The paper should include: 1) INTRODUCTION address why exploration of the problem is important, theoretical implication of exploration. Finally, the potential for advancing nursing knowledge should be explained. 2) Promotion and Evidenced based Advanced Nursing Practice 3) Integrate current based evidence standards of practice 4) Methodologically sound and clinically relevant research 5) Extant practice guidelines 6) LITERATURE REVIEW- provide an integrative review of pertinent emirical and theoretical literature. Adress practice guidelines. Include any competing practice guidelines and address the similarities and differences bet them. Address the strentgh of evidence for all practice guidelines referred to. assess gaps or limitations in extant knowledge. Use only professional Nursing and Medicine Journals, no more than 5 years old. 7) examine 3 selected guidelines related to the topic. For example the American Heart Association, USPSTF, and Healthy People 2010. 8) IMPLICATIONS- formulate specific nursing implications as a result of completion of phenomenon exploration. Specifically address global implications. Discuss these implications within the context of the literature and the specialty concentration. 9)CONCLUSION- evaluate achievemnet of the purpose of the paper. 10) References 11) Paper should be APA FORMAT, consiced, symthesized. watch sentence structure.