DNP-801A-RS3-Selecting Practice Problem (3)
Grand Canyon University DNP-801A-RS3-Selecting Practice Problem (3) – Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University DNP-801A-RS3-Selecting Practice Problem (3) 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-801A-RS3-Selecting Practice Problem (3)
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 550 Benchmark – Evidence-Based Practice Project: Literature Review 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-801A-RS3-Selecting Practice Problem (3)
The introduction for the Grand Canyon University DNP-801A-RS3-Selecting Practice Problem (3) 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.
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How to Write the Body for DNP-801A-RS3-Selecting Practice Problem (3)
After the introduction, move into the main part of the DNP-801A-RS3-Selecting Practice Problem (3) 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-801A-RS3-Selecting Practice Problem (3)
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-801A-RS3-Selecting Practice Problem (3)
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-801A-RS3-Selecting Practice Problem (3)
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.
- Complete the licensure information. Your practice problem and intervention must fall within the scope your licensure.
| Licensure |  APRN RN Is this practice change within the scope of your nursing practice? YES No By submitting this form, I am attesting I have read my state’s Nurse Practice Act and the project is within the scope of my practice. |
- 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.
- 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).
- 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).
- 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.
- 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.
- The timeframe for all DPI Projects is 8 weeks. Explain how your DPI Project can be implemented within that timeframe.
implemented within that timeframe.
| Activity/ Week | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| Preparation, writing the manuscript presenting a comprehensive overview of the problem and proposed solution. Seeking approval from organizational leadership (management). | ||||||||
| Nurses’ education on the project and the expectations. | ||||||||
| Acquiring and preparing resources and supplies. | ||||||||
| Implementation, | ||||||||
| Analysis of results and writing the report |
- 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.
- 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 …
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 …
DNP 801 Topic 1 DQ 1 Sample Answer
As a Patient Care Manager, I find myself attempting to fix issues, concerns and quality fall outs on a daily basis. Evidence-based research and implementation of practice has grown in all healthcare settings. My role as a Doctor of Nursing Practice is to continue to serve the community in order to enhance patient outcomes. I serve in several committees in order to better service the homeless population, those that are uninsured and others without home assistance in collaboration with social work and case management. The DNP program will assist me in furthering my education in order to establish better processes and protocols for the needs of all patients. I have assisted in several quality improvement projects however it is quite challenging to know where to get started without proper education and background. I know that I can gain this knowledge throughout this program. My main focus and goal is to make change and a positive impact especially on processes that are failing frequently. There are many processes that I know can be enhanced however I don’t actually know where to start. I also see this from bedside nurses. The nurses are always full of ideas for great quality improvement projects however similar to myself, it is challenging to decide a start point or to educate on how to move forward with great ideas. Altogether, change is always needed in order to save lives in our fast growing healthcare system. The census and acuity of patients from five years ago is severely different from today’s which means process and improvements are needed to better care for each individual.
The Centers for Medicare & Medicaid (CMS) has benchmarks regarding Sepsis, Stroke, CLABSI, CAUTI’s and HAPI’s. The hospital gathers nurses champions, MD’s, Advance Practice Providers, project managers, IT, and DNP’s in order to assist in developing processes to meet these benchmarks in order to have a positive impact on patient outcomes. I am eager and excited to be involved and assist in workgroups such as these.