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A) Introduction
Introduce the paper’s central theme and address the importance of the topic.
Provide a clear purpose statement.
Provide the reader with an outline statement of the paper’s content (i.e., the three sections identified by the required level 1 headings (Problem, Practice Gap, & Practice Question).
B) Problem
Using the information that you gathered on the Organizational Needs Assessment:
C)Practice Gap Identification (Table 1), describe the practice problem by explaining these elements:
Describe a specific, unnamed location (hospital unit, community health clinic, surgical suite, primary care practice).
Identify the type of location (unit, clinic, etc.) and its key stakeholders (decision makers).
Explain the practice problem as it would be identified by the stakeholders and ensure that it is realistic, practical, small in scope, and can be managed by you as if it were an actual 8-week project.
D) Practice Gap
Explain the Organizational Needs Assessment: Practice Gap Identification Table (Table 1). A blank table is included below. You can copy and paste it (with its APA heading) into your paper after the reference list.
E ) In one or two organized paragraphs, summarize your findings in Table 1, the Organizational Needs Assessment: Practice Gap Identification.
What is currently happening in the clinical site that causes poor patient health outcomes?
What should be happening in the clinical site based on current evidence?
What do the stakeholders (decision-makers) identify as the gap between what is currently happening and what should be happening (this is your practice gap)?
Why is there a gap in practice? What factors (policies, procedures, etc.) contribute to the practice gap?
What evidence do you have to demonstrate the practice gap you are describing (e.g., Internal QI indicators, NDNQI, AHRQ Quality Indicators, National Hospital Quality Measures, CAHPS Hospital Survey, Joint Commission, ORYX®, etc.)?
What research-based intervention/evidence have you discovered to fix the practice gap and potentially improve patient health outcomes?
F) Practice Question: The practice question guides the practice change project. Define and briefly explain the project’s intended population, evidence-based intervention, and measurable outcomes (PICOT). Use the APA convention of a bulleted list to make each stand out:
Population: Describe the specific characteristics of the population that is the focus of the intervention, including the hypothetical unit, clinic, or healthcare location you have chosen.
Intervention: Citing evidence listed in the Johns Hopkins Individual Evidence Summary Tool (Table 2), provide 1-2 sentences explaining the intervention (or synthesized intervention “bundle”) from the evidence in Table 2; refer the reader to Table 2 in this section and cite the three references (as they apply) in the section. At least three (3) references listed in Table 2 for this assignment should explicitly support the intervention and the outcome (and its measurements).
Comparison: State “compared to current practice” for this assignment. You should briefly state the current practice here but not in the PICOT practice question below (#6).
Outcome
Create and explain the specific results and outcome measurements you hope to achieve based on the current evidence you have collected in the Johns Hopkins Individual Evidence Summary Tool (Table 2).
The research source can be the same one used to support the intervention as long as it speaks to measurable outcomes (i.e., intervention: CAUTI protocol; Measurement: Incidence of infection before and after the intervention).
There should be at least three (3) references listed in Table 2 for this assignment. (NOTE: The Johns Hopkins Individual Evidence Summary Tool you created in NR716 should be used if possible; however, you can create a new table of evidence for this problem if needed). A blank replacement Johns Hopkins Individual Evidence Summary Tool table can be found in the Canvas DNP Resources or copied from the one below (with its APA heading) into your paper after the reference list.
Time: The time frame for the project implementation (Practicum projects are typically eight weeks long).
State the Practice Question
Example: (P) For the critical care patients in General Hospital’s ICU, (I) does the implementation of the medical sepsis protocol (C) compared to current practice (O) reduce the incidence of medical sepsis diagnoses as measured before and after the intervention (T) in eight weeks?
G) Conclusion
Recap the paper’s purpose statement and brief overview criteria from the introduction.
Draw major conclusions from the body of your paper.
Summarize the paper’s relevance to the practice change project and your role as a project leader.
References
Ensure each reference has a matching citation and is formatted as required by the APA manual/Chamberlain DNP Program Writing Guide.
Include at least three (3) scholarly references at a minimum (those listed in the Johns Hopkins Table). Other references may be added to the reference list to support your assertions.
Tables
Table 1, the Organizational Needs Assessment: Practice Gap Identification table, can be copied from the blank one below.
Table 2, the Johns Hopkins Individual Evidence Summary Tool, should include a minimum of three [3] project sources that are research or systematic review references.
Tables 1 and 2 are referred to in your paper, and Table 1 is cited before Table 2 so that they are mentioned in the correct order.
Both tables (with their APA headings) can be found below along with their APA headings.
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