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How to write NURS FPX 6020 Assessment 2 — step-by-step
Here’s a practical, ready-to-follow step-by-step plan you can use to produce a high-quality, evidence-based NURS FPX 6020 Assessment 2 paper. Each step includes quick how-to actions, examples you can copy, and small templates so you can get started immediately.
Step 1 — Choose a focused, researchable clinical issue
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Action: pick a narrow, current, clinically relevant problem (patient safety, med-safety, falls prevention, discharge education, readmissions, etc.).
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Tip: choose something with measurable outcomes and enough recent literature (last 5 years).
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Example topics:
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“Does hourly rounding reduce inpatient falls in adult medical-surgical units?”
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“Does teach-back improve medication adherence in older adults with chronic disease?”
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Step 2 — Turn the topic into a PICO(T) question
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Action: frame a PICO(T) to focus your search and arguments.
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PICO(T) template:
P = Population, I = Intervention, C = Comparison, O = Outcome, (T = Time) -
Example:
P: hospitalized adult medical-surgical patients
I: hourly nursing rounding
C: usual care (no structured rounding)
O: reduction in patient falls
T: within 3 months -
Write it out: “In hospitalized adult medical-surgical patients (P), does hourly nursing rounding (I) compared with usual care (C) reduce patient falls (O) within 3 months (T)?”
Step 3 — Build and run a focused literature search
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Databases to use: CINAHL, PubMed/MEDLINE, Cochrane Library, ProQuest (and Google Scholar for breadth).
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Filters: peer-reviewed, last 5 years (unless seminal older study), English, human.
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Search string examples (adjust terms for your topic):
("patient falls" OR "fall prevention") AND ("hourly rounding" OR "nursing rounding") AND ("randomized" OR "trial" OR "quasi-experimental") -
Actionable tips:
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Use Boolean operators (AND/OR), quotation marks for phrases, and parentheses.
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Save search results and export citations (RIS/EndNote/Mendeley/Zotero).
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Look for 1–2 systematic reviews + 2–4 primary studies (RCTs, quasi-experimental, cohort).
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Step 4 — Select appropriate sources (quality over quantity)
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Aim: 4–6 high-quality, peer-reviewed sources (mix of systematic review(s) and primary research).
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Prioritize: Systematic reviews/meta-analyses, randomized controlled trials, high-quality cohort or quasi-experimental studies.
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Quick inclusion/exclusion criteria example:
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Include: studies on adults, inpatient setting, outcomes include falls, published ≤5 years.
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Exclude: pediatric settings, case reports, opinion pieces.
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Step 5 — Critically appraise each selected study
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Use a mini appraisal template for each article:
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Citation (APA)
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Study type/design (SR, RCT, cohort)
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Aim / research question
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Sample & setting (size, inclusion/exclusion)
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Methods / intervention details
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Key outcomes & results (effect sizes, p-values if given)
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Strengths / limitations / bias risk
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Level of evidence (note commonly used hierarchy)
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Applicability to your practice setting
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Example appraisal questions (CASP style): Were participants randomized? Was allocation concealed? Were outcomes measured reliably? Are results clinically significant?
Step 6 — Synthesize the evidence (don’t just summarize)
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Action: create an evidence matrix/table comparing studies across core items (design, sample, intervention, outcomes, quality).
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Example matrix (text version):
| Study (year) | Design | Sample | Intervention | Main result | Level / Quality |
|---|---|---|---|---|---|
| Smith et al., 2022 | RCT | n=400 med-surg pts | Hourly rounding | 28% ↓ falls (p<.05) | High |
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Synthesis sentence example:
“Across two RCTs and one systematic review, structured hourly rounding was associated with a consistent reduction in patient falls (range 20–30%), with the strongest evidence coming from randomized trials conducted in adult medical-surgical settings.”
Step 7 — Translate evidence into practice (implementation plan)
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Components to include:
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Recommendation: concise evidence-based change (e.g., implement hourly rounding protocol).
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Rationale: link to the strongest evidence and expected patient outcomes.
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Implementation steps: staff training, pilot unit, monitoring plan, documentation changes.
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Barriers & facilitators: staffing, time, leadership support, EHR prompts.
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Outcome measures (SMART): e.g., “Reduce falls by 25% in pilot unit within 3 months; measure pre/post fall rates.”
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Example SMART objective: “By 12 weeks after implementation, fall rate will decrease by 25% compared to baseline (measured per 1,000 patient-days).”
Step 8 — Write the paper: suggested structure & word allocation
If instructor doesn’t specify length, aim ~1,500–2,000 words. Example structure:
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Title page (APA 7)
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Abstract (150–250 words) — concise summary of problem, methods, key findings, recommendation.
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Introduction (200–300 words) — define issue, significance, PICO question.
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Evidence Review (600–800 words) — describe and compare your 4–6 sources.
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Critical Evaluation (300–400 words) — quality assessment and synthesis of evidence strength.
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Application to Practice / Implementation Plan (350–500 words) — recommendation, outcomes, barriers, evaluation.
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Conclusion (100–150 words) — restate importance and call to action.
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References (APA 7) — only cite sources used.
Step 9 — APA 7 & writing essentials (common formatting items)
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Use APA 7th edition: title page, running head not required for student papers unless instructor specifies, 12-pt Times New Roman (or instructor preference), double spacing, 1-inch margins.
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In-text citation examples:
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One author: (Smith, 2022)
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Two authors: (Smith & Lee, 2021)
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Three or more: (Smith et al., 2020)
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Example journal reference (APA 7):
Smith, A. B., & Lee, C. D. (2022). Effect of hourly rounding on inpatient falls: A randomized controlled trial. Journal of Nursing Care Quality, 37(2), 120–128. https://doi.org/xx.xxxx/xxxxx -
Use a citation manager (Zotero, Mendeley, EndNote) to avoid reference errors.
Step 10 — Final revision, proofreading & submission checklist
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Content checks:
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Does every paragraph tie to the PICO question or implementation plan?
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Are study limitations acknowledged and weighed in recommendations?
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Is evidence synthesis (comparison and integration) present — not just summaries?
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Formatting checks:
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APA headings (Level 1, 2 as needed), in-text citations match reference list, tables labeled/numbered.
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Proofreading:
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Read aloud, check transitions, fix passive/wordy sentences.
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Use a spelling/grammar checker (Grammarly or built-in), then manual review.
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Academic integrity:
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Ensure paraphrases are in your words; quote minimally; run a similarity check if available.
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Submission:
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Confirm file format & filename per rubric, include any required cover sheets, submit to the correct dropbox or portal.
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Quick starter checklist (copy this into your working file)
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PICO(T) written and included in intro
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4–6 peer-reviewed sources saved & cited (≥1 systematic review if available)
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Appraisal notes for each article completed
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Evidence matrix/table created and referenced in the paper
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Clear implementation plan with SMART outcomes
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APA 7 formatted title page, citations, reference list
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Proofread and plagiarism check completed
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