In a 4 pages paper, summarize the gap in practice you have identified, state your PICOT question, and consider how you plan to communicate this gap in practice to stakeholders.IntroductionPreparing for your practicum requires you to apply interprofessional communication skills as you pursue the arrangement and develop working relationships. In addition, communication with your preceptor is an opportunity to define a practice gap for your project.InstructionsPart 1: Identify a Practice GapTo open your paper, identify a gap in practice at your proposed practicum site. Next, include evidence from the site that supports the necessity for this issue to be addressed. Finally, conclude the paragraph with your PICOT question.Address the following in this section:
If unable to obtain data, this may be theoretical.
Follow the MEAL plan for each paragraph, but do not include the letters.
How to Construct a PICOT QuestionFormulate a PICOT question that is within the scope of a DNP doctoral project, and include all components. This question will relate to the identified gap in practice at your doctoral practice site. The intervention for this PICOT question is hypothetical for this assessment. It will be fully developed in assessment 6.Use this format, or use one of the other options from Evidence-Based Practice in Nursing & Health Sciences: PICOT Question Process, for developing a PICOT question:In ____________(P), how does __________(I) compared to desired state __________(C) affect the outcome __________(O) within __________(T).Here is an example of a PICOT question:For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), how does the development of a rapid response team (I) compared to the current emergency alert system (code blue) (C) affect the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?A common mistake learners make when writing PICOT questions is rewording it into a research question, which is not appropriate for a DNP project. Here is an example of the sample PICOT question written as a research question:For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), does a rapid response team (I) compared to the current emergency alert system (code blue) (C) reduce the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?In this case, the word “does” yields an investigative response and the word “reduce” indicates a directional response, which is not known at the start of an evidence-based QI/PI project.Note: Make sure your PICOT question has an appropriate scope for a DNP project. Here are the criteria for a DNP project of appropriate scope:
Is a quality improvement project or a process improvement project (i.e., is not research).
Addresses a gap in practice using an evidence-based intervention.
Part 2: Interprofessional CommunicationA key component of the doctoral project is a collaboration with stakeholders who are vested in the project’s outcome. Interprofessional communication will be critical to your success at the practicum site. Consider the stakeholders with whom you will need to communicate during your practicum project. They might include patients, families, community members, health team members, and leaders at the health care facility. Each stakeholder group will have different concerns and levels of knowledge, and each group may be interested in slightly different information.Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders at your proposed site by addressing the following:
Discuss strategies you used to facilitate discussion and interactions with specific stakeholders at your site.
Describe the stakeholders’ ideas and feedback as they contributed to the definition of the gap in practice.
You will also continue to practice using the MEAL Plan for each paragraph as you describe how you facilitated communication and feedback.
Additional Requirements
Note about Writing Feedback: Pay close attention to feedback you receive on this assessment. Consider how implementing changes will move your work closer to one or more of the writing quality indicators identified in the Writing Feedback Tool. As you revise your writing, you can also check out the resources listed on the Writing Center’s Writing Support page.Grading CriteriaYour assessment will be graded using the following scoring guide criteria:Summarize a gap in practice that has the appropriate scope for a DNP project.
Construct a PICOT question in the correct format, including all components.
Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders.
Produce text with minimal grammar, usage, spelling, and mechanical errors.
Apply APA formatting to in-text citations and references.
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Difference between a Quality Improvement (QI) or Project Improvement (PI) Project and
Research Study
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Difference between a Quality Improvement (QI) or Project Improvement (PI) Project and
Research Study
M (Main Point): The main difference between Quality Improvement (QI) or Project
Improvement (PI) and a research study is that QI/PI projects are focused on improving
performance in a single facility using existing evidence, while research is focused on producing
evidence that can be generalized to practice. E (Evidence): The proposed doctoral project is a
QI/PI project because it is focused on improving care for an underserved community rather than
systematic investigation. The project idea aims to fulfill the urgent need for an outpatient
substance abuse program in an underserved community located in Miami, FL. Research studies
often seek to generate new evidence through systematic investigation, with human subjects’
recruitment but QI/PI projects such as the proposed project apply current evidence to improve
outcomes or practice (Knudsen et al., 2019). A (Analysis): The generation of new evidence, as
in research, is a systematic and closely controlled process of investigation with the goal of
producing evidence that can be used in various facilities or settings to address the investigation
issue. The proposed outpatient substance abuse program in Miami, FL, aims to improve current
substance abuse care in the community rather than produce new evidence. It is, therefore, a QI/PI
project rather than a research study. L (Lead out): QI/PI projects are ideal for doctoral projects
with the aim of healthcare services and practice improvement, such as the proposed outpatient
substance abuse program in Miami. They differ from research because they focus on quality
improvement rather than generating new evidence.
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Reference
Knudsen, S. V., Laursen, H. V. B., Johnsen, S. P., Bartels, P. D., Ehlers, L. H., & Mainz, J.
(2019). Can quality improvement improve the quality of care? A systematic review of
reported effects and methodological rigor in plan-do-study-act projects. BMC Health
Services Research, 19, 1-10. https://doi.org/10.1186/s12913-019-4482-6