Evidence-based project proposal

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Evidence-Based Project Proposal

Assignment Prompt

This formal paper will include and expand upon work completed thus far in prior assignments.

Essential Components of the Final Project Proposal have to include:   

1. Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.

2. Overview of the Problem – Discuss the problem, why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.

3. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.

4. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.

5. PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.

6. Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.

7. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.

8. Develop an EBP Standard – Describe two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.

9. Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.



· Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)

· Format: Formal scholarly paper in APA 7th ed format

· Reference Citations: A minimum of five, recent (past five years)



Approved Clinical Questions For PICOT Development List


Implementing a clinical practice protocol/guideline for the management of hypertension] in [he homeless or population

Week 3: Assignment – Part 1: Introduction and Problem Statement


When a person’s blood pressure rises over the normal range, they are said to be suffering from hypertension. A person’s lifestyle and other living conditions might affect the severity and prevalence of the illness. Given their living circumstances, the homeless are more likely to suffer from hypertension (Bernstein et al., 2018). To deal with this group of people, efficient clinical practices are required. A clinical practice guideline is also critical to treating homelessness because of the increasing number of homeless people and the link between their condition and their living situations. For developing a clinical practice regimen for controlling hypertension among the homeless, training is the most crucial stage. To effectively handle the issue of homelessness among the homeless, professionals must understand the specific circumstances and challenges faced by these people. For homeless hypertensive patients, the diagnosis is the second most critical step in the treatment process. This patient group’s specific characteristics should be considered in the diagnosis. Because of this, it is necessary to study and use strategies specific to the homeless to treat the condition effectively. Patients with hypertension who are homeless might benefit from using clinical practice standards or recommendations. So, it assists in understanding and resolving issues from people’s points of view. As a result, homeless people are at a greater risk of exposure and severity to the condition (Kinchen & Wright, 2021). Consequently, these recommendations may prevent diagnostic mistakes and improve the care of these individuals.

Problem Statement

The use of clinical practice standards or protocols is critical in the management of diabetes. Even though symptoms are similar, homeless people are more likely to get infected and more likely to have a severe illness as a result. Clinical protocols for controlling hypertension among the homeless are currently lacking in research. As a result, the findings of this research will shed light on a variety of potential solutions to the problem moving ahead.


Bernstein, R. S., Meurer, L. N., Plumb, E. J., & Jackson, J. L. (2018). Diabetes and hypertension prevalence in homeless adults in the United States: a systematic review and meta-analysis. American Journal of Public Health, 105(2), e46-e60,


Kinchen, K., & Wright, J. D. (2021). Hypertension management in health care for the homeless clinics: results from a survey. American Journal of Public Health81(9), 1163–1165. https://doi.org/10.2105/ajph.81.9.1163


Week 5: Assignment – Part 2: Project Purpose Statement, Background & Significance

Project Purpose Statement

Having high blood pressure is a disorder that affects many people worldwide. Clinical strategies or recommendations for addressing this disease should be implemented. Homeless people have greater exposure and illness severity risks than those who aren’t. Clinical protocols for controlling high blood pressure among the homeless are lacking in the current study. Consequently, the findings of this research will provide light on the many approaches that may be used to solve the problem for the targeted demographic.

Background And Significance

There is a need for special instructions on treating hypertension in homeless persons because of the many obstacles they experience. Since the circumstances of homelessness place a great deal of strain on medical professionals, a well-defined clinical procedure is required in order to accurately diagnose and treat the condition (Baggett et al., 2018). In order to deal with this group of people, efficient clinical practices are required. Consequently, it is necessary to study and use therapies specific to this set of people’s lifestyles and living situations in order to treat the illness effectively.

Innovation in this proposed initiative is that it would allow homeless persons who are hypertensive and face particular problems in society to get a more thorough diagnostic that takes time and takes into account their unique cases (Association, 2020). All people with this illness, for example, must rest before having their blood pressure tested. This study is being launched to improve the diagnosis and treatment of homeless individuals with hypertension. Because the diagnosis will be right, the subsequent actions will likewise be proper and address the patient’s specific issues (Baggett et al., 2018).

PICOT Question

“In Homeless People (Population), how effective are clinical practice protocols (Intervention) compared to using general protocols (Comparison) for the management of hypertension (Outcome) during the diagnosis and treatment period (Time)?”


Association, A. D. (2019). 1. Improving Care and Promoting Health in Populations: Standards of Medical Care in Diabetes—2020. Diabetes Care43(Supplement 1), S7–S13. https://doi.org/10.2337/dc20-s001

‌ Baggett, T. P., Liauw, S. S., & Hwang, S. W. (2018). Cardiovascular disease and homelessness. Journal of the American College of Cardiology, 71(22), 2585-2597.

Part 3: Literature Review and Critical Appraisal

Literature Review

Key terms used to guide the search for evidence

1. In the homeless population, hypertension is a significant health issue.

2. Clinical practice protocols – For practitioners, this guideline offers clear and comprehensive evidence-based recommendations based on current knowledge and practices for the Diagnosis and Management of Hypertension in the homeless population.

3. Hypertension management – High blood pressure may be prevented or delayed via healthy lifestyle choices, reducing heart disease risk. Treatments for hypertension may be more effective by altering homeless people’s daily routines (Bernstein et al., 2018).

Five (5) research studies to support the evidence

The author relies on the findings of five studies to support his claims. A set of practice recommendations for the management of hypertension in the homeless population has been developed by the 2020 International Society of Hypertension practice guidelines. This group of people necessitates the use of effective therapeutic regimens. A clinical practice guideline is also critical to the treatment of hypertension because of the increasing number of homeless people and the link between their condition and their living situations. Bernstein et al. (2018), Johnson (2019), Association (2020), and Bagget, Liauw, and Hwang (2018) were among the papers that the author examined. First-line therapies for hypertension include weight reduction and pharmaceutical interventions with fewer cardiovascular risks than equivalent studies.

Critical Appraisal of Literature

Strength of evidence

Clinical practice guidelines may be utilized to help homeless persons with hypertension be diagnosed with a more thorough diagnostic that considers the obstacles they face daily in society, according to the author’s findings (Association, 2020). Undiagnosed or poorly managed, hypertension may have severe consequences on other organ systems, such as the kidneys. Advanced practice nurses may reduce the risk of renal disease by identifying and treating hypertension and reducing morbidity and mortality in a primary care context. Health care practitioners may play an essential role in interacting with, treating, and teaching patients and achieving better health outcomes in this community by adopting clinical practice protocols (Johnson, 2019)

Weakness of the evidence

The author uses no specific clinical strategy to effectively diagnose and treat hypertension in the homeless population, which remains an open question. This author has some issues with evidence since homeless individuals have a lot of difficulties due to their living situations, which necessitates implementing a strict clinical procedure to assure accurate diagnosis and successful treatment (Bagget, Liauw, and Hwang, 2018).

What do we know?

In the homeless population, less than half of all hypertensive patients have successfully managed their blood pressure, despite well-established procedures for diagnosis and treatment. Chronic diseases such as heart disease and stroke are less likely when high blood pressure is under control. That is to say, although the therapy decreases blood pressure, the underlying reason is not often addressed, or other variables maintain the risk high even after the treatment is completed. The remaining risk may be reduced by starting treatment early, achieving therapeutic objectives quickly, and treating concurrent concerns.

What are the gaps?

Patients who experience homelessness have various specific problems that may make it difficult for them to get essential resources or adhere to a treatment plan. The homeless population often lacks primary health care, such as regular physicals and vaccines. These patients should be treated in the same way as the rest of the population. If the patient was last immunized for tetanus more than ten years ago, they should be vaccinated again. Pneumococcal immunization should be given to all people who are at risk of developing pneumonia.


Association, A. D. (2020). 1. Improving care and promoting health in populations: standards of medical care in diabetes2020. Diabetes Care, 43(Supplement_1), S7-S13.

Baggett, T. P., Liauw, S. S., & Hwang, S. W. (2018). Cardiovascular disease and homelessness. Journal of the American College of Cardiology, 71(22), 2585-2597.

Bernstein, R. S., Meurer, L. N., Plumb, E. J., & Jackson, J. L. (2018). Diabetes and hypertension prevalence in homeless adults in the United States: a systematic review and meta-analysis. American Journal of Public Health, 105(2), e46-e60, https://doi.org/10.2105/AJPH.2014.302330. 

 Johnson, H. (2019). Anxiety and Hypertension: Is There a Link? A Literature Review of the Comorbidity Relationship Between Anxiety and Hypertension. Current Hypertension Reports, 21(9). https://doi.org/10.1007/s11906-019-0972-5

Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D.,Ramirez, A., Schlaich, M., Sterglou, G. S., Tomaszewski, M., Wainford, R. D.,Williams, B., & Schutte, A.E. (2020). 2020 International society of hypertensionglobal hypertension practice guidelines.Journal of Hypertension,38(6), 982-1004.


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