DNP-815A SCIENTIFIC UNDERPINNINGS

DNP-815A SCIENTIFIC UNDERPINNINGS

TOPIC: PICOT-D Question Submission

The purpose of this assignment (noncredit) is to present your final PICOT-D question for your Direct Practice Improvement (DPI) Project to your faculty for any last-minute changes needed before your Final PICOT-D submission for program approval in Topic 7.

General Requirements:

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

  • Doctoral learners are required to use APA style for their writing assignments.

Directions:

  1. TOPIC:  Coping with Mental Health Issues: Suicide Prevention Among Adolescents & Young Adults.
  2. Using the “PICOT-D Question Template” ATTACHED to complete the assignment
  3. Utilize feedback received on prior PICOT Question Submissions.
  4. Professor’s Feedback/Suggested PICOT-D Question- “In the adolescent population with mental health issues, how does (use a tool here that scores for suicidal ideations) impact patient referrals to the (what department would a suicidal adolescent be referred to) over 8 weeks?”
  5. Make sure you made 100% of all the previous changes from your previous reviews.DNP Learner Name_____________________________________ Current Course ___________

    Submit the Completed Template *See Additional Instructions below for completing the Template on Page 2.

    Save file as First.Last.PICOT_D Question.CLASS.mm.dd.yyyy

    PICOT-D Question Template
    P Population **PATIENT OUTCOME**
    I Intervention  
    C Comparison  
    O Outcome  
    T Timeline  
    D Data  
    What is your 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.

    PICOT  
    Problem Statement It was not known if the implementation of __________________would impact ______________ _______________ among ___________ (population).
    Purpose Statement The purpose of this quality improvement project was to determine if the implementation of _________________ (intervention, make sure you have the evidence-base here) would impact ______________(what) _______________________ among ___________(population). The project was piloted over an eight-week period in a (rural, urban or directional (eastern, western, …)________ (state) ________ (setting ie: primary care clinic, ER, OR).

    Original Research articles:

    List all original research articles that support the intervention.

    Ensure there are hyperlinks to the articles and or embed the document.

    (Required)

    1.

    2.

    3.

    4.

    5.

    References

    Creswell, J. W. & Creswell, J.D. (2018). Research design: Qualitative, quantitative, and mixed

    methods approaches. (5th ed.) Thousand Oaks: Sage Publications.

    EXAMPLE – PLEASE DELETE
    PICOT-D Question Template
    P   Population Medical-surgical patients admitted to the unit at the site
    I   Intervention Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol
    C   Comparison Current or existing practice
    O   Outcome Time to Ambulation & Length of Stay
    T   Timeline 4-6 weeks (Minimum is 4-weeks)
    D   Data

    Electronic Health Record

    Quality Manager Data

    (add data collection tool name if you have one)

    What is your licensure?

     APRN  RN

    Is this practice change within the scope of your nursing practice?

     YES  No

    Depending on licensure and scope of practice, some DPI projects can be in conflict. Please ensure you have read your state’s Nurse Practice Act. Providing this information assists the PICOT reviewer with insight into the conduct of the project.

    PICOT For adult medical-surgical patients 18 years and older, will the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol compared to current practice decrease the patient’s time to first ambulation and an average length of stay in an urban Kentucky hospital over four-weeks?
    Problem Statement

    Problem:

    It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population)

    Example:

    Engel, Tatebe, Alonzo, Mustille, and Rivera (2013) indicates that early mobilization of patients decreases the average length of hospital stay in critical care areas. Fisher, Kuo, Graham, Ottenbacher, and Ostir (2010) pointed to the time to ambulation and length of stay. It is not known if a nurse-driven early mobilization protocol will decrease the mean-time to ambulation and an average length of hospital stay in the medical-surgical population of an urban Kentucky hospital (AHRQ, 2017). Whereas this population tends to be ill, they are not as critical as ICU, or post-operative patients tend to be. They are still at risk for developing hospital-acquired pneumonia, gastrointestinal delays, and muscle deconditioning. Nevertheless, the time to first ambulation and length of hospital stays could potentially be reduced if an early mobilization protocol were implemented.

    Purpose Statement

    Purpose:

    The purpose of this ___________( e.g., quantitative, quasi-experimental) project was to determine if or to what degree the implementation of _________________ (direct practice improvement/intervention) would impact ______________(what patient outcome) when compared to _______________________ among ___________(patient population) in a ________ (setting e.g., primary care clinic, ER, OR) in ________ (state) over four-weeks.

    Example:

    The purpose of this quantitative, quasi-experimental quality improvement project is to determine if or to what degree the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol would impact the patient’s time to first ambulation and an average length of stay for adult patients in acute medical-surgical unit compared to current practice at an urban (rural or use direction: northeaster, southeaster) in urban Kentucky over four-weeks.

    OR

    The purpose of this quantitative, quasi-experimental quality improvement project is to determine if or to what degree the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol would impact the patient’s time to first ambulation and an average length of stay compared to current practice. The project will take place on the adult, medical-surgical unit, at an urban (rural or use direction: northeaster, southeaster) Kentucky hospital over four-weeks.

    The nurse-driven early mobilization protocol is defined as ambulating all admitted patients in the medical-surgical unit, four times a day at least 100 feet each time, irrespective of the diagnoses, unless contraindicated. The first ambulation should happen within 24 hours of admission. The average length of hospital stay refers to the average number of days that patients spend in hospital (Organization for Economic Co-operation and Development, 2019). This is a measurement of the quality of care provided by the hospital.

    Original Research articles:

    List all original research articles that support the intervention.

    Add hyperlinks and or the document embedded (Required)

    1.

    2.

    3.

    4.

    5.

    References

    Agency for Healthcare Research and Quality, Rockville, MD. (2017) Introduction and evidence

    for early mobility: A protocol to get patients out of bed faster: Facilitator guide. Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html

    Creswell, J. W. & Creswell, J.D. (2018). Research design: Qualitative, quantitative, and mixed

    methods approaches. (5th ed.) Thousand Oaks: Sage Publications.

    Engel, H. J., Tatebe, S., Alonzo, P. B., Mustille, R. L., & Rivera, M. J. (2013). Physical Therapist-Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center. Physical Therapy, 93(7), 975–985. https://doi-org.lopes.idm.oclc.org/10.2522/ptj.20110420

    Fisher, S. R., Kuo, Y. F., Graham, J. E., Ottenbacher, K. J., & Ostir, G. V. (2010). Early ambulation and length of stay in older adults hospitalized for acute illness. Archives of internal medicine, 170(21), 1942–1943. https://doi.org/10.1001/archinternmed.2010.422Organization for Economic Co-operation and Development. (2019). Length of hospital stay. Retrieved from https://data.oecd.org/healthcare/length-of-hospital-stay.htm

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    ADDITIONAL INSTRUCTIONS FOR THE CLASS

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    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

    Do you handle any type of coursework?

    Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

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    • Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    • APA Format and Writing Quality

    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

    • LopesWrite Policy

    For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

    • Late Policy

    The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

    • Communication

    Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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