DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project

Grand Canyon University DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project 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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project 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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project                         

The introduction for the Grand Canyon University DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project 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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project                         

After the introduction, move into the main part of the DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project 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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project                         

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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project                           

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 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project

Re: Topic 2 DQ 1

My Direct practice site is Newark Beth Israel Medical Center where I work part time and it was established in 1901, located in the city of Newark in New Jersey. It is a teaching hospital that provides quaternary care within their 665 beds. They have a heart and lung transplant program and a Heart valve center including transcatheter aortic valve replacements (TAVRs, as well as a robotic surgery center (Newark Beth Israel Medical Center | RWJBarnabas health. (n.d.).  The potential patient practice problem that I would like to explore would be to evaluate the screening protocols for risk reoccurrence for prior stroke patients.

This is a valid topic for my site because they are a primary stroke center. Stroke also known as cerebrovascular accident (CVA) is when blood flow stops to a part of the brain, it could be from a blockage to the brain vessel or a bleed from a bust vessel in the brain. With all the medical and technological advances of the profession, stroke continues to lead as the cause of death and disability in the world. Those who survive stroke have a recurrence rate of 11.1% with the first year and 26.4% by the fifth year. 80% of recurrent stroke is preventable by modifying the risk factors so we can try to increase that 80% to 90% (Lin, et al., 2021).

It will contribute to the knowledge in my field by enabling all staff involved with the care of the patient to increase their observation and assessment skills when monitoring the re occurrence of stroke. Knowing that Stoke is a medical emergency and “time is life”.  The article mentions that the risk of stroke recurrence is high, and their perception of the risk of recurrence will help to promote healthy behaviors. Stroke is preventable and treatable if managed properly and treated early enough (Lin, et al., 2021) (Centers for Disease Control and Prevention, 2021).

Again, it is a valid issue at my site because we are a primary care center for stroke patients because a facility is certified by the state commission, American heart Association and other organizations and they have to maintain it (The State of New Jersey, 2020).

It is a practice problem because it is the leading cause of disability and death in the United States (Centers for Disease Control and Prevention, 2021).  A direct practice problem has been identified and it enhances the practice outcome and health outcome when it is monitored and will ultimately improve the quality of care of the patients.

There is definitely enough current research on this topic and it is still being investigated because it is the leading cause of death in America and worldwide (Lin, et al., 2021) (Centers for Disease Control and Prevention, 2021). Also, New Jersey mandated its stroke center Act since 2004 and the historic cause of stroke was diagnosed since in 1658 by Johann Jacob Wepfer who was a practicing physician in Switzerland up until today (The State of New Jersey, 2020) (DOAJ, 2020).

References:

Centers for Disease Control and Prevention. (2021). Stroke. https://www.cdc.gov/stroke/

DOAJ. (2020). Historic review: Select chapters of a history of stroke. BioMed Central. https://neurolrespract.biomedcentral.com/articles/10.1186/s42466-020-00082-0

Lin, B., Zhang, Z., Guo, Y., Wang, W., Mei, Y., Wang, S., Tong, Y., Shuaib, N., & Cheung, D. (2021). Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis. Health Expectations, 24(6), 1962-1970. https://doi.org/10.1111/hex.13335

Newark Beth Israel Medical Center | RWJBarnabas health. (n.d.). RWJBarnabas Health. https://www.rwjbh.org/newark-beth-israel-medical-center/

The State of New Jersey. (2020). CHAPTER 476. The Official Web Site for The State of New Jersey – FAQs. https://www.nj.gov/health/healthcarequality/documents/476_.PDF

Sample Answer 2 for DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project

My proposed site for my Direct Practice Improvement Project is Cedars-Sinai Medical Center, which is in Los Angeles, California. Cedars-Sinai is licensed for about 880 beds, but the hospital’s daily census averages to about 950 and have reached over 1,000 on given days. When inpatient rooms are not available, Cedars-Sinai activates the Alternate Care Units (ACU) to decompress the emergency room, initiate patient care to avoid delays, and accommodate the growing census. The ACUs utilize various spaces throughout the medical center such as post-anesthesia care units (PACU), the gastrointestinal lab (GI LAB), post-partum, and pediatrics. The ACU is budgeted for 24 beds, yet the ACU’s daily census is about 70 patients on average. At the height of the coronavirus pandemic (COVID-19), ACU’s daily census was about 110 patients.

There has been a dramatic increase in falls on the ACUs over the last few years. Falls can potentially lead to injuries, extend the length of stay, and affect the hospital’s budget and finance (Ward, 2021). When conducting a complete analysis and review of the fall event, the common thread includes the lack of initiating safety measures (i.e., bed alarms, placing beds in the lowest position, ensuring call lights are within reach), educating patients (especially those who are high fall-risk), and a lack of hourly and purposeful rounding. Nurses are well aware of fall prevention and interventions, but there still seems to be a disconnect. Organizations continue to implement fall prevention protocols and need to provide new innovative ideas to prevent such events Hakvoort et al., 2021).

At Cedars-Sinai, units with inpatient private rooms utilize the Responder 5 system to help prevent falls. When the nurse activates a bed alarm and the patient attempts to get out of bed, the physical bed alarms, the patient’s notification light right outside their room flashes for all staff to see, the primary nurse, clinical partner (equivalent to a certified-nursing assistant) and the charge nurse’s Voalte (iPhone) alarms, and the call light at the nursing station alarms as well. Unfortunately, the ACUs do not utilize this system. My goal is to find innovative ways and implement other fall prevention protocols to decrease our fall rates.

References:

Hakvoort, L., Dikken, J., van der Wel, M., Derks, C., & Schuurmans, M. (2021). Minimizing the knowledge-to-action gap; identification of interventions to change nurses’ behavior regarding fall prevention, a mixed method study. BMC Nursing, 20(1), 1–13. https://doi-org.lopes.idm.oclc.org/10.1186/s12912-021-00598-z

Ward, B. (2021). Q&A: Reducing patient falls, saving money. Patient Safety Monitor Journal, 22(12), 8–10.

Sample Answer 3 for DNP 801 Describe your proposed practice site and a potential patient practice problem that you are interested in exploring for your project

I work in a small hospital in Fresno, California and we only serve our Veterans. My proposed practice site will be at Veterans Administration Central California Health Care System. My proposed DPI project that I chose is reducing mortality from severe sepsis and septic shock in inpatient setting. Sepsis, a syndrome of physiologic, pathologic, and biochemical abnormalities induced by infection, is a major public health concern, accounting for more than $20billion (5.2%) of total US hospital costs in 2011 (Signer et al, 2016). Septic shock is the most severe complication of sepsis that has a high mortality in any hospital setting. I would like to improve our educational intervention and implement better ways to identify early detection of severe sepsis and septic shock. At work, we don’t have enough established protocols and treatment guidelines that we practice. Patients that experience sepsis rapidly can develop severe sepsis and septic shock and becomes very ill and has little time to improve their condition. I’ve noticed in our institution there are significant delay patient outcomes after identifying of sepsis. Partly, because lack of standardization to the approach of septic patient, extended stay in the emergency department, no standardized protocol, no guidelines to follow and disagreement with health care providers.

Identifying early detection of sepsis can improve patient outcome and this will greatly help our care for our patients. Early recognition of septic patient combined with quick and proper treatment can improve morbidity and mortality that could reduce death. Compliance with all the health care providers has a great impact in providing right care for septic patients. I believe that choosing this project can improve our patient quality care in our medical center. It is important for clinicians to assess patient condition, laboratory tests, timely antibiotic treatment administration, vasopressors if needed and fluid resuscitation. The management of septic shock and severe sepsis is best acquired with interdisciplinary team uniting with each other.

After completing this DPI project I am hoping that it will help nurses to be proactive in recognizing early signs of sepsis. It will provide a clear link to improve knowledge, competence, critical thinking and skill performance for clinicians. With the classification of sepsis our facility will be able to train clinical providers in identifying early detection of sepsis. Early diagnosis and proper treatment management of sepsis are important to increase of survival.

References:

Elfeky S, Golabi P, Otgonsuren M, Djurkovic S, Schmidt ME, Younossi ZM. The epidemiologic characteristics, temporal trends, predictors of death, and discharge disposition in patients with a diagnosis of sepsis: A cross-sectional retrospective cohort study. J Crit Care. 2017 Jun;39:48-55. [PubMed]

Gotts JE, Matthay MA. Sepsis: pathophysiology and clinical management. British Medical Journal 2016.

Singer, M., Deutschman, C. S., Seymour, C. W., Shankar-Hari, M., Annane, D., Bauer, M., & … Angus, D. C. (2016). The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA, (8), 801.

World Health Organization. WHO Report on the burden of endemic health care-associated infection worldwide. 2017-11-21 15:11:22 2011.