Assessment Description
Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question 
Revise the PICOT question you wrote in the Topic 1 assignment (TOPIC 1 SUBMISSION ATTACHED) using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques
In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper. Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change.
Research Critiques and PICOT Question Guidelines –
Final Draft
Use this document to organize the content from your four studies into your final draft. Successful
completion of this assignment requires that you tie together Part I and Part II and provide
revisions based on your instructor’s feedback, as well as describing the outcomes and proposed
evidence-based practice change.
Qualitative and Quantitative Studies
Introduction
1. Introduce your nursing practice problem and discuss the purpose of your paper.
2. State your updated PICOT question incorporating any feedback that you received from
your instructor.
Background of Studies
1. Summary of studies including problem, significance to nursing, purpose, objective, and
research questions.
How Do These Four Articles Support the Nursing Practice Problem You Chose?
1. Discuss how the four articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those
identified in your PICOT question.
Method of Studies:
1. State the methods of the four articles you are comparing and describe how they are
different.
2. State one benefit and one limitation of each method you have identified.
Results of Studies:
1. Summarize the key findings of each of the studies into a comprehensive summary.
2. What are the implications of the four studies you chose in nursing practice?
Ethical Considerations
1. Discuss two ethical considerations in conducting research.
2. Describe how the researchers in the four articles you choose took these ethical
considerations into account while performing their research.
Outcomes Comparison
1. What are the anticipated outcomes for your PICOT question?
2. How do the outcomes of the four articles you chose compare to your anticipated
outcomes?
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Proposed Evidence-Based Practice Change
1. What is the link between the PICOT question, the research articles, and the nursing
practice problem you identified?
2. Based on this information, propose an evidence-based practice change for your identified
setting.
Conclusion
1. Your conclusion should summarize the main points in the essay, including a varied
restatement of the thesis.
2
in eight (8) months of recovery (T).
2
and managed diet (I), compared to medication dependent patients (C), stand a chance of reducing the risk of suffering heart diseases(O)
For adults above the age of 40 years suffering from hypertension and with other recurring medical conditions (P), will regular exercise
PICOT QUESTION
the management guidelines of hypertension.
cardiac disease, or chronic hypertension. There is need for further medical research to define a specific treatment approach to replace
clinical management of hypertension, it should be applied under certain circumstances, especially those that pose a greater risk like
Regular exercise and a balanced diet have been found to be on the center stage in the lifestyle management of hypertension. For
management of the disease on a daily basis for one to lead a normal or close to normal life.
as per previous medical research results and statistics. Hypertension has also been termed as a lifestyle disease since it calls for
Meletus, kidney failure, etc. There is higher risk for adults above the age of 40, especially males to suffer from this type of hypertension
hypertension is caused by known or unknown underlying factors. Examples of such factors include but are not limited to diabetes
hypertension is a common type among adults. Primary hypertension is caused by unidentifiable factors. On the other hand, secondary
Hypertension can be classified as primary or secondary. The classification depends on the cause leading to the disease. Primary
on hypertension management
which is the nursing problem in
the clinical area.
the PICOT
Question?
review. The Journal of
College Journal, 18(1), 49-51.
Article Relate to
management: a systematic
O-Shishu Hospital Medical
Article describes a clinical audit
service for hypertension
Hypertension. Chattagram Maa-
How Does the
(2017). Use of short messaging
Management of
with Permalink
Marrow Transplant
Hematology/Oncology/Blood and
Management for
Aromatherapy as Symptom
Ebert, C., & Gatton, C. (2017).
Lochmann, K. A., Grossman, A.,
Article 3
3
hypertension.
Services (SMS) to manage
The use of Short Messaging
Patients.
Pediatric Hematopoietic Stem Cell
hypertension management among
Article analyzes the challenges of
S477.
Marrow Transplantation, 23(3),
cardiovascular nursing, 32(3), 260. Patients. Biology of Blood and
Whitehouse, E., & Han, H. R.
F. (2019). A Clinical Audit on
Article Citation
Vargas, G., Cajita, M. I.,
Article 2
Haque, A. F., Uddin, F., & Hamid,
Article 1
APA-Formatted
Criteria
collection of numerical data from
do you know?)
Research Question
Purpose Statement
Reason: The analysis involves a
Qualitative (How
Messaging Services in
hypertension management.
hypertension management
practices by patients, physicians,
Services between the patient and
physician to communicate affects
the management of hypertension?
hypertension management
practices in both developed and
developing countries.
4
How the use of Short Messaging
The impact and deficiency of
and cardiologists in the clinic.
To identify the impact of Short
literature review of published data.
Reason: The study depends on
Qualitative:
To identify the lack of
the clinic.
Quantitative:
Quantitative /
Hematopoietic Stem Cell Patients.
hypertension among
How to sustainably manage
face in hypertension management.
Hematopoietic Stem Cell Patients
To evaluate the challenges that
on statistical figures.
Reason: The analysis is dependent
Quantitative:
management history of patients.
5
search and meta-analysis.
interviews. Recordings of family,
medical and hypertension
Independent systematic literature
in the medical field.
54.9±9.9years
Data collection through
Six studies from published articles
80 patients with average age of
Sample
Method
Scopus, and PsycINFO
CINAHL, Embase, Cochrane,
Data collected from PubMed,
study take place?)
Hospital, Bangladesh
impacts the management of
countries.
(Where did the
between the patient and physician
developing and developed
Clinic within Chatt Maa Shi
Services for direct communication
deficiency is low in both
hypertension positively.
The use of Short Messaging
Hypertension management
Setting
Outcome
Hypertension algorithm analysis.
at the Medical center
Hematopoietic Stem Cell Patients
Medical Center, USA
is challenging.
Hematopoietic Stem Cell Patients
hypertension among
Sustainable management of
6
Article 3-https://www.bbmt.org/action/showPdf?pii=S1083-8791%2816%2931119-3
Article 2-https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5085898/
Article 1-https://www.banglajol.info/index.php/CMOSHMCJ/article/view/42136
Links
hypertension management.
hematopoietic stem cell.
challenges in patients with
play a significant role in reducing
Double management and advanced
20% level.
over the phone with the physician.
diabetes melitus.
condition.
technology of hypertension can
patient is reachable and interact
hypertension prior to diagnosis of
challenges that come with the
deficiency is low with a significant create great innovation for
SMS is only effective where the
to 44 patients. Most patients had
stem cell patients due to the
hypertension among hematopoietic
of the Researcher
The communication method of
treatment methods were necessary
SMS can be highly effective to
in management of hypertension.
hypertension well. Combined
for sustainable management of
Hypertension management
Services for communication helped
studied patients managed their
Study
Advanced technology is required
Recommendations
The use of Short Messaging
Key Findings of the 78.4%, i.e. 80 patients of the
Dowden, J. S., Golledge, J., … &
Schlaich, M. (2016). Guideline
for the diagnosis and
management of hypertension in
adults
of Australia, 205(2), 85-89.
J., & Redon, P. (2019). The
impact on office blood pressure
categories and ambulatory blood
pressure discrepancies of the
European Society of
Hypertension and the American
Permalink
hypertension, 23(1), 10.
Hypertension in Children and
hypertension.
7
survey. Clinical
Guidelines for Management of
Adolescents. Journal of
Italian hypertension and brain
the general practice: results of
related cerebrovascular disease in
hypertension and hypertension-
for the clinical management of
(2017). Attitudes and preferences
A., Borghi, C., & Volpe, M.
M., Musumeci, M. B., Ferrucci,
Tocci, G., Cicero, A. F., Salvetti,
Article 6
Academy of Pediatrics
2016. Medical Journal
Anderson, C. S., Cowley, D.,
Aguilar, F., Mancia, G., Redon,
Article Citation with
Gabb, G. M., Mangoni, A. A.,
Article 5
Lurbe, E., Torró, I., Álvarez, J.,
Article 4
APA-Formatted
Criteria
management.
and America Academy of
the diagnosis and management of
hypertension among adults.
The impacts of guides from ESH
and AAP in the management of
hypertension among adolescents
Purpose Statement
and children.
Identify guidelines to improve
and numerical data analysis.
you know?)
8
of published data.
derived from literature analysis
Reason: The guidelines are
Reason: It entails experiments
Qualitative (How do
Qualitative.
Quantitative
Quantitative,
and ambulatory.
of hypertension based on office
Pediatricians on the classification
hypertension diagnosis and
European Society Hypertension
Question?
guidelines involved in
guidelines provided by the
Relate to the PICOT
The article outlines the
The article centers on the
How Does the Article
cardiac disease.
management of hypertension and
patients towards clinical
The preference and attitude of
depend s on an Italian Survey.
Reason: The research study
Qualitative.
other cardiovascular diseases.
attitudes of hypertension and
management preferences and
The article focuses on clinical
have a positive attitude towards
it.
dependent on a set of medical
guidelines.
positively.
ranges should engage in antihypertensive therapy.
the ambulatory classified
hypertension.
hypertensive adults from
Australia
and a subgroup of 2467
participants, 3941 office BP
9
Statistical data of 6 million
2957 youths aged between 5-18
Sample
assessment.
of Australia
The National Heart Foundation
diseases and patients within these hypertension is the preferred
guidelines but was negative for
AAP and ESH recognized clinic.
caused risk of cardiovascular
the use of AAP and ESH
591 Italian physicians
Italian medical center
physicians.
method used by most Italian
for the management of
frequently associated with CVD
around 160/100mmHg or above
hypertension improved through
Left ventricular hypertrophy
Persistent blood pressure ranging
Normal management of
management of hypertension and
hypertension among adults is
the management of hypertension
Most people prefer clinical
Diagnosis and management of
AAP and ESH guidelines impact
study take place?)
Setting (Where did the
Outcome
Research Question
patients is largely reduced if anti- because according to the survey
hypertensive therapy is taken at
an early stage.
the classification for
hypertension management of
among both children and
hypertensive therapy.
on groups classified on office
10
Article 6- https://clinicalhypertension.biomedcentral.com/articles/10.1186/s40885-017-0066-0
Article 5- https://www.mja.com.au/system/files/issues/10.5694mja16.00526.pdf
Article 4- https://insights.ovid.com/crossref?an=00004872-201912000-00014
Links
should consider anti-
management procedures based
and ambulatory basis.
pressure above 140/100mmHg
guidelines can affect the
the Researcher
Patients with recurrent blood
Application of AAP and ESH
Recommendations of
adolescents.
diseases among hypertensive
guidelines creates differences in
effective among Italian patients.
management which are more
Physicians prefer to use clinical
frequently associated with CVD.
ventricular hypertrophy to be
Italian physicians consider left
by most Italian physicians
Clinical management is preferred
Study
The risk of cardiovascular
The application of the two
Questionnaire for a survey
Key Findings of the
Literature review
Practical clinical evaluations
Method

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