Hello DNP Students,

In Week 4 the two sections being completed are: (a) Considerations and Challenges for Implementation and (b) Outcomes.

As you prepare Week 4 Discussion Topic, please review the criteria included in the DNP Project Template and the Week 4 DRAFT grading rubric and include only the required information.

I look forward to receiving concise, descriptive, detailed sections in the Week 4 Discussion initial posts due Wednesday at 11:59 pm and the DNP Project Proposal DRAFT due Sunday at 11:59 pm.

Considerations and Challenges for Implementation

Directly from the DNP Project Template:

In this section, discuss potential barriers and/or facilitators, which could impact your proposed project’s implementation. Are the nursing staff resistant to change? Is there currently a culture inherent in the site where the use of evidence-based practice is openly used/welcomed by staff? Will staffing levels affect your implementation? Are there any significant changes in leadership or care that are currently evolving in the organization? What strategies might you use to overcome any barriers you might face? How will you capitalize upon any facilitators you have identified?

Directly from the Week 4 DRAFT Grading Rubric: 3 requirements in this section

1) An outline of considerations and challenges during implementation is described.

2) Identify how you will overcome the challenges and possible barriers that you anticipate.

3) Describe how you will capitalize on the facilitators that you have identified to enhance the implementation and the change process.

Outcomes

Directly from the DNP Project Template

Provide a full discussion of the outcome(s) you will use to determine the impact of the intervention you will implement. The articles that provide the evidence for the intervention will also provide the outcome. Use the same outcome from the intervention research articles. In other words, researchers have tested the intervention on a specific outcome, and we know that the intervention is effective with that outcome. The same research articles will usually have the data collection tool that is effective in collecting data for the outcome. Select a data collection instrument/survey which has been published and is reliable and validated. If you are using a survey or questionnaire, have you received permission to use the survey (provide a copy of the permission letter/email as an Appendix and refer to it here.) What will it measure? State how the survey been tested for validity and reliability (Cronbach Alpha)? How many questions are asked? What type of questions are asked (what numeric scale is used, Likert, etc.)? How will you administer the survey (pen/paper or electronically)? When will it be administered? Approximately how long will it take your population to complete? Please avoid collecting any demographic data collected, unless it is necessary to help answer your practice question. Include assurances, or at least estimates, or the validity and reliability of the instrument, and reference to an appendix in which the reader will find the complete instrument and all correspondence and directions which will be sent to the respondent subjects in the sample.

If abstracting data from the Electronic Health Record (HER), the Enterprise Data Warehouse, or a database, what data will be part of the abstracted report? How will you access this data, and who can assist you with mining this data? State all data points that will be abstracted and who will pull the data, and how (i.e manual chart audit, or analyst will write a report), and the timeframe for the first and second data abstractions.

Directly from the Week 4 DRAFT rubric – 4 requirements in this section

1) Outcomes of project are described clearly and concisely and are congruent with PICOT question.

2) Describes data collection plan in detail.

3) Describes each tool being used for data collection.

4) Addresses specific statistical evidence of the reliability and validity of each tool. If this is not applicable, describes the data source (ie, electronic medical record) and the process of this chart information retrieval.