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.

Sample Answer 3 for DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?

I’ve had several topics for my DPI Project. Over the past eight weeks, my topic/problem has changed multiple times. With feedback from Dr. Etheridge, I think I have a topic that may be workable. Changes incorporated from feedback:

P: End-stage renal disease- Medicare patients Health plan in Oregon that serves Medicare patients

I: Member engagement with a single point of contact for Case Management

C: pending

O: ED hospital utilization, improved self-management

Other options for quality improvement projects include access to healthcare through non-emergent transportation (NEMT).

My goal is to provide a quality improvement initiative, based on the needs of the health plan. The population will be a vulnerable population and my improvement will be to improve the health inequities of patients with social determinants (SODH) in vulnerable populations.

It’s important to remember to incorporate feedback from our instructors and to remember the focus of the final project. As stated by the American Association of Colleges of Nursing (AACN),:

• Focus on a change that impacts healthcare outcomes either through direct or indirect care.
• Have systems (micro-, meso-, or macro-level) or population/aggregate focus.
• Demonstrate implementation in the appropriate arena or area of practice.
• Include a plan for sustainability
• DNP Projects should be designed so that processes and/or outcomes will be evaluated to guide practice and policy. Clinical significance is as important in guiding practice as statistical significance is in evaluating research.
• Provide a foundation for future practice scholarship

American Association of Colleges of Nursing. Doctor of nursing practice/DNP tool kit. (2022) https://www.aacnnursing.org/DNP/Tool-Kit