In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Advance tutor pls note:
Week 2: Altered Physiology
 
 
 
Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
 
 
The Assignment ( 2-page case study analysis)
Develop a 2-page case study analysis in which you:
· Explain why you think the patient presented the symptoms described.
· Identify the genes that may be associated with the development of the disease.
· Explain the process of immunosuppression and the effect it has on body systems.

 
Develop a 5–10-year strategic plan for achieving specific health care quality and safety improvements, based on the analysis you completed in Assessment 1. Use either an AI approach or your SWOT analysis and a chosen strategic planning model.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Evaluation of strategic choices is important. The methods for selecting strategic alternatives help leaders organize significant issues to support decision making. However, it is important that the techniques do not make the decision. Rather, leaders should use the techniques to reveal the inherent situation and to organize their thought processes. This assessment provides you with an opportunity to evaluate and apply some of the techniques for successful strategy development and implementation.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations.
  • Evaluate the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction.
• Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.
  • Develop strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting.
  • Justify the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting.
• Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.
  • Analyze the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments.
• Competency 4: Integrate leadership and health care theories into the role of the nurse leader.
  • Explain how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives.
• Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.
  • Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

 
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Strategic planning models aid in setting goals, establishing time frames, and forging a path toward achieving those goals. Consider the strategic planning models you are familiar with:

• Which model would you choose to create goals and outcomes that could address the area of concern you identified in your Assessment 1 SWOT analysis?
• Why is this model the best choice among alternatives?
• How does goal setting through appreciative inquiry provocative propositions differ from goal setting in the strategic planning model you selected?

 

Assessment Instructions

Note: You will use your care setting environmental analysis as the basis for developing your strategic plan in this assessment.

Preparation

The feedback you received on your care setting environmental analysis has been positive. Consequently, you have been asked to select one of the potential improvement projects you noted in your analysis and create a full, 5–10-year strategic plan to achieve the desired quality and safety improvement outcomes. You will develop your strategic plan, using either an AI approach (addressing the design stage), or by building on your SWOT analysis and applying a strategic planning model of your choice.
How you structure your plan should be based on whether you are taking an appreciative inquiry approach or using a specific strategic planning model. Regardless of the approach you choose, the requester of the plan has asked that you address the key points outlined below in the strategic plan requirements. In addition, your plan should be 5–8 pages in length.
Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style

• Write clearly, with professionalism and respect for stakeholders and colleagues.
• Integrate relevant sources of evidence to support your assertions.
  • Cite at least 3–5 sources of scholarly or professional evidence.
• Format your document using APA style. An APA Style Paper Template and associated tutorial, linked in the Resources, are provided for your use. Be sure to include:
  • A title page and reference page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
  • Properly formatted citations and references.
• Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.

Strategic Plan

• Develop strategic goal statements and outcomes that reflect specific quality and safety improvements for your care setting. You should have at least one short-term goal (just-in-time to one year) and one long-term goal (five years or longer).
  • Determine realistic timelines for achieving your goals.
  • Explain how your short-term goals support your long-term goals.

Note: For plans based on an AI approach, the goal statements and outcomes are provocative propositions that may be refinements of the positive, yet attainable, goals that you proposed during the dream phase of your inquiry. For plans based on a SWOT analysis, the goal statements and outcomes are specific, measurable, and applicable to the area of concern in your analysis for which you proposed pursuing improvements.

• Justify the relevance of your proposed strategic goals and outcomes in relation to the mission, vision, and values of your care setting.
• Analyze the extent to which your strategic goals and outcomes, and your approach to achieving them, address:
  • The ethical environment.
  • The cultural environment.
  • The use of technology.
  • Applicable health care policies, laws, and regulations.
• Explain, in general, how you will use relevant leadership and health care theories to help achieve your proposed strategic goals and outcomes.
  • Consider whether different theories are more applicable to the short-term or long-term goals of your strategic plan.
• Evaluate the leadership qualities and skills that are most important to successfully implementing your proposed plan and sustaining strategic direction.
  • Identify those leadership qualities and skills that are essential to achieving your goals and outcomes and sustaining strategic direction.
  • Identify those leadership qualities and skills that will have the greatest effect on the success of your plan.

 

Assessment Instructions

Note: You will use your care setting environmental analysis as the basis for developing your strategic plan in this assessment.

Preparation

The feedback you received on your care setting environmental analysis has been positive. Consequently, you have been asked to select one of the potential improvement projects you noted in your analysis and create a full, 5–10-year strategic plan to achieve the desired quality and safety improvement outcomes. You will develop your strategic plan, using either an AI approach (addressing the design stage), or by building on your SWOT analysis and applying a strategic planning model of your choice.
How you structure your plan should be based on whether you are taking an appreciative inquiry approach or using a specific strategic planning model. Regardless of the approach you choose, the requester of the plan has asked that you address the key points outlined below in the strategic plan requirements. In addition, your plan should be 5–8 pages in length.
Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style

• Write clearly, with professionalism and respect for stakeholders and colleagues.
• Integrate relevant sources of evidence to support your assertions.
  • Cite at least 3–5 sources of scholarly or professional evidence.
• Format your document using APA style. An APA Style Paper Template and associated tutorial, linked in the Resources, are provided for your use. Be sure to include:
  • A title page and reference page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
  • Properly formatted citations and references.
• Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.

Strategic Plan

• Develop strategic goal statements and outcomes that reflect specific quality and safety improvements for your care setting. You should have at least one short-term goal (just-in-time to one year) and one long-term goal (five years or longer).
  • Determine realistic timelines for achieving your goals.
  • Explain how your short-term goals support your long-term goals.

Note: For plans based on an AI approach, the goal statements and outcomes are provocative propositions that may be refinements of the positive, yet attainable, goals that you proposed during the dream phase of your inquiry. For plans based on a SWOT analysis, the goal statements and outcomes are specific, measurable, and applicable to the area of concern in your analysis for which you proposed pursuing improvements.

• Justify the relevance of your proposed strategic goals and outcomes in relation to the mission, vision, and values of your care setting.
• Analyze the extent to which your strategic goals and outcomes, and your approach to achieving them, address:
  • The ethical environment.
  • The cultural environment.
  • The use of technology.
  • Applicable health care policies, laws, and regulations.
• Explain, in general, how you will use relevant leadership and health care theories to help achieve your proposed strategic goals and outcomes.
  • Consider whether different theories are more applicable to the short-term or long-term goals of your strategic plan.
• Evaluate the leadership qualities and skills that are most important to successfully implementing your proposed plan and sustaining strategic direction.
  • Identify those leadership qualities and skills that are essential to achieving your goals and outcomes and sustaining strategic direction.
  • Identify those leadership qualities and skills that will have the greatest effect on the success of your plan.

GRADING RUBRIC:
1-  Develop strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting.
Passing Grade:  Develops strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting, and impartially considers potential barriers.
2-  Justify the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting.
Passing Grade:  Justifies the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting, and identifies areas of uncertainty or knowledge gaps.
3-  Analyze the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments.
Passing Grade:  Analyzes the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments. Impartially considers the limitations of the goals and outcomes.
4-  Explain how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives.
Passing Grade:  Explains how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives, and identifies gaps, limitations, or mismatches in theories.
5-  Evaluate the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction.
Passing Grade:  Evaluates the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction, and identifies assumptions underlying the evaluation.
6-  Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
Passing Grade:  Communicates analyses clearly, logically, and persuasively, demonstrating professionalism and respect for stakeholders and colleagues. Grammar and mechanics are virtually error-free.
7-  Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Passing Grade:  Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.

Benchmark – Direct Practice Improvement (DPI) Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A)
At this point in the course, learners have completed and submitted Chapters 1-3 and the 10 Strategic Points as individual components of the Direct Practice Improvement (DPI) Project Proposal. This assignment requires learners to incorporate feedback from their DPI Project Committee on these assignments, combine them into the DPI Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A), and submit it as one unit.
Upon submission, the DPI Project Proposal: Draft Proposal will be sent for an Academic Quality Review (AQR). The AQR is performed by a qualified external reviewer that provides a formal scientific merit review and quality assurance check on the DPI Project Proposal.
General Requirements:
Use the following information to ensure successful completion of the assignment:
· Locate the “DPI Proposal Template” document in the PI Workspace of the DC Network.
· Locate your DPI Project Proposal – Strategic Points Final Draft assignment with DPI Committee feedback.
· Locate all previous feedback from Chapters 1-3, the 10 Strategic Points, and the soft submission submitted in Topic 7.
· You must submit this assignment in the form of a Word document. If this manuscript proposal is not submitted prior to due date in the designated format, you will receive 0 points for the assignment and will not undergo AQR. Remove the scoring grids/rubric and previous embedded feedback from your proposal for AQR submission.
· 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 required to submit this assignment to LopesWrite.
Directions:
1. Integrate the four individual DPI Project Proposal assignments into one document using the “DPI Proposal Template.”
2. Be sure to review the “DPI Project Guide,” before submitting your assignment.
Submit the completed document to your DPI chairperson.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
Doctor of Nursing Practice
1.1:  Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice. 
1.4:  Develop and evaluate new practice approaches based on nursing theories and theories from other disciplines.   
4.2:  Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate, and population health management. 
PROFESSOR’S PRIOR INSTRUCTIONS:-
The professor has made new comments on the project and it requires for the comments to be incorporated into the project. You can also see the professor’s comments in the attached 10 Strategic Points.
Areas Needing corrections are as follows: It must be updated in the 10 Strategic Points and in the main project ATTACHED.
1. Interventions
a. This has to be for Diabetes. Currently, it is not the right methodology
b. The intervention is what will be done for each patient which should be based on educating the patients on lifestyle changes. It should be like this: –
i. Diet Teaching Education- what type of education will be used for teaching the patients. Where are you going to get the materials from? You must explain the Therapy in full. This must be rearranged in the project.
2. Lifestyle Changes Education must be addressed as follows: –
a. Discuss Medication Nutrition Education Therapy in full
b. Discuss Medication Adherence Education in full
c. It must specify Disease Education on Diabetes
d. It must indicate who is doing it e.g. RN, Nurse Practitioner etc.? How are they doing it? How long is it going to take or for long?
3. You must indicate what the expected result is going to be.
4. How do you plan to measure Medication Adherence and the tools that will be used to measure it.
5. The Problem Statement must now change based on these new listed additions. It must start with “It is not known the extent to which………………
6. SAMPLE:
a. Explain why you are picking the specific number of patient population
b. Use population of adults 18 and above. Don’t limit to 45 and older.
7. Inclusion Criteria
a. Adult 18 – above with Type 2 Diabetes
b. It should state who identified it in the home health setting such Physicians since they are the ones that refer patients to the home health care for non-compliant or non-adherent to medication
8. Exclusion Criteria
a. It should state that you will exclude patients with cognitive impairment
9. Data Collection and Data Analysis
a. You must adjust both of them by using an existing method of Data Collection-please, do not make up your own
Please make corrections in all the chapters including 1, 2 and 3.
APPENDIX A is the 10 Strategic Points