The DNP Project: Implementation

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PICOT Question:In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice impact pain scores during chemotherapy over 8-10 weeks?The discussion for this week is focused on project implementation. Review the steps in your change process and your implementation schedule, identify milestones, and discuss how you will ensure the achievement of these milestones. How has your implementation plan changed, if at all? Why were these changes necessary? Have you started implementation?The DNP project is a summative evaluation of many essentials learned throughout the curriculum. The projects focus on changes that can bring positive health outcomes. It includes implementing evidence-based practice, evaluating outcomes, and making a sustainability plan. Often the DNP students encounter many barriers to implementing evidence-based practices secondary to lack of site support.  Many studies were done to improve project implementation. An enhanced model for DNP projects was tested in six DNP projects and found to improve the completion of assignments, defense, and graduation (VanderKooi et al., 2018).Developing a clear timeline with all the tasks listed with special attention to time and costs and making a project schedule is critical for the success of any project (Baum and Swig, 2017). The final scholarly project indicates if the graduate acquired all the essential skills needed to be a leader in clinical practice (Roush & Tesoro,2018). The proposed project will be implemented over eight to ten weeks, and the detailed activities during pre-planning, implementation, data analysis, and dissemination are included in the Gantt chartWeek-1A meeting will be held with critical stakeholders on week one to brief the project thoroughly. The DNP student will offer an educational session for registered nurses at the infusion center on the effectiveness of music intervention as an adjunct treatment for cancer pain and demonstrate the implementation process. Participants will be selected from the infusion center schedule based on inclusion and exclusion criteria. Selected participants will be contacted in person if possible or via telephone and asked about their willingness to participate in the project. Those willing to participate will receive a brief education about the music intervention, media player (MP3 player), visual analog scale, and be allowed to select their preferred music from a list of choices. Additionally, the participant will be informed that the proposed music intervention will be given during their next chemotherapy session. Participants will be recruited until week eight to satisfy the proposed sample size.Week two through nine:The implementation phase will begin on week two and continue through week nine. Participants will receive a single session of music intervention during chemotherapy. Informed consent will be obtained, and all questions and concerns will be answered for the participants. Therapeutic music will be provided to the participants, and pain scores will be assessed before and after the intervention using a visual analog scale for pain. Instructions will be given to ensure an accurate assessment of pain level. Pain scores will be documented in the electronic medical record. All the collected data will be stored in a locked file cabinet and a password-protected computer at the practicum site. The DNP student will be physically available during the project implementation to ensure compliance. Further, a compliance checklist will be utilized to document the correct implementation process. A retrospective chart review also will be done to ascertain the implementation process. The DNP student will perform formative evaluation from week two through nine by directly observing the implementation process and frequent huddling with the project team members. The preceptor will be updated about the project’s progress every day, and the course instructor will be contacted weekly or as needed. The DNP student will conduct a biweekly conference with stakeholders to update the progress. Daily staff meetings will be conducted with the health care team of the infusion center and oncology department administration. During the meeting, staff can provide feedback regarding the project, and the DNP student will update the project’s progress.Post-implementation phaseThe DNP student will thank all the participants and the health care team for their participation and support. All collected data will be analyzed with the help of a statistician. A retrospective chart review will be conducted to ascertain project implementation compliance. Project presentation before the Chamberlain faculty and sharing the results with practicum site stakeholders.Major milestones identified in my project are a) educating the staff and b) recruiting the participants, c) implementation, d) data management, e) data analysis, f) project presentation, and sharing the results with the stakeholders at the practicum site.  The project manager will use a compliance checklist and a retrospective chart review to ensure project compliance. The Gaant chart also provides an organized schedule for the smooth implementation process. There are no changes in the project implementation plan. Implementation will begin on the first week of NR 707.Please provide your instructor and student colleagues with an update on the implementation phase of your DNP Project. Share any successes, challenges, or barriers you experienced this week.The project implementation, planning, and preparation are progressing well. The DNP student is not foreseeing any barriers to the planned implementation of the project.ReferencesBaum, N., & Swig, B. (2017). Project management for healthcare practices: costs and timing. The Journal of Medical Practice Management, 32(4), 271–275.(Links to an external site.)https://www.proquest.com/docview/1930760068?parentSessionId=GgAgfndYvaWOJq5AAkHSCbrELfT7tKDlVF%2BSxK1VBuM%3D&pq-origsite=primo&accountid=147674 (Links to an external site.)Roush, K & Tesoro, M. (2018). An examination of the rigor and value of final scholarly projects completed by DNP nursing students. Journal of Professional Nursing, 34(6), 437–443. https://doi.org/10.1016/j.profnurs.2018.03.003VanderKooi, M., Conrad, D. M., & Spoelstra, S. L. (2018). An Enhanced Actualized DNP Model to Improve DNP Project Placements, Rigor, and Completion. Nursing Education Perspectives, 39(5), 299–301. https://doi.org/10.1097/01.NEP.0000000000000384I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.

 
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CLASS 2 UNIT 2 QD

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What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)3 REFERENCES PLEASE.

 
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Case study application essay

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Read the following case study and submit a 2 page essay in response to the questions:Judie has been the nurse manager of her unit for the past ten years and is highly regarded by the hospital’s administration. For the past several months, however, she has been feeling more frustrated and less satisfied with her work because of staffing cuts and other institutional decisions related to managed care. Attending to patient needs has always been the most rewarding part of her job. However, recently she feels that she has been forced to overlook these needs and attend more to the needs of the organization. She considers leaving, but she has seniority, good benefits, and two children to support. She is also aware that her distress at work is affecting her family, because she carries a lot of the frustration home with her.1.Summarize the case in an introduction2.Identify values evident in this situation. Which of these reflect your personal values?3.What conflicts might arise from these values?4.Evaluate what the individual in the case should do5.Explain if you were in the individual’s position, what beliefs, or goals would guide you in making the decision to stay or leave? Identify potential consequences of each choice.6.Provide a possible conclusion.

 
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organization assessment 4

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Use Internet to help you complete this assessment. For help using PowerPoint, refer to the Microsoft Tutorials and other resources located in the Suggested Resources and left navigation menu of the courseroom.This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.Your approach should be very conceptual and high-level.ScenarioYour health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.Deliverable: Mobilization Plan PowerPoint PresentationCreate an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.Use bullet points and phrases on the slides.The narrative, or explanation for each slide, should be in the speaker’s notes section.The mobilization plan should address the following:Identify the major stakeholders within the health care system that would be affected by the mobilization plan.Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.Describe the medical mission team’s organizational structure of the mission team and how power is distributed.Include one slide of an organizational diagram for the mission.Describe the roles (in the speaker’s notes).Assess how the organizational structure empowers team members.Provide 1–2 examples of how team members will have power.Identify key actions needed to assure quality of care and safety for mission patients and personnel.Evaluate potential power issues that may arise when dealing with a multinational contingent.(Be generic; that is, do not address individual nationalities, races, et cetera.)Consider interactions with health care personnel from other countries.Examine potential multicultural and diversity issues that mission personnel may encounter.Consider that the indigenous population may be hostile to treatment.Outline possible training requirements to improve cultural competencies of the personnel.Additional RequirementsWritten communication: Written communication should be free of errors that detract from the overall message.APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).General formatting: Choose an appropriate theme if using a template

 
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Concepts of Health care

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importance of considering the complex nature of health and health care when examining the economic principles related to health care delivery.

 
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Assignment: Posttraumatic Stress Disorder

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CASE STUDY VIDEO ATTACHEDPASTE PDF OF SCHOLARLY RESOURCES USEDSAFE ASSIGN CHECK

 
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pregnant woman and UTI, 5 articles EVIDENCE TABLE

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evidence table with the 5 articles selected ( see upload file for more details)

 
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DQ 1 N DQ 2

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Final Argumentative Paper TopicDiscussion TitlePrepare: As you prepare to write your response to this discussion assignment, you may want to review the following resources as these will help you in developing a topic:Develop a Research TopicIncorporate Sources into Your Research PaperIt is also recommended that you review these tutorials from the Ashford University Library:Searching in DatabasesEvaluating SourcesYou may also want to review the Week Five Sample Final Paper Guide, so that you can start preparing your rough draft that is due in Week Four.Reflect: When considering a research topic, consider an interesting topic that is worth further research. For instance, having a strong opinion on a specific topic may deter you from thinking more critically, and therefore the research might end up being one-sided. It is a good idea to pick a topic in which you can provide a good argument for both sides of the societal issue.Write: For this discussion you will address the following prompts:Identify two global societal issues from the following list that you would consider researching further for your Week Five Final Argumentative Essay: common core education; cutting liberal arts funding in support of STEM education; minimum wage; oceans desertification; overcoming the digital divide; refugee (escaping persecution, war, or death) crises; species extinctions (modern); standardized testing in schools; tax havens; TransAtlantic Trade investment partnership (TTIP); universal statement of human rights (pick one); airport security; or wealth disparity. Keep in mind that you will choose just one of these topics, which will be the same topic addressed in the Week Three Annotated Bibliography assignment, Week Four Rough Draft Submission, and the Final Argumentative Essay.Describe effective methods you used in identifying and narrowing down to just one of the two topics to further research for your final essay.Explain three ways you can critically analyze sources to determine if they are scholarly and credible.For one of the topics chosen, summarize information from at least two peer-reviewed journal articles from the Ashford University Library that will support your claims.Explain why scholarly sources should be used to support your writing on the selected topic.Download and attach PDF copies of the two articles that you found from the Ashford University Library to your answer using the “Attachments: Add/Remove” function located below your response. Please view this Attaching Documents to Discussions tutorial for more guidance on how to attach your article to your discussion post. You can also view this Citing and Saving Articles in [email protected] tutorial if you are unsure how to save articles found from the Ashford University Library.Your initial post should be at least 250 words in length, which should include a thorough response to each prompt. You are required to provide in-text citations of applicable required reading materials and/or any other outside sources you use to support your claims. Provide full reference information of all sources cited at the end of your response. Please use correct APA format when writing in-text citations  and references.Respond to Peers: Review your classmates’ posts, and respond to at least two of your peers by Day 7. In each response, provide comments on your classmate’s topic idea and ask a question that prompts your classmate to think more critically about how to explore the research topic in more detail. Each participation post should be a minimum of 75 words.DQ 2Moral DevelopmentDiscussion TitlePrepare: In preparing for this discussion, you should first review the Week Two required resources that focus on ethics and morals. This will help assist you in examining your own development of ethical and moral responsibilities.Reflect: Take a deeper look at your own life and determine which experiences have inspired ethical and moral reasoning. Were there any huge influences in this process?Write: For this discussion you will address the following prompts:Explain what it means to be ethical as it relates to personal, academic, and professional growth.Provide at least one ethical dilemma you have encountered and describe how the issue was resolved.Describe how your general education courses have influenced your ethical values.Explain why a college-educated person might have different duties to society than someone not as educated.Your initial post should be at least 250 words in length, which should include a thorough response to each prompt. You are required to provide in-text citations of applicable required reading materials and/or any other outside sources you use to support your claims. Provide full reference information of all sources cited at the end of your response. Please use correct APA format when writing in-text citations  and references.R

 
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Assessing and Treating Patients With Bipolar Disorder

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Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients often present as depressive or manic but may have both; 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.To prepare for this Assignment:Review this week’s Learning Resources, including the Medication Resources indicated for this week.Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.The Assignment: 5 pagesThe Case Study: An Asian American Woman diagnosed with Bipolar Disorder.You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision-making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

 
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case 3

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Case #3 Holistic NurseDefinition of Holistic NursingNursing does not only involve physical, mental, and emotional health; it also considers the patient’s spiritual wellness. Holistic nursing is a practice that promotes health and disease prevention by linking healing with the patient’s faith and spiritual belief (Stanhope & Lancaster, 2017). Holistic nurses work alongside individuals, families, and communities to provide their services. These specialty nurses consider their patient’s bodies, minds, spirits, cultures, and environments in their plan of care. While these nurses can perform the same duties as other nurses, they focus on making patients feel comfortable and relaxed. Holistic nurses treat their patients include acupuncture, eastern medicine, hypnosis, massage, wellness coaching, acupuncture, and hydrotherapy (Northestern State University, 2017). Holistic nurses focus on the healing process rather than the condition itself. Unlike traditional Western medicine, holistic nurses incorporate dietary changes, herbs, exercise, meditation, and guided imagery in their care for their patients (Stanhope & Lancaster, 2017).AcupunctureAcupuncture is a form of treatment performed by a certified practitioner in which thin needles are inserted through the skin at specific points in the body. This procedure is commonly used in the ancient practice of Traditional Chinese medicine. This medical practice believes this technique helps balance energy flow by inserting these needles to re-balance energy flow (Chen et al., 2017). On the other hand, Western medicine practitioners believe in acupuncture as a form of stimulation for nerves, muscles, and connective tissues to stimulate natural painkillers in the body to aid in pain relief. Acupuncture is commonly used to relieve discomfort in certain conditions such as headaches, neck pain, osteoarthritis, fibromyalgia, asthma, and carpal tunnel syndrome. Acupuncture has also been beneficial in various seizures by improving the electroencephalogram and symptoms associated with the condition (Chen et al., 2017).Primary Goals of ScreeningRegarding case number three, the patient has a medical history of seizures. Healthcare professionals use many different diagnostic methods to help in the diagnosis process of this condition. First, clinical manifestations, medical history, neurological assessment, and blood tests help healthcare professionals diagnose (Mariann M. Harding et al., 2019). Other tests, such as an electroencephalogram (EEG), computerized tomography (CT) scan, and magnetic resonance imaging (MRI), are ordered (Mariann M. Harding et al., 2019).Economics and NutritionConsuming a nutritious diet can be a challenge for many individuals, especially those dealing with financial issues. About 40.6 million Americans lived in poverty in 2016, making them more susceptible to worse health outcomes and less healthcare access (Food Research and Action Center [FRAC], 2017). Food insecurities are defined as poor food intake or eating patterns due to a lack of money and resources, common in the poor population. Different food assistance programs are available to the community, such as the Supplemental Nutrition Assistance Program (SNAP). This program provides food benefits, education on food preparation, and access to a healthy diet to low-income households. To be eligible for this program, the individuals must be Florida residents and have a current bank balance under $2,001 or less than $3,001 if they live with someone with a disability or be older than 60 (FRAC, 2017).Teaching BarriersHealthcare professionals are skilled in accessing their patient’s learning abilities and finding ways to educate them effectively. But there are many different barriers to consider that can potentially affect their learning. Some of these barriers include low literacy and lack of motivation. When it comes to low literacy, many individuals feel embarrassed to admit their learning deficits and try to hide them by appearing to those educating them that they understand when they do not. There are different techniques and tips available for nurses to inform their patients with low literacy better. The first step is assessing the patient’s literacy. The National Assessment of Adult Literacy (NAAL) is a large-scale national assessment tool designed to measure a patient’s literacy (Stanhope & Lancaster, 2017). Once the patient’s level of education is addressed, the nurse must find what learning style is most effective for the patient and what resources can help the patient, such as brochures, posters, group classes, or videos.ReferencesChen, S., Wang, S., Rong, P., Liu, J., Zhang, H., & Zhang, J. (2017). Acupuncture for refractory epilepsy: Role of thalamus. Evidence-Based Complementary and Alternative Medicine, 1–8. https://doi.org/10.1155/2014/950631Food Research and Action Center. (2017). The Impact of Poverty, Food Insecurity, and Poor Nutrition on Health and Well-Being [PDF]. Food Research & Action Center. https://frac.org/wp-content/uploads/hunger-health-impact-poverty-food-insecurity-health-well-being.pdfMariann M. Harding, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch, & Courtney Reinisch. (2019). Lewis’s medical-surgical nursing: Assessment and management of clinical problems, single volume (11th ed.). Mosby.Northestern State University. (2017, November 29). What is holistic nursing? – nsu. Northeastern State University Online. https://nursingonline.nsuok.edu/degrees/rn-to-bsn/what-is-holistic-nursing/Stanhope, M., & Lancaster, J. (2017). Foundations for population health in community/public health nursing (5th ed.). Mosby.

 
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