10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project

Week Two Assignment Instructions DNP 820

Please read the instructions thoroughly there are strict requirements

 I need at least 10 different articles/literature reviews added to the ones in the 815 attachment. I have also included the chart to be filled out All within 5 years and pertinent to the subject. 

Tutor MUST have a good command of the English language

The Rubric must be followed, and all the requirements met

This is a thorough professor, and she has strict requirements

I have attached the PICOT and the first 10 points (DNP 815) assignment. This is a continuation of that assignment. Please read the attachments

The following needs to be addressed:

Please note the followings: The introduction and the literature review are complete and thorough. The problem statement is written clearly PICOT is clear and very good Sample: 

· How will you determine the sample size? 

· What are the inclusion/exclusion criteria of the subjects? Methodology: Why is the selected methodology is appropriate? Please justify! 

· Data collection approach needs to be clear. How will you collect your data? What is needed here is to describe the process of collecting data form signing the informed consent until completing the measuring. 

· Data analysis-What test will you use to answer your research question? 

Clinical/PICOT Questions:  

“In adult patients with CVC at a Clear Lake Regional Medical Center, does interventional staff education about hub hygiene provided to RN’s who access the CVC impact CLABSI rates compared to standard care over a one-month period?”

P: Patients with Central Venous Catheters

I: Staff re-education related to Hygiene of the hub

C: Other hospitals

O: Reduce probability of CLABSIs

T: Two months

“In Patients > 65 years of age with central line catheters at a Clear Lake Regional Medical Center, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, before every approach compared with other area hospitals, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) over a one-month period?”

P: Patients > 65 years of age with a Central line

I: Staff training and reinforcement of Central Catheter, Hub Hygiene 

C: Other area hospitals 

O: Reduce probability of CLABSIs

“In adult patients, with define CVC (CVC), does interventional staff education about hub hygiene provided to RN’s who access the CVC impact CLABSI rates compared to pre and post-intervention assessments 

1. I used central Missouri as an example, replace with a description of your site. 

2. While you might be interested in CLASBI rates as a primary variable, there are other patient outcomes that would also be important to consider

3. Ensure you can find validity and reliability measures on CLASBI rates if you cannot, we need to determine another question to help

4. How are your two comparison groups different, as they are currently stated the groups seem very much the same, could you state, standard care instead of pre and post intervention assessments? 

5. One month is the longest time you can use for a prospective project

Please note the following regarding the instructors grading

IMPORTANT INFORMATION ABOUT MY GRADING STYLE

As you prepare for written papers and manuscripts I’d like to give you some details about my grading style. I provide significant feedback on your papers, this is because I believe you should be working towards improving your writing so that at the end of this program you are able to successfully write your DPI project. In order to write well, you need feedback and you need to review that feedback and make progress on the next written work. To that end I always grade accordingly. This means that if I provide feedback one an item (for example APA format of your reference page) I expect that this will be improved on the next written submission. Otherwise I will deduct additional points. In addition, some other criteria to get down pat now. References should always

1. Be current, no older than 5 years that means 5 years from your proposed graduation date (2014-2019). Otherwise you will have to redo everything in DNP 955.

2. Be primary sources. You can no longer cite Young declared literary war in 1956 (as cited by Brown 2006). You must cite Young 1956. That means go find that paper and read it and make sure that you agree with what Brown said. What if you don’t agree due to some very valid points? Then the literary war is not what occurred, but instead you have concerns regarding point ____, ____, and ____.

3. You may no longer cite textbooks, they are 1) secondary sources and 2) not current enough, and please use peer reviewed manuscripts.

One more item that is not a reference. You may not use direct quotes any longer. There is no need. This may be difficult at first, but you are moving towards a different type of writing. This is manuscript writing (scientific writing). Scientific writing is terse, clear, and concise. No frilly words. In order to avoid the use of direct quotes you will synthesize the literature. There is a great resource for synthesizing the literature under Resources – Add-ons. These are also some other great writing resources there.

Details:

 

In the prospectus, proposal, and scholarly project there are 10 strategic points that need to be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. The 10 strategic points emerge from researching literature on a topic that is based on or aligned with the learner’s personal passion, future career purpose, and degree area. These 10 points provide a guiding vision for DPI Project. In this assignment, you will continue the work begun in DNP-815, working on your draft of a document addressing the 10 key strategic points that define your intended research focus and approach.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Locate      the “The 10 Strategic Points for the      Prospectus, Proposal, and Direct Practice Improvement Project” that      you completed in DNP-815.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center. An abstract is not required.
• This      assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the      expectations for successful completion.
• You      are required to submit this assignment to Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Use the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” resource to draft statements for each of the 10 points for your intended research study.

You worked on this last in DNP 815. Pick up from where you left off (if you transferred in and did not complete this, you will have to begin fresh). Please include a copy of your last instructor feedback when you submit this assignment. You can either copy and paste the instructor feedback into your current paper (as an appendix and clearly marked); or upload two separate papers. I expect significant improvement from your last submission.

Please review the 10 Strategic Points document for additional instructions and an example. Add references to this document, I suggest 5-10 at this point. You need to realize that your literature review chapter will need at least 50+ articles by the time you get to DNP 955, so work on expanding your literature search each week, to include more and more to this paper as you move through each course. If you cannot locate 50+ articles you can ask your faculty for assistance or chose a different topic.

For the methodology and design sections. Methodology should cover the broad methods you plan to use (qualitative, quantitative, or mixed methods). The design portion will then go into more detail and discuss the design (i.e. correlational, cross-sectional, pre/posttest, etc.). Describe each and explain why your chosen methodology and design are appropriate to your topic and project questions. You may NOT use qualitative, GCU leadership does not support a qualitative methodology.

Intervention. You must have an intervention that you implement. Since you cannot evaluate a project that has already been implemented, please write up a description of your intervention and what your role will be in implementing this intervention. This is not a section listed on your 10 Strategic Points document as of yet, so add it after the methodology and design sections. Describe step by step what the intervention consists of, how it is evidence based, how you will implement, and your role in implementation.

Data collection should go step by step (extremely over-detailed) on how you will collect the data. Tell me about all instruments, surveys, and/or questions you will ask of participants. One MUST be a valid and reliable tool.

Data Analysis. Tell me the specific statistics you will use. Start with descriptive statistics, which ones will you use, why (cite current primary sources). Then tell me how you will compare your data (which statistic), what your p value will be before you start your data collection.

Apply Rubrics

 

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PICO(T) question: My perioperative PICO(T) question will be based on surgical site infections. This is a sensitive unit that requires a physician to use sterilized products and equipment to maintain proper handling and patient safety in the operating room. My PICO(T) question would look as follows:

P– Perioperative patients in the cardiovascular operating room

I– Perioperative temperature management using a warming blanket

C– Patients receive no treatment to prevent hypothermia

O– Patients with warming blankets will have a decrease in surgical site infections

T– The study will take place for one year

Using your PICO(T) question, search for a relevant research article and analyze the article for its potential to provide an evidence-based solution. Then, describe how the article supports your selected PICO(T) question. Be sure to also attach a copy of your search methods flowchart. 

Create a flowchart to represent your search methods. 

 

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DUE 3/2/18 8 P.M EST

MIN 3 REFERENCES, APA FORMAT

  

TITLE: HEALTH COMMUNICATION AND PUBLIC HEALTH CONCERNS

To begin developing a campaign, first identify a public health issue which you are interested in. Then research the public health issue to determine whether it is actually a critical issue. For example, if you want to help reduce drug use among urban youth, you need to investigate whether this is a critical issue among that group or if there are other more pressing issues. Research is an essential component to building an effective public health campaign. You must also consider what marketing strategies you might employ and how you might utilize public relations with your target audience.

For this Discussion, revisit the media titled “Introduction to Communications, Marketing, and Public Relations for Public Health Leaders”. Consider the steps needed to create a public health campaign for the public health issue that interests you. In addition, review the article “Farmers sun exposure, skin protection, and public health campaigns: An Australian Perspective” and pay particular attention to the steps taken to develop this campaign. Finally, review the media titled “Introduction to Communications, Marketing, and Public Relations for Public Health Leaders” and think about how communication of public health issues is vital to the role of a public health leader.

Develop a 1000-word Discussion post that addresses the following:

1) Identify a public health issue for which you are interested in developing a public health campaign.

2) Explain why this issue warrants a public health campaign.

3) Identify a key element of health communication that is essential for a public health leader, in particular a leader who wishes to address the issue you have selected.

4) Describe one potential challenge of developing a campaign for your public health issue and explain one way you might address the challenge.

   

 

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I need a 2 or 3 sentence comment on each paragraph

Paragraph 1

As a nurse our responsibility is to make sure our patients understand what we educate them on because that causes better outcomes for the patients we care for. Strategies we can implement besides learning styles is looking at the patient has a whole. Nurses should like and consider the emotional, the physical, the spiritual and how willing they are to learn and if encouragement is needed to complete the plan of care or help the patient understand what they need to know prior to discharge. Another strategy is starting to teach the patient as soon as they are admitted because now and especially in a hospital the patient is admitted and then discharged in such a short time that we don’t get to teach as much as we should anymore. I personally feel behavioral objectives should consistently be used because anytime health promotion/teaching is part of the plan of care then this typically is going to lean towards the changing the of unhealthy habits or even adding in healthier habits.

Paragraph 2

The nurse has many roles and responsibility during a shift. The nurse is a friend, a confidant, an advocator; but one of the most important roles is a health educator. Nurses providing quality, individualized, education can increase patient outcomes (Smith & Zsohar, 2013). The teaching is not just for the patients but their caregivers as well. The patient’s caregivers can be family, friends, or hired personal staff. Before teaching should begin, it is important for the nurse to address any language or cultural barriers that could affect the patient’s ability to learn. It is vital to ensure the patient and caregivers have their seeing or listening devices on prior to delivering education. From personal experience, it is quite frustrating to teach the patient and caregivers only to find out their hearing aids were not in place. The formulate an individualized care plan, the nurse needs to assess the patient’s current knowledge about the disease and address any misconceptions the patient may have about their disease (Ashton & Oermann, 2014). This can be done by asking open-ended questions about their current knowledge of their medications or the knowledge they have about their disease process. The patient may not believe something is happening internally because he/she is not physically injured or they do not physically feel anything wrong. Patient’s may know the disease process but not the repercussions of not following their care plan. For example, a Type 1 diabetic not monitoring their blood sugar daily. The patient may not be aware of what can happen systemically. Assessing the patient’s willingness to learn. The Type 1 diabetic could be a teenage girl with apprehensions about monitoring blood sugar at school. The apprehension can affect the patient’s optimal outcome. The nurse will have to modify the approach when teaching this patient. Behavioral objectives would need to be utilized for this patient due to the at-risk behaviors which could lead to deteriorating health condition

 

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Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.  Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.   Purpose   To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.  Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.   Guidelines  1.Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide. 2.Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and Finout-Overholt, 2015).  3.Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search.

 

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