Implementation: DNP Project with PICOT

PICOT Question:

In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice impact pain scores during chemotherapy over 8-10 weeks?

The discussion for this week is focused on project implementation. Review the steps in your change process and your implementation schedule, identify milestones, and discuss how you will ensure the achievement of these milestones. How has your implementation plan changed, if at all? Why were these changes necessary? Have you started implementation?

The DNP project is a summative evaluation of many essentials learned throughout the curriculum. The projects focus on changes that can bring positive health outcomes. It includes implementing evidence-based practice, evaluating outcomes, and making a sustainability plan. Often the DNP students encounter many barriers to implementing evidence-based practices secondary to lack of site support. Many studies were done to improve project implementation. An enhanced model for DNP projects was tested in six DNP projects and found to improve the completion of assignments, defense, and graduation (VanderKooi et al., 2018).

Developing a clear timeline with all the tasks listed with special attention to time and costs and making a project schedule is critical for the success of any project (Baum and Swig, 2017). The final scholarly project indicates if the graduate acquired all the essential skills needed to be a leader in clinical practice (Roush & Tesoro,2018). The proposed project will be implemented over eight to ten weeks, and the detailed activities during pre-planning, implementation, data analysis, and dissemination are included in the Gantt chart

Week-1

A meeting will be held with critical stakeholders on week one to brief the project thoroughly. The DNP student will offer an educational session for registered nurses at the infusion center on the effectiveness of music intervention as an adjunct treatment for cancer pain and demonstrate the implementation process. Participants will be selected from the infusion center schedule based on inclusion and exclusion criteria. Selected participants will be contacted in person if possible or via telephone and asked about their willingness to participate in the project. Those willing to participate will receive a brief education about the music intervention, media player (MP3 player), visual analog scale, and be allowed to select their preferred music from a list of choices. Additionally, the participant will be informed that the proposed music intervention will be given during their next chemotherapy session. Participants will be recruited until week eight to satisfy the proposed sample size.

Week two through nine:

The implementation phase will begin on week two and continue through week nine. Participants will receive a single session of music intervention during chemotherapy. Informed consent will be obtained, and all questions and concerns will be answered for the participants. Therapeutic music will be provided to the participants, and pain scores will be assessed before and after the intervention using a visual analog scale for pain. Instructions will be given to ensure an accurate assessment of pain level. Pain scores will be documented in the electronic medical record. All the collected data will be stored in a locked file cabinet and a password-protected computer at the practicum site. The DNP student will be physically available during the project implementation to ensure compliance. Further, a compliance checklist will be utilized to document the correct implementation process. A retrospective chart review also will be done to ascertain the implementation process. The DNP student will perform formative evaluation from week two through nine by directly observing the implementation process and frequent huddling with the project team members. The preceptor will be updated about the project’s progress every day, and the course instructor will be contacted weekly or as needed. The DNP student will conduct a biweekly conference with stakeholders to update the progress. Daily staff meetings will be conducted with the health care team of the infusion center and oncology department administration. During the meeting, staff can provide feedback regarding the project, and the DNP student will update the project’s progress.

Post-implementation phase

The DNP student will thank all the participants and the health care team for their participation and support. All collected data will be analyzed with the help of a statistician. A retrospective chart review will be conducted to ascertain project implementation compliance. Project presentation before the Chamberlain faculty and sharing the results with practicum site stakeholders.

Major milestones identified in my project are a) educating the staff and b) recruiting the participants, c) implementation, d) data management, e) data analysis, f) project presentation, and sharing the results with the stakeholders at the practicum site. The project manager will use a compliance checklist and a retrospective chart review to ensure project compliance. The Gaant chart also provides an organized schedule for the smooth implementation process. There are no changes in the project implementation plan. Implementation will begin on the first week of NR 707.

Please provide your instructor and student colleagues with an update on the implementation phase of your DNP Project. Share any successes, challenges, or barriers you experienced this week.

The project implementation, planning, and preparation are progressing well. The DNP student is not foreseeing any barriers to the planned implementation of the project.

References

Baum, N., & Swig, B. (2017). Project management for healthcare practices: costs and timing. The Journal of Medical Practice Management, 32(4), 271–275. (Links to an external site.)https://www.proquest.com/docview/1930760068?parentSessionId=GgAgfndYvaWOJq5AAkHSCbrELfT7tKDlVF%2BSxK1VBuM%3D&pq-origsite=primo&accountid=147674 (Links to an external site.)

Roush, K & Tesoro, M. (2018). An examination of the rigor and value of final scholarly projects completed by DNP nursing students. Journal of Professional Nursing, 34(6), 437–443. https://doi.org/10.1016/j.profnurs.2018.03.003

VanderKooi, M., Conrad, D. M., & Spoelstra, S. L. (2018). An Enhanced Actualized DNP Model to Improve DNP Project Placements, Rigor, and Completion. Nursing Education Perspectives, 39(5), 299–301. https://doi.org/10.1097/01.NEP.0000000000000384

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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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. Implementation: DNP Project with PICOT

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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