October 10, 2022

DNP-835: Patient Outcomes and Sustainable Change Papers

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Course Description (DNP-835: Patient Outcomes and Sustainable Change Papers)

This course prepares learners to develop effective strategies to ensure safety and quality health care for patients and populations and includes evaluation of health care outcomes. Learners engage in inquiry into the state of health care delivery, patient-centered care, sustainable change, and ethical principles surrounding practice. Learners are expected to integrate and synthesize core program competencies and specialty practice requirements necessary to demonstrate proficiency in advanced nursing practice in the DNP Practice Immersion Workspace. Practice hours: Learners must be able to document a minimum of 50 concurrently or previously logged practice hours in association with this course. Practicum/field experience hours: 50. Prerequisite: DNP-825.

DNP 835 Full Course Discussions GCU

DNP 835 Topic 1 DQ 1

Outcome measures are significant in showing the worth of the Advanced Practice Nurse’s role in health care. Identify a practice-level outcome study and describe the expectation of its effect on health care.

DNP 835 Topic 1 DQ 2

In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose proven quality measures to improve patient safety.

DNP 835 Topic 2 DQ 1

Discuss the concept of cost-based analysis. Provide an example of a program where it could be used to show outcomes.

DNP 835 Topic 2 DQ 2

Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability.

DNP 835 Topic 3 DQ 1

New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings. Describe a new health care delivery model and discuss whether or not it is sustainable.

DNP 835 Topic 3 DQ 2

Two major models of care exist, for-profit and not-for-profit? Does one or the other provide more ethical care? Why or why not?

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DNP 835 Topic 4 DQ 1

Explore a country that provides universal health care. What are its health outcomes? How do these outcomes compare to those in the United States? Should universal health care be a concept that the DNP should support? Why or why not?

DNP 835 Topic 4 DQ 2

The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2014, and take the associated quiz. Discuss what knowledge you gained from the quiz and describe any changes you would apply to the U.S. health care system.

DNP 835 Topic 5 DQ 1

Review one of the tutorials on quality measures from the AHRQ: National Quality Measures Clearinghouse website. Provide an overview of what you reviewed and its application in your practice.

DNP 835 Topic 5 DQ

The assigned article “Large-System Transformation in Health Care: A Realist Review” identifies several outcomes for effective transformation. Discuss one of those measures and the implications for change in your practice.

DNP 835 Topic 6 DQ 1

The DNP degree empowers nurses to create programs for improving quality outcomes. What barriers need to be alleviated to increase the APN role in health care change?

DNP 835 Topic 6 DQ 2

Patient-centered care has been shown to increase positive patient outcomes. Provide an example of how collaboration within the health care team has enhanced patient outcomes in your practice.

DNP 835 Topic 7 DQ 1

Utilize the National Committee for Quality Assurance (NCQA) website to examine the criteria that a Patient Centered Medical Home (PCMH) must meet to be credentialed. What is the value of the PCMH to patient outcomes?

DNP 835 Topic 7 DQ 2

One key issue related to poor adherence to prescribed treatment is patient lack of understanding. What tools are available to determine a level of health literacy and how can they be utilized to improve patient outcomes?

DNP 835 Topic 8 DQ 1

Discuss the role of research collaboration and the dissemination of this research. What are the opportunities for dissemination, and what is the role of DNP in pursuing those opportunities?

DNP 835 Topic 8 DQ 1 Example Approach

Research collaboration involves two or more researchers where they come together with the sole purpose of establishing new scientific evidence which can be utilized by others to improve their understanding on a specific subject matter (Beck, 2016). In this case, research collaboration is important in that it boosts the skills, knowledge and experiences required in addressing a particular study question, with such enabling the researchers to address to answer it in a comprehensive manner (Beck, 2016). Additionally, research collaboration acts as a peer-reviewing process where all the individuals involved in the process validate every form of evidence to guarantee its reliability when reported in the findings (Beck, 2016). It is worth noting that research collaboration creates a great number of opportunities for the dissemination of evidence to different users due to the existing network of the researchers engaged in the entire process.

The available opportunities for the dissemination of evidence obtained in research collaboration include presentation in national and international conferences that bring researchers together with a view to solidify their practice with the information shared in such sessions (Beck, 2016). On the other hand, publications in nursing journals could be a great way to disseminate the evidence gathered using research collaboration (Beck, 2016). The DNP program equips the nurses with evidence-based as well as analytical skills that can enable them to educate diverse audiences using mass media such as nursing conferences and publications (Chism, 2016). In this case, skills gained in the DNP program empower the nurses to connect with their audiences from an informed position regarding the subject matter of the research and improve the overall level of confidence in the findings that are being disseminated.

References

Beck, C. T. (2016). Developing a program of research in nursing. New York: Springer Publishing Company.

Chism, L. A. (2016). The doctor of nursing practice: A guidebook for role development and professional issues. Burlington, Massachusetts: Jones & Bartlett Learning.

DNP 835 Topic 8 DQ 2

Discuss recent health care innovations in your practice and your role in implementation.

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DNP 835 Full Course Assignments GCU

DNP 835 Topic 1 Individual Success Plan (ISP)

The Individual Success Plan (ISP) assignment requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed upon specific deliverables for your programmatic requirements. Programmatic requirements are: (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, (3) work associated toward completion of your Direct Practice Improvement Project.

General Requirements:

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course:

Locate and download the Individual Success Plan (ISP) document in the DNP Program Documents folder in the DNP Program Materials section of the DC Network.
Review the DNP Program Milestones document in the DC Network and identify which milestones apply to this course. Note: Not all courses have milestones.
Determine what practice experiences you plan to seek in order to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice. Learners are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
Use the ISP to develop a personal plan for completing your practice hours and for how competencies will be met. Show all of the major milestones and deliverables.

Within the ISP, ensure you identify specific deliverables which can include the following: Individualized DNP practice immersion contracts; comprehensive clinical log of hours applied to doctoral level learning outcomes; learner evaluations; mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and mentor approvals of course goals and documented practice immersion hours; and DPI project milestones.

Identify the specific deliverables you will complete throughout this course from those defined above or others negotiated with your faculty. You must turn in a new ISP in each course.
Identify the remaining deliverables you will complete in the upcoming courses.
List the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course? How might you overcome these challenges?
You can renegotiate these deliverables with your faculty throughout this course and update your ISP accordingly.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
You are not required to submit this assignment to LopesWrite.

Directions:

Complete the Contact Information table at the beginning of the ISP document and type in your signature and the date on which you completed the table.

Read the information in the ISP document including the following:

Learner Expectations
Derivation of the ISP
Instructions for Completing the ISP

Follow the instructions and complete the ISP.

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DNP 835 Topic 2 Quality and Sustainability Paper Part One Descriptive Method

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part one of the assignment. Learners are required to analyze and apply quality and/or safety measures specific to contemporary nursing science.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,250-1,500 word paper discussing the role of quality and/or safety in nursing science. Include the following:

Define quality or safety measures and describe their relationship and role in nursing science today.
Provide a contemporary example of how quality or safety measures are applied in nursing science.
Identify the quality and/or components needed to analyze a health care program’s outcomes.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to the DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-835

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

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DNP 835 Topic 4 Quality and Sustainability Paper Part Two – Analysis and Application

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part two of the assignment. Learners are required to analyze the quality outcomes and/or patient safety measures of a health care entity to determine its successes and failures, identify potential obstacles to the implementation of the measures, and determine what collaborative efforts are needed to create sustainability.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,250-1,500 word paper that provides the following:

Identify or create a health care entity. (Provide an overall description of this entity without using the real name; i.e. location, size, profit or nonprofit, years in operation). Do not give the real name of any entity or person you are describing.
Using defined quality outcomes and/or patient safety measures, describe the health care entity’s successes and failures. Include identified criteria and data that demonstrate why this entity is successful and in what areas.
Using the quality outcomes data, identify a quality or safety area that nursing science can impact. Describe the specific variables.
Identify potential obstacles that may hinder the implementation of the quality or safety measure.
Identify those groups or leadership roles within the entity with whom you may need to collaborate.

Portfolio Practice Hours:

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-835

DNP 835 Topic 6 Quality and Sustainability Part Three Implementation and Evaluation

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part three of the assignment. Learners are required to provide a theoretical framework that supports the design and implementation of their evidence-based quality and/or safety program and discuss expected outcomes.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a 2,000-2,500 word paper that provides the following:

Identify a quality, change, or safety theory you will use to support the implementation of your quality and/or safety program. Provide evidence that supports the use of this theory within the program you designed.
Provide the design of your evidenced-based quality and/or safety program that can be implemented to improve quality or safety outcomes in your identified entity.
Discuss expected outcomes of your implementation and how to ensure their sustainability.

Support your position by referencing at least five to six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.

Portfolio Practice Hours:

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-835

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DNP 835 Topic 7 Case Report Application of Quality and Safety Concepts

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires the inclusion of at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

Review the AHRQ and the IOM report (Too Err Is Human and Crossing the Quality Chasm) to develop the case report.
Apply quality and/or safety concepts to describe the understanding of the problem or situation of focus.
Apply one or more quality and/or safety concepts to the recommended intervention or solution being proposed.
Develop the case report across the entire scenario from the identification of the clinical or health care problem through the proposal for an intervention, implementation, and evaluation using an appropriate research instrument.
Describe the evaluation of the selected research instrument in the case report.
Lastly, explain in full the tenets, rationale for selection (empirical evidence), and clear application using the language of quality and/or safety within the case report.

Case Report Requirements:

In addition, your case report must include the following:

Introduction with a problem statement.
Brief literature review.
Description of the case/situation/conditions explained from a theoretical perspective.
Discussion that includes a detailed explanation of the synthesized literature findings.
Summary of the case.
Proposed solutions to remedy gaps, inefficiencies, or other issues from a theoretical approach.
Identification of a research instrument to evaluate the proposed solution along with a description of how the instrument could be evaluated.
Conclusion.

Portfolio Practice Hours:

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-835

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DNP 835 Topic 8 Final Evaluation by Mentor

The mentor will perform a final clinical evaluation via the Typhon system. The mentor will receive an e-mail link at the beginning of Topic 6 to access the evaluation through Typhon.

Students will access the completed mentor evaluations in Typhon under the tab for “EASI: Evaluation and Survey Instrument” and print out the completed evaluation, sign it, and upload the signed evaluation into LoudCloud.

The course faculty will review the evaluation in LoudCloud and confirm in Typhon.

It is the student’s responsibility to ensure that the mentor has completed evaluation. If the mentor does not receive the evaluation via the e-mail address on file with GCU, the student should contact the course faculty immediately.

DNP 835 Topic 8 Final Evaluation by Faculty

Faculty must evaluate the student. Students will review the evaluations and confer with faculty if needed.

DNP 835 Topic 8 Practice Hours Portfolio

The Typhon Tracking System will be used to document and follow the status of your practice immersion hours throughout this and every subsequent course. Learners must be able to document a minimum of 50 concurrently or previously logged practice hours in association with this course, which will contribute to fulfillment of the total required 1,000 post-baccalaureate practice hours by the conclusion of the program. Please review the Guidelines for Graduate Field Experience Manual document in the in the DC Network for details on what may/may not qualify as practice hours.

The Practice Hours Portfolio (using the Typhon Student Tracking System) will include all of the following elements:

Individual Success Plan signed off by mentor.
Case log of actual clock hours applied to doctoral level learning outcomes.
Learner evaluations-one by faculty and one by mentor (final).
Practice mentor evaluations (final).
Current and updated CV. (Update each course as necessary.)
Faculty approvals of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)
Practice mentors approval of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)

Learners will track their Practice hours within the Typhon Tracking System throughout each course and via the Practice Hours Completion Statement assignment at the end of the course.

Complete the following statement in a Word document and attach to this assignment drop box in LoudCloud and complete the Typhon Tracking System entries appropriate for this course.

Create a Word document with the following:

Practice Hours Completion Statement DNP-835

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this course. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.</e

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