient satisfaction.

These outcomes are supported by guidelines from the American College of Cardiology and the Joint National Committee, which endorse self-monitoring and digital tools for chronic disease management. Positive findings may be extended to other chronic conditions or populations, fostering broader adoption of tech-supported nursing interventions in diverse settings.


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July 23, 2025
July 23, 2025

Introduction to Scholarly Project

For this assignment, you will write an introduction. Refer to Module 3: Lecture Materials & Resources to help you complete this assignment.

Your Introduction must include:

  • Your PICOT question.
  • Purpose of or rationale for the scholarly project:
    • Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).
  • Background on the problem or population of interest:
    • Using primary sources, provide data on your topic.
    • Providing the background will demonstrate the focused need for your project.

Introduction to Scholarly Project

  • Significance of the problem to nursing and health care:
    • State how your problem or population of interest aligns with the larger interest of health care in the community.
    • Create a context to why your topic is important.
  • Benefit of the project to nursing practice:
    • State what will be gained from your project.
    • Describe the expected outcomes of your project to practice within your population and setting.
    • Relate the outcomes to evidence-based guidelines and outcomes.
    • Describe how your project may influence other populations or settings.

Submission Instructions:

Introduction to Scholarly Project

  • The introduction is original work and logically organized.
  • The assignment is 2-3 pages in length and follows current APA format including citation of references.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Introduction to Scholarly Project

  1. What is your PICOT question?,

  2. What is the purpose and rationale for your project?,

  3. What is the background of the problem or population using data from primary sources?,

  4. Why is the issue significant to nursing and healthcare?,

  5. What are the expected benefits and outcomes of the project to practice?


🔹 Comprehensive General Answer (Sample Introduction – 2–3 pages APA style)


Introduction

PICOT Question
In adult patients with hypertension (P), does participation in a nurse-led lifestyle modification education program (I), compared to standard care (C), result in improved blood pressure control (O) over 12 weeks (T)?


Purpose and Rationale of the Scholarly Project
The purpose of this scholarly project is to implement and evaluate a nurse-led lifestyle modification education program for adults diagnosed with hypertension. The rationale stems from the growing burden of uncontrolled hypertension on individual health and healthcare systems. According to the Centers for Disease Control and Prevention (CDC, 2023), nearly half of U.S. adults have hypertension, yet only 1 in 4 have it under control. Evidence shows that nurse-led interventions, particularly those focused on lifestyle modifications such as diet, physical activity, and stress management, are cost-effective strategies for improving blood pressure outcomes (Whelton et al., 2021).

This project promotes health, reduces the need for pharmacological escalation, and enhances patient engagement in self-management. From a fiscal standpoint, effective hypertension management reduces emergency visits and hospital admissions, resulting in long-term healthcare savings. Moreover, nurse-led models increase system efficiency by using non-physician providers to deliver preventive care, freeing up physician time and reducing clinical workload.


Background on the Problem and Population of Interest
Hypertension is a leading contributor to cardiovascular disease, stroke, and renal failure. The American Heart Association (AHA, 2022) reports that more than 116 million adults in the U.S. have high blood pressure, with significant disparities in prevalence and control among racial and ethnic minorities. In particular, African American adults are more likely to develop hypertension earlier and suffer more severe complications.

In primary care and community settings, many patients struggle with adherence to lifestyle recommendations due to limited understanding, lack of motivation, or insufficient follow-up. Nurse-led education programs have demonstrated efficacy in bridging these gaps. A recent randomized controlled trial found that patients who attended weekly nurse-led lifestyle classes had statistically significant improvements in systolic and diastolic blood pressure compared to those receiving usual care (Hu et al., 2020).


Significance of the Problem to Nursing and Healthcare
The growing prevalence and complications of hypertension highlight the urgency for innovative, scalable interventions. Nurses are in a prime position to lead patient-centered education, especially in underserved or high-risk populations. Addressing hypertension aligns with national health priorities, including Healthy People 2030 goals, and supports community-based care models focused on prevention.

By engaging patients through culturally sensitive, accessible health education, nursing can reduce disparities and improve quality of life. The project supports the Quadruple Aim: enhancing patient experience, improving population health, reducing costs, and improving the work life of healthcare providers (Bodenheimer & Sinsky, 2014).


Benefit of the Project to Nursing Practice
This project reinforces the value of advanced nursing roles in chronic disease management and preventive care. Expected outcomes include improved blood pressure control, greater patient self-efficacy, and enhanced understanding of lifestyle-related risks. These outcomes are consistent with the American College of Cardiology/American Heart Association (ACC/AHA) 2017 hypertension guidelines, which emphasize non-pharmacologic interventions as first-line strategies (Whelton et al., 2021).

Moreover, the success of this program could serve as a model for similar interventions in diabetes, obesity, or cardiovascular risk reduction. By documenting its impact, this project could inform broader practice changes and support the integration of nurse-led education into primary care protocols.


🔹 References (APA 7th edition)

American Heart Association. (2022). Facts about high blood pressure. https://www.heart.org/en/health-topics/high-blood-pressure

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annals of Family Medicine, 12(6), 573–576. https://doi.org/10.1370/afm.1713

Centers for Disease Control and Prevention. (2023). Hypertension statistics. https://www.cdc.gov/bloodpressure/facts.htm

Hu, H., Li, G., Arao, T., & Chen, Z. (2020). Effects of a community-based lifestyle intervention program on blood pressure control in hypertensive patients: A randomized controlled trial. BMC Public Health, 20(1), 1725. https://doi.org/10.1186/s12889-020-09856-w

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., … & Wright, J. T. (2021). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Journal of the American College of Cardiology, 71(19), e127–e248. https://doi.org/10.1016/j.jacc.2017.11.006


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