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PHASE IV

PLEASE SEE ATTACHED DOCUMENT FOR INSTRUCTIONS AND REQUIREMENTS

ALSO YOU WILL HAVE PART 1,2,3 FOR YOU TO GUIDE FOR THIS NEW SECTION PART 4

NO MORE THAN 10% PLAGIARISM IS ACCEPTED WILL BE SUBMITTED VIA TURNIN IN

DUE DATE AUGUST 14, 2025

1 PAGE FOR ABSTRACT

Exercise Instructions

Phase IV Abstract

The Phase IV includes title, abstract, and reference pages combined with the other phases I, II, III into one cohesive paper.

Do not forget to mention the Essentials and to document limitations and implications for future research/practice.

1.      General instructions:  

Overall the document should include: a.      Three pages in length and should include a title page, an abstract, and a reference page.   2.      Title Page: Include the title page with all necessary components required by the nursing program according to the APA format   3.      Abstract: An abstract is a brief, comprehensive summary of your topic. The abstract should be 350 words or less and should be accurate, non-evaluative, coherent, readable, and concise. The following elements of an abstract should be included: a.      The research problem or issue you are presenting b.      Phase 1, 2, & 3 c.       Your conclusions d.      Implications for nursing education and the nursing profession

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1

Phase I Assignment

Student's name: Yulexis Moreda

Instructor: Aciel Sagrera-Mulen

Course: Nursing Research and Evidence-Based Practice

Date: July 6, 2025

Reducing Hospital Readmissions for Heart Failure Patients

Introduction to the Problem

HF is one of the most common chronic diseases in the United States, especially among older adults. According to Roger (2021), "HF is far more prevalent in older age groups, reaching 4.3% among persons aged 65 to 70 years old in 2012 and projected to increase steadily through year 2030 when the prevalence of HF could reach 8.5%". As Khan et al. (2021) report, "Nearly 1 in 4 heart failure (HF) patients are readmitted within 30 days of discharge and approximately half are readmitted within 6 months". This high readmission rate is a serious issue in healthcare provision, commonly indicating unacceptable transitional care and inadequate post-discharge patient support.

Hospital discharge to home is a sensitive period, especially in the case of HF patients who must deal with multiple self-care and follow-up tasks. Studies indicate that readmissions are generally avoidable with proper transitional care measures. Transitional nursing aims to bridge the care gap by implementing systematic interventions, such as patient education, discharge planning, follow-up phone calls, and coordination with outpatient practitioners. When implemented by nurses, these interventions have been found to decrease hospital readmissions and enhance patient outcomes. The goal of this project is to investigate how nurses' transitional care strategies impact the reduction of preventable hospital readmissions for patients with heart failure.

Identifying the Problem

The most significant problem is the high percentage of 30-day hospital readmissions among patients with heart failure. Transitions are most frequently associated with care fragmentation for hospital-to-home discharge, e.g., poor discharge teaching, medication abuse, failure to follow up on time, and poor patient comprehension of their disease (Sakowitz et al., 2023). Although post-discharge care has been optimized, most hospitals lack the capability to offer uniform, high-quality transitional services for HF patients.

There is also a shortage of standard, evidence-based treatments. Patients are commonly discharged from the hospital with minimal information about their drugs, diet, and warning signs of collapse. Interchanges also among hospital groups and community-based carers are frequently poor, resulting in discontinuity of care. That breakdown significantly enhances the risk of avoidable complications and readmission, which consumes healthcare resources and damages patient well-being.

Significance of the Issue to Nursing

The problem of readmission for heart failure is especially relevant to the field of nursing practice. Nurses are at the forefront of discharge planning and patient education, and their role in transitional care is critical to ensuring that patients are adequately prepared upon hospital discharge. Marques et al. (2022) note that "Outpatient care provided by nurses to patients with HF has been the focus of studies, showing a reduction in hospital readmissions". Advanced practice nurses are also well-suited to facilitate and direct care transition models that encourage communication, track patient progress, and maintain post-discharge adherence to care plans.

High rates of readmission are quality markers of care and are associated with financial penalties in value-based reimbursement systems for care. Nurses are dedicated to acting on these quality markers through evidence-based practice. Transitional care is an outgrowth of the nursing process with a focus on assessment, planning, intervention, and evaluation. Nurses can play a highly influential role in reducing readmissions, improving patient satisfaction, and making the healthcare system more sustainable by taking the lead on transitional care initiatives (Marques et al., 2022).

In addition, transitional care supports nursing's holistic philosophy because it extends beyond the repair of physical well-being to address the emotional, social, and educational health needs of patients. Nurses reassure, explain physicians' orders, and represent the patient's interests throughout the continuum of care. A readmission reduction not only enhances clinical outcomes but also fosters trust and involvement among patients and healthcare providers.

Purpose of the Research

The primary objective of this research is to assess the impact of nurses' transitional care interventions on the 30-day readmission rates of heart failure patients to hospitals. The study will quantify the effectiveness of various interventions, including follow-up phone calls, home visits, telemonitoring, and medication reconciliation, in preventing readmissions. Besides clinical outcomes, the study will assess patients' views of the care provided and nurses' experiences with implementing these strategies.

Knowing which elements of transitional care yield the most beneficial results can enable institutions to allocate resources effectively and emulate successful methods. By identifying where implementation is likely to be least successful, this research can also inform educational and policy initiatives, enabling nurses to deliver high-quality care during transitions of care. Finally, the results will further establish an evidence base supporting safe, patient-oriented care and facilitating professional development for nurses in extended roles.

Research Questions

This research will be informed by a set of guiding questions: What are the most effective nurse transitional care programs to minimize 30-day hospital readmission of heart failure? How do patients assess the quality and efficacy of transitional care services from nurses following hospital discharge? What are nurses' challenges in implementing transitional care among heart failure patients?

Responding to these questions will help construct a deeper understanding of how transitional care can be maximized to meet the needs of vulnerable populations, most critically those with chronic cardiovascular disease.

Master's Essentials that aligned with this topic

This project aligns with several of the Essentials of the American Association of Colleges of Nursing (AACN) Essentials for Master's Education. Essential I, which involves the integration of scientific knowledge from both the sciences and humanities, is evident in comprehending the multifaceted pathophysiology and psychosocial dynamics of heart failure care. Essential II, Organizational and Systems Leadership, emphasizes the design and testing of interventions that necessitate strategic planning, interprofessional collaboration, and quality improvement.

Core IV, Translating and Integrating Scholarship into Practice, is paramount to this study, as it involves the implementation of existing evidence into the practice of practical nursing interventions. Core VI, Health Policy and Advocacy, is met by confronting systemic barriers and policy dilemmas related to transitional care services. Finally, Core IX, Master ''s-Level Nursing Practice, is confronted by addressing leadership, clinical decision-making, and care coordination, all key elements of advanced nursing practice in transitional care facilities.

Conclusion

The challenge of high hospital readmission of patients with heart failure is of concern to the healthcare of today, one that nurses can solve. Transitional care nursing is a solution whose time has arrived, providing continuity, safety, and education during the hazardous post-discharge period. This study aims to reiterate the importance of nurse intervention in enhancing patient outcomes and contributing to a more efficient, patient-focused healthcare system. By identifying effective interventions and reviewing implementation barriers, this study contributes to the advancement of nursing practice and the delivery of high-quality care for individuals with chronic illnesses.

References

Khan, M. S., Sreenivasan, J., Lateef, N., Abougergi, M. S., Greene, S. J., Ahmad, T., … & Butler, J. (2021). Trends in 30-and 90-day readmission rates for heart failure.  Circulation: Heart Failure14(4), e008335. https://www.ahajournals.org/doi/full/10.1161/CIRCHEARTFAILURE.121.008335

Marques, C. R. D. G., de Menezes, A. F., Ferrari, Y. A. C., Oliveira, A. S., Tavares, A. C. M., Barreto, A. S., … & Santana-Santos, E. (2022). Educational nursing intervention in reducing hospital readmission and the mortality of patients with heart failure: a systematic review and meta-analysis.  Journal of Cardiovascular Development and Disease9(12), 420. https://www.mdpi.com/2308-3425/9/12/420

Roger, V. L. (2021). Epidemiology of heart failure: a contemporary perspective.  Circulation research128(10), 1421–1434. https://www.ahajournals.org/doi/full/10.1161/CIRCRESAHA.121.318172

Sakowitz, S., Madrigal, J., Williamson, C., Ebrahimian, S., Richardson, S., Ascandar, N., … & Benharash, P. (2023). Care fragmentation after hospitalization for acute myocardial infarction.  The American Journal of Cardiology187, 131–137. https://www.ahajournals.org/doi/full/10.1161/CIRCHEARTFAILURE.121.008335

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1

Phase II Assignment

Student's name: Yulexis Moreda

Instructor: Aciel Sagrera-Mulen

Course: Nursing Research and Evidence-Based Practice

Date: July 24, 2025

Reducing Hospital Readmissions in Heart Failure Patients through Structured Discharge Planning and Patient Education

Brief Literature Review

HF causes a substantial number of hospitalizations and readmissions of older adults, as it is one of the primary causes of both hospitalization and readmission. The transition from Hospital to home is an important opportunity for intervention, especially in terms of successful discharge planning and patient education. This literature consistently advocates for the effectiveness of structured discharge in helping to reduce the rate of hospital readmission among patients with HF.

Bradley et al. (2022) conducted an informative review of discharge planning interventions and their impact on patient outcomes. The authors state that “A structured discharge plan that is tailored to the individual patient probably brings about a small reduction in the initial hospital length of stay and readmissions to hospital for older people with a medical condition, may slightly increase patient satisfaction with healthcare received” (Bradley et al., 2022). To support the above-mentioned ideas, the study noted that customized discharge planning may significantly decrease readmission levels and improve patient satisfaction. Key aspects, such as involving the family and patient, early introduction of discharge planning, and follow-up in the post-discharge period, are linked to better outcomes.

On the other hand, Browder and Rosamond (2023) specifically addressed socioeconomic factors in HF readmissions. They discovered that the low socioeconomic patients are disproportionately disadvantaged by ineffective discharge planning and the absence of access to post-discharge services. The interventions that overcome these barriers, tailored to the needs of patients, including transportation assistance, medications, and telehealth, showed potential in reducing readmission risks. According to the authors, “there was a reduction in readmissions after the implementation of HRRP” (Browder & Rosamond, 2023).

Burse (2024) assessed a discharge planning and education program in the clinical environment of a real-life hospital and found a significant reduction in 30-day readmission. Her results support the significance of properly organized education under nursing leadership that focuses on adherence to medications, monitoring symptoms, and conducting follow-up visits. The involvement of discharge planners in multidisciplinary care teams was also identified as a key strategy for improving patient outcomes.

Fatani et al. (2025) examined the effect of discharge planning teams on the length of stay and readmission outcomes in neurological patients. Although this study is not specific to HF, it provides an argument in favor of the generalizability of discharge principles in diagnosis. The existence of a specialized team was associated with a reduced overall length of stay and readmission, supporting the argument that organizational factors had a significant impact on the success of discharges.

Similarly, a systematic review carried out by Wu et al. (2024) on nurse-led HF clinics noted a consistent decrease in patient hospitalization and improved self-management. All the clinics provide extensive education, effective drug management, and prompt symptom deterioration management early on. Although the study was not conducted within the Hospital, it confirms the value of nurse-led patient education in preventing readmissions.

The body of this research, taken together, provides a solid evidence foundation regarding the value of structured discharge planning and specific educational work as primary tools to prevent HF readmission.

Research design and study methods

The present study will employ a quasi-experimental pre-post research design to examine the effectiveness of an enhanced discharge planning and education protocol among patients with heart failure. The context in which the intervention will be delivered is a mid-sized urban hospital that accepts a diverse population.

The research will consist of two stages: the baseline data collection stage and the intervention stage. In the baseline phase, information on 30-day readmissions, including those of HF patients in the 6 months preceding the intervention, will be obtained retrospectively. During the intervention stage, a standard discharge planning and education program will be implemented for all patients who have been admitted based on their primary diagnosis of heart failure.

The intervention will comprise interventional discharge planning initiated at the time of admission, a discharge checklist, medication reconciliation, patient-centered education to learn how to manage heart failure, scheduling of follow-up appointments before discharge, and a post-discharge telephone call made by a nurse within 72 hours. The education part will rely on the teach-back technique to ensure the patient. Written materials, medication calendars, and symptom checking logs will be provided to patients.

The significant results will include rates of readmission over 30 days, patient satisfaction, and medication compliance, which will be assessed through pharmacy refill records. Secondary endpoints will include hospitalizations and emergency department visits. The electronic health records of the patients (EHRs), the survey, and the telephone interviews will be used to gather data.

“The hospital Institutional Review Board (IRB)” will ethically approve the study, and an informed consent will be signed by all participants. This design ensures internal validity while also facilitating real-world applicability and minimizing disruption to standard care practices.

Sampling Methodology

In the study, the non-randomized convenience sampling technique, which fits the quasi-experimental design, will be employed. Potential participants will be adult patients (18 years old and beyond) who were admitted to the Hospital with HF as the primary diagnosis in the internal medicine or cardiology departments of the Hospital.

Criteria of inclusion will take the form of: (1) proven heart failure as per the ICD-10 coding and through clinical assessment of the patient, (2) has been discharged home or to self-care, and (3) able to provide informed consent. There will be exclusion criteria including: (1) patients who have been transferred to long-term care or hospice, (2) patients with extreme cognitive impairment with no available caregiver who may attend education, and (3) non-English speaking patients without an interpreter.

A power analysis will be conducted to determine the sample size required to detect a statistically significant decrease in readmission rates with a power of 80% and an alpha level of 0.05. Using the data from the past, it is projected that an estimated sample size of 200 patients per group (pre-intervention and post-intervention) will be recorded.

Although the sampling plan may limit the generalizability of the findings to other populations, it provides viable access to participants in the target demographic. It ensures a reasonable level of integration within the prevailing hospital framework. Mixed methods will be employed to gather both quantitative and qualitative opinions related to readmission rates (admission rates, medication adherence), as well as patient perceptions towards the discharge process.

Necessary Tools

A series of tools will be utilized in the study for collecting and evaluating data. The tools to be used for collecting primary data will include the electronic health record audit template, validated patient satisfaction surveys, and structured interview guides. The “Morisky Medication Adherence Scale (MMAS-8)” is a rated instrument that will serve as a tool in assessing medication adherence in chronic disease studies, as it is a valid instrument.

The checklist for discharge education will become one of the main tools for ensuring the consistency of interventions. Some of the items it will contain include learning about dietary prohibitions, tracking symptoms, understanding the side effects of medications, knowing when to call in, and scheduling follow-up visits. The nurses will record the list of checklist completions in EHR.

The teach-back method will be used to assess patient comprehension. To gauge the patients' comprehension, nurses will require them to recall major concepts addressed in the discharge education process. The teach-back assessment rubric will be used to score responses and document them in the patient's medical record.

The follow-up calls will be conducted using a structured script that evaluates the patient's symptoms, medication use, follow-up visits, and any impediments to care. Information provided during these calls will be used to measure current compliance and identify initial signs of disengagement.

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey will be used to measure patient satisfaction with the discharge process, specifically regarding discharge information and care transition items. Such data will be summed up and analyzed before and after the intervention.

SRSP software will be used in data analysis. Demographic and clinical characteristics will be summed up using descriptive statistics. Chi-square tests, along with logistic regression, will be used to evaluate the differences in outcomes between the pre- and post-intervention populations using inferential statistics.

Illustrations

Morisky Medication Adherence Scale (MMAS-8)

Question

Yes

No

Do you sometimes forget to take your medications?

Over the past two weeks, was there a day when you skipped taking your medications?

Have you ever stopped taking medication without notifying the doctor?

Do you sometimes forget your medications when you travel?

Did you take your medication yesterday?

Do you sometimes stop taking your medication when you feel better?

Do you find it challenging to stick to your treatment plan?

How often do you have trouble remembering to take your medication?

Scoring

Items 1–4, 6, 7: Yes = 1, No = 0

Item 5: Yes = 0, No = 1

Item 8: Score based on the option selected

Interpretation:

Total score 0 = High adherence

Score 1–2 = Medium adherence

Score ≥3 = Low adherence

Conclusion

Heart failure readmissions are another ongoing issue that, in many cases, may be addressed with the help of enhanced discharge planning and education. The evidence in the literature is overwhelming regarding the use of structured discharge protocols and nurse-led education as an effective strategy to reduce readmissions and positively impact patient outcomes. This evidence-based quasi-experimental research, employing a rigorous methodology, is proposed to determine the effect of a holistic discharge planning program on 30-day readmission rates, patient satisfaction, and medication adherence. With the use of validated instruments and effective interventions, the study can provide policy and clinical practice guidelines for the transition of care in patients with heart failure.

References

Bradley, D. C., Lannin, N. A., Clemson, L., Cameron, I. D., & Shepperd, S. (2022). Discharge planning from the Hospital. Cochrane Database of Systematic Reviews, 2022(2). https://doi.org/10.1002/14651858.cd000313.pub6

Browder, S. E., & Rosamond, W. D. (2023). Preventing Heart Failure Readmission in Patients with Low Socioeconomic Position. Current Cardiology Reports, 25(11). https://doi.org/10.1007/s11886-023-01960-0

Burse, C. (2024). Reducing Congestive Heart Failure Readmissions through Discharge Planning and Education. The Aquila Digital Community. https://aquila.usm.edu/cgi/viewcontent.cgi?article=1295&context=dnp_capstone

Fatani, A., Alzebaidi, S., Alghaythee, H. K., Alharbi, S., Bogari, M. H., Salamatullah, H. K., Alghamdi, S., & Makkawi, S. (2025). The role of the discharge planning team on the length of hospital stay and readmission in patients with neurological conditions: A single-center retrospective study. Healthcare, 13(2), 143. https://doi.org/10.3390/healthcare13020143

Wu, X., Li, Z., Tian, Q., Ji, S., & Zhang, C. (2024). Effectiveness of nurse-led heart failure clinic: A systematic review. International Journal of Nursing Sciences, 11(3), 315–329. https://doi.org/10.1016/j.ijnss.2024.04.001

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1

Phase III Results

Student's name: Yulexis Moreda

Instructor: Aciel Sagrera-Mulen

Course: Nursing Research and Evidence-Based Practice

Date: August 6, 2025

Phase III: Results (Hypothetical)

This section presents the hypothetical findings of the quasi-experimental pre-post study designed to evaluate the effectiveness of an enhanced nurse-led discharge planning and patient education protocol for individuals hospitalized with heart failure (HF). The statistics presented in this paper will entail the projected results based on the trends of the literature and the impact of the designed transition care program. The outcomes are a descriptive statistic, primary and secondary outcomes, including statistics prepared thereon, and interpretation of findings. The limitations of the study are to be discussed, as well as the recommendations for future research.

Descriptive Statistics

The population of the research consisted of 400 adult patients, with the first 200 respondents constituting the pre-intervention cohort and the remaining 200 forming the post-intervention group. Inclusion criteria were satisfied by all the participants. These inclusion criteria consisted of a confirmed diagnosis of HF and discharge home or to self-care. There were no exclusion criteria, including transfer into long-term care or marked cognitive impairment without a caregiver.

The demographic characteristics of the population covered in the research showed that the mean age was approximately 70 years. The research participants ranged from 45 to 70 years, with the smallest number of people below 45 years. The gender of the respondents in both groups was nearly the same, with males making up over half of the respondents. The average of the racially and ethnically diverse group was White/African American, followed by Hispanic/Latino, and finally, other races. Most of the insurance was Medicare, then Medicaid; some were privately insured, and the remaining were uninsured.

Clinical characteristics of the pre- and post-interventional groups of the population were equalized. The New York Heart Association (NYHA) classification revealed that most patients were in Class II or III, with a smaller subset in Class IV, indicating advanced disease (Rohde et al., 2023). The prevalence of comorbidities was similar across groups, with hypertension being the most common, followed by diabetes mellitus, chronic kidney disease, and chronic obstructive pulmonary disease (COPD). Mean ejection fractions between the two groups had no significant difference, thus suggesting that both groups had similar levels of impairment of cardiac functions. These similarities show that overall, the sample did not differ in the background characteristics or clinical outcomes, so the likelihood of a confounding factor interfering with the results is lower.

Primary Outcomes

The primary outcome of the study was the 30-day readmission rate of hospitalization due to HF exacerbation (Gangu et al., 2022). In the initial sample of the group of patients at the beginning of the intervention, 23 percent represented cases of readmission rates in the initial month of discharge. In contrast, the post-intervention sample showed a low and conspicuous readmission rate of 11 percent. Statistical analysis using the Chi-square test confirmed that this reduction was statistically significant (p = .001).

Medication adherence, measured by the Morisky Medication Adherence Scale (MMAS-8), also showed considerable improvement following implementation of the intervention. At the pre-group level, 28 percent of the patients were assigned high adherence scores, and the remaining part belonged to medium and low adherence. The post-intervention group, in turn, achieved high adherence in 54 percent of the patients, whereas the percentage of patients with low adherence drastically reduced. The Chi-square test confirmed that these changes were statistically significant (p < .001).

Patient satisfaction, assessed using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey focusing on discharge and care transition items, also improved (Bispott, 2024). The pre-intervention group's average score was 78, whereas the post-intervention group reached almost 89. Independent samples t-test analysis revealed that this increase in satisfaction was statistically significant (p < .001). These results indicate that the perception of patients subjected to the implemented intervention became better if the discharge process is considered more supportive, organized, and informative following the introduction of the intervention into practice.

Secondary Outcomes

Reduced effects of the intervention occurred in secondary outcomes. Emergency department (ED) visits for HF-related issues within 30 days of discharge decreased from 17 percent in the pre-intervention group to 8 percent in the post-intervention group, with statistical testing confirming the significance of this reduction (p = .005). This observation shows that not only was the step of hospital readmission reduced through improved discharge planning and education now, but also there was an opportunity to avoid crisis occasions, which might have required ED evaluation.

The length of stay (LOS) for the index hospitalization decreased modestly from an average of 5.8 days in the pre-intervention group to 5.2 days in the post-intervention group. While the difference did not reach statistical significance (p = .062), the trend aligns with prior research suggesting that effective discharge planning can contribute to more efficient care and earlier patient discharge without compromising safety.

Descriptive Analysis, Logistic Regression, and identification of S 30 30-day readmission. Group assignment emerged as a strong independent predictor, with patients in the post-intervention group demonstrating significantly lower odds of readmission compared to those in the pre-intervention group (odds ratio = 0.42, p = .001). High medication adherence was also associated with a lower risk of readmission (odds ratio = 0.38, p < .001). Conversely, having NYHA Class IV heart failure increased the likelihood of readmission (odds ratio = 2.14, p = .021). These outcomes prove the importance of the intervention and adherence behaviors in reducing readmission. Also, they emphasized the fact that the advanced HF patients remain at high risk even after the improvement in the discharge practices.

Interpretation of Hypothetical Findings

The research findings show that the nurse-led discharge planning and patient education intervention significantly improved clinical and patient-centered results (Amini, 2024). It is noteworthy that the 30-day readmission rate declined, especially as the indicator has been a long-established indicator of healthcare and the focus of the value-based payment initiatives in healthcare. The improvement in medication adherence suggests that it will be possible to schedule education interventions and carry them out in a way that empowers the patient to take control of their health.

The fact that the rates of satisfaction with the interventions increased significantly demonstrates that it is not only the medical component of it, but also the modality of compliance with the same tenets of the patient-centered concept. The patients reporting that they feel supported, informed, and prepared to engage in self-management once they leave the hospital have better chances of having smoother transitions and fewer complications, as well as feel more confident about their capability to manage HF on their own (Amini, 2024).

The further consequences of the research, i.e., the reduction of ED visits and the potential trend of reduced hospital stay duration, again support the cross-lingual positive influence of the holistic nature of the discharge planning. These advantages show that the intervention has potential economic benefits as well because it will likely lower the number of costs incurred due to unnecessary healthcare, since no unnecessary visits to the hospital are present, and the inpatient care remains efficient and optimized as well.

Research Limitations

The interpretation of such hypothetical results has several limitations that one should remember. The quasi-experimental design is a convenient trial to be conducted in the real-life scenario of a hospital; nevertheless, the design lacks randomization to eliminate selection bias. This limits the strength of causal inferences, since the findings may have relied on unobserved variables. Another aspect that will cast its shadow on the generalizability of the findings is the use of convenience sampling, as the sample may not be representative of a large population of HF patients in other hospitals or geographic regions.

Also, the research was based partially on self-reported measures of medication non-adherence and satisfaction, that is prone to social desirability bias and recall bias (Fahrni et al., 2022). The good acts or satisfaction may be overreported, particularly when probed by care personnel during patient release. The study was done in a single site, which implies that a variety of contextual factors peculiar to this hospital (including expertise of its staff, institutional culture, or the resources available) may have been among the contributing factors of the intervention's success.

Recommendations for Future Research

In future studies, it would also be important to consider the conduct of randomized controlled designs across various geographical locations of hospitals that would allow greater generalizability and internal legitimacy of findings to enhance the evidence base and address the identification gaps. In a bid to enhance the credibility of findings, the study population should become more representative in terms of demographic and socioeconomic groups of patients to determine whether the interventions are also equitable and effective for various patients.

A longer-term follow-up, such as after the discharge period of 30 days, would better explain the findings on whether the benefits of interventions are sustainable over more extended periods of health-related outcomes, such as 90-day readmissions, mortality rates, and health-related quality of life. Moreover, the interviews could also include cost-effectiveness analyses to enable healthcare organizations to estimate the financial consequences of adopting care units with similar nurse-led discharge planning procedures (Fahrni et al., 2022).

Lastly, specific studies of high-risk subgroups (i.e., patients with severe HF, patients with numerous comorbidities, or patients with low health literacy) may inform the creation of individualized interventions. Such possible examples might be higher telemonitoring, more frequent contact with patients during follow-ups, or cooperation with community health workers to address social determinants of health resulting in readmissions.

Conclusion

The implications of the proposed quasi-experimental study, where it is presumed that the structured nurse-led discharge planning, which is considered part of the comprehensive patient education, can significantly reduce the number of hospital readmissions for heart failure patients within the first 30 days of readmission, are pretty profound. Moreover, it implies that the intervention positively impacts medication adherence and patient satisfaction and reduces the use of emergency services. Despite a few limitations inherent in the design and scope of the conducted research, these speculative findings are consistent with existing evidence, which determines the potentially crucial role of nursing in the development of safe and effective transitions of care. The paper has revealed the significance of transitional care as a pillar of good nursing, considering both clinical and patient-oriented outcomes. Utilizing similar steps in clinical practice, underpinning the identified restrictions, could help make the life of HF patients substantially easier and reduce the scope of readmission to the healthcare system.

References

Amini, M. (2024). Nurse-led patient education to reduce hospital readmission. Umsystem.edu. https://hdl.handle.net/10355/106181

Bispott, J.-D. (2024). Effect of Medication and Discharge Instructions on Heart Failure Readmission Rates. Walden Dissertations and Doctoral Studies. https://scholarworks.waldenu.edu/dissertations/15762/

Fahrni, M. L., Saman, K. M., Alkhoshaiban, A. S., Naimat, F., Ramzan, F., & Isa, K. A. M. (2022). Patient-reported outcome measures to detect intentional, mixed, or unintentional non-adherence to medication: a systematic review. BMJ Open, 12(9), e057868. https://doi.org/10.1136/bmjopen-2021-057868

Gangu, K., Bobba, A., Chela, H. K., Avula, S., Basida, S., & Yadav, N. (2022). In-Hospital Mortality Rate and Predictors of 30-Day Readmission in Patients With Heart Failure Exacerbation and Atrial Fibrillation: A Cross-Sectional Study. International Journal of Heart Failure, 4(3), 145. https://doi.org/10.36628/ijhf.2022.0002

Rohde, L. E., Zimerman, A., Vaduganathan, M., Claggett, B. L., Packer, M., Desai, A. S., Zile, M., Rouleau, J., Swedberg, K., Lefkowitz, M., Shi, V., McMurray, J. J. V., & Solomon, S. D. (2023). Associations Between New York Heart Association Classification, Objective Measures, and Long-term Prognosis in Mild Heart Failure: A Secondary Analysis of the PARADIGM-HF Trial. JAMA Cardiology, 8(2), 150–158. https://doi.org/10.1001/jamacardio.2022.4427

Create an log hours and follow the instructions as specified.

 7200

DNP Project Hours Log 

You must submit a minimum of 45 DNP Project Hours that you completed during this course. You can use the weekly activities of this course which are directly related to your DNP Project as hours for towards your 1000 hours total needed to successfully complete this program. 

The 45 hours must Submitted in order for you grade to be posted to pass this course. Remember to add  DNP Essentials and its activity correctly, also you added the AOl Role competencies on some of the "note site" 

DNP Program

Student Name: Amarilys Gonzalez

Cohort: X

Mentor Name: Dr. Dionee

PICOT: For nurses at the Clinica XXXX caring for adult Hispanic diabetic patients does the implementation of the Chronic Care Model (CCM) with Diabetic Self-management Education (DSME) program lead to improved diabetes management and self-care knowledge in eight weeks?

Clinical Hours Course of Action

Course

Name

Instructor

Session

Essential

Activity

Time Spent

Date

Note

XXXXXX

Dr.

DNP XXXX

II. Organizational and Systems Leadership for Quality Improvement

Attend quality improvement meeting

3 Hours

XX/XX/2020

I spent 3 hours in a staff meeting analyzing the Quality measures tool in the organization. We evaluated the organizational and patient outcomes and satisfaction at this moment. I proposed strategies to provide high-quality health care related to the standards of quality health system goals. The meeting head was the company, Chief Medical Officer. 

This activity helps me understand disparities in care delivery that can affect the implementation of my DNP project before its performance guarantees the desired outcomes.

The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by articulating the organization’s performance improvement program and goals.

DNP XXXX

Dr.

XXXX

(DNP Essential I)

Appraisal literature for inclusion

3 hours

After the quality improvement meeting, I dedicated 3 hours to reviewing the literature and understanding the organizational performance tools with Hispanic diabetic patients. I included detailed information about staff and its performance goals; this information provided me with adequate judgment skills to identify who needs training focus on practice improvement. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by identifying risk areas in my clinical setting/population.

DNP XXXX

Dr.

XXXX

Essential II: Organizational and Systems Leadership for Quality Improvement

Identify stakeholders

1.5 hours

After acquired skill with the literature review, I decided to pass by a different clinic department that hired new staff recently. Stakeholder support is necessary for a successful change proposal project implementation. A professional conversation was established; this allowed me to approach the member commitment with the organization and patient care. Few new suggestions based on different points of view received. The Leadership role-specific competence applied was: Professionalism and Effective communication and relationship building by building collaborative relationships soliciting the staff feedback to get ready before implementing my DNP project.

DNP XXXX

Dr.

XXXX

III. Clinical scholarship and Analytical Methods for EBP

Evaluate web-accessible training

2H

I was challenged to get reliable, accurate web training to support clinical decision-making that meets my evidence-based nursing clinical practice change expectations. I targeted Diabetic patients' management tools in the Hispanic population and how providers can guarantee better performance using a new protocol in the clinic after evaluating the web-based information resources in frontline practice. This activity encourages me to understand disparities in diabetic care in my selected setting that can affect the implementation of my DNP project.

The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by using evidence-based metrics to align patient outcomes with the organization's goals and objectives.

.

DNP XXXX

Dr.

XXXX

Essential VI

Meeting with my preceptor/mentor

1.5 hour

I met with my mentor to present my conclusion after meeting the new stakeholders, the quality measure tools staff meeting, new literature review, and web training evidence-based practice information. We discuss how all this information will help me through my project implementation. The Leadership role-specific competence applied was: Professionalism by seeking input and mentorship from others in career planning and development.

DNP XXXX

Dr.

XXXX

Essential II

Attend quality improvement meting

2.5 hours

I met with the owner of the clinical setting (Clinica XXXXX) and the rest of the administrative personnel to discuss the third quarter outcomes. The topic included organizational safety of Care. The Leadership role-specific competence applied was Business Skill by using business models for healthcare organizations and applying fundamental economics concepts.

DNP XXXX

Dr.

xxxx

III. Advanced Nursing Practice

Consultation with experts

2H

I spent 2 hours in consultation with an expert in family practice, Dr. Sanchez, where the screening tool implementation is challenging also about the best organizational model to implement during my project. His recommendation about the proper use of the guideline requires understanding the specific cultural traditions and, based on that, establishing a plan that works with providers and patients. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment and Professionalism by establishing quality metrics that contribute to the profession's advancement.

DNP XXXX

Dr.

XXXX

Essential III:

-Consult with statistician: in person, by phone, or by email

2 hours

I contacted the statistic to update my literature review, including evidence-based practice tools that will help me collect my project data and future evaluation. He provided me the most frequently used statistical methods to address the most relevant data in a DNP project. Those examples will help me to develop my analytical skills in a short proper time. The Leadership role-specific competence applied was: Effective Communication and relationship Building demonstrating my ability in interpersonal communication.

DNP XXXX

Dr.

XXXX

VI. Inter-professional collaboration for improving patient and population health outcomes

Consult with content experts

2 H

I met one DNP graduate from FIU to understand how she could correlate all curricular DNP program elements and competencies in a DNP project implementation in just eight weeks. She provided me with many details to be considered before the execution that will help me smooth the process. The Leadership role-specific competence applied was: Effective Communication and Relationship Building through a collaborative relationship with DNP stakeholders.

image1.png

,

DNP Program

Student Name: Am

Cohort: X

Mentor Name: Dr.

PICOT:

Clinical Hours Course of Action

Course

Name

Instructor

Session

Essential

Activity

Time Spent

Date

Note

DNP 7000

Dr. Karen Perez

DNP

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

Consult by phone/person/email with my preceptor

1.5 Hours

03/05/25

I had a videoconference Zoom meeting with my DNP program mentor, Dr. Fernandez, accompanied by Dr. Perez, who explained to me the requirements of a DNP project, including but not limited to all the processes before and after implementation of my investigation project. The role-specific competencies associated was Effective communication and Relationship Building

DNP 7000

Dr. Karen Perez

DNP

I. Scientific Underpinning for Practice

Synthesize literature

4 hours

03/06/25

I spent 4 hours reviewing evidence-based information about the best possible topics for my DNP project considering pro and cons for each theme and its limitations. The role-specific competencies associated was Evidence-based practice/outcome measurement and research

DNP 7000

Dr. Karen Perez

DNP

II. Organizational and Systems Leadership for Quality Improvement

Evaluate cultural diversity within an organization

2Hours

03/10/25

I met with my supervisor and clinical director for 2 hours to discuss pros and cons of developing the investigation project in the clinical setting, and determine the best population to consider for the development of the project taking into consideration their cultural diversity, diagnosis and possible patient outcomes and satisfaction at this moment.

The leadership role-specific competence applied was knowledge of the healthcare environment, which was achieved by articulating the organization’s performance improvement program and goals.

DNP 7000

Dr. Karen Perez

DNP

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Attend meetings pertinent to the project

3hours

03/16/25

I had a three-hour meeting with my preceptor and colleague to develop the DNP project in the clinical setting. He provided his knowledge and experience as a pain management specialist and clarified the possible outcomes. The role-specific competencies associated were leadership and addressing and exchanging the ideas and viewpoints to consider during the investigation to assure successful outcomes.

DNP 7000

Dr. Karen Perez

DNP

Essential II: Organizational and Systems Leadership for Quality Improvement

Conduct assessment of practice setting

1.5Hours

04/08/25

I spent 1.5 hours on videoconference zoom meeting with Dr. Perez and Dr. Fernandez discussing about the importance of choosing the right clinical setting for the development of the DNP project, knowing the limitations of a hospital setting over a private practice. The role-specific competencies associated was Effective communication and Relationship Building

DNP 7000

Dr. Karen Perez

DNP

Essential I: Scientific Underpinnings for Practice

Review/Evaluate EBP material (e.g., web, print)

3Hours

04/10/25

I spent 3 hours reviewing literature, peer reviews, and evidenced-based material to identify the best possible tool to be used for the implementation of the DNP project. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by identifying possible limitations with pain measurement.

DNP 7000

Dr. Karen Perez

DNP

Essential II: Organizational and Systems Leadership for Quality Improvement

Identify stakeholders

2 hours

04/11/25

I spent 2 hours discussing to other providers the importance of implementing the project and address effectiveness this helped me to establish commitment with the organization and patient care by the other providers including their suggestions for implementation. The role-specific competence applied was: Professionalism and Effective communication and relationship building by building collaborative relationships soliciting support from the staff before and after implementing my DNP project.

DNP 7000

Dr. Karen Perez

DNP

Essential VII: Clinical Prevention and Population Health

Analyze health disparities and population-specific health concerns

3 Hours

04/13/25

I spent 3 hours examining chronic pain literature and public health statistics on marginalized communities. I also examined CDC, WHO, and peer-reviewed journal databases to discover health inequalities and socioeconomic factors of pain treatment. This guided my DNP project's patient-centered, culturally appropriate preventative strategies. Effective Communication and knowledge of the Healthcare Environment were implemented.

DNP 7000

Dr. Karen Perez

DNP

Essential VIII: Advanced Nursing Practice

Develop tool for implementation

3 Hours

04/15/25

I spent 3 hours drafting a pain assessment instrument specific to the characteristics of the target population, which comprises outpatient adults with chronic non-malignant pain. The instrument included validated pain scores including emotional, psychological, and physical pain components. I set SMART targets for post-implementation results. AONE leadership skills were Professionalism and Business Skills since tool creation requires strategy, creativity, and a patient-focused framework.

DNP 7000

Dr. Karen Perez

DNP

Essential V: Healthcare Policy for Advocacy in Health Care

Analyze institutional policy support for the DNP project

2 Hours

04/17/25

I spent 2 hours having a lengthy conversation with the clinical team at my clinical site regarding the institution's perspective on evidence-based initiatives, quality improvement, and policy reform. We examined institutional policies on pain treatment procedures, staff training, and tool use. The research identified policy impediments and lobbying possibilities to support the DNP project's implementation and sustainability. Leadership via policy awareness and strategic communication was the AONE Leadership competence that was used.

DNP 7000

Dr. Karen Perez

DNP

Essential IV: Information Systems/Technology and Patient Care Technology

Select and evaluate electronic systems for project data collection

2 Hours

04/18/25

I spent 2 hours assessing the strengths and shortcomings of two Electronic Health Record (EHR) systems utilized at the clinical location for data collecting. Considerations included HIPAA compliance, real-time data accessibility, and the integration of pain assessment metrics. This determined which platform will best support project execution while protecting privacy and efficiency. Technology, Analytical Thinking, and Business Skills were employed.

DNP 7000

Dr. Karen Perez

DNP

Essential VI: Interprofessional Collaboration

Interdisciplinary team collaboration

2.5 Hours

04/19/25

I spent 2 and a half hours participating in a multidisciplinary team meeting with nursing, mental health, and physical therapy specialists to discuss holistic pain treatment. The talk included patient care coordination, disciplinary duties, and how interprofessional input might affect the DNP project. This collaborative debate showed how varied viewpoints can create a comprehensive treatment plan. Relationship Building, Communication, and Team Collaboration were AONE competencies.

DNP 7000

Dr. Karen Perez

DNP

Essential III: Clinical Scholarship and Analytical Methods

Draft DNP Project proposal

3 Hours

04/20/25

I spent 3 hours working intensively on my DNP project proposal, combining peer-reviewed data, theoretical frameworks, and outcome-based planning. I used mentor and colleague input to match project goals with clinical gains and patient satisfaction. This Clinical Scholarship exercise exhibited evidence-based practice, outcome assessment, and analytical writing.

DNP 7000

Dr. Karen Perez

DNP

Essential I: Scientific Underpinnings

Compare theoretical models to guide the project framework

2 Hours

04/21/25

I spent 2 hours reviewing nursing and health care theories to find the most relevant model to lead the conceptual framework of my DNP project. In terms of how they approach patient autonomy, continuity of care, and multidisciplinary teamwork, I contrasted Orem's Self-Care Deficit Nursing Theory with the Chronic Care Model. This helped me complete the theoretical foundation to guarantee the project follows evidence-based and comprehensive care standards. Analytical Thinking and Healthcare Environment Knowledge were used.

image2.png

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Practicum Traching

Practicum Tracking Hours

Course of Action

DNP Program

Dr. Dionne

Dr. Perez

Dr. Gonzalez

Dr. Vega Crespo

Dr. Henry Fernandez

AACN DNP Essentials

· Essential I: Scientific Underpinnings for Practice

· Essential II: Organizational and Systems Leadership for Quality Improvement

· Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· Essential IV: Information Systems/Technology and Patient Care Technology

· Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

· Essential VII: Clinical Prevention and Population Health for Improving

· Essential VIII: Advanced Nursing Practice

AONL Nurse Executive Role-Specific Competencies

· Communication

· Knowledge of Healthcare

· Leadership

· Professionalism

· Business Skills

AACN DNP Essentials

· Essential I: Scientific Underpinnings for Practice

· Appraise literature for inclusion

· Attend conference/workshop related to EBP or focus of project

· Construct/Refine literature search Construct/Refine PICO question

· Make presentation pertaining to PICO question

· Review/Evaluate EBP material (e.g., web, print)

· Synthesize literature (review)

· Essential II: Organizational and Systems Leadership for Quality Improvement

· Attend quality improvement meeting

· Budget development or review

· Conduct assessment of practice setting

· Develop a business plan

· Develop a SWOT analysis

· Disseminate findings of rapid cycle improvement project

· Evaluate cultural diversity within an organization

· Evaluate rapid cycle improvement project

· Identify need for rapid cycle improvement project

· Identify stakeholders

· Implement or disseminate a cultural/diversity awareness intervention

· Meet with stakeholders

· Present at quality meeting

· Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· Attend grant training/workshop

· Attend meetings pertinent to the project

· Complete core measure training

· Conduct evaluation of DNP project evaluation

· Construct IRB proposal

· Consult with statistician: in person, by phone, or by email

· Create presentation safety/quality

· Design a mobile application for health care

· Design web-accessible training material

· Develop DNP project proposal

· Develop professional portfolio

· Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.)

· Disseminate DNP project findings internally or externally

· Evaluate web-accessible training or educational material

· Evaluate a health care mobile application

· Implement DNP project

· Manuscript preparation

· Participate as a member in IRB Committee

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in data analysis

· Participate in data collection

· Perform data extraction activities from large data set (s)

· Prepare final DNP project paper and/or manuscript

· Prepare grant proposal or participate in related activities

· Serve as abstract reviewer

· Serve as consultant for collaborative research

· Serve as proposal reviewer

· Submit and/or revise IRB proposal

· Essential IV: Information Systems/Technology and Patient Care Technology

· Analyze health journal proposal

· Analyze health policy proposal

· Construct health policy proposal

· Design a mobile application for healthcare

· Design web-accessible training material

· Evaluate a healthcare mobile application

· Evaluate web-accessible training or educational material

· Meet with elected official for review of health policy

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in Health Information Technology as evaluator

· Participate in Health Information Technology as team member

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Perform data extraction activities from large data sets

· Provide testimony for health policy

· Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· Analyze health policy proposal

· Construct health policy proposal

· Meet with elected official for review of health policy

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Provide testimony for health policy

· Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

· Consult with content experts: in person, by phone, or by email

· Consult with mentor/preceptor: in person, by phone, or by email

· Create a committee for safety/quality

· Participate in an interpersonal team in consultant role

· Participate in an interpersonal team in leader role

· Participate in an interpersonal team in member role

· Essential VII: Clinical Prevention and Population Health for Improving

· Analyze epidemiologic data

· Collect epidemiologic data

· Identify gaps in care in individuals, communities, and populations

· Implement and evaluate health promotion/disease prevention intervention

· Essential VIII: Advanced Nursing Practice

· Assess clients, populations or organizations in practice setting

· Clinical practice

· Consultation with experts regarding nursing practice

· Disseminate knowledge to other healthcare providers

· Disseminate knowledge to patients, families, and communities

COURSES (DNP Program)

· DNP 1010 Pre-immersion Seminars

· DNP 7000: Evolution of Nursing Practice Application & of Theory in Nursing Practice

· DNP 7100: Evaluation of Evidence for Practice

· DNP7200: Statistics for the Health and Biological Sciences

· DNP7300: Translation Science

· DNP 7500: Organizational and management Theory

· DNP 7510: Leader Development

· DNP 7520: Creating and Resolving Conflict in the Healthcare Settings

· DNP7600: Population-Based Health and Health Care Health Disparities

· DNP 7800: Health Care Management, Economics, Financing, and Ethics

· DNP 7900: Global Health

· DNP 8000: Health System Development and Leadership Practice Immersion Experience

· DNP8100: Structure and Process in Health Care Organizations and Health Care Policy

· DNP 8300: Technology in Health Care

· DNP 8420: Decision Making, Problem Solving, and Critical Thinking

· DNP 7700: DNP Project I (Thesis Proposal)

· DNP8200 Professional Practice Developments Experience Practice Immersion (IRB)

· DNP8440 Practicum in Health Care Administration (Implementation)

· DNP 8500 – DNP Project II (Oral defense + Portfolio)

The Essentials of Doctoral Education for Advanced Nursing Practice & AONL Nurse Executive Role-Specific Competencies

– Effective Communication and Relationship Building

Related DNP Essential

Essential VI. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

· EFFECTIVE COMMUNICATION

Make oral presentations to diverse audiences on: Nursing

Health care topics

Organizational issues

Produce written materials for diverse audiences on: Nursing

Health care topics

Organizational issues

Facilitate group discussions

Demonstrate skill in interpersonal communication

· RELATIONSHIP MANAGEMENT

Build collaborative relationships

Exhibit effective conflict resolution skills

Create a trusting environment by: Following through on promises

and concerns

Establishing mechanisms to follow-up on commitments

Balancing the concerns of individuals with organizational goals and

objectives

Engaging staff and others in decision-making

Communicating in a way as to maintain credibility and relationships

· INFLUENCING BEHAVIORS

Assert views in non-threatening, non-judgmental ways

Create a shared vision

Facilitate consensus building

Inspire desired behaviors and manage undesired behaviors

Achieve outcomes through engagement of stakeholders

Promote decisions that are patient-centered

Apply situational leadership skills

· DIVERSITY

Establish an environment that values diversity (e.g. age, gender, race,

religion, ethnicity, sexual orientation, culture)

Establish cultural competency in the workforce

Incorporate cultural beliefs into care delivery

Provide an environment conducive to opinion sharing, exploration of

ideas and achievement of outcomes

· COMMUNITY INVOLVEMENT

Represent the organization to non-health care constituents within the

community

Serve as a resource to community and business leaders regarding

nursing and health care

Represent the community perspective in the decision-making process

within the organization/system

Represent nursing to the media

Serve on community-based boards, advisory groups, and task forces

· MEDICAL/STAFF RELATIONSHIPS

Build credibility with physicians as a champion for patient care, quality

and the professional practice of nursing

Confront and address inappropriate or disruptive behavior towards

patients and staff

Represent nursing at medical executive committee and other

department/medical staff committees

Collaborate with medical staff leaders and other disciplines in

determining needed patient care service lines

Collaborate with physicians and other disciplines to develop patient care

protocols, policies and procedures

Collaborate to determine patient care equipment and facility needs

Use medical staff mechanisms to address physician clinical performance

issues

Address and model appropriate conflict resolution

Create opportunities for physicians and nurses to engage in professional

dialogue

· ACADEMIC RELATIONSHIPS

Determine current and future supply and demand for nurses to meet

the care delivery needs

Identify educational needs of existing and potential nursing staff

Collaborate with nursing programs to provide required resources

Collaborate with nursing programs in evaluating quality of graduating clinicians and develop mechanisms to enhance this quality

Serve on academic advisory councils

Collaborate in nursing research and translate evidence into practice

Collaborate to investigate care delivery models across the continuum

Create academic partnerships to ensure a qualified workforce for the

future

– Knowledge of the Healthcare Environment

Related DNP Essentials

Essential I. Scientific Underpinnings for Practice

Essential II. Organizational and Systems Leadership for Quality Improvement and Systems Thinking

Essential III. Clinical Scholarship and Analytical Methods for Evidence-Based Practice

V. Health Care Policy for Advocacy in Health Care

Essential VI. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

Essential VII. Clinical Prevention and Population Health for Improving the Nation’s Health

Essential VIII. Advanced Nursing Practice

· CLINICAL PRACTICE KNOWLEDGE

Demonstrate knowledge of current nursing practice and the roles and functions of patient care team members

Communicate patient care standards as established by accreditation, regulatory and quality agencies

Ensure compliance with the State Nurse Practice Act, State Board of Nursing regulations, state and federal regulatory agency standards, federal labor standards and policies of the organization

Adhere to professional association standards of nursing practice

Ensure that written organizational clinical policies and procedures are reviewed and updated in accordance with evidence-based practice

Integrate bioethical and legal dimensions into clinical and management decision-making

Ensure protection of human subject rights and safety in clinical research

· DELIVERY MODELS / WORK DESIGN

Demonstrate current knowledge of patient care delivery systems across the continuum

Describe various delivery systems and age-appropriate patient care models and the advantages/disadvantages of each

Assess the effectiveness of delivery models

Develop new delivery models

Participate in the design of facilities

· HEALTH CARE ECONOMICS AND POLICY

Understand regulation and payment issues that affect an organization’s finances

Describe individual organization’s payer mix, CMI and benchmark database

Align care delivery models and staff

performance with key safety and economic

drivers (e.g., value-based purchasing,

bundled payment)

Take action when opportunities exist to

adjust operations to respond effectively

to environmental changes in economic

elements

Use knowledge of federal and state laws

and regulations that affect the provision of

patient care (e.g., tort reform, malpractice/

negligence, reimbursement)

Participate in legislative process on health

care issues through such mechanisms as

membership in professional organization

and personal contact with officials

Educate patient care team members on the

legislative process, the regulatory process

and methods for influencing both

Interpret impact of legislation at the state

and federal level on nursing and health care

organizations

· GOVERNANCE

Use knowledge of the role of the governing

body of the organization in the following

areas:

Fiduciary responsibilities

Credentialing

Performance management

Represent patient care issues to the

governing body

Participate in strategic planning and quality

initiatives with the governing body

Interact with and educate the organization’s

board members regarding health care and

the value of nursing care

Represent nursing at the organization’s

board meetings

Represent other disciplines at the

organization’s board meetings

· EVIDENCE-BASED PRACTICE/OUTCOME MEASUREMENT AND RESEARCH

Use data and other sources of evidence to inform decision making

Use evidence for establishment of standards, practices and patient care models in the organization

Design feedback mechanisms by which to adapt practice based upon outcomes from current processes

Design and interpret outcome measures

Disseminate research findings to patient care team members

Allocate nursing resources based on measurement of patient acuity/care needed

Monitor and address nurse sensitive outcomes and satisfaction indicators

· PATIENT SAFETY

Support the development of an organization-wide patient safety program

Use knowledge of patient safety science (e.g., human factors, complex adaptive systems, LEAN and Six Sigma)

Monitor clinical activities to identify both expected and unexpected risks

Support a Just Culture (non-punitive) reporting environment, supporting a reward system for identifying unsafe practices

Support safety surveys, responding and acting on safety recommendations

Lead/facilitate performance improvement teams to improve systems/processes that enhance patient safety

· PERFORMANCE IMPROVEMENT/METRICS

Articulate the organization’s performance improvement program and goals

Use evidence-based metrics to align patient outcomes with the organization’s goals and objectives

Apply high reliability concepts for the organization

Establish quality metrics by Identifying the problem/process

Measuring success at improving specific areas of patient care

Analyzing the root causes or variation from quality standards

Improving the process with the evidence

Controlling solutions and sustaining success

· RISK MANAGEMENT

Identify areas of risk/liability

Facilitate staff education on risk management and compliance issues

Develop systems that result in prompt reporting of potential liability by staff at all levels

Identify early warning predictability indications for errors

Correct areas of potential liability

Ensure compliance by staff with all required standards

– Leadership

Essential II. Organizational and Systems Leadership for Quality Improvement and Systems Thinking

Essential V. Health Care Policy for Advocacy in Health Care

Essential VIII. Advanced Nursing Practice

· FOUNDATIONAL THINKING SKILLS

Address ideas, beliefs or viewpoints that should be given serious consideration

Recognize one’s own method of decision making and the role of beliefs, values and inferences

Apply critical analysis to organizational issues after a review of the evidence

Maintain curiosity and an eagerness to explore new knowledge and ideas

Promote nursing leadership as both a science and an art

Demonstrate reflective practice and an understanding that all leadership begins from within

Provide visionary thinking on issues that impact the health care organization

· B. PERSONAL JOURNEY DISCIPLINES

Learn from setbacks and failures as well as successes

· C. SYSTEMS THINKING

Use knowledge of classic and contemporary systems thinking in problem solving and decision making

Provide visionary thinking on issues that impact the healthcare organization

Recognize the contribution of mental models on behavior

Promote systems thinking as an expectation of leaders and staff

Consider the impact of nursing decisions on the healthcare organization as a whole

Use resources from other paradigms

· SUCCESSION PLANNING

Develop a leadership succession plan

Promote nursing leadership as a desirable specialty

Mentor current and future nurse leaders

Establish mechanisms that provide for early identification and mentoring of staff with leadership potential

Develop a workforce analysis plan and implement strategies to ensure an adequate and qualified workforce

· E. CHANGE MANAGEMENT

Adapt leadership style to situation needs

Use change theory to implement change

Serve as a change leader

– Professionalism

Essential I. Scientific Underpinnings for Practice

Essential II. Organizational and Systems Leadership for Quality Improvement and Systems Thinking

Essential III. Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Essential IV. Information Systems/Technology and Patient Care Technology for the Improvement and Essential Transformation of Health Care

V. Health Care Policy for Advocacy in Health Care

Essential VI. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

Essential VII. Clinical Prevention and Population Health for Improving the Nation’s Health

Essential VIII. Advanced Nursing Practice

· PERSONAL AND PROFESSIONAL ACCOUNTABILITY

Hold self and others accountable for mutual professional expectations and outcomes

Contribute to the advancement of the profession

Participate in and contribute to professional organizations

Demonstrate and promote leader and staff participation in professional organizations

Promote leader and staff participation in lifelong learning and educational achievement

Achieve and maintain professional certification for self

Promote professional certification for staff

Role model standards of professional practice (clinical, educational and leadership) for colleagues and constituents

· B. CAREER PLANNING

Coach others in developing their own career plans

Seek input and mentorship from others in career planning and development

Develop a personal and professional career plan and measure progress

Solicit feedback about personal strengths and weaknesses

Act on feedback about personal strengths and weaknesses

· ETHICS

Uphold ethical principles and corporate compliance standards

Hold self and staff accountable to comply with ethical standards of

practice

Discuss, resolve and learn from ethical dilemmas

· ADVOCACY

Promote clinical perspective in organizational decisions

Involve nurses and other staff in decisions that affect their practice

Represent the perspective of patients and families

Advocate for optimal health care in the community

– Business Skills

Essential II. Organizational and Systems Leadership for Quality Improvement and Systems Thinking

Essential IV. Information Systems/Technology and Patient Care Technology for the Improvement and Essential Transformation of Health Care

· Financial Management

Develop and manage an annual operating budget and long-term capital expenditure plan

Use business models for health care organizations and apply fundamental concepts of economics

Interpret financial statements

Manage financial resources

Ensure the use of accurate charging mechanisms

Educate patient care team members on financial implications of patient care decisions

Participate in the negotiation and monitoring of contract

· Human Resource Management

Ensure development of educational programs to foster workforce competencies and

development goals

Participate in workforce planning and employment decisions

Use corrective discipline to mitigate workplace behavior problems

Evaluate the results of employee satisfaction/quality of work environment surveys

Support reward and recognition programs to enhance performance

Formulate programs to enhance work-life balance

Interpret and ensure compliance with legal and regulatory guidelines

Provide education regarding components of collective bargaining

Promote healthful work environments

Address sexual harassment, workplace

Implement ergonomically sound work environments to prevent worker injury and

fatigue

Develop and implement emergency preparedness plans

Analyze market data in relation to supply and demand

Contribute to the development of compensation programs

Develop and evaluate recruitment, onboarding, and retention strategies

Develop and implement an outcome-based performance management program

Develop and implement programs to re-educate the workforce for new roles

· Strategic Management

Create the operational objectives, goals and specific strategies required to achieve the strategic outcome

Conduct SWOT and Gap analyses

Defend the business case for nursing

Utilize the balanced scorecard analysis to manage change

Evaluate achievement of operational objectives and goals

Identify marketing opportunities

Develop marketing strategies in collaboration with marketing experts

Promote the image of nursing and the organization through effective media relations

· INFORMATION MANAGEMENT AND TECHNOLOGY

Use technology to support improvement of clinical and financial performance

Collaborate to prioritize for the establishment of information technology resources

Participate in evaluation of enabling technology in practice settings

Use data management systems for decision making

Identify technological trends, issues and new developments as they apply to patientcare

Demonstrate skills in assessing data integrity and quality

Provide leadership for the adoption and implementation of information systems

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

Clinical Hours Course of Action

The Doctor of Nursing Practice (DNP) Program requires achievement of a total of 1,000 clinical hours. The clinical hours symbolize a clinical immersion that happen in the planning, implementation, evaluation, and dissemination of the Academic Practice Project. Clinical hours may be logged for activities that occur in relation of the followingDNP program's courses.

· Activities for which clinical hours may be accrued include the following:

· DNP 1010: Pre-immersion Seminars–No hours Assigned

Mandatory:

· IT Orientation (Certificate)

· Library Orientation (Certificate)

· DNP mentor Orientation (Certificate)

· Brief Orientation of “my evaluation" software for clinical logs

DNP 7000: Evolution of Nursing Practice Application & of Theory in Nursing Practice _40__ Hours Maximum (5hrs a week) Dr. Perez

( DNP Essential to applyI, II, III, VI, VIII)

Essential I: Scientific Underpinnings for Practice

-Attend conference/workshop related to EBP or focus of project (2-3 hours: Present certificate)

-Synthesize literature (review) (2-3 hours)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours: Overview of most frequent clinical issues)

-Identify stakeholders (1-2 hours: at selected clinical site; DNP project)

-Meet with stakeholders (1 hour; at selected clinical site; DNP project)

-Present at quality meeting (1-2 hours: present a certificate)

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop (At your work or another clinical setting; 1-2 hours: present a certificate)

-Consult with statistician: in person, by phone, or by email(1hour)

-Evaluate web-accessible training or educational material (1-2 hours: "my evaluation" software)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email (1-3 hours: Face to face conference with mentor on campus; training with my evaluation software on how to match activities with the DNP essentials); (1hour: Consult with mentor to guide me about literature review);(1hour: Consult with mentor for evaluation of my literature review findings)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VIII: Advanced Nursing Practice

-Consultation with experts regarding nursing practice (1-2 hours: meeting regarding nursing practice, get overview about topics for DNP project, ideas, most frequent clinical problems)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

DNP 7100: Evaluation of Evidence for Practice _40__ Hours Maximum (5 hrs a week) Dr. Gonzalez

( DNP Essential to applyI, II, III, IV, VI, VIII)

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion (1-4 Hours)

– Construct/Refine PICOT question (1-2 Hours)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours at work: present certificate)

-Conduct assessment of practice setting (1-2hours)

-Identify stakeholders (1 hour)

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop (2hours: Attending workshops relating with quality improvement; present certificate)

-Consult with statistician: in person, by phone, or by email (1hours: present ideas about your DNP project and analytical methods to apply)

Essential IV: Information Systems/Technology and Patient Care Technology

JUST apply to Katia; DNP student-Participate on committee at national level (1-16 hours, provide testimony with date, folio, etc.)

JUST apply to Katia; DNP student-Participate on committee at state level (1-16 hours, provide testimony with date, folio, etc.)

JUST apply to Katia; DNP student-Provide testimony for health policy (4 hours)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-2 hours: Interview with the expert in DNP+ week 3 assignment)

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours: Discuss with mentor possible DNP project topics and the findings through the interview with the expert in DNP+ week 3 assignment); (1hour: meeting with mentor to discuss the PICOT question, including the selection of the adequate tool to be used)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting (1-2 hours)

–Consultation with experts regarding nursing practice (1-2hour: consult with expert in nursing to receive help on how focus on DNP project, topic selection, sharing experiences, etc.)

-Disseminate knowledge to other healthcare providers

-Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP7200: Statistics for the Health and Biological Sciences _40_ Hours Maximum (5 hrs a week) Dr. Perez

( DNP Essential to applyI, III, VI)

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion (1-3 hours) Before week 3 assignment

-Attend conference/workshop related to EBP or focus of project (1-3 hours: Present certificate) Before week 3 assignment

-Construct/Refine literature search (1-2 hours: Refine literature search for annotated Bibliography) Before week 3 assignment

– Construct/Refine PICOT question (1-2 hours: Refine PICOT question) Before week 3 assignment

-Synthesize literature (review) (1-2 hours) Before week 3 assignment

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop (2hours: Attending workshops relating with quality improvement; present certificate)

-Participate in data analysis (1 hour: Evaluate data analysis assessing your population) Before week 6 assignment

-Perform data extraction activities from large data set (s) (1 hour: Data analysis assessing your population) Before week 6 assignment

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-2 hours: Statistic; CDC or Dept Florida Health Department member to assess population and need Improving Health Outcomes); (1hour: Meeting with stakeholders) Before week 6 assignment

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours)

-Participate in an interpersonal team in member role (1-3 hours: Campus day; Discuss the DNP project topics, experiences, etc. with classmates for feedback)

Essential VII: Clinical Prevention and Population Health for Improving

-Analyze epidemiologic data (1 hour: Analysis of the epidemiologic data) Before week 6 assignment

-Collect epidemiologic data (1 hour: Collect of the epidemiologic data) Before week 6 assignment

-Identify gaps in care in individuals, communities, and populations (1-2 hours)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP7300: Translation Science _40__ Hours Maximum (5 hrs a week) Dr. Perez

( DNP Essential to apply I, II, VI, VII)

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion (1-2 hours) Preferred during week 5

-Construct/Refine literature search (1-2hours: Refine search) Preferred during week 4

– Construct/Refine PICOT question (1-2hours: Refine PICOT) Preferred during week 4

-Synthesize literature (review) (1-3 hours) Preferred during week 4

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours at work/another health organization: present certificate)

-Conduct assessment of practice setting (1-3 hours) Preferred during week 3

-Meet with stakeholders (1hour)

-Present at quality meeting (1-2 hours at work/another health organization: present certificate)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email (1 hour, asking questions); (1hour: Meeting with mentor to present your findings) Preferred during week 4. Also, can be added in week 5 too.

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations (1-2 hours) Preferred during week 5

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 7500: Organizational and management Theory_40__ Hours Maximum (5 hrs a week) Dr. Dionne

( DNP Essential to apply I, II, III, IV, VI, VII, VIII)

Essential I: Scientific Underpinnings for Practice

-Attend conference/workshop related to EBP or focus of project (2-3 hours: Present certificate)

-Construct/Refine literature search (1-2 hours: Refine literature search-based project quality change) Preferred during week 3

– Construct/Refine PICOT question (1hour: Refine PICOT)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours, present certificate)

-Identify need for rapid cycle improvement project (1-2 hours) Preferred during week 3

-Meet with stakeholders (1hour)

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Create presentation safety/quality (1-2 hours)

Essential IV: Information Systems/Technology and Patient Care Technology

-Participate as team leader in Health Information Technology arena (1-2 hours: HIPA conference)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

– Consult with mentor/preceptor: in person, by phone, or by email (1hour) Preferred during week 6

-Create a committee for safety/quality (1-2 hours) Preferred during week 6

-Participate in an interpersonal team in member role (1-2 hours: Meeting at work or another health setting) Preferred during week 3

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations (1-2 hours) Preferred during week 3

-Implement and evaluate health promotion/disease prevention intervention (1-2 hours) Preferred during week 3

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting

-Consultation with experts regarding nursing practice (1-2 hours) Preferred during week 3, Also can be added 1hour on week 6 based on ethical issues

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 7510: Leader Development _40__ Hours Maximum (5 hrs a week)

( DNP Essential to apply I, II, III, VI, VIII) Dr. Gonzalez/Dr. Dionne

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion (1-3 hours: Analysis of literature) Preferred during week 3

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours, present certificate) Preferred during week 3

-Conduct assessment of practice setting (1-2 hours: Leadership different levels) Preferred during week 3

-Evaluate cultural diversity within an organization (1-2 hours: Leadership different levels) Preferred during week 3

-Identify stakeholders (1-2 hours: How to speak, relationship, etc. at different levels) Preferred during week 3

-Meet with stakeholders (1-2 hours: How to speak, relationship, etc. at different levels) Preferred during week 3

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend meetings pertinent to the project (1-2Hours) Preferred during week 3; (1 hour: meeting with mentor to validate info after statistician meeting; Preferred during week 3)

-Consult with statistician: in person, by phone, or by email (1hour: data assessment/evaluation base on case study week 6 assignment)

-Disseminate DNP project findings internally or externally (1-3 hours: Practicing with the mentor on how to disseminate DNP project findings based on case study) Preferred during week 6

– Participate as team member in Health Information Technology arena (1-2Hours) Preferred during week 3

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-3Hours: Expert from clinical area about clinical issues, affected population, experience in how to implement a new change, probable barriers to find, Dayto Day operation) Preferred during week 3

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours: Discuss any finding after meeting with expert, week 3). Also, (1hour: meeting with mentor validating info after statistic or another expert meeting; week 6)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohortsto exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting (1-2 hours: Assess your DNP project population in the practice setting; possible resistance to the change) Preferred during week 3

-Consultation with experts regarding nursing practice (1-2 hours: Requesting strategies to get staff or your population involve in the setting change) Preferred during week 3

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 7520: Creating and Resolving Conflict in the Healthcare Settings_40___ Hours Maximum (5 hrs a week) Dr. Gonzalez

( DNP Essential to apply I, II, VI, VIII)

Essential I: Scientific Underpinnings for Practice

-Attend conference/workshop related to EBP or focus of project (1-2 hours: Present certificate)

-Construct/Refine literature search (1-2 hours)

– Construct/Refine PICOT question (1-2 hours)

-Synthesize literature (review) (1-2 hours: Addressing complex health care issues)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours, present certificate)

-Identify stakeholders (1hour)

-Meet with stakeholders (1hour)

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Create presentation safety/quality (1-2 hours)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-2 hours)

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations (1-2 hours)

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting (1-2 hours)

-Consultation with experts regarding nursing practice (1-2 hours)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP7600: Population-Based Health and Health Care Health Disparities _40__ Hours Maximum (5 hrs a week) Dr. Coke

( DNP Essential to apply I, II, III, V, VI, VII, VIII)

Essential I: Integrate Scientific Underpinnings into Practice

-Attend conference/workshop related to EBP or focus of project (2-3 hours: Present certificate)

-Construct/Refine literature search (1-2 hours: Refine literature search-based project quality change)

– Construct/Refine PICOT question (1hour: Refine PICOT) if apply

-Appraise literature for inclusion (Integrate nursing science using knowledge from ethics, biophysical, psychosocial, analytic, and organizational for the highest level of nursing practice)

-Construct/Refine literature search

Essential II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

-Attend quality improvement meeting (1-2 hours, present certificate)

-Identify stakeholders (1hour)

-Meet with stakeholders (1hour)

-Attend quality improvement meeting (1-2 hours)

-Budget development or review (1 hour)

-Conduct assessment of practice setting (1 hour)

-Develop a business plan (1 hour)

-Evaluate cultural diversity within an organization (1 hour)

-Evaluate rapid cycle improvement project (1 hour)

-Identify need for rapid cycle improvement project (1 hour)

-Present at quality meeting (1-2 hours)

Essential III: Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend meetings pertinent to the project (1-2Hours); (1 hour: meeting with mentor to validate info after statistician meeting)

-Consult with statistician: in person, by phone, or by email (1hour)

– Participate as team member in Health Information Technology arena (1-2Hours)

-Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.) (Demonstrates leadership and collaboratively appraise existing literature to design and implement processes to improve healthcare quality, provide safe and cost-effective care. (1-2 hours)

-Participate as evaluator in Health Information Technology arena (1 hour)

– Participate as team leader in Health Information Technology arena (1 hour)

– Participate as team member in Health Information Technology arena (1 hour)

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Analyze health policy proposal (1 hour)

-Construct health policy proposal (1 hour)

-Meet with elected official for review of health policy (1 hour)

-Participate on committee at a local level (1 hour)

– Participate on committee at institutional level (1 hour)

– Participate on committee at international level (1 hour)

– Participate on committee at national level (1 hour)

– Participate on committee at state level (1 hour)

-Provide testimony for health policy (1 hour)

Essential VI: Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-3Hours: Expert from clinical area about clinical issues, affected population, experience in how to implement a new change, probable barriers to find, Day to Day operation)

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours: Discuss any finding after meeting with expert). Also, (1hour: meeting with mentor validating info after statistic or another expert meeting)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

-Participate in an interpersonal team in leader role (Utilize communication and collaboration to lead the interdisciplinary team to improve patient and population health outcomes)

Essential VII: Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

-Promotes population health to the effective use of epidemiological, bio statistical and other appropriate data to improve health. (1-2 hours)

-Implement and evaluate health promotion/disease prevention intervention (1 hour)

Essential VIII: Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcomes

-Disseminate knowledge to other healthcare providers (Prepares for advance practice nursing for distinct roles with leadership, expertise, knowledge, and implementation in area of specialization while participating in culturally and sensitive practice and community service.)

-Disseminate knowledge to patients, families, and communities (1-2 Hours)

–Assess clients, populations or organizations in practice setting (1-2 hours)

-Consultation with experts regarding nursing practice (1-2 hours)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

1. Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 7800: Health Care Management, Economics, Financing, and Ethics __40____ Hours Maximum (5 hrs a week) Dr. Dionne

( DNP Essential to apply I, II, III, IV, V, VI, VII, VIII)

Essential I: Integrate Scientific Underpinnings into Practice

-Attend conference/workshop related to EBP or focus of project (2-3 hours: Present certificate)

-Construct/Refine literature search (1-2 hours: Refine literature search-based project quality change) Preferred during week 3

– Construct/Refine PICOT question (1hour: Refine PICOT)

-Appraise literature for inclusion (1-2 hours)

-Review/Evaluate EBP material (e.g., web, print) (1-3 hours)

-Synthesize literature (review) (1-2 hours)

Essential II: Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

-Attend quality improvement meeting (1-2 hours, present certificate

-Attend quality improvement meeting (1-2 hours, present certificate) Preferred during week 3

-Conduct assessment of practice setting (1-2 hours: Leadership different levels)

-Evaluate cultural diversity within an organization (1-2 hours: Leadership different levels) P

-Identify stakeholders (1-2 hours: How to speak, relationship, etc. at different levels)

-Meet with stakeholders (1-2 hours: How to speak, relationship, etc. at different levels)

-Budget development or review (1 hour)

-Conduct assessment of practice setting (1 hour)

-Develop a business plan (1-2 hours)

-Develop a SWOT analysis (1-3 hours)

-Disseminate findings of rapid cycle improvement project (1-3 hours)

-Evaluate cultural diversity within an organization (1-3hours)

-Evaluate rapid cycle improvement project (1-2 hours)

-Identify need for rapid cycle improvement project (1-2 hours)

-Implement or disseminate a cultural/diversity awareness intervention (1-3 hours)

-Present at quality meeting (1-3 hours)

Essential III: Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend meetings pertinent to the project (1-2Hours) (1 hour: meeting with mentor to validate info after statistician meeting)

-Consult with statistician: in person, by phone, or by email (1hour)

-Disseminate DNP project findings internally or externally (1-3 hours: Practicing with the mentor on how to disseminate DNP project findings based on case study)

– Participate as team member in Health Information Technology arena (1-2Hours)

-Participate as evaluator in Health Information Technology arena (1-2 hours)

– Participate as team leader in Health Information Technology arena (1-2 hours)

– Participate as team member in Health Information Technology arena (1-2 hours)

-Perform data extraction activities from large data set (s) (1-2 hours)

-Work on/ Prepare final DNP project paper and/or manuscript (1-2 hours)

Essential IV: Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Analyze health journal proposal (1-2 hours)

-Analyze health policy proposal (1-2 hours)

-Construct health policy proposal (1-2 hours)

-Design a mobile application for healthcare (1-2 hours)

-Design web-accessible training material (1-2 hours)

-Evaluate a healthcare mobile application (1-2 hours)

-Evaluate web-accessible training or educational material (1-2 hours)

-Meet with elected official for review of health policy (1-2 hours)

-Participate as evaluator in Health Information Technology arena (1-2 hours)

-Participate as team leader in Health Information Technology arena (1-2 hours)

-Participate as team member in Health Information Technology arena (1-2 hours)

-Participate in Health Information Technology as evaluator (1-2 hours)

-Participate in Health Information Technology as team member (1-2 hours)

-Participate on committee at a local level (1-2 hours)

-Participate on committee at institutional level (1-2 hours)

-Participate on committee at international level (1-2 hours)

-Participate on committee at national level (1-2 hours)

-Participate on committee at state level (1-2 hours)

-Perform data extraction activities from large data sets (1-2 hours)

-Provide testimony for health policy (1-2 hours)

Essential V: Influence Health Care Policy for Advocacy in Health Care

-Participate on committee at a local level (1-2 hours)

– Participate on committee at institutional level (1-2 hours)

– Participate on committee at international level (1-2 hours)

– Participate on committee at state level (1-2 hours)

Essential VI: Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-3Hours: Expert from clinical area about clinical issues, affected population, experience in how to implement a new change, probable barriers to find, Day to Day operation)

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours: Discuss any finding after meeting with expert). Also, (1hour: meeting with mentor validating info after statistic or another expert meeting)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

-Participate in an interpersonal team in leader role (Utilize communication and collaboration to lead the interdisciplinary team to improve patient and population health outcomes)

Essential VII: Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

-Identify gaps in care in individuals, communities, and populations (1-2 hours)

-Implement and evaluate health promotion/disease prevention intervention (1-3 hours)

-Promotes population health to the effective use of epidemiological, bio statistical and other appropriate data to improve health. (1-3 hours)

Essential VIII: Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

–Assess clients, populations or organizations in practice setting (1-2 hours)

-Consultation with experts regarding nursing practice (1-2 hours)

-Disseminate knowledge to patients, families, and communities (1-3 hours)

-Disseminate knowledge to other healthcare providers (1-3 hours)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 7900: Global Health __40____ Hours Maximum (5 hrs a week) Dr. Dionne

Essential I: Scientific Underpinnings for Practice

-Review/Evaluate EBP material (e.g., web, print)

-Attend conference/workshop related to EBP or focus of project (2-3 hours: Present certificate)

-Construct/Refine literature search (1-2 hours: Refine literature search-based project quality change)

– Construct/Refine PICOT question (1hour: Refine PICOT) if apply

-Appraise literature for inclusion (Integrate nursing science using knowledge from ethics, biophysical, psychosocial, analytic, and organizational for the highest level of nursing practice)

-Construct/Refine literature search

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting (1-2 hours, present certificate

-Attend quality improvement meeting (1-2 hours, present certificate) Preferred during week 3

-Conduct assessment of practice setting (1-2 hours)

-Evaluate cultural diversity within an organization (1-2 hours: Leadership different levels) P

-Identify stakeholders (1-2 hours: How to speak, relationship, etc. at different levels)

-Meet with stakeholders (1-2 hours: How to speak, relationship, etc. at different levels)

-Budget development or review (1 hour)

-Conduct assessment of practice setting (1 hour)

-Develop a business plan (1-2 hours)

-Develop a SWOT analysis (1-3 hours)

-Disseminate findings of rapid cycle improvement project (1-3 hours)

-Evaluate cultural diversity within an organization (1-3hours)

-Evaluate rapid cycle improvement project (1-2 hours)

-Identify need for rapid cycle improvement project (1-2 hours)

-Implement or disseminate a cultural/diversity awareness intervention (1-3 hours)

-Present at quality meeting (1-3 hours)

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Create presentation safety/quality

-Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.) 1-2 hours

-Evaluate web-accessible training or educational material 1-2 hours

-Attend meetings pertinent to the project (1-2Hours) (1 hour: meeting with mentor to validate info after statistician meeting)

-Consult with statistician: in person, by phone, or by email (1hour)

-Disseminate DNP project findings internally or externally (1-3 hours: Practicing with the mentor on how to disseminate DNP project findings based on case study)

– Participate as team member in Health Information Technology arena (1-2Hours)

-Participate as evaluator in Health Information Technology arena (1-2 hours)

– Participate as team leader in Health Information Technology arena (1-2 hours)

– Participate as team member in Health Information Technology arena (1-2 hours)

-Perform data extraction activities from large data set (s) (1-2 hours)

Essential IV: Information Systems/Technology and Patient Care Technology

-Meet with elected official for review of health policy (1-2 hours)

-Analyze health journal proposal (1-2 hours)

-Analyze health policy proposal (1-2 hours)

-Construct health policy proposal (1-2 hours)

-Design a mobile application for healthcare (1-2 hours)

-Design web-accessible training material (1-2 hours)

-Evaluate a healthcare mobile application (1-2 hours)

-Evaluate web-accessible training or educational material (1-2 hours)

-Meet with elected official for review of health policy (1-2 hours)

-Participate as evaluator in Health Information Technology arena (1-2 hours)

-Participate as team leader in Health Information Technology arena (1-2 hours)

-Participate as team member in Health Information Technology arena (1-2 hours)

-Participate in Health Information Technology as evaluator (1-2 hours)

-Participate in Health Information Technology as team member (1-2 hours)

-Participate on committee at a local level (1-2 hours)

-Participate on committee at institutional level (1-2 hours)

-Participate on committee at international level (1-2 hours)

-Participate on committee at national level (1-2 hours)

-Participate on committee at state level (1-2 hours)

-Perform data extraction activities from large data sets (1-2 hours)

-Provide testimony for health policy (1-2 hours)

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Analyze health policy proposal (1-2 hours)

-Construct health policy proposal (1-2 hours)

-Meet with elected official for review of health policy (1-2 hours)

-Participate on committee at a local level (1-2 hours)

– Participate on committee at institutional level (1-2 hours)

– Participate on committee at international level (1-2 hours)

– Participate on committee at state level (1-2 hours)

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email (1-3Hours: Expert from clinical area about clinical issues, affected population, experience in how to implement a new change, probable barriers to find, Day to Day operation)

– Consult with mentor/preceptor: in person, by phone, or by email (1-2 hours: Discuss any finding after meeting with expert). Also, (1hour: meeting with mentor validating info after statistic or another expert meeting)

-Participate in an interpersonal team in member role (2-3 hours: Interprofessional collaboration on campus meeting with all students from different cohorts to exchange DNP project ideas, clinical issues, suggestions, etc.)

-Participate in an interpersonal team in leader role (2-3 hours Utilize communication and collaboration to lead the interdisciplinary team to improve patient and population health outcomes)

Essential VII: Clinical Prevention and Population Health for Improving

-Analyze epidemiologic data (1-2 hours)

-Collect epidemiologic data (1-2 hours)

-Identify gaps in care in individuals, communities, and populations (1-2 hours)

-Implement and evaluate health promotion/disease prevention intervention (1-3 hours)

-Promotes population health to the effective use of epidemiological, bio statistical and other appropriate data to improve health. (1-3 hours)

Essential VIII: Advanced Nursing Practice

-Disseminate knowledge to other healthcare providers (Prepares for advance practice nursing for distinct roles with leadership, expertise, knowledge, and implementation in area of specialization while participating in culturally and sensitive practice and community service.)

-Disseminate knowledge to patients, families, and communities (1-2 Hours)

–Assess clients, populations or organizations in practice setting (1-2 hours)

-Consultation with experts regarding nursing practice (1-2 hours)

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 8000: Health System Development and Leadership Practice Immersion Experience—40__+ 60 hrs shadowing + COVID related

Leadership Immersion Shadowing Experience

From week # 5, 6, 7, 8 the student will shadow a leader and decision-maker in a clinical setting of the student’s choice for up to 15 hours a week. It could be the student’s workplace. The purpose of this shading experience is to provide an in-depth mentorship and opportunities for meaningful engagement within practice environment as it pertains to leadership.

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion

-Attend conference/workshop related to EBP or focus of project

-Construct/Refine literature search

– Construct/Refine PICO question

-Make presentation pertaining to PICOT question

-Review/Evaluate EBP material (e.g., web, print)

-Synthesize literature (review)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting

-Budget development or review

-Conduct assessment of practice setting

-Develop a business plan

-Disseminate findings of rapid cycle improvement project

-Evaluate cultural diversity within an organization

-Evaluate rapid cycle improvement project

-Identify need for rapid cycle improvement project

-Identify stakeholders

-Implement or disseminate a cultural/diversity awareness intervention

-Meet with stakeholders

-Present at quality meeting

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop

-Consult with statistician: in person, by phone, or by email

-Create presentation safety/quality

-Design a mobile application for health care

-Design web-accessible training material

-Evaluate web-accessible training or educational material

-Evaluate a health care mobile application

-Participate as evaluator in Health Information Technology arena

– Participate as team leader in Health Information Technology arena

– Participate as team member in Health Information Technology arena

-Perform data extraction activities from large data set (s)

Essential IV: Information Systems/Technology and Patient Care Technology

-Design a mobile application for healthcare

-Design web-accessible training material

-Evaluate a healthcare mobile application

-Evaluate web-accessible training or educational material

-Meet with elected official for review of health policy

-Participate as evaluator in Health Information Technology arena

-Participate as team leader in Health Information Technology arena

-Participate as team member in Health Information Technology arena

-Participate in Health Information Technology as evaluator

-Participate in Health Information Technology as team member

-Participate on committee at a local level

-Participate on committee at institutional level

-Participate on committee at international level

-Participate on committee at national level

-Participate on committee at state level

-Perform data extraction activities from large data sets

-Provide testimony for health policy

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Meet with elected official for review of health policy

-Participate on committee at a local level

– Participate on committee at institutional level

– Participate on committee at international level

– Participate on committee at national level

– Participate on committee at state level

-Provide testimony for health policy

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email

-Create a committee for safety/quality

-Participate in an interpersonal team in consultant role

-Participate in an interpersonal team in leader role

-Participate in an interpersonal team in member role

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations

-Implement and evaluate health promotion/disease prevention intervention

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting

-Clinical practice

-Consultation with experts regarding nursing practice

-Disseminate knowledge to other healthcare providers

-Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP8100: Structure and Process in Health Care Organizations and Health Care Policy 40__+ 60 hrs shadowing + COVID related

Leadership Immersion Shadowing Experience

From week # 5, 6, 7, 8 the student will shadow a leader and decision-maker in a clinical setting of the student’s choice for up to 15 hours a week. It could be the student’s workplace. The purpose of this shading experience is to provide an in-depth mentorship and opportunities for meaningful engagement within practice environment as it pertains to leadership.

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion

-Attend conference/workshop related to EBP or focus of project

-Construct/Refine literature search

– Construct/Refine PICO question

-Make presentation pertaining to PICOT question

-Review/Evaluate EBP material (e.g., web, print)

-Synthesize literature (review)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting

-Budget development or review

-Conduct assessment of practice setting

-Develop a business plan

-Disseminate findings of rapid cycle improvement project

-Evaluate cultural diversity within an organization

-Evaluate rapid cycle improvement project

-Identify need for rapid cycle improvement project

-Identify stakeholders

-Implement or disseminate a cultural/diversity awareness intervention

-Meet with stakeholders

-Present at quality meeting

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop

-Consult with statistician: in person, by phone, or by email

-Create presentation safety/quality

-Design a mobile application for health care

-Design web-accessible training material

-Evaluate web-accessible training or educational material

-Evaluate a health care mobile application

-Participate as evaluator in Health Information Technology arena

– Participate as team leader in Health Information Technology arena

– Participate as team member in Health Information Technology arena

-Perform data extraction activities from large data set (s)

Essential IV: Information Systems/Technology and Patient Care Technology

-Design a mobile application for healthcare

-Design web-accessible training material

-Evaluate a healthcare mobile application

-Evaluate web-accessible training or educational material

-Meet with elected official for review of health policy

-Participate as evaluator in Health Information Technology arena

-Participate as team leader in Health Information Technology arena

-Participate as team member in Health Information Technology arena

-Participate in Health Information Technology as evaluator

-Participate in Health Information Technology as team member

-Participate on committee at a local level

-Participate on committee at institutional level

-Participate on committee at international level

-Participate on committee at national level

-Participate on committee at state level

-Perform data extraction activities from large data sets

-Provide testimony for health policy

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Meet with elected official for review of health policy

-Participate on committee at a local level

– Participate on committee at institutional level

– Participate on committee at international level

– Participate on committee at national level

– Participate on committee at state level

-Provide testimony for health policy

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email

-Create a committee for safety/quality

-Participate in an interpersonal team in consultant role

-Participate in an interpersonal team in leader role

-Participate in an interpersonal team in member role

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations

-Implement and evaluate health promotion/disease prevention intervention

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting

-Clinical practice

-Consultation with experts regarding nursing practice

-Disseminate knowledge to other healthcare providers

-Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 8300: Technology in Health Care

40__+ 60 hrs shadowing + COVID related

Leadership Immersion Shadowing Experience

From week # 5, 6, 7, 8 the student will shadow a leader and decision-maker in a clinical setting of the student’s choice for up to 15 hours a week. It could be the student’s workplace. The purpose of this shading experience is to provide an in-depth mentorship and opportunities for meaningful engagement within practice environment as it pertains to leadership.

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion

-Attend conference/workshop related to EBP or focus of project

-Construct/Refine literature search

– Construct/Refine PICO question

-Make presentation pertaining to PICOT question

-Review/Evaluate EBP material (e.g., web, print)

-Synthesize literature (review)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting

-Budget development or review

-Conduct assessment of practice setting

-Develop a business plan

-Disseminate findings of rapid cycle improvement project

-Evaluate cultural diversity within an organization

-Evaluate rapid cycle improvement project

-Identify need for rapid cycle improvement project

-Identify stakeholders

-Implement or disseminate a cultural/diversity awareness intervention

-Meet with stakeholders

-Present at quality meeting

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop

-Consult with statistician: in person, by phone, or by email

-Create presentation safety/quality

-Design a mobile application for health care

-Design web-accessible training material

-Evaluate web-accessible training or educational material

-Evaluate a health care mobile application

-Participate as evaluator in Health Information Technology arena

– Participate as team leader in Health Information Technology arena

– Participate as team member in Health Information Technology arena

-Perform data extraction activities from large data set (s)

Essential IV: Information Systems/Technology and Patient Care Technology

-Design a mobile application for healthcare

-Design web-accessible training material

-Evaluate a healthcare mobile application

-Evaluate web-accessible training or educational material

-Meet with elected official for review of health policy

-Participate as evaluator in Health Information Technology arena

-Participate as team leader in Health Information Technology arena

-Participate as team member in Health Information Technology arena

-Participate in Health Information Technology as evaluator

-Participate in Health Information Technology as team member

-Participate on committee at a local level

-Participate on committee at institutional level

-Participate on committee at international level

-Participate on committee at national level

-Participate on committee at state level

-Perform data extraction activities from large data sets

-Provide testimony for health policy

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Meet with elected official for review of health policy

-Participate on committee at a local level

– Participate on committee at institutional level

– Participate on committee at international level

– Participate on committee at national level

– Participate on committee at state level

-Provide testimony for health policy

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email

-Create a committee for safety/quality

-Participate in an interpersonal team in consultant role

-Participate in an interpersonal team in leader role

-Participate in an interpersonal team in member role

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations

-Implement and evaluate health promotion/disease prevention intervention

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting

-Clinical practice

-Consultation with experts regarding nursing practice

-Disseminate knowledge to other healthcare providers

-Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP 8420: Decision Making, Problem Solving, and Critical Thinking

40__+ 60 hrs shadowing + COVID related

Leadership Immersion Shadowing Experience

From week # 5, 6, 7, 8 the student will shadow a leader and decision-maker in a clinical setting of the student’s choice for up to 15 hours a week. It could be the student’s workplace. The purpose of this shading experience is to provide an in-depth mentorship and opportunities for meaningful engagement within practice environment as it pertains to leadership.

Essential I: Scientific Underpinnings for Practice

-Appraise literature for inclusion

-Attend conference/workshop related to EBP or focus of project

-Construct/Refine literature search

– Construct/Refine PICOT question

-Make presentation pertaining to PICOT question

-Review/Evaluate EBP material (e.g., web, print)

-Synthesize literature (review)

Essential II: Organizational and Systems Leadership for Quality Improvement

-Attend quality improvement meeting

-Budget development or review

-Conduct assessment of practice setting

-Develop a business plan

-Disseminate findings of rapid cycle improvement project

-Evaluate cultural diversity within an organization

-Evaluate rapid cycle improvement project

-Identify need for rapid cycle improvement project

-Identify stakeholders

-Implement or disseminate a cultural/diversity awareness intervention

-Meet with stakeholders

-Present at quality meeting

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

-Attend grant training/workshop

-Consult with statistician: in person, by phone, or by email

-Create presentation safety/quality

-Design a mobile application for health care

-Design web-accessible training material

-Evaluate web-accessible training or educational material

-Evaluate a health care mobile application

-Participate as evaluator in Health Information Technology arena

– Participate as team leader in Health Information Technology arena

– Participate as team member in Health Information Technology arena

-Perform data extraction activities from large data set (s)

Essential IV: Information Systems/Technology and Patient Care Technology

-Design a mobile application for healthcare

-Design web-accessible training material

-Evaluate a healthcare mobile application

-Evaluate web-accessible training or educational material

-Meet with elected official for review of health policy

-Participate as evaluator in Health Information Technology arena

-Participate as team leader in Health Information Technology arena

-Participate as team member in Health Information Technology arena

-Participate in Health Information Technology as evaluator

-Participate in Health Information Technology as team member

-Participate on committee at a local level

-Participate on committee at institutional level

-Participate on committee at international level

-Participate on committee at national level

-Participate on committee at state level

-Perform data extraction activities from large data sets

-Provide testimony for health policy

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

-Meet with elected official for review of health policy

-Participate on committee at a local level

– Participate on committee at institutional level

– Participate on committee at international level

– Participate on committee at national level

– Participate on committee at state level

-Provide testimony for health policy

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

-Consult with content experts: in person, by phone, or by email

– Consult with mentor/preceptor: in person, by phone, or by email

-Create a committee for safety/quality

-Participate in an interpersonal team in consultant role

-Participate in an interpersonal team in leader role

-Participate in an interpersonal team in member role

Essential VII: Clinical Prevention and Population Health for Improving

-Identify gaps in care in individuals, communities, and populations

-Implement and evaluate health promotion/disease prevention intervention

Essential VIII: Advanced Nursing Practice

–Assess clients, populations or organizations in practice setting

-Clinical practice

-Consultation with experts regarding nursing practice

-Disseminate knowledge to other healthcare providers

-Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

Just apply during the COVID-19 Emergency period

You can add clinical hours up to 15 hours a week on last week on March and April/2020. Those hours should be supported by activities related to COVID-19 shadowing a nurse leader. Remember, this is an excellent opportunity for DNP students to explore his/her skills and knowledge as a leader working in difficult situations where the health system required your cooperation.

DNP Essential II. Organizational and Systems Leadership for Quality Improvement

Activity: Meet with Stakeholders

—I spent —- hours in a meeting with the clinical center stakeholders increasing my knowledge and understanding of other roles and functions to guarantee a perfect setting functioning during the COVID-19 pandemic crisis.

— I spent —hours shadowing a leader. Being on the frontline assessing high-risk population and how my knowledge as DNP student can be implemented to reduce the effect of the Pandemic Covid 19 in our patients, I was working with the clinical medical director and other administrative personal.

— I spent — hours sharing my clinical expertise with co-workers from another practice area.

–I spent — hours reviewing and considering my shadowing performance throughout a conference with my co-workers, which allows me the opportunity to recognize my role as a leader.

— I spent— in meeting with the administration team to determine the obstacles generated by Covid 19 pandemic, achieving the essential procedures to reduce the consequences in the organization.

— I spent —- leading a team on the frontline working with patients in the Pandemic Covid 19.

— I spent —hours meeting the stakeholders to prepare strategies to evade errors on the effectiveness of the available sources.

— I spent — hour in Skype conference with the executives and the rest of the staff concerning patient care and the need to continue taking care of them, I provided many strategies that can help.

Example of more activities:

–Using technology to enhance communication between healthcare providers to improve patients and organization outcomes

-Help to generate policies that concentrate on staff use of the accepted application on their cell phones for enhancing patient care and outcomes protecting patients' rights.

– Cooperating to advance the communication across departments, providers, stakeholders encouraging continuous improvement.

– Developing strategies to facilitate the breaking down of internal barriers across the organization through the COVID-19 infection.

– Shadowing leaders activities to provide other staff members the opportunity to find out what their roles involve and develop a more profound understanding of other different roles and functions within the clinical center that guarantee better patients and organization outcomes.

DNP8200 Professional Practice Developments Experience Practice Immersion (IRB)

During this course, the student dedicates many hours to the IRB, preparing the PICOT question format, Site application format, contacting stakeholders to guarantee their authorization and participation in the DNP project implementation process, etc. Remember all those activities and apply them to the correct DNP essential. The activities identified in yellow color are the most complete related to this course.

Essential I: Scientific Underpinnings for Practice

· Appraise literature for inclusion

· Attend conference/workshop related to EBP or focus of project

· Construct/Refine literature search Construct/Refine PICOT question

· Make presentation pertaining to PICOT question

· Review/Evaluate EBP material (e.g., web, print)

· Synthesize literature (review)

Essential II: Organizational and Systems Leadership for Quality Improvement

· Attend quality improvement meeting

· Budget development or review

· Conduct assessment of practice setting

· Develop a business plan

· Develop a SWOT analysis

· Disseminate findings of rapid cycle improvement project

· Evaluate cultural diversity within an organization

· Evaluate rapid cycle improvement project

· Identify need for rapid cycle improvement project

· Identify stakeholders

· Implement or disseminate a cultural/diversity awareness intervention

· Meet with stakeholders

· Present at quality meeting

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· Attend grant training/workshop

· Attend meetings pertinent to the project

· Complete core measure training

· Conduct evaluation of DNP project evaluation

· Construct IRB proposal

· Consult with statistician: in person, by phone, or by email

· Create presentation safety/quality

· Design a mobile application for health care

· Design web-accessible training material

· Develop DNP project proposal

· Develop professional portfolio

· Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.)

· Disseminate DNP project findings internally or externally

· Evaluate web-accessible training or educational material

· Evaluate a health care mobile application

· Perform data extraction activities from large data set (s)

· Prepare grant proposal or participate in related activities

· Submit and/or revise IRB proposal

Essential IV: Information Systems/Technology and Patient Care Technology

· Design a mobile application for healthcare

· Design web-accessible training material

· Evaluate a healthcare mobile application

· Evaluate web-accessible training or educational material

· Meet with elected official for review of health policy

· Perform data extraction activities from large data sets

· Provide testimony for health policy

Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· Analyze health policy proposal

· Construct health policy proposal

· Meet with elected official for review of health policy

· Participate on committee at a local level

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

· Consult with content experts: in person, by phone, or by email

· Consult with mentor/preceptor: in person, by phone, or by email

· Create a committee for safety/quality

· Participate in an interpersonal team in consultant role

· Participate in an interpersonal team in leader role

· Participate in an interpersonal team in member role

Essential VII: Clinical Prevention and Population Health for Improving

· Analyze epidemiologic data

· Collect epidemiologic data

· Identify gaps in care in individuals, communities, and populations

· Implement and evaluate health promotion/disease prevention interventio

Essential VIII: Advanced Nursing Practice

· Assess clients, populations or organizations in practice setting

· Clinical practice

· Consultation with experts regarding nursing practice

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

DNP8440 Practicum in Health Care Administration (Implementation)

· Essential I: Scientific Underpinnings for Practice

· Appraise literature for inclusion

· Attend conference/workshop related to EBP or focus of project

· Construct/Refine literature search Construct/Refine PICOT question

· Make presentation pertaining to PICOT question

· Review/Evaluate EBP material (e.g., web, print)

· Synthesize literature (review)

· Essential II: Organizational and Systems Leadership for Quality Improvement

· Attend quality improvement meeting

· Budget development or review

· Conduct assessment of practice setting

· Develop a business plan

· Develop a SWOT analysis

· Disseminate findings of rapid cycle improvement project

· Evaluate cultural diversity within an organization

· Evaluate rapid cycle improvement project

· Identify need for rapid cycle improvement project

· Identify stakeholders

· Implement or disseminate a cultural/diversity awareness intervention

· Meet with stakeholders

· Present at quality meeting

· Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· Attend grant training/workshop

· Attend meetings pertinent to the project

· Complete core measure training

· Conduct evaluation of DNP project evaluation

· Construct IRB proposal

· Consult with statistician: in person, by phone, or by email

· Create presentation safety/quality

· Design a mobile application for health care

· Design web-accessible training material

· Develop DNP project proposal

· Develop professional portfolio

· Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.)

· Disseminate DNP project findings internally or externally

· Evaluate web-accessible training or educational material

· Evaluate a health care mobile application

· Implement DNP project

· Manuscript preparation

· Participate as a member in IRB Committee

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in data analysis

· Participate in data collection

· Perform data extraction activities from large data set (s)

· Prepare final DNP project paper and/or manuscript

· Prepare grant proposal or participate in related activities

· Serve as abstract reviewer

· Serve as consultant for collaborative research

· Serve as proposal reviewer

· Submit and/or revise IRB proposal

· Essential IV: Information Systems/Technology and Patient Care Technology

· Analyze health journal proposal

· Analyze health policy proposal

· Construct health policy proposal

· Design a mobile application for healthcare

· Design web-accessible training material

· Evaluate a healthcare mobile application

· Evaluate web-accessible training or educational material

· Meet with elected official for review of health policy

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in Health Information Technology as evaluator

· Participate in Health Information Technology as team member

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Perform data extraction activities from large data sets

· Provide testimony for health policy

· Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· Analyze health policy proposal

· Construct health policy proposal

· Meet with elected official for review of health policy

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Provide testimony for health policy

· Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

· Consult with content experts: in person, by phone, or by email

· Consult with mentor/preceptor: in person, by phone, or by email

· Create a committee for safety/quality

· Participate in an interpersonal team in consultant role

· Participate in an interpersonal team in leader role

· Participate in an interpersonal team in member role

· Essential VII: Clinical Prevention and Population Health for Improving

· Analyze epidemiologic data

· Collect epidemiologic data

· Identify gaps in care in individuals, communities, and populations

· Implement and evaluate health promotion/disease prevention intervention

· Essential VIII: Advanced Nursing Practice

· Assess clients, populations or organizations in practice setting

· Clinical practice

· Consultation with experts regarding nursing practice

· Disseminate knowledge to other healthcare providers

· Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

DNP 8500 – DNP Project II (Oral defense + Portfolio)

· Essential I: Scientific Underpinnings for Practice

· Appraise literature for inclusion

· Attend conference/workshop related to EBP or focus of project

· Construct/Refine literature search Construct/Refine PICO question

· Make presentation pertaining to PICO question

· Review/Evaluate EBP material (e.g., web, print)

· Synthesize literature (review)

· Essential II: Organizational and Systems Leadership for Quality Improvement

· Attend quality improvement meeting

· Budget development or review

· Conduct assessment of practice setting

· Develop a business plan

· Develop a SWOT analysis

· Disseminate findings of rapid cycle improvement project

· Evaluate cultural diversity within an organization

· Evaluate rapid cycle improvement project

· Identify need for rapid cycle improvement project

· Identify stakeholders

· Implement or disseminate a cultural/diversity awareness intervention

· Meet with stakeholders

· Present at quality meeting

· Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· Attend grant training/workshop

· Attend meetings pertinent to the project

· Complete core measure training

· Conduct evaluation of DNP project evaluation

· Construct IRB proposal

· Consult with statistician: in person, by phone, or by email

· Create presentation safety/quality

· Design a mobile application for health care

· Design web-accessible training material

· Develop DNP project proposal

· Develop professional portfolio

· Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.)

· Disseminate DNP project findings internally or externally

· Evaluate web-accessible training or educational material

· Evaluate a health care mobile application

· Implement DNP project

· Manuscript preparation

· Participate as a member in IRB Committee

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in data analysis

· Participate in data collection

· Perform data extraction activities from large data set (s)

· Prepare final DNP project paper and/or manuscript

· Prepare grant proposal or participate in related activities

· Serve as abstract reviewer

· Serve as consultant for collaborative research

· Serve as proposal reviewer

· Submit and/or revise IRB proposal

· Essential IV: Information Systems/Technology and Patient Care Technology

· Analyze health journal proposal

· Analyze health policy proposal

· Construct health policy proposal

· Design a mobile application for healthcare

· Design web-accessible training material

· Evaluate a healthcare mobile application

· Evaluate web-accessible training or educational material

· Meet with elected official for review of health policy

· Participate as evaluator in Health Information Technology arena

· Participate as team leader in Health Information Technology arena

· Participate as team member in Health Information Technology arena

· Participate in Health Information Technology as evaluator

· Participate in Health Information Technology as team member

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Perform data extraction activities from large data sets

· Provide testimony for health policy

· Essential V: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· Analyze health policy proposal

· Construct health policy proposal

· Meet with elected official for review of health policy

· Participate on committee at a local level

· Participate on committee at institutional level

· Participate on committee at international level

· Participate on committee at national level

· Participate on committee at state level

· Provide testimony for health policy

· Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

· Consult with content experts: in person, by phone, or by email

· Consult with mentor/preceptor: in person, by phone, or by email

· Create a committee for safety/quality

· Participate in an interpersonal team in consultant role

· Participate in an interpersonal team in leader role

· Participate in an interpersonal team in member role

· Essential VII: Clinical Prevention and Population Health for Improving

· Analyze epidemiologic data

· Collect epidemiologic data

· Identify gaps in care in individuals, communities, and populations

· Implement and evaluate health promotion/disease prevention intervention

· Essential VIII: Advanced Nursing Practice

· Assess clients, populations or organizations in practice setting

· Clinical practice

· Consultation with experts regarding nursing practice

· Disseminate knowledge to other healthcare providers

· Disseminate knowledge to patients, families, and communities

Include in the description (note) which Role-Specific Professional Competencies was/were useful for identifying the areas where you grow as a leader thought your clinical activities. It is an excellent representation of the connection of DNP Essentials and the DNP Role-Specific Professional Competencies obtained through our program as a DNP program requirement. See sample at the beginning of the document.

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Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 1 of 20

– The Growth And Development Of People Is The Highest Calling Of Leadership. – Harvey Firestone

Course Description

This course covers basic concepts in biostatistics. Various research methodologies and data collection procedures are analyzed. The meaning of

specific biostatistical tests, how to detect patterns in data, and how to judge the validity and reliability of the data are explored. Specific applications

for the DNP are examined. Furthermore, in this course, the students will be given the opportunity to tie their practice problem choice with an

annotated bibliography & explore explore epidemiologic determinants.

Course Level Student Learning Outcomes (CLSLO’s)

 Summarize scientific knowledge to determine the nature and significance of a clinical problem at the microsystem level.

 Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health.

 Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from

epidemiologic data.

Course Number:

DBSN 312

DNP7200

Course Title:

Critical Thinking in

Nursing

Statistics for the Health and Biological Sciences

Credit Hours: 3 semester credits

Prerequisites:

OCW:

Prof.

Email

Telephone

Office Hrs

DNP1010, DNP7000, DNP7100

90.14 Hours

Dr. Karen Perez

[email protected]

786-286-0403

I am available 7 days a week via phone and email.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 2 of 20

 Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced

nursing practice.

 Analyze the application of biostatistics in the role of doctor of nursing practice.

 Interpret the role of biostatistics in study design, sample selection, hypothesis testing, and evaluation of research.

 Critically analyze types of biostatistical tests.

 Evaluate and interpret results of various biostatistical tests.

 Synthesize the meaning of the data produced by biostatistical testing in relationship to the underlying research question.

 Use appropriate biostatistical methods for a program or process improvement project.

 Articulate how to select samples, determine reliability, and assess validity of research data. Evaluate sources, methods, and designs for data

collection, management, and analysis.

 Compare and contrast the difference and similarities with selected characteristics of quantitative research designs

End of Program Student Learning Outcomes (EPSLO’s  I-Integrate Scientific Underpinnings into Practice

 II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

 III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

 IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

 V-Influence Health Care Policy for Advocacy in Health Care

 VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

 VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

 VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating

evidence-based care to improve patient outcomes

Nurse Executive Program Role-Specific Professional Competencies (PRSPC)

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 3 of 20

Will demonstrate effective communication

 Through oral presentation to diverse audience

 Through the production of written materials

Will demonstrate effective relationship management

 Through collaborative relationships with DNP stakeholders

 Will demonstrate ability to influence behaviors by achieving outcomes:

 Through engagement of stakeholders

Will develop medical/staff relationship

 Demonstrate knowledge of the health care environment:

 By assessing the effectiveness of delivery models

 Integrating bioethical and legal dimensions into clinical and management decision-making

Will demonstrate professionalism;

 Seek input and mentorship from others in career planning and development

 By participate in and contribute to professional organizations

Methods of Delivery/Evaluation

 Guided discussions related to the course learning outcomes  Epidemiologic Principles Assignment

 Practice Problem Summary with Annotated Paper  Self-assessment assignment  Collaborative seminar on campus day with DNP Practicum Project Team Member to discuss the course assignments and progress in the practicum DNP

project data gathering. Group discussion on campus on the evolution of the possible practicum project  Practicum log activities with DNP Practicum Project Team Mentor  Independent reading of suggested reading material

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 4 of 20

 Educational Video  PowerPoint  Live meeting with professors, mentors, & classmates

Topical Course Outline

Instructional Resources and Materials Book

• American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). American

Psychological Association.

 Introduction to statistics

 Summarizing data collection

 Confidence intervals

 Hypothesis testing procedures

 Power and sample size/methods for the practicum project

 Multivariate methods/nonparametric methods

 Quantitative response variable: means

 Categorical response variable: proportions

 Cross-tabulated count

 Survival analysis

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 5 of 20

• Grove, S. K. & Cipher, D. J. (2017). Statistics for nursing research: A workbook for evidence-based practice. St. Louis, Missouri, Elsevier.

Suggested instructional Resources and Materials

• Sullivan, L. M. (2018). Essentials of biostatistics in public health (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Abbott, E. F. et. al. ( 2018). Trends in P valu, Confidence Interval, and Power Analysis Reporting in Health

Professions Education Research Reports: A systematic Appraisal. Academic Medicine. 93(2) p314-323

• Hazra A . (2017). Using the confidence interval confidently. Journal of thoracic disease, 9(10), 4125-4130.

• Kang, J., Song, J., & Noh, W. (2020). A systematic review and meta‐analysis of the effects of global health competency improvement programs on nurses

and nursing students. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 76(7), 1552–1566. https://doi.org/10.1111/jan.14355

• Schuemie, J. M. et al. (2017). Empirical confidence interval calibration. Retrieved from

DOI:10.1073/pnas.1708282114

• Yu, L., Feng, X.,, Jin, L., Wang, S., Liu, H., & Song, L. (2021). Assessment of cultural competence among nurses: The need of hour. Alternative

Therapies in Health and Medicine, 27(1), 18-27. Retrieved from https://www.proquest.com/scholarly-journals/assessment-cultural-competence-among-

nurses-need/docview/2497230584/se-2?accountid=191554

Articles

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 6 of 20

Methods of Evaluation Method Percentage

Collaborative Discussions 25%

Epidemiologic Principles Assignment 25%

Practice Problem Summary with Annotated

Paper 25 %

Self-Assessment 25%

Practicum hour tracking log required

On-campus/virtual on-campus sessions required

100%

Grading Scale

Letter Grade Scale Numeric Grade

A 4.0 90 – 100

B 3.0 80 – 89

F 0.0 0-79

Requirements for Successful Course Completion Students must attain a letter grade of B or higher for the course to count toward completion of the DNP.

Tardiness

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 7 of 20

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date without reaching out your DNP mentor or professor are subject to penalty.

Modifications to the Course Syllabus

Please note: Modifications to the Course Syllabus. The course syllabus may be modified at any time. Students will be informed of changes made to the syllabus. If a conflict exists between the course syllabus and the University Catalog, the University Catalog governs.

Student Assessments

Please note: Student Assessments. Students will be given assessments from time to time at the instructor’s discretion. As part of the course requirements, students must take both announced and unannounced assessments that may count toward their grade.

On-campus virtual day Students will receive a link for meetings from Dr. Fernandez.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 8 of 20

Week & Date Topics, CLSLO’s, EOPSLO & Role Specific Professional Competencies

Reading Assignment

Week 1 Theme: Identifying the usefulness of descriptive statistics to the DNP students and DNP prepared nurse.

This week’s objective Learning how to identify the

usefulness of descriptive statistics

to the DNP students and DNP

prepared nurse.

Understanding Descriptive Statitistics CLSLOs

• Critically analyze types of biostatistical tests.

• Compare and contrast the difference and similarities with selected characteristics of quantitative research designs

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice,

• III- Clinical Scholarship and Analytical Methods for Evidence-Based Practice

• VI – Interprofessional Collaboration for Improving

Text Book Grove & Cipher (2017)

• Exercise 27 (pg. 291 – 306)

Videos

• https://www.youtube.c om/watch?v=8Iklj-lf1fY

• https://www.youtube.c om/watch?v=ZkEjYloGRI E

OCW

• Reading: 3.5

• Discussion: 2

• Study question: 3

• 1st video: 0.42

• 2nd video: 0.25 Total OCW: 9.17 hours

Discussion Week # 1

 Due Thursday @ 11:59 pm initial post and answers to your peers by Sunday midnight.

 See moodle for discussion topic and grading criteria.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 9 of 20

Patient and Population

AONL Nurse Executive Role- Specific Competencies

• Communication & relationship management

• Leadership • Professionalism

Week 2 Theme: Understanding how qualitative and quantitative studies report statistical data.

This week’s objective

Understand how qualitative and quantitative studies report

Identify Qualitative and Quantitative Studies differences in how statistic data is reported. CLSLOs:

• Evaluate the appropriateness of quantitative research design for a specific clinical practice question.

• Compare and contrast the difference and similarities with selected characteristics of

Articles:

• Yu, L., Feng, X.,, Jin,

L., Wang, S., Liu, H.,

& Song, L. (2021).

Assessment of cultural

competence among

nurses: The need of

hour. Alternative

Therapies in Health

and Medicine, 27(1),

18-27. Retrieved from

https://www.proquest.

com/scholarly-

journals/assessment-

Discussion Week # 2

 Due Thursday @ 11:59 pm initial post and two answers to your peers by Sunday midnight.

 See moodle for discussion topic and grading criteria.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 10 of 20

statistical data.

quantitative research designs

EOPSLO

• I-Integrate Scientific Underpinnings into Practice,

• III- Clinical Scholarship and Analytical Methods for Evidence-Based Practice

• VI – Interprofessional Collaboration for Improving Patient and Population

RSPC

• Communication

cultural-competence-

among-nurses-

need/docview/249723

0584/se-

2?accountid=191554

• Kang, J., Song, J., & Noh, W. (2020). A systematic review and meta‐analysis of the effects of global health competency improvement programs on nurses and nursing students. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 76(7), 1552–1566. https://doi.org/10.1111 /jan.14355

Videos

• https://www.youtube.c om/watch?v=dwFsRZv4 oHA

• https://www.youtube.c om/watch?v=cwU8as9Z

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 11 of 20

NlA OCW

• Reading: 1.8

• Discussion: 2

• 1st video: 0.03

• 2nd video: 0.37 Total OCW: 4.2 hours

Week 3

Theme: Understanding and applying the important counts, ratios, and statistics presented in healthcare and epidemiological research.

This week’s objective Understanding and applying the important counts, ratios, and statistics presented in healthcare

Epidemiology

CLSLOs

• Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data.

• Utilize appropriate public health terminology and definitions of epidemiology necessary for intra- /interprofessional collaboration in advanced nursing practice

Reading

• http://www.ilocis.org/d ocuments/chpt28e.htm

Video

• https://www.youtube.c om/watch?v=6LgVrfEQ WE8

OCW

• Reading: 10

• Assignment: 4

• Video: 0.33 Total OCW: 14.33 hours

EPIDEMIOLOGIC PRINCIPLES

Assignment

• Due Sunday @ 11:59 pm

• Guideline for additional details are on moodle

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 12 of 20

and epidemiological research.

• Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health.

• Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data.

• Utilize appropriate public health terminology and definitions of epidemiology necessary for intra- /interprofessional collaboration in advanced nursing practice.

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 13 of 20

• VII – Clinical Prevention and Population Health for Improving the Nation’s Health

RSPC

• Communication • Knowledge of the health

care environment

Week 4 Theme: Synthesize the meaning of the data produced by biostatistical testing in relationship to the underlying research question.

Confidence interval CLSLOs

• Critically analyze types of biostatistical tests.

• Evaluate and interpret the results of various biostatistical tests.

EOPSLOs

Text book Grove & Cipher (2017)

• Exercise 36 (pg. 421 – 434)

Web-base reading

• http://onlinestatbook.c om/2/estimation/confid ence.html

Article

• Hazra A. (2017).

• Schuemie, M. (2017). Videos

• https://www.youtube.c om/watch?v=ACuy8Ab8

Discussion Week # 4

 Due Thursday @ 11:59 pm initial post and two answers to your peers by Sunday midnight.

 See moodle for discussion topic and grading criteria.

Study question (pg. 428)

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 14 of 20

This week’s objectives

• Be able explain the meaning of a confidence interval (CI)

• Explain why a confidence interval adds valuable information to the study data that the DNP examines.

• I-Integrate Scientific Underpinnings into Practice,

• II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

• VI – Interprofessional Collaboration for Improving Patient and Population

RSPC

• Knowledge of the health care environment

CXA

• https://www.youtube.c om/watch?v=tFWsuO9f 74o

OCW

• Reading: 4.6

• Discussion: 2

• Study Question: 3

• 1st video: 0.77

• 2nd Video: 0.07 Total OCW: 10.44 hours

Week 5 Theme: Understanding the elements of power analysis as it relates to biostatistics.

The Elements of power anlysis CLSLOs

• Evaluate the appropriateness of

Text Book: Grove & Cipher (2017)

• Exercise 24 (pg. 245 – 268)

Article

Discussion Week # 5

• Due Thursday @ 11:59 pm initial post and two answers to your peers by Sunday midnight.

• See moodle for discussion topic and grading criteria.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 15 of 20

This week’s objective The students will understand the elements of power analysis as it relates to bio-statistics.

quantitative research design for a specific clinical practice question.

• Compare and contrast the difference and similarities with selected characteristics of quantitative research designs

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice,

• II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

• VI – Interprofessional Collaboration for Improving Patient and Population

RSPC

• Communication:

• Abbott, E. F. et. al (2018)

Web-based Information:

• http://statsoft.ru/home /textbook/modules/stp owan.html#power_doe

OCW

• Reading: 6.2

• Discussion: 2

• Reflection Study Question:

Total OCW: 8 hours

• Practicum log. Reflection Study question: (Required not graded)

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 16 of 20

• Knowledge of healthcare

Week 6 12/04/22 Theme: Explore statistical data related to practice problem.

This week’s objective

Explore statistical data related to practice problem.

Exploring the practice problem CLSLOs:

• Summarize scientific knowledge to determine the nature and significance of a clinical problem at the microsystem level.

• Identify practice problems at the microsystem, mesosystem, and macrosystem levels of health care systems

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice,

• II-Develop Organizational and Systems Leadership for Quality Improvement and

• Assignment: 12 Total OCW: 12 hours

Practice Problem Summary with Annotated Paper

Due Sunday at midnight.

 See Guideline on Moodle for additional details

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 17 of 20

Systems Thinking

RSPC

• Communication • Knowledge of the health

care environment: • Leadership: • Professionalism • Business skills and strategic

management

Week 7 Theme: Connecting theory to practice through reflection This week’s objectives

Reflect on how the course and program outcomes were met.

Self Reflection CLSLOs

• Articulate how to select samples, determine reliability, and assess the validity of research data. Evaluate sources, methods, and designs for data collection, management, and

OCW

• Assignment: 12 Total OCW: 12 hours

Self Assessment

Due Thursday at midnight.

• See moodle for reflection topic and grading criteria

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 18 of 20

analysis. • Use appropriate

biostatistical methods for a program or process improvement project.

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice,

• III- Clinical Scholarship and Analytical Methods for Evidence-Based Practice

• VI – Interprofessional Collaboration for Improving Patient and Population

RSPC

• Communication • Knowledge of the health

care environment • Leadership • Professionalism • Business skills and strategic

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 19 of 20

management

Week 8

Will be available

early in Week 7 Theme: Understanding and Interpret statistical data

This week’s objective.

Students will be able to understand and Interpret statistical data.

Statistical Analysis CLSLOs

• Critically analyze types of biostatistical tests.

• Evaluate and interpret results of various biostatistical tests

EOPSLOs

• I-Integrate Scientific Underpinnings into Practice,

• II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

• VI – Interprofessional Collaboration for Improving Patient and Population

Text Book Grove & Cipher (2017)

• Exercise 1, 4-6, 8, 12, & 13-20

Total OCW: 20 hours

Discussion Week # 8

Discussion week #8 Non-graded initial post and answer to peers are due by Monday Non-graded discussion. Will be accessible until Sunday.

• See moodle for discussion topic and grading criteria.

Doctor of Nursing Practice DNP7200

Statistics for the Health and Biological Sciences

DNP7200AD Contributors: Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Trabanco, Dr. De Varona, Dr. Itzel Vega Crespo. Dr. Angel Garcia . Page 20 of 20

Left blank intentionally.

RSPC

• Communication

Decision-Making

INSTRUCTIONS AND ORDER ATTACHED

DUE DATE AUGUST 14, 2025 NO LATER

TOPIC: The Impact of Telehealth on Patient Outcomes in Primary Care

TOPIC: The Impact of Telehealth on Patient Outcomes in Primary Care

Decision-Making Process Paper  Instructions

In this assignment, you will be writing a 5 pages paper identifying, comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing (examples might include nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation or another current and relevant nursing issue)

 You are required to use APA 7th edition format and the page count does not include title page or reference page. Reflect on your own decision- making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:  

1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).

2. Identify how you would expect a nurse leader/manager, a bedside/ staff nurse and an Advanced practice nurse (CNO or NP) to address

your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance,one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings, literature, clinical scenarios and other evidence-based and scholarly sources.

3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.

4. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state, or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details

Use at least 10 references other than your main text. Uses APA 7th edition formatting.

REFERENCES CAN’T BE OLDER THAN THE PAST 5 YEARS

NO PLAGIARISM MORE THAN 10% ALLOWED, WILL BE SUBMITTED VIA TURNIN IN

CHECK YOUR GRAMMAR AND SPELLING AS UNIVERSITY LEVER

FOLLOW EACH INSTRUCTION CAREFULLY , SECTION BY SECTION

Reply 2 Promo week 7

  Reply to the following discussion, APA style, NO AI, plagiarism less than 20 %, 2 or more references.

  

The Role of the Nurse Practitioner in Preventive Screening and Intervention to Improve the Health of Young Adults.

The transition to young adulthood represents the most critical phase of human development. In these years, people gain independence, forge their own identities and develop social relationships that are quite different from those of life before college or marriage. But it's also an era fraught with unique health risks. For example, there is growing evidence that this is when young people start to take risk risks: substance abuse, unprotected sex and reckless driving become increasingly common. Counselling may be needed in some cases. While mental health problems and chronic illness are both on the rise among these age groups. – Advanced Practice Nurses (APNs), in particular Nurse Practitioners (NPs), are decisively placed to help mitigate these risks and improve health outcomes Through preventive screening and targeted interventions that are tailored to young adults' needs. Comprehensive Health Assessment and Screening

One of the roles of APNs that has been most effective in dealing with the health problems of young adults is carrying out comprehensive health assessments. The most age-appropriate screenings should always follow. This includes providing regular evaluations for mental disorders such as depression, anxiety and substance abuse, all of which are common enough in this age group We can use screening tools like the PHQ-9 questionnaire on mother-to-best health status during pregnancy and GAD-7 (Generalized Anxiety Disorder Scale) A survey for generalized panic disorder. Second: For alcohol abuse, the APN should use a tool like the AUDIT-C. Drug abuse can be addressed through an interview, which, while private, is not secret. Questionnaires will also have to be given out at times as examples, urine is taken each time someone comes to an APN asking for help because he or she claims to be using drugs. In addition to mental health, preventive screenings need also to cover sexual and reproductive health. APNs must give education on safe sexual practices that screening services are available for STIs (sexually transmitted infections) and also advise about contraception to avoid unwanted pregnancies. For women patients, Pap smears and HPV testing whether or not they are sexually active these days should begin when appropriate; for all patients, regular testing for HIV and other STIs based on risk behavior is also advised.

Health Promotion and Risk Reduction, Counseling

Health education and risk reduction counseling is an essential tool for APNs.

Through a nonjudgmental, culturally sensitive approach, APNs can engage young adults in discussions about their lifestyle choices and future goals.

It can help when someone says they're trying to decide what to do and they aren't sure how to go about it.  Using Motivational Interviewing, Which provides a way for patients to explore ambivalence about behavior change in an effective strategy.

By opening the channels of communication, APNs are able to address behavior such as tobacco use, excessive alcohol consumption, recreational drug abuse and what's called "bad eating habits" – all of which have long-term effects on overall health. Injury prevention is another focus that cannot be neglected. As motor vehicle accidents are a leading cause of death in this age group, APNs can advise youth to wear seatbelts and not to drive while distracted or under the influence.

For those living in areas at high risk, conflict resolution and violence prevention must also be the topic of conversation. Chronic disease prevention and management

Beginning in young adulthood, chronic diseases are already beginning to take root. APNs can counsel young adults how to avoid and manage diseases like obesity, hypertension, and type 2 diabetes through routine screenings, lifestyle modification counseling and care coordination. Educating young adults on eating right, being physically active, getting enough sleep and managing the inevitable stress develops a basis for lifelong health. Facilitating Access and Continuity of Care, It is often hard for young adults to get health care. They may not have insurance, be able with limited knowledge about putting in claims or understanding insurance policies, know how to set up an appointment with a provider at any given time when they need one and so forth. There are a number of barriers that have a cascading effect, leading back from past experiences to early adulthood and on into middle age. APNs can help bridge these gaps in care by creating staying power for individuals over time and space, assisting them to find their way through the medical system and by advocating for policies that permit better access. When young adults have established a relationship with their healthcare provider, they can be encouraged to seek regular treatment and to return for follow-up care.

A crucial role in the health of young adults – they provide early detection for risk factors and preventative services to stop them developing, and offer ongoing education. Integrating evidence-based screening tools and intervention strategies – all within a patient-centered environment – can substantially improve an ill person's quality of life; this is especially important in helping lone young people through life crises later on.

    Nursing Homework Promo week 8

    In the context of health promotion, Family Nurse Practitioners (FNPs) often work with diverse populations that have varied health needs and barriers to care. Reflect on a case or scenario from your clinical experience or studies where you encountered challenges in promoting health within a specific population.

    Word limit 500 words. Support your answers with the literature and provide citations and references in APA, 7th ed. format. No AI, Plagiarism less than 20 %, 3 or more references.

      Platinum Essays