DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?

Grand Canyon University DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?                         

The introduction for the Grand Canyon University DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?                         

After the introduction, move into the main part of the DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? 

Re: Topic 8 DQ 2

I must be the odd one out here. I did not have a topic in mind when I started this program. I had no idea that I had to have an idea of what I wanted to work on or accomplish when I started this program and it was one of the things that delayed my starting the program in January among other things. Even when I applied, I still had no definite idea of what I wanted to do. So, based on my last stationed unit as a full-time case manager/discharge planner, I chose a topic that was dear to my heart to find a way to fix some of the issues that contributes to people having strokes especially recurrent strokes. Also, not having a practice site as well as a mentor was also another barrier to deciding on a topic and also not being in direct patient care anymore, I am not familiar with all the products and knowledge of all the things that are used in other areas of nursing except for the one in my unit and with discharge planning. Now that I have a mentor, I have to mention this topic to her and she will have to be comfortable with the topic as well or she may not be able to help guide me.

Based on Professor Etheridge’s feedback so far, it appears that my topic may or may not be feasible depending on the angle it takes. It will not be feasible as a nurse to teach preventive or monitoring strategies to other disciplinary professionals such as Physical or Occupational therapists or Nutritionists or even physicians unless I work in collaboration with them but for a nursing DPI project, I should be managing and directing the nurses involved. Also, since this is a quality improvement project, I have to be able to find enough articles that have dealt with this topic that will enable or effect a quality improvement (QI) change. Quality improvement is the framework used by healthcare professionals to improve the quality of health care provided to patients. Therefore, nurses are tasked with being part of the team to improve the quality of care given to patients since they are the primary care providers and very much concerned with the safety of patients (Adolfo, Albougami, Roque, & Almazan, 2021).

I will search more databases and review more articles to look for quality improvement interventions. I will also discuss some more with my mentor and professor to see what other ideas and feedback they will give me. Of which I will implement. If it is still not feasible, then I will have to pick another topic. Something in sepsis or hospital acquired infection.

Reference:

Adolfo, C., Albougami, A., Roque, M., & Almazan, J. (2021). Nurses’ attitudes toward quality improvement in hospitals: Implications for nursing management systems. Nursing Practice Today. https://doi.org/10.18502/npt.v8i3.5935

Sample Answer 2 for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D? 

Having practiced in a COVID unit for the major part of the COVID-19pandemic, we witnessed several challenges in healthcare delivery ranging from an inadequate supply of PPEs (personal protective equipment) to congestion among others. However, the greatest challenge was that of a shortage of skilled nurses in home health to facilitate the continuity of care of COVID-19 patients discharged early for home based care (HBC). The organization noted that most patients who were discharged early for HBC got readmitted within 30 days, an indicator of poor quality of care and potential gaps in discharge and follow up. To address this issue, the author proposed telenursing/telehealth as the intervention of choice (Tabacof et al., 2021).  Researchers recommend telenursing/telehealth as an intervention to follow up chronically ill patients, particularly those with heart failure to reduce 30-day readmissions (Xu et al., 2022).  Since my population of interest (COVID-19 patients) is different from that of patients with Heart failure, it would not be appropriate to conclude that telehealth/telenursing is an intervention that homecare nurses can implement to follow up COVID-19 patients enrolled for home based care and prevent 30-day readmission. Therefore, I formulated the following PICOT-D question to determine the appropriateness of my clinical issue, intervention, and outcome:  Among COVID-19 patients enrolled for Home Based Care (HBC), does remote care through telenursing compared to direct patient home visits reduce the rates of readmission within 30 days.

Based on the instructor feedback, I have a feasible topic for my PICOT-D. Feasibility simply refers to whether a study can be conducted with consideration of the study, time, stakeholder cooperation, participant availability, and availability of resources, researcher’s interest, and expertise (Fandino, 2019).  The author purposes to demonstrate to the organization in which he will conduct the study the value of the study in regards to the resource expenditure versus outcome value, for potential funding. This also includes the need for special telenursing equipment, having in mind that the organization has already integrated technology in the delivery of healthcare services. In regards to participants’ availability, researcher interest, and expertise, I work in a COVID-19 unit and have undergone several COVID-19 trainings for inpatients and those on HBC, I am certain that I have the needed experience and expertise in this area of study. Besides, it will be easier to get an adequate number of voluntary participants for the study. Considering the time factor, six to twelve months maximum provides an adequate duration to complete this study.

References

Fandino, W. (2019). Formulating a good research question: Pearls and pitfalls. Indian journal of anaesthesia, 63(8), 611. https://dx.doi.org/10.4103%2Fija.IJA_198_19

Xu, H., Granger, B. B., Drake, C. D., Peterson, E. D., & Dupre, M. E. (2022). Effectiveness of Telemedicine Visits in Reducing 30‐Day Readmissions Among Patients With Heart Failure During the COVID‐19 Pandemic. Journal of the American Heart Association, e023935.

Tabacof, L., Kellner, C., Breyman, E., Dewil, S., Braren, S., Nasr, L., … & Putrino, D. (2021). Remote patient monitoring for home management of coronavirus disease 2019 in New York: a cross-sectional observational study. Telemedicine and e-Health, 27(6), 641-648.

DNP-801A-RS3-Selecting Practice Problem Sample

Selecting a Practice Problem 

Use the steps on this worksheet to outline the details for the patient practice problem at your practice site that you are proposing for your future DPI Project. Use the “PICOT-D Selection Guidelines,” located in the DC Network, to evaluate your proposed patient practice problem. If it does not meet these criteria, you must select a different topic. 

1.  Complete the licensure information. Your practice problem and intervention must fall within the scope your licensure. 

1. Describe the type and focus of your proposed project site (e.g., Adult medical surgical unit in rural Nebraska; pediatric primary care clinic in urban Illinois). 

The focus for this practice problem is the prevention of pressure ulcers in a Long-Term Care Facility in suburban Maryland. The facility of focus is my workplace, and I have chosen to focus on this practice problem because pressure ulcers have higher prevalence rates in patients in long term care facilities than hospitalized patients (Mondragon and Zito, 2021). Pressure ulcers have consistently resisted prevention efforts in long-term care facilities across the nation and worldwide.  They have adversely impacted the health, dignity, social well-being, quality of life of many Americans at the homecare setting, acute care hospitals and long-term care facilities. The financial burden of pressure ulcer treatments is enormous costing the nation $26.8 billion a year (Morse, 2019). Moreover, the number of litigations against both acute care hospitals and long-term care facilities all over America are frightening. Residents in LTC facilities are at high risk for developing pressure ulcers due to a variety of health factors, the age, debilitative condition of majority of the patients and the overwhelming workload of nurses and nurses’ aides, and other healthcare workers. 

1. Describe a patient practice problem occurring at your proposed project site that you would like to address for your DPI Project. Explain why this is a patient problem. Provide data that support the patient problem (e.g., heart failure readmission rates 21%). If you have not asked for these data yet, how would you go about obtaining the data needed? 

 For this DPI project, the practice problem of focus is Pressure Ulcers Prevention in a long-term care facility.    Pressure ulcer develops when there   an underlying tissue and or skin around a specific part of the skin that is often covering the bony prominence is damaged due to persistent pressure over a very long time. These areas of the skin are most susceptible to pressure because they have the least amount of cushioning. Pressure ulcers cause 60,000 deaths annually. (Borojeny, et al., 2020). The primary aim of pressure ulcer prevention is to minimize or prevent pain/discomfort associated with the wounds., improve quality of care and life, prevent acute illness such as sepsis, and death and decrease the high cost of healthcare. This practice problem is a patient problem at my project site because Pressure ulcers are more prevalent in the elderly population, with more emphasis on those who have chronic diseases such as cardiovascular diseases, diabetes, chronic pulmonary diseases, renal diseases and neurodegenerative disorders, and these are complicated by conditions like anemia, infectious diseases, malnutrition, incontinence, polypharmacy and debility (Jaul, et al., 2018).These chronic conditions and co-morbidities are highly associated with a majority of long term care patients. And my practice site falls under this category, hence has high risk patients that need prevention from developing pressure ulcers. The facility has both short- and long-term patients.  

Average Age of patients is 75years.  

 Percentage of male patients = 43% 

Percentage of female patients = 57% 

Percentage above 65 years = 80% 

Percentage of patients with current PU =27% 

Percentage of in-house acquired PU = 11% 

The facility has a total of 38% of patients with pressure ulcers which calls for interventions to prevent further occurrence. Promedica Senior Care, 2022). 

1. Describe the evidence-based intervention proposed for addressing the patient practice problem at your site and how the proposed intervention is different from what is currently in place for the practice problem (intervention must be a new change, not something already in place or “noncompliance” from staff). Explain why the intervention is realistic and feasible for your practice site. 

 The evidence-based intervention I propose to use at my Project site is a care bundle comprising support surfaces, skin inspection, and repositioning. Comprehensive skin assessment or skin inspection involves the assessment of the entire skin of every individual for any abnormalities. It requires a detailed screening of the skin from head to toe by visual tactile means focusing particularly on bony prominences (Lavallee, et al., 2019).  Comprehensive skin Assessment should not be a one-time event. It should be a regular clinical practice to determine whether there are any new skin conditions.  In the case of my project site, I will make it a weekly event due to certain barriers such as shortage of clinical staff who are expected to play the major role.  Support surfaces such as air loss mattresses and powered reactive air-fluidized surfaces to reduce pressure ulcer incidence will be provided for at risk patients. (Lavallee, et al., 2019). 

1. Describe the team that will be implementing your DPI intervention. (Remember, as the project manager, you may not have any interaction with the patients. You are 100% hands-off and require nurses, advanced practice nurses, physicians, or other interdisciplinary team members to participate in the implementation of the project.) 

The project team will consist of healthcare professionals – physicians/Nurse practitioners, wound care nurse, nurses and nurses’ aides, and clinical managers, and dietician.  Nurses will play the most role since they are responsible for the assessment and provision of care to patients and thus must conduct such tasks as they will ensure the promotion of patient welfare and dignity. The wound nurse will be the project manager and leader of the team. She will have the additional responsibility of coordinating the activities of the team and acquiring resources for the project from organizational management The unit manager will supervise the RNs in the skin assessments and make notes on patients with new skin conditions including site of new skin conditions, measurements, and features. The wound doctor/Nurse Practitioner will be responsible for giving new treatment orders if applicable. The nurses’ aides or GNAs as they are called in the State of Maryland will assist the nurses in the assessment process. The dietician will have the task of recommending supplements and reviewing/enhancing the diets of at-risk patients. This practice if carried out consistently will reduce the incidence of pressure ulcers at my project site. 

1. Discuss the expected measurable patient outcome based on implementing the intervention and explain how the new proposed process/intervention will improve the measurable patient outcome. Include, where you will get your descriptive demographic data on your patient sample population and where will you get your measurable patient outcome data (e.g., electronic health record, quality department, evidence-based survey/measurement tool that is valid and reliable).  

The expected measurable patient outcome to be realized from carrying out this implementation practice is the decrease of pressure ulcer incidence at my project site, and if any new skin conditions is observed, early detection and treatment plan will facilitate the healing process. 

1. The timeframe for all DPI Projects is 8 weeks. Explain how your DPI Project can be implemented within that timeframe.  

implemented within that timeframe.  

1. Search for two original (primary quantitative) research articles that support your proposed intervention. Refer to the “Levels of Evidence in Research” chart, located in Class Resources, as needed for assistance in your search. If your intervention is a clinical practice guideline, or is coming from a clinical practice guideline, include the relevant original (primary quantitative) research that supports your intervention. In addition, include the clinical practice guideline as one of your references.  

1. Using APA format, list your primary quantitative research below. Include working links for each article. Ensure each link works as your instructor will use these links to access your articles.   

Supporting Primary Quantitative Research 

Lavallee, Jacqueline, F.  (2019). Preventing pressure ulcers in nursing homes using a care … 

https://pubmed.ncbi.nlm.nih.gov/30919525 

Yilmazer, T., Tuzer, H., (2019). Pressure Ulcer Prevention Care Bundle: A Cross-sectional … 

https://www.researchgate.net › publication › 334815291_… 

References 

Morse, Susan. (2019). Pressure ulcers cost the health system $26.8 billion a year 

https://www.healthcarefinancenews.com › news › press… 

Borojeny, Lotfolah A., Albatineh, Ahmed, N., Dehkordi, Ali. H.,   and  Gheshlagh , Reza. G. (2020). The Incidence of Pressure Ulcers and its Associations in … 

https://www.ncbi.nlm.nih.gov › articles › PMC7716611 

Jaul, E., Barron, J., Rosenzweig, Joshua P., & Menzel, J. (2018) An overview of co-morbidities and the development of pressurehttps://bmcgeriatr.biomedcentral.com › articles 

Lavallée, J. F.,  Gray, Trish A.,  Dumville, Jo. C., and Cullum, N. (2019). Preventing pressure ulcers in nursing homes using a care … 

https://pubmed.ncbi.nlm.nih.gov/30919525