(Solution) NR703 Week 3 Assignment DNP Practice Change Project

NR703 Week 3 Assignment DNP Practice Change Project

  1. Purpose

    The purpose of this assignment is to propose from your clinical experience a realistic clinical problem you have observed at an unnamed clinical site, state the clinical gap in practice that is causing poor health outcomes, and conduct a simulated practice gap assessment for the unnamed clinical site using the evidence that you have collected (or will collect) in the Johns Hopkins Individual Evidence Summary Tool created in NR-716.**

    **This is a “dry-run”, simulated project planning activity. No actual DNP practicum project will be approved for implementation until the second practicum course, NR-705 Project & Practicum II

    The paper will accomplish the following:

    1. identify a realistic practice problem based on a simulated organizational needs assessment
    2. identify the causative gap in practice
    3. formulate a practice question to guide your hypothetical practice-change project

    Critical Concept: You are NOT performing research. You are undertaking a hypothetical practice change project as a practice activity (evidence-based, translation science, research applied, quality improvement).

    This assignment will allow for assimilating professional leadership competencies as a DNP-prepared nurse in project management. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.

    Instructions

    For the Week 3 assignment, students will propose from clinical experience a realistic clinical problem that has been observed at an unnamed clinical site, state the clinical gap in practice that is causing poor health outcomes, and conduct a simulated practice gap assessment related to the unnamed clinical site. If possible, use the evidence you have already collected in the Johns Hopkins Individual Evidence Summary Tool created in NR-716, and continue to use, refine, and update that table in this assignment.

  2. 1. Complete the following sections of the paper:
    1. Introduction
      1. Introduce the paper’s central theme and address the importance of the topic.
      2. Provide a clear purpose statement.
      3. Provide the reader with an outline statement of the paper’s content (i.e., the three sections identified by the required level 1 headings (Problem, Practice Gap, & Practice Question).
    2. Problem
      Using the information that you gathered on the Organizational Needs Assessment: Practice Gap Identification (Table 1), describe the practice problem by explaining these elements:

      1. Describe a specific, unnamed location (hospital unit, community health clinic, surgical suite, primary care practice).
      2. Identify the type of location (unit, clinic, etc.) and its key stakeholders (decision makers).
      3. Explain the practice problem as it would be identified by the stakeholders and ensure that it is realistic, practical, small in scope, and can be managed by you as if it were an actual 8-week project.
    3. Practice Gap
      1. Explain the Organizational Needs Assessment: Practice Gap Identification Table (Table 1). A blank table is included below. You can copy and paste it (with its APA heading) into your paper after the reference list.
      2. In one or two organized paragraphs, summarize your findings in Table 1, the Organizational Needs Assessment: Practice Gap Identification. 
        1. What is currently happening in the clinical site that causes poor patient health outcomes?
        2. What should be happening in the clinical site based on current evidence?
        3. What do the stakeholders (decision-makers) identify as the gap between what is currently happening and what should be happening (this is your practice gap)?
        4. Why is there a gap in practice? What factors (policies, procedures, etc.) contribute to the practice gap?
        5. What evidence do you have to demonstrate the practice gap you are describing (e.g., Internal QI indicators, NDNQI, AHRQ Quality Indicators, National Hospital Quality Measures, CAHPS Hospital Survey, Joint Commission, ORYX®, etc.)?
        6. What research-based intervention/evidence have you discovered to fix the practice gap and potentially improve patient health outcomes?
    4. Practice Question: The practice question guides the practice change project. Define and briefly explain the project’s intended population, evidence-based intervention, and measurable outcomes (PICOT). Use the APA convention of a bulleted list to make each stand out:
        • Population: Describe the specific characteristics of the population that is the focus of the intervention, including the hypothetical unit, clinic, or healthcare location you have chosen.
        • Intervention: Citing evidence listed in the Johns Hopkins Individual Evidence Summary Tool (Table 2), provide 1-2 sentences explaining the intervention (or synthesized intervention “bundle”) from the evidence in Table 2; refer the reader to Table 2 in this section and cite the three references (as they apply) in the section. At least three (3) references listed in Table 2 for this assignment should explicitly support the intervention and the outcome (and its measurements).
        • Comparison: State “compared to current practice” for this assignment. You should briefly state the current practice here but not in the PICOT practice question below (#6).
        • Outcome
          • Create and explain the specific results and outcome measurements you hope to achieve based on the current evidence you have collected in the Johns Hopkins Individual Evidence Summary Tool (Table 2).
          • The research source can be the same one used to support the intervention as long as it speaks to measurable outcomes (i.e., intervention: CAUTI protocol; Measurement: Incidence of infection before and after the intervention).
          • There should be at least three (3) references listed in Table 2 for this assignment. (NOTE: The Johns Hopkins Individual Evidence Summary Tool you created in NR716 should be used if possible; however, you can create a new table of evidence for this problem if needed). A blank replacement Johns Hopkins Individual Evidence Summary Tool table can be found in the Canvas DNP Resources or copied from the one below (with its APA heading) into your paper after the reference list.
        • Time: The time frame for the project implementation (Practicum projects are typically eight weeks long).
        • State the Practice Question
          Example: (P) For the critical care patients in General Hospital’s ICU, (I) does the implementation of the medical sepsis protocol (C) compared to current practice (O) reduce the incidence of medical sepsis diagnoses as measured before and after the intervention (T) in eight weeks?
    5. Conclusion
      1. Recap the paper’s purpose statement and brief overview criteria from the introduction.
      2. Draw major conclusions from the body of your paper.
      3. Summarize the paper’s relevance to the practice change project and your role as a project leader.
    6. References
      1. Ensure each reference has a matching citation and is formatted as required by the APA manual/Chamberlain DNP Program Writing Guide.
      2. Include at least three (3) scholarly references at a minimum (those listed in the Johns Hopkins Table). Other references may be added to the reference list to support your assertions.
    7. Tables
      1. Table 1, the Organizational Needs Assessment: Practice Gap Identification table, can be copied from the blank one below.
      2. Table 2, the Johns Hopkins Individual Evidence Summary Tool, should include a minimum of three [3] project sources that are research or systematic review references.
      3. Tables 1 and 2 are referred to in your paper, and Table 1 is cited before Table 2 so that they are mentioned in the correct order.
      4. Both tables (with their APA headings) can be found below along with their APA headings.

Solution:NR703 Week 3 Assignment DNP Practice Change Project

DNP Practice Change Project

With the increasing demands for high-quality, safe, and cost-effective patient care, healthcare organizations are widely adopting evidence-based interventions (EBIs). Among the pressing healthcare issues is preventable patient readmissions, with efforts such as the Hospital Readmissions Reduction Program (HRRP) working to address them by basing payments to hospitals on the quality of care delivered, thus, pushing hospitals to adopt EBIs (Qiu et al., 2022). Despite evidence showing the effectiveness of telemonitoring or digital consolations (DCs) in improving patient care outcomes by enhancing accessibility, reducing delays in treatment, and optimizing care delivery, many healthcare facilities, including our own, still rely on traditional in-person visits, which can lead to treatment delays, increased hospital readmissions, and suboptimal management of chronic conditions such as heart failure (HF) (Man et al., 2024). Evidence-based quality improvement (EBQI) can help bridge these clinical practice gaps by having healthcare organizations implement sustainable solutions that align with best practices and national healthcare standards (Hempel et al., 2022). This paper examines a practice gap and proposes EBI for the integration of telemonitoring and digital consultations (DCs) into routine cardiac care and follow-ups under the sections clinical problem, identification of the practice gap, and a practice question.

Problem

The practice setting is a mid-sized cardiology outpatient clinic affiliated with a community hospital. The clinic primarily serves patients with HF and coronary artery disease (CAD), with most of the patients being elderly and requiring continuous monitoring. As shown in the needs assessment in Table 1, the current care model depends on scheduled in-person visits every three to six months, which involves assessment and adjustment of the patient’s medication regimens based on therapeutic effects, reported side effects, or any other health issues (e.g. comorbidities). The clinic lacks remote monitoring or DC systems to allow continuous monitoring and follow-up between the visits. The sole dependence on scheduled appointments leads to patients experiencing symptom deterioration that remains undetected until their next scheduled visits or it results in unnecessary hospital admissions and avoidable complications. Without continuous patient monitoring, it becomes challenging to monitor and manage risk factors (such as smoking, high cholesterol, uncontrolled hypertension, uncontrolled diabetes, physical inactivity, and lifestyle practices) which according to studies synthesized in table 2, that is, George et al. ( 2021); Kaminsky et al. (2022); Suarningsih and Suindrayasa, (2020), result in HF exacerbation and associated complications, as shown in t (George et al., 2021; Kaminsky et al., 2022; Suarningsih & Suindrayasa, 2020).

The primary stakeholders in this practice setting and their roles include primary care physicians and specialists such as cardiologists (diagnose and treat patients); nurses and care coordinators (provide patient education and monitor symptoms); nurse informaticists (NI) (liaison between clinical practice and IT to ensure the telehealth is relevant to practice); administrative leaders (oversee clinical operations and budgeting); patients and caregivers…….Click the paypal icon to purchase full solution for $10

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