Defining a Gap in Practice: Executive Summary
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
I work in a Kansas Hospital In Emergency Room/ICU
Assessment 1 Instructions: Defining a Gap in Practice: Executive Summary
- Develop a PICOT question that defines a gap in practice and write a 2 page executive summary presenting the key elements that decision makers will need to make decisions.
Introduction
It is important to define your ideas clearly and precisely to help develop and sustain stakeholder buy-in with any project being created to improve outcomes. Using a PICOT gives the reader a clear idea of your improvement project in one succinct sentence. Another important communication tool is written for the administrative stakeholders in the form of an executive summary. The executive summary provides a brief and precise narrative of what you want to expedite for your improvement project. Executive summaries are commonly associated with business plans, marketing plans, evaluation studies, and other materials that are created to guide decision making and action. As an actionable document, the executive summary is meant to set out the key elements that a decision maker will need in order to make decisions and, as important, to justify those decisions to those to whom the decision maker is responsible.
Preparation
Read the following:
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- American Academy of Ambulatory Care Nursing. (2016).
- Standard 1: Assessment.
- Standard 2: Nursing Diagnoses.
- Standard 3: Outcomes Identification.
- Standard 4: Planning.
- Standard 5a: Coordination of Care.
- Standard 5b: Health Teaching and Health Promotion.
Assessment Summary
Develop a PICOT question that defines a gap in practice related to a specific population at the organizational, regional, or national level for care coordination. Write a 2 page executive summary (not including the title and reference pages). Include 4–6 scholarly sources on the reference page.
You are encouraged to formulate a PICOT question based on a clinical question from your field of expertise or reflective of a specialization or strong area of career interest.
Grading Criteria
The numbered instructions outlined below correspond to the grading criteria in the Defining a Gap in Practice: Executive Summary Scoring Guide, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion to see how your work will be assessed.
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- Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
- Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.
- What is the PICOT question?
- Provide and explanation of the selected gap.
- Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.
- Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.
- Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.
- Present an assessment of the issue to start the process.
- Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.
- What are the planning steps for the intervention?
- What expected outcomes you want to achieve?
- Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
The audience for this presentation is an interprofessional team (including people in the care coordination process and leadership who are approving the process). Your objective is to develop stakeholder understanding and acceptance.
Additional Requirements
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- Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
- APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings. See Evidence and APA for more information.
- Font and font size: Times Roman, 12 point.
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Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
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- Competency 1: Analyze clinical priorities for a specific population that can influence health outcomes in the care coordination process.
- Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
- Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.
- Competency 2: Evaluate potential services and resources available for specific populations that are a part of the care coordination process.
- Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.
- Competency 3: Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.
- Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.
- Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.
- Competency 4: Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.
- Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.
- Competency 5: Communicate effectively as a scholar-practitioner to inform best practice.
- Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Scope and Standards of Practice for Registered Nurses in Care Coordination and Transition Management
by Cynthia L. Murray
PUBLISHER
American Academy of Ambulatory Care Nursing
DATE
2015-12-01
reating a question using the PICOT elements will provide a framework for the research you need to conduct an evidence-based study or to make an evidence-based decision.
PICOT Elements:
(P) – Population, Patients or Problem: The sample of subjects used in a study, or the problem being addressed.
(I) – Intervention: The treatment that will be provided to subjects enrolled in your study.
(C) – Comparison or Control: Identifies an alternative intervention or treatment to compare. Many study designs refer to this as the control group. If an existing treatment is considered the ‘gold standard’, then it should be the comparison group. A control group is not required for every type of study.
(O) – Outcome: The clinical outcome that measures the effectiveness of the intervention.
(T) – Time: Duration of the data collection. Some versions don’t include this element, and time may not be specified in cases where the question is focused on prediction or diagnoses.
PICOT Question Format Examples:
Please be sure to check your assignment, as it may direct you to use a different format.
- Intervention: In _______ (P), how does _______ (I) compared to _______ (C) affect _______ (O) within _______ (T)?
- Prognosis/Prediction: In _______ (P), how does _______ (I) compared to _______ (C) influence/predict _______ (O) over _______ (T)?
- Diagnosis or Diagnostic test: In _______ (P) are/is _______ (I) compared to _______ (C) more accurate in diagnosing _______ (O)?
- Etiology: Are _______ (P), who have _______ (I) compared to those without _______ (C) at _______ risk for/of _______ (O) over _______ (T)?
- Meaning: How do_______ (P) with _______ (I) perceive _______ (O) during _______ (T)?
Example PICOT Questions:
- For residents of long-term care facilities (P), how does implementation of a hydration assessment tool (I) compared to current practice (C) affect the number of hospital admissions with the diagnosis of dehydration (O) during a three-month period (T)?
- In acute care hospitals (P), how does having a rapid response team (I) compared with not having a response team (C) affect the number of cardiac arrests (O) during a three-month period (T)?
- In women with gestational diabetes (P), how does a monitored diet and exercise program over the course of pregnancy (I &T), compare to the use of metformin only (C) reduce the incidence of high birth weight babies(O)?
- In patients admitted for acute myocardial infarction (P), how well does the hospital’s new data model created from EMR data (I) compared to current practices (C) predict readmission rates (O) within 30 days after initial discharge (T)?
- For patients of a rural health clinic (P), does the use of text message reminders (I), compared with telephone calls (C) reduce the number of missed appointments (O) over a six month period (T)?
References:
- Melnyk, B.M., Fineout-Overholt, E., Stillwell, S. & Williamson, K. M. (2010). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice. AJN, American Journal of Nursing, 110, 51-53.
- Posing the research question: Not so simple
- To make your case, start with a PICOT question
- What is your research question? An introduction to the PICOT format for clinicians.
- Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice. (Not in library)
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