HOW DID YOU DECIDE THAT A DNP WAS RIGHT FOR YOU AND YOUR CAREER GOALS?How did you decide on pursuing a doctorate? How did you decide that a DNP was right for you and your career goals? What are your short-term and long-term career goals?
How did you decide on pursuing a doctorate? How did you decide that a DNP was right for you and your career goals? What are your short-term and long-term career goals? Include the goal you hope to accomplish as a result of obtaining this degree.
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Week 1: Practice Problem in Two Distinct Statements
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You will be learning about your DNP project and perfecting the ideas you have about this as you go along in the program — ideas will be added and you’ll frame your project question in the PICOt format (more on that later). For now, begin thinking about an organization that may need a practice change or a quality improvement effort. You will build your project idea from that base of awareness and information.
To begin, recognize that you have been gathering assessment data for many years as a nurse. You are observing, listening, analyzing, discussing situations in health care related to quality, leadership, safety, cost and access. You have listened to patients and families, you have read about issues that concern you, you have listened to subordinates and superiors and you know inside your own mind, that there are possibilities that haven’t been tapped yet to improve the health care system and delivery of care.
In this post please describe an idea you have (problem that you have noticed) about an organizational need for practice change to improve health outcomes, cost or access; or an organizational need for quality improvement.
What have you seen that could be addressed by a clinical leader? Don’t worry about having a refined idea yet — just say what you see as a problem, and suggest a set of ideas you may have for solving it.
An example might be that you have witnessed bullying in the work place and you’d like to intervene by providing nurses with tools to interfere with bullying when it happens and an “on the floor” coaching program to facilitate the nurses’ implementation of their anti-bullying tools.
Another example may be that clinic nurses are not addressing smoking with stop smoking interventions and you’d like to intervene by teaching the nurses ways to address smoking and encourage them to commit to addressing every smoking patient with a smoking cessation intervention. You also want to assure that this change takes place after intervention so you will audit the charts and give feedback to the nurses on their progress.
What ideas to solve practice problems do you have? Review the lesson for this week and remember to state the problem in two distinct statements: (a) the problem and (b) the etiology. Finish your post by thinking about and then writing, what kinds of interventions would work to resolve the causes of the problem.
NR700 Week 2 Discussion 1 & 2 Latest 2017 August
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Week 2: Nursing’s Ways of Knowing
No unread replies.4747 replies.From the perspective of your practice change interest (clinical outcomes, safety and quality, leadership or health policy) consider the specific ways of knowing as they have played into your awareness of the need for practice change?
Further, consider how intuitive/personal or ‘unknowing’ knowing dimensions of practice integrate with broader social, cultural and theoretical dimension to create meaning and inform ideas for practice change.
Give two specific examples from your practice. For example, let’s say that your practice change interest is in the way treatment decisions are made in end-of-life care for elderly patients. Which ‘Ways of Knowing’ have played primarily in to your observations and insights about this problem?
Examples of integration with broader social and cultural dimensions in this scenario of treatment decisions in end-of-life care: how does your intuitive/personal knowing integrate with what patients and families say about their experiences? What do you know about the cost of care, access to care or quality of care relative to the issue?
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Week 2: Formatting your Problem Statement into a PICOT Question
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In preparation for this discussion, first prepare interview notes with the following questions:
1. I’d like to validate a problem statement and begin to formulate a PICOT question with the needs of your organization in mind.
2. A problem I’d like to work to improve is _________ and some of the causes of this problem seem to be _______________. Would you agree? Are you asking questions within the organization about this problem? Do you have additional insights to the specific problem statement and the etiology I’ve come up with?
3. What Outcomes would you hope result from addressing this problem?
Next make a phone interview (5-10 minute) appointment with a nursing or other leader in your chosen organization. The purpose of your interview will be to validate with the interviewee (from their point of view), whether your initial problem statement agrees with their needs.
With this interview information validating or changing your problem statement, you can move forward.Keeping the main ideas from the problem statement you drafted in Week 1 wherein you identified the problem and the etiology; now state the problem in the PICOT format.
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