SAMPLING & INTERVENTION FOR THE PROJECT I need help developing an outline for my project plan as appropriate for sampling (obtaining participants), data collection, pilot study, and im

SAMPLING & INTERVENTION FOR THE PROJECT

PICOT- Among patients requiring health care visits (P), how does use of the "Ask Suicide Screening Question" toolkit (I) as compared to not using the "Ask Suicide Screening Question" toolkit (C) affect self-harm behavior and suicide (O) within 3 months of the visit (T)?

Please submit sampling plan, data collection and implementation plan. 

Submit an outline for a plan as appropriate for sampling (obtaining participants), data collection, pilot study if needed, and implementation of intervention or project; include timeline.

· Recruitment is via email.

· This student is using 6 nurses as participants.

· The PICOT & Tools used cannot change.

· Please, it is compulsory to USE the RUBRIC to complete it. See Attached.

Please see the “Implementation Plan and Timeline” below. It was previously submitted and you get the rest of the information needed to complete the assignment in it.

My sample and participants will be 5 nurses with 2 years experience at Mercris Home Health, which is the inclusion criteria for them and also we are recruiting them via email collected from the Human resources which is also one of the people am collaborating.

a. Participants

The major participants in this project are 5 nurses who work in the facility. Key participants engaging in the DNP project are nurses within the Home Health setting. the Director of Nursing, Dr Long, Preceptor and the stakeholders.

Setting

The project will be implemented at Mercris Home Health which is an agency that offers a wide variety of home-based healthcare services by sending nurses to different regions of the city to do patient care.

Project Description

While home-based healthcare is not appropriate for all patients, the option is best when treatment requires this intervention and produces proper outcomes. Clinical assessment needs to be performed so that patients can receive treatment or referral to mental health providers as required. Nurses in charge of home-based patients will find it easier to handle treatment improvements after the patients are provided with physiological management suggestions. It is possible to manage depressive symptoms and suicide ideation for home-based patient when proper medication and referral are implemented. This can be achieved by utilization of ASQ tool. Implementation of a proper screening process is possible by healthcare professionals when the following metrics get integrated (Bombard et al., 2018):

· Development of a tool which uses detailed questions.

· Generation of understandable concepts for participants

· Working with engagement sessions

· Evaluation of collected data.

The proposed project shall take 6 months, and the participants of the project shall be registered nurses, DNP students, and educators to support the project's development. The design used shall be experimental, which is an accurate method of promoting study review.

Suicide Screening for Home-Based Patients

Suicide Screening is indicated and necessary for patients that are home bound. According to Center for Medicaid and Medicare (nd), an individual is considered to be “confined to his home” if the individual has a condition due to an illness or injury that restricts the ability to leave his or her home except with the assistance of another individual or the aid of a supportive device (such as crutches, a cane, a wheelchair, or a walker) or if the individual has a condition due to an illness or injury such that leaving his or her home is medically contraindicated. Homebound adults experience a high symptom burden, reporting greater levels of pain and dyspnea, and significant functional impairment; they have high levels of mortality, even compared to counterparts with the same demographic, functional, and clinical characteristics (Ankuda et al, 2022).

Depression is more prevalent among homebound patients versus non-homebound patients. Specifically, 12-16% of older home health care patients suffer from depressive disorders, however, depression is often not well screened or treated among older home health patients because of reasons such as stigma against depression (Kim et al, 2019)

Based on these facts, Ask Suicide-Screening Questions (ASQ) Toolkit’s can be an accurate method of performing suicide risk for the target population of home-based patients. Assessment of factors influencing home-based patients' reactions to their care is required to determine the impact on their mental health. In this regard, home healthcare management can get established by dealing with a trained healthcare provider who can use this tool to ensure better healthcare outcomes. Usage of the ASQ tool can lead to improvement in the symptoms of depression and eliminate risk of suicide in these patients.

Proposed Tool for the Project

As the proposed method for the project is a survey, the use of an ANOVA test will be suitable to validate the method in which the significance of the project can get implemented. There can be proper support for the credibility of the data collected by correlating ideas from the home-based patients to determine how their responses offered adequate support. Working with a nurse in charge of the survey of home-based patients will generate accurate inferences from data in a way that produces advanced healthcare delivery ideas. The survey shall get performed only after seeking informed consent from all participants, for participants below 18 years, their parents shall get contacted to provide consent for the minors.

Intervention

The project plan is to create a program to use the ASK toolkit to manage home-based patients' issues connected to depressive symptoms and suicidal thoughts. Participants of the project shall be registered nurses, DNP students, and educators to support the project's development. Handling of the project shall get performed using a timeline of 6 months.

Implementation

Implementation involves following the nurses 2x a week to the patients’ home for a 10 week period.

Implementation of the ASQ tool is highly imperative to support the management of home-based patients and any chance of them committing suicide. Informing patients of the tool using their e-mails shall be an accurate method of generating awareness of the survey, then only interested participants shall participate in the process. Data acquisition will then get managed through constant question and answer activities performed by home-based patients as long as they understand the questions asked. Survey information storage shall be performed using Google forms that shall be sent to home-based patients. Another is by use of physical forms filled by the patients to allow their information to get collected and typed into a dedicated database for the project. Analysis of the project's progress after three months will be a relevant requirement to facilitate a high-standard data collection procedure and handle any issues that developed during previous meeting sessions.

March 2022

Complete the project timeline and seek faculty advice to complete the proposal successfully.

April 2022

Present the project plan relevant committee and obtain approval for IRB submission.

May – July 2022

Implement the project and start researching different home-based patients

August 2022

Data Analysis

Outcomes

· Improvement in the assessment of homebound patients to determine those at high risk of completing a suicide.

· Fast response to eliminate suicidal ideation from patients.

· Identification of common behavior and trends that can lead to suicidal behavior.

Evaluation

The ANOVA test shall allow a credible connection between the dependent and independent variables. Since the independent variable is the ASQ toolkit, a proper method of analyzing how its use in the target population promotes accurate healthcare improvement can get performed. Evaluation of data collected from the toolkit shall then create an understanding of the dependent variables, self-harm behavior and suicide, within 3 months of the visit.

Table 1: Project Budget

The salary costs shall get used to facilitate high-standard professionalism from the providers chosen to implement proper patient care. While generating advanced care management procedures, it shall be possible to constantly interact with home-based patients during the proposed time and ensure their care delivery procedures receive advanced improvements as required. The project's cost shall be $5,000 for 6 months, a feasible budget. Performance of the surveys shall rely on a laptop to send out survey invitations for home-based patients and then allow them to complete the surveys on their devices or in person. Depending on the home-based patients' preferences, the budget shall be managed suitably by allowing all participants to be reviewed based on their existing capabilities.

Dissemination Plan

The proposed plan shall ensure that home-based patients receive a proper review of their conditions as a target healthcare management procedure. Adherence to the plan's guidelines in support of the proposed budget shall generate permissible healthcare improvement operations that are required to validate any healthcare plan. The use of the ASQ tool as the established teaching tool shall be the best choice to validate patient outcomes during their home treatment sessions. A reliable project shall get developed by integrating operational requirements that are hardware, training sessions, utility requirements, and materials requisition. Once all requirements are fulfilled, the plan shall be implemented effectively by allowing persons who have received home-based care to participate in a survey. The use of the proposed survey shall facilitate the acquisition of accurate information that shall yield direct representations of how suicide management can get implemented. Care improvement procedures can be suitably performed by working with trained nurses who know how to perform suicide management.

References

Aguinaldo, L. D., Sullivant, S., Lanzillo, E. C., Ross, A., He, J. P., Bradley-Ewing, A., Bridge, J. A., Horowitz, L. M., & Wharff, E. A. (2021). Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics. General hospital psychiatry, 68, 52–58. https://doi.org/10.1016/j.genhosppsych.2020.11.006