Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less t
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Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less than five years old.
The facility recently transitioned to a new and better electronic health record system and also purchased standardized care plans which are supposed to be more efficient, unfortunately, the compliance with using the standardized care plans by the inpatient nurses is only 40%. Also, the facility recently had a visit of the Joint Commission and received a negative mark for the nurses not adding care plans based on the patients’ primary problem (s) or diagnosis in the patients’ charts upon admission.
Title:
Educating Inpatient Nurses to use Standardized Care Plans
(Based on this title, please formulate a PICO question which gear on educating the nurses to use the hospital standardized care plans)
Main Problem with the nurses in the Hospital.
(1) There’s poor compliance with the nurses not adding the standardized care plans to the patient’s chart based on the patients’ diagnosis or primary problem(s) upon admission to the facility.
(2) Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.
(3) The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart?
___ Set of care plans are available and nurses do not have to develop a care plan
___ If nurse selects and adds care plan, it will automatically populate into patient’s chart
___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the
patient’s chart.
___ Decreases nurses’ workflow time because preset care plan
___Nurses do not have to do any follow up teaching on care plan
Revised PICO Question:
Will an educational tool increase the inpatient nurses’ knowledge about the use of the hospital newly built-in standardized care plans system as compared to not using the standardized care plans? (based on all the above, I came up with this question, but you can correct it or formulate a better one which gears towards educating the inpatient nurses to use the standardized care plans)
Problem:
1) Poor compliance, just 40% of the hospital inpatient nurses are using the hospital newly built-in standardized care plans.
2) The Joint Commission (JHACO) penalized the hospital during a recent visit to the hospital because only a small percentage of the admitted patient had a care plan upon admission based on their diagnosis or primary problem(s).
3) The hospital recently transitioned to a new and better electronic health record system (EHRs) and some nurses are stating that they haven’t received enough education on how to use the standardized care plans on the hospital new EHRs.
Below is the Joint Commission Standard for Care Plans
Joint Commission Standard
- The medical record contains the following clinical information:
– The reason(s) for admission for care, treatment, and services
– The patient’s initial diagnosis, diagnostic impression(s), or condition(s)
– Any findings of assessments and reassessments
– Any allergies to food
– Any allergies to medications
– Any conclusions or impressions drawn from the patient’s medical history
and physical examination
– Any diagnoses or conditions established during the patient’s course of
care, treatment, and services (including complications and hospital acquired
infections).
– Any consultation reports
– Any observations relevant to care, treatment, and services
– The patient’s response to care, treatment, and services
– Any emergency care, treatment, and services provided to the patient
before his or her arrival
– Any progress notes
– All orders
– Any medications ordered or prescribed
– Any medications administered, including the strength, dose, route, date
and time of administration
– Any access site for medication, administration devices used, and rate of
administration
– Any adverse drug reactions
– Treatment goals, plan of care, and revisions to the plan of care
– Results of diagnostic and therapeutic tests and procedures
– Any medications dispensed or prescribed on discharge
– Discharge diagnosis
– Discharge plan and discharge planning
- The hospital plans the patient’s care based on needs identified by the patient assessment, reassessment, and results. The written plan of care is based on patient goals and time frames required to meet goals. Patient care plan is based on established goals where staff evaluate the patient progress Patient’s care plan is revised with goals based on patient’s needs
POPULATION:
Inpatient Nurses
INTERVENTION:
(Will an educational tool?) Best method on educating inpatient nurses on identifying appropriate patient’s diagnosis or primary problem upon admission to select individualized care plan and document on the interventions / progress toward patient goals each shift in Epic EHRs.
COMPARISON
:
Regular Care plan
OUTCOMEs:
-
Patient Outcome:
- Reduced variability in patient care delivery. Accurate monitoring of progression toward evidence-based care plan interventions and goals.
-
Accurate monitoring of patient education progression driven from correct diagnosis-based care plan added on admission to the patient’s chart.
- Metrics: nursing documentation on education, interventions, and care plan goals
-
Process Outcome:
- Nurse will increase correct application of evidence-based care plan based on identification of correct diagnosis or primary problem upon admission Increase documentation of evidence-based interventions and patient progress toward care plan goals in EPIC each shift. .
-
Increase completion of education/learning assessment upon admission and each shift.
- Metrics’ compliance: correct application of care plan based on admitting diagnosis, shift documentation of evidence-based interventions and care plan goals, patient education/learning assessment documentation
Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less t
The following checklist provides a tool to develop the DNP Doctoral Prospectus. The doctoral prospectus involves multiple steps. Included in this prospectus checklist are the basic expectations for completing the prospectus following the annotated prospectus guide. For further detail on the content of each section of the prospectus, please refer to the Prospectus Guide. To understand how the prospectus is evaluated by the committee and the Program Director of designee, use the Prospectus Rubric as a guide. Instructions for students: Indicate on the checklist the page numbers (use the actual document page number, not the MS Word pagination) where the appropriate content is located. Respond to comments from the committee in the comment history box. Do not delete previous commentsjust add your response in the appropriate space. Instructions for the DNP Doctoral Project committee chair, second member, and PhD Program Director/Designee. Provide specific feedback in the comment history column. Do not delete previous commentsjust add your response and use some means to clearly identify your remarks (e.g., colored, bolded, or italicized text). If you made detailed comments on the draft (using track changes and comments), you can make reference to such comments in the draft rather than copy the text into the checklist comment history section. Student’s Name: Student ID: Date: Committee Members Chairperson: Member: Prospectus Checklist The Prospectus Document includes a title page (page 1) followed by pages containing the required elements. Title must be 12 words or less, double-space if it is more than one line of type, and center it at the top of the page. Capitalize each major word. Include your name, your program (Doctor of Nursing Practice) and your Banner ID number – double spaced and centered under the title. Please use the Prospectus template on the DNP Resources page. Note: Your doctoral project title will likely change as the project evolves so allow yourself the flexibility to adapt your title as necessary. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Title Start with “Prospectus” and a colon, and then include the title as it appears on the title page. Double space if it is more than one line and center at the top of the page Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Problem Statement State the practice focused problem that your project will address. Provide a 2-paragraphs statement that establishes the relevance of this problem. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Summarize preliminary, supporting evidence that provides justification that this problem is meaningful and relevant to the local setting as well as the broader field of nursing practice, citing key scholarly sources. Explicitly state the gap in nursing practice or problem that will be the focus of this doctoral project Describe the problem as it relates to the target population for this project. Practice-Focused Question(s) Describe the meaningful gap-in-practice that this doctoral project addresses. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. State the guiding practice-focused question(s) for this doctoral project. Briefly explain the practice focused question as it is relevant to the identified gap in practice. Note: PICO format is not required. Social Change Describe how this project will impact social change for healthcare consumers, organizations and the profession Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. State how this project supports the mission of Walden University to promote positive social change. Specify who might benefit from the project and in what ways the information from the project might result in positive social change. Context for the Doctoral Project Briefly describe the intended setting for the doctoral project. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Explain how this project can be accomplished in the identified setting or context. Sources of Evidence a) Include relevant evidence that supports the need to address the identified problem at the local and broader context (Examples: Current EBP guidelines, literature preferably from the past 5 years, deidentified anecdotal data, (refer to DNP manuals for IRB approved data sources for specific project types). Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Describe how the evidence justifies that this practice problem is important to the nursing profession. Approach or Procedural Steps Identify your possible approach/procedural steps, summarize possible strategies to obtain the data and resources needed to complete the doctoral project. Examples may include anonymous participant questionnaires (see DNP IRB approved data types for each of the four DNP manuals for more information) Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Is this project from among the acceptable types listed on the DNP Resources page? Note: Evidence or data cannot be collected prior to approval of the full committee and the IRB. Ethical Describe how this project will provide protection for human subjects. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. Describe the region of the data source(s) without stating the specific location. Withhold descriptors of participants such as titles, demographics, etc. to ensure that participants are not identifiable. (Check with the IRB if unsure.) State any potential ethical issues that may present problems for the completion of this project. If none, clarify. Note: See IRB section of the DNP manual to determine ethical requirements. Alignment Do the various aspects of the prospectus align overall? Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. State what credible sources support the practice problem. Describe how the practice-focused question/s and the approach or procedural steps will address the practice problem you describe in the problem statement. References Use APA format for this prospectus. Include a minimum of 15 – 20 APA-formatted peer-reviewed references to support intext citations in the Doctoral Project Prospectus. Note: References should be within most recent 5 years. Chair comments: (click here) Second Member comments: (click here) Student comments: (click here) ☐Chair accepts items as complete. APA Form and Style Check
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