For nurses at the Clinica XXXX caring for adult Hispanic diabetic patients does the implementation of the Chronic Care Model (CCM) with Diabetic

Course

Name

Instructor

Session

Essential

Activity

Time Spent

Date

Note

XXXXXX

Dr.

DNP XXXX

II. Organizational and Systems Leadership for Quality Improvement

Attend quality improvement meeting

3 Hours

XX/XX/2020

I spent 3 hours in a staff meeting analyzing the Quality measures tool in the organization. We evaluated the organizational and patient outcomes and satisfaction at this moment. I proposed strategies to provide high-quality health care related to the standards of quality health system goals. The meeting head was the company, Chief Medical Officer. 

This activity helps me understand disparities in care delivery that can affect the implementation of my DNP project before its performance guarantees the desired outcomes.

The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by articulating the organization’s performance improvement program and goals.

DNP XXXX

Dr.

XXXX

(DNP Essential I)

Appraisal literature for inclusion

3 hours

After the quality improvement meeting, I dedicated 3 hours to reviewing the literature and understanding the organizational performance tools with Hispanic diabetic patients. I included detailed information about staff and its performance goals; this information provided me with adequate judgment skills to identify who needs training focus on practice improvement. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by identifying risk areas in my clinical setting/population.

DNP XXXX

Dr.

XXXX

Essential II: Organizational and Systems Leadership for Quality Improvement

Identify stakeholders

1.5 hours

After acquired skill with the literature review, I decided to pass by a different clinic department that hired new staff recently. Stakeholder support is necessary for a successful change proposal project implementation. A professional conversation was established; this allowed me to approach the member commitment with the organization and patient care. Few new suggestions based on different points of view received. The Leadership role-specific competence applied was: Professionalism and Effective communication and relationship building by building collaborative relationships soliciting the staff feedback to get ready before implementing my DNP project.

DNP XXXX

Dr.

XXXX

III. Clinical scholarship and Analytical Methods for EBP

Evaluate web-accessible training

2H

I was challenged to get reliable, accurate web training to support clinical decision-making that meets my evidence-based nursing clinical practice change expectations. I targeted Diabetic patients' management tools in the Hispanic population and how providers can guarantee better performance using a new protocol in the clinic after evaluating the web-based information resources in frontline practice. This activity encourages me to understand disparities in diabetic care in my selected setting that can affect the implementation of my DNP project.

The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by using evidence-based metrics to align patient outcomes with the organization's goals and objectives.

.

DNP XXXX

Dr.

XXXX

Essential VI

Meeting with my preceptor/mentor

1.5 hour

I met with my mentor to present my conclusion after meeting the new stakeholders, the quality measure tools staff meeting, new literature review, and web training evidence-based practice information. We discuss how all this information will help me through my project implementation. The Leadership role-specific competence applied was: Professionalism by seeking input and mentorship from others in career planning and development.

DNP XXXX

Dr.

XXXX

Essential II

Attend quality improvement meting

2.5 hours

I met with the owner of the clinical setting (Clinica XXXXX) and the rest of the administrative personnel to discuss the third quarter outcomes. The topic included organizational safety of Care. The Leadership role-specific competence applied was Business Skill by using business models for healthcare organizations and applying fundamental economics concepts.

DNP XXXX

Dr.

xxxx

III. Advanced Nursing Practice

Consultation with experts

2H

I spent 2 hours in consultation with an expert in family practice, Dr. Sanchez, where the screening tool implementation is challenging also about the best organizational model to implement during my project. His recommendation about the proper use of the guideline requires understanding the specific cultural traditions and, based on that, establishing a plan that works with providers and patients. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment and Professionalism by establishing quality metrics that contribute to the profession's advancement.

DNP XXXX

Dr.

XXXX

Essential III:

-Consult with statistician: in person, by phone, or by email

2 hours

I contacted the statistic to update my literature review, including evidence-based practice tools that will help me collect my project data and future evaluation. He provided me the most frequently used statistical methods to address the most relevant data in a DNP project. Those examples will help me to develop my analytical skills in a short proper time. The Leadership role-specific competence applied was: Effective Communication and relationship Building demonstrating my ability in interpersonal communication.

DNP XXXX

Dr.

XXXX

VI. Inter-professional collaboration for improving patient and population health outcomes

Consult with content experts

2 H

I met one DNP graduate from FIU to understand how she could correlate all curricular DNP program elements and competencies in a DNP project implementation in just eight weeks. She provided me with many details to be considered before the execution that will help me smooth the process. The Leadership role-specific competence applied was: Effective Communication and Relationship Building through a collaborative relationship with DNP stakeholders.

Course

Name

Instructor

Session

Essential

Activity

Time Spent

Date

Note

DNP 7000

Dr. Karen Perez

DNP

Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes

Consult by phone/person/email with my preceptor

1.5 Hours

03/05/25

I had a videoconference Zoom meeting with my DNP program mentor, Dr. Fernandez, accompanied by Dr. Perez, who explained to me the requirements of a DNP project, including but not limited to all the processes before and after implementation of my investigation project. The role-specific competencies associated was Effective communication and Relationship Building

DNP 7000

Dr. Karen Perez

DNP

I. Scientific Underpinning for Practice

Synthesize literature

4 hours

03/06/25

I spent 4 hours reviewing evidence-based information about the best possible topics for my DNP project considering pro and cons for each theme and its limitations. The role-specific competencies associated was Evidence-based practice/outcome measurement and research

DNP 7000

Dr. Karen Perez

DNP

II. Organizational and Systems Leadership for Quality Improvement

Evaluate cultural diversity within an organization

2Hours

03/10/25

I met with my supervisor and clinical director for 2 hours to discuss pros and cons of developing the investigation project in the clinical setting, and determine the best population to consider for the development of the project taking into consideration their cultural diversity, diagnosis and possible patient outcomes and satisfaction at this moment.

The leadership role-specific competence applied was knowledge of the healthcare environment, which was achieved by articulating the organization’s performance improvement program and goals.

DNP 7000

Dr. Karen Perez

DNP

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Attend meetings pertinent to the project

3hours

03/16/25

I had a three-hour meeting with my preceptor and colleague to develop the DNP project in the clinical setting. He provided his knowledge and experience as a pain management specialist and clarified the possible outcomes. The role-specific competencies associated were leadership and addressing and exchanging the ideas and viewpoints to consider during the investigation to assure successful outcomes.

DNP 7000

Dr. Karen Perez

DNP

Essential II: Organizational and Systems Leadership for Quality Improvement

Conduct assessment of practice setting

1.5Hours

04/08/25

I spent 1.5 hours on videoconference zoom meeting with Dr. Perez and Dr. Fernandez discussing about the importance of choosing the right clinical setting for the development of the DNP project, knowing the limitations of a hospital setting over a private practice. The role-specific competencies associated was Effective communication and Relationship Building

DNP 7000

Dr. Karen Perez

DNP

Essential I: Scientific Underpinnings for Practice

Review/Evaluate EBP material (e.g., web, print)

3Hours

04/10/25

I spent 3 hours reviewing literature, peer reviews, and evidenced-based material to identify the best possible tool to be used for the implementation of the DNP project. The Leadership role-specific competence applied was: Knowledge of the Healthcare Environment by identifying possible limitations with pain measurement.

DNP 7000

Dr. Karen Perez

DNP

Essential II: Organizational and Systems Leadership for Quality Improvement

Identify stakeholders

2 hours

04/11/25

I spent 2 hours discussing to other providers the importance of implementing the project and address effectiveness this helped me to establish commitment with the organization and patient care by the other providers including their suggestions for implementation. The role-specific competence applied was: Professionalism and Effective communication and relationship building by building collaborative relationships soliciting support from the staff before and after implementing my DNP project.

DNP 7000

Dr. Karen Perez

DNP

Essential VII: Clinical Prevention and Population Health

Analyze health disparities and population-specific health concerns

3 Hours

04/13/25

I spent 3 hours examining chronic pain literature and public health statistics on marginalized communities. I also examined CDC, WHO, and peer-reviewed journal databases to discover health inequalities and socioeconomic factors of pain treatment. This guided my DNP project's patient-centered, culturally appropriate preventative strategies. Effective Communication and knowledge of the Healthcare Environment were implemented.

DNP 7000

Dr. Karen Perez

DNP

Essential VIII: Advanced Nursing Practice

Develop tool for implementation

3 Hours

04/15/25

I spent 3 hours drafting a pain assessment instrument specific to the characteristics of the target population, which comprises outpatient adults with chronic non-malignant pain. The instrument included validated pain scores including emotional, psychological, and physical pain components. I set SMART targets for post-implementation results. AONE leadership skills were Professionalism and Business Skills since tool creation requires strategy, creativity, and a patient-focused framework.

DNP 7000

Dr. Karen Perez

DNP

Essential V: Healthcare Policy for Advocacy in Health Care

Analyze institutional policy support for the DNP project

2 Hours

04/17/25

I spent 2 hours having a lengthy conversation with the clinical team at my clinical site regarding the institution's perspective on evidence-based initiatives, quality improvement, and policy reform. We examined institutional policies on pain treatment procedures, staff training, and tool use. The research identified policy impediments and lobbying possibilities to support the DNP project's implementation and sustainability. Leadership via policy awareness and strategic communication was the AONE Leadership competence that was used.

DNP 7000

Dr. Karen Perez

DNP

Essential IV: Information Systems/Technology and Patient Care Technology

Select and evaluate electronic systems for project data collection

2 Hours

04/18/25

I spent 2 hours assessing the strengths and shortcomings of two Electronic Health Record (EHR) systems utilized at the clinical location for data collecting. Considerations included HIPAA compliance, real-time data accessibility, and the integration of pain assessment metrics. This determined which platform will best support project execution while protecting privacy and efficiency. Technology, Analytical Thinking, and Business Skills were employed.