DNP 820–10 Strategic Points For The Prospectus, Proposal, And Direct Practice Improvement Project

DNP 820–10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project

Week Two Assignment Instructions — DNP 820

Please read the instructions carefully as there are specific requirements that must be met.

You will need to include at least 10 new peer-reviewed articles or literature reviews, in addition to those provided in the DNP 815 attachment. All references should be within the last five years and relevant to your subject matter. I have also attached a chart that must be completed.

Requirements:

• Ensure the tutor has a strong command of the English language.
• The assignment must follow the provided rubric, with all requirements fulfilled.

DNP 820–10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project.

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Your professor has strict grading standards and expects thorough work. You will find the attached PICOT and the initial 10 points (from DNP 815) assignment. This is a continuation of that work. Please carefully review all attachments.

The following points must be addressed:

Introduction and Literature Review:

• These sections should be complete and thorough.

Problem Statement:

• The problem statement must be clearly articulated.

PICOT Question:

• Ensure that your PICOT question is clear and well-defined.

Sample:

• How will you determine the sample size?
• What are the inclusion and exclusion criteria for your subjects?

Methodology:

• Justify why the selected methodology is appropriate.

Data Collection Approach:

• Provide a detailed description of how you will collect your data, starting from the informed consent process to the completion of data collection.

Data Analysis:

• Describe the statistical tests you will use to answer your research question.

Clinical/PICOT Questions Example:

PICOT Question 1:

o In adult patients with central venous catheters (CVC) at Clear Lake Regional Medical Center, does interventional staff education about hub hygiene provided to registered nurses (RNs) impact central line-associated bloodstream infection (CLABSI) rates compared to standard care over a one-month period?

P: Patients with central venous catheters
I: Staff re-education on hub hygiene
C: Other hospitals
O: Reduction in CLABSI rates
T: One month

PICOT Question 2:

o In patients over 65 years old with central line catheters at Clear Lake Regional Medical Center, how does staff training and reinforcement of catheter hub hygiene, compared with other hospitals, reduce CLABSI rates over a one-month period?

P: Patients > 65 with central line catheters
I: Staff training on catheter hygiene
C: Other hospitals
O: Reduction in CLABSI rates

Additional Considerations:

• Replace “Central Missouri” with your site description.
• Consider patient outcomes beyond just CLABSI rates.
• Ensure your comparison groups differ meaningfully.
• Limit your project timeline to one month.

Grading Criteria: Your professor provides detailed feedback on all papers, with the expectation that you will improve based on prior feedback. Failure to incorporate this feedback may result in point deductions. Consider the following key points:

1. References: All references must be current (within five years), and only primary sources may be cited. Avoid textbooks and outdated sources.
2. No Direct Quotes: Direct quotes are no longer permitted. Instead, synthesize the literature, keeping your writing concise and scientific.

Details on the 10 Strategic Points: The 10 strategic points provide a clear and aligned framework for the prospectus, proposal, and direct practice improvement project. These points guide your research and ensure its credibility and value. This assignment builds on your work from DNP 815 and requires you to develop the 10 key strategic points that shape your research focus and approach.

General Requirements:

• Use the “10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” from DNP-815 as a foundation for your work.
• Follow APA style as outlined in the APA Style Guide found in the Student Success Center.
• Review the rubric before starting your assignment to ensure all expectations are met.
• Submit your assignment through Turnitin, as directed in the Student Success Center.

Instructions: Continue working on the 10 strategic points document you started in DNP 815. If you’re a transfer student and did not complete DNP 815, begin fresh. Include feedback from your previous instructor as an appendix or as a separate document when submitting your assignment. Significant improvement is expected from your last submission.

Expanding Your Literature Search: By the time you reach DNP 955, your literature review chapter will require at least 50 peer-reviewed sources. Start expanding your literature search each week. If you struggle to find enough sources, consult your faculty or consider a different research topic.

Methodology and Design:

• Methodology: Choose between qualitative, quantitative, or mixed methods, explaining why your choice is appropriate.
• Design: Explain your design (e.g., correlational, cross-sectional, pre/posttest) and justify how it aligns with your project.

Intervention: You must design and implement an intervention. Describe this intervention in detail, explain how it is evidence-based, and outline your role in the implementation process.

Data Collection: Provide an extremely detailed step-by-step guide on how you will collect your data, including the tools, surveys, and questions. Ensure that one of your tools is a valid and reliable instrument.

Data Analysis: Describe the specific statistical tests you will use, starting with descriptive statistics, and justify your choices with primary sources. Explain how you will compare your data and what p-value will be used before data collection begins.

The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project

Introduction

In developing the Prospectus, Proposal, and Direct Practice Improvement (DPI) Project, there are 10 critical strategic points that must be clear, simple, correct, and aligned to ensure the project is feasible, valuable, and credible. These points serve as a guide for the project and are common across most research endeavors. They are outlined in a document called “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project.”

The 10 strategic points are typically organized in a table format.

The 10 Strategic Points

The 10 strategic points are derived from research on a topic aligned with both a defined need in the literature and the learner’s personal passion, career goals, and degree focus. The 10 Strategic Points document includes the following key components that define the project’s focus and approach:

1. Topic (10%) — Specifies the broad area or title of the project.
2. Literature Review (15%) — Outlines key points for four sections:

• Background of the problem/gap and project need based on literature.
• Theoretical foundations (theories/models supporting the project).
• Review of relevant literature topics with key themes.
• Summary.

1. Problem Statement (10%) — Defines the issue to be addressed, based on gaps identified in the literature.
2. Sample and Location (10%) — Identifies the sample size and location for data collection.
3. Clinical/PICOT Questions (10%) — Lists the clinical/PICOT questions used to collect data for addressing the problem.
4. Variables (5%) — Describes the independent and dependent variables.
5. Methodology and Design (10%) — Explains the chosen methodology and specific project design.
6. Purpose Statement (10%) — Provides a one-sentence summary including the problem statement, methodology, design, sample, and location.
7. Data Collection (10%) — Describes the primary instruments for answering the clinical questions.
8. Data Analysis (10%) — Explains the data analysis techniques that will address the clinical/PICOT questions.

Process for Defining the 10 Strategic Points

The order of the strategic points reflects the step-by-step process a learner follows when developing their project. The first five points help to define the project’s focus, beginning with selecting a broad topic based on a clear need or gap from the literature, personal interest, and career goals. Following this, learners perform a literature review to outline the need, relevant theories, and key research topics. Next, a concise problem statement is created, identifying a specific issue the DPI project will address. Then, learners determine the sample and location for data collection, taking into account the size of the population needed for different types of studies (larger for quantitative studies). Lastly, they develop the clinical/PICOT questions that will guide the data collection.

The remaining five strategic points define key aspects of the project methodology. Learners describe the variables, choose the research methodology (qualitative, quantitative, or mixed), and create a purpose statement. They then outline their plan for data collection and identify the appropriate data analysis techniques to answer the clinical/PICOT questions and address the problem statement.

Evaluation Criteria for the 10 Strategic Points: Clear, Simple, Correct, and Aligned

It is essential that the 10 strategic points are clear, simple, correct, and aligned. All points should be interrelated, ensuring that the project can be conducted successfully. For example, the problem statement must arise from the literature or a practice gap, the clinical questions should gather the necessary data to address this problem, and the methodology and design must align with both the problem and the clinical questions. The data collection and analysis methods must be sufficient to provide answers to the PICOT questions.

Drafting the 10 Strategic Points as a concise two- or three-page document helps ensure clarity, simplicity, correctness, and alignment throughout the DPI Project. This format also provides a consistent template for use in the Prospectus, Proposal, and DPI Project.

Value of the 10 Strategic Points Document

The 10 Strategic Points document is crucial for aligning key stakeholders in the DPI Project. It facilitates agreement between the learner and their chair regarding the project’s focus and approach. The document is also useful when seeking permission from organizations to conduct research, as well as when engaging a Content Expert or consulting with the DPI Project committee and AQR reviewers. Additionally, learners may consult with methodologists, statisticians, or editors while developing the final manuscript.

Examples of the 10 Strategic Points Document

It is important that the 10 strategic points remain clear, concise, feasible, and aligned throughout the project. Below is an example of a completed 10 Strategic Points document for a quantitative project, along with a blank template for learners to use when drafting their own.

Example: 10 Strategic Points Document for a Quantitative Project

The 10 Strategic PointsComments or FeedbackBroad Topic Area1. Broad Topic Area:
Hint: What would I title my project?Literature Review2. Literature Review:
List key points for four sections:
a. Background of the Problem/Gap:
— Rural ambulatory clinics have restructured to improve reimbursement.
— Access to healthcare in rural areas needs enhancement, particularly where specialists are unavailable (Schoenberg, 2012).
— Telehealth nursing can support specialty care in rural clinics (Schoenberg, 2012).
— Approximately 200 telemedicine networks exist nationwide (American Telemedicine Association, 2017).
b. Theoretical Foundations:
— The Greenhalgh Dissemination of Innovations model (Greenhalgh et al., 2005) can be used to implement telehealth for rural Americans.
— The D&M Information System Success model (DeLone & McLean, 2003) helps conceptualize information system success.
— Path constitution theory combines perspectives on technology, path dependence, and path creation (Singh et al., 2015).
c. Review of Literature Topics:
— Rural Telehealth Services: Telehealth can improve care for burn patients, smoking cessation, psychotherapy, cancer education, and diabetes management (McWilliams et al., 2016; Carlson et al., 2011; Gonzales & Brossart, 2015; Doorenbos et al., 2011; Holloway et al., 2011).
— Population-Specific Telehealth Services: Telehealth for older adults can enhance access to care and improve self-management (Hsieh et al., 2015).
d. Summary:
— Gap/Problem: Evidence-based telehealth methods need implementation to improve rural health outcomes.Problem Statement3. Problem Statement:
Clearly state variables/groups to be studied in one sentence.
Example: While telehealth improves access to care, it is unknown if telehealth affects follow-up rates among rural patients.Clinical/PICOT Questions4. Clinical/PICOT Questions:
Provide a PICOT question:
(P) Among adult patients in a rural setting, (I) how does telehealth implementation © compare to traditional care (O) in impacting follow-up rates (T) over four weeks?Sample5. Sample and Location:
Identify sample size and location:
— Location: Arizona
— Population: Two neighboring rural towns equidistant from a primary care provider
— Sample: 40 participants (include a power analysis if applicable).Define Variables6. Define Variables:
— Independent Variable: Telehealth program
— Dependent Variable: Follow-up rate with primary care provider.Methodology and Design7. Methodology and Design:
Quantitative methodology using a quasi-experimental design.Purpose Statement8. Purpose Statement:
Provide a clear statement of purpose:
Example: The purpose of this quantitative project is to determine the relationship between telehealth implementation and follow-up rates among rural residents in Arizona.Data Collection Approach9. Data Collection Approach:
Describe the primary instruments to answer the clinical question.Data Analysis Approach10. Data Analysis Approach:
Descriptive statistics will summarize the sample and variables. Independent t-tests will compare follow-up rates between the telehealth and commute-for-care groups. A priori analysis will determine sample size.

10 Strategic Points Table

10 Strategic PointsComments/FeedbackBroad Topic AreaLiterature ReviewDNP 820–10 Strategic Points For The Prospectus, Proposal, And Direct Practice Improvement ProjectProblem StatementClinical/PICO QuestionsSampleDefine VariablesMethodology and DesignPurpose StatementData Collection ApproachData Analysis Approach

DNP 820–10 Strategic Points For The Prospectus, Proposal, And Direct Practice Improvement Project.