DNP- 840A Leadership For Advanced Nursing Practice

Doctoral nursing practice (DNP) is made up of many categories. Evidence based research shows how a plethora of activities are carried out by professionals. A Direct Practice Improvement Project (DPI) is recommended to be taken by the DNP student. This helps students to be equipped with the necessary skills as well as competence needed (Bush, 2014). The nurses are expected to meet the requirements of developing necessary experiences such as in Antimicrobial Stewardship Program (ASP). This project is designed to show how patients who are admitted to health care facilities that develops Healthcare Associated Infections (HAI) (Pamer, 2016). The project will evaluate whether indulging in the practice of ASP programs will help nurses to be prepared to take action. While preparing the project and getting grants that will help to afford one the opportunity to be enlightened more in the skills and the essentials of DNP (Bush, 2014). The reflective paper will be a reflection of information obtained.

Outcome 1

The DNP program is designed to help the DNP student to learn the essentials of putting the project together and how to effectively gather information. Among them, the need for nurses operating at this level to “integrate and apply appropriate nursing and science-based theories in evaluation and analysis of health and health care phenomena as well as develop and implement innovative practice approaches” is paramount (Hamric, Hanson, Tracy, & O’Grady, 2013). The DNP prepared nurse is required to combine different theoretical concepts with what they have learned throughout the DNP course (Hamric et al., 2013). The Health Belief Model (HBM), “posits that messages will achieve optimal behavior change if they successfully target perceived barriers, benefits, self-efficacy, and threat” (Jones, Jensen, Scherr, Brown, Christy, & Weaver, 2015). Using the Nightingale’s model, it will allow staff to focus on the fact that a patient’s environment is very important and when the environment is unsafe or dirty then the patient feels unsafe or filthy (Medeiros, 2015). The theoretical model is mainly used highlight specifics concerning application of principles such as the epidemiology of Clostridium difficile in the healthcare system.

It is a requirement for DNP nurses to use application when determining different health care issues (Hamric et al, 2013). For instance, describing the factors and finding out how a disease is transmitted is one of the benefits. Collaboration with other health care teams and using the application to determine different health care issues to teach others in the healthcare system great potential of lowering the high prevalence of HAI such as Clostridium Difficile (Mathur et al., 2014).

Educating health care providers on how to generate evidence to combat diseases is one of the drawbacks (Hamric et al, 2013). Using my experience about scientific knowledge to help make others aware is one way that I intend on incorporating my DPI project. Health care delivery approaches that meet the needs of the patients will be an appropriate part of my project.

Outcome 2

Organizational and system leadership are essential for DNP trained nurses since such competencies enhance the provision of quality patient care as well as the necessary outcomes. I’ve had a chance to nurture these competencies as well as meeting the necessary requirements. American Nurses Credentialing Center (ANCC) requires DNP nurses to work within organizational and policy vicinity (Hamric et al, 2013). Time management and creating balances to improve productivity in health care is essential (Bush, 2014). To be able to participate in creating policies, I collaborated with other health care members whereas I was able to demonstrate my abilities as a leader.

DNP trained nurses must be efficient in quality improvement and management. He or she must also be equipped to handle issues that may arise in the health care system (Choi & Zucker, 2013). Being involved in situations that arise within the healthcare system and handling patient safety and quality improvement are ways that I demonstrated my leadership skills Choi and Zucker ( 2013) In this case, evaluating the cost-effectiveness of care is an activity that I undertook in the course of the DNP studies (Hamric et al, 2013). For instance, in the DPI project it discussed how biometrics are used to help with patient identification.

Advanced practice nursing includes leadership and organizational skills which helps to improve health care outcomes and increase patient satisfaction as well as promoting quality improvements (Choi and Zucker). DNP prepared nurses need to be equipped with the essentials of knowledge to be able to introduce practice skills to identify any systematic issues. Leadership requires critical thinking and personnel management skills as well as financial (Choi & Zucker, 2013). I demonstrate how effective I am as a leader with knowing the policy changes.

1. Evaluating health care delivery which meets the criteria of the needs of such as clinical and economic sciences. For example, evaluating how nurses contribute to the antimicrobial stewardship programs (ASPs) is an ideal example that demonstrates my participation in fulfilling this leadership requirement.
2. Using advanced communication to improve on the Infection Control and

Communication helps to create patient safety initiatives, implement effective plans for system-wide practice, and strategize actions.

• I have learned in the DNP courses that the ASPs program help reduce the high prevalence of Clostridium Difficile (Pamer, 2016). Various stakeholders need for collaborated decision making, inclusion to provide information to reduce the incidences of the spread

of the infection (Hamric et al, 2013). Applying information about diseases as well as managing the diseases is essential for the DNP prepared nurse in such a diverse environment. The DNP nurse will also help the nurses become engaged in any exercise that will help contribute to their perceptions and opinions that is required to demonstrate their people’s skills (Choi & Zucker, 2013). The Nightingale’s environment model will be a good choice when it comes to interactive sessions and managing different participants in the DPI project (Mathur et al., 2014).

Outcome 3

DNP nurses have the ability to use information and technology that will improve patient care (Buchholz et al, 2013). The information and the knowledge that is used by the DNP prepared nurses not only help the nurses to be successful in their role by also equip them to analyze and disseminate new information (Buchholz et al, 2013). I used this information that I have obtained to help me to be engaged in various activities involving management of information.

designing, selecting, and evaluating information management programs I managed to propose different ways of monitoring healthcare delivery systems. To achieve this goal, I’ve applied information systems that ranged from data mining to data analysis. I have gathered this information by interviewing the participants (Choi and De Martinis, 2013). The interviewing technique has shown to be the best modes of communication and gathering information. By doing so, the researcher gets an opportunity to evaluate the respondents nonverbal communication cues. In the course of my DNP training, I have learned real-time data collection to gather information (Choi & De Martinis, 2013). In this case, therefore the ability to extract, sort as well as distribute such information enabled the realization of this need.

Information analysis also involves using different types of software and applications.

Having knowledge on how to use such information and how to assess their reliability and validity is very important (Choi and De Martinis, 2013). I use SPSS, which is an instrument that is used to analyze statistical and quantitative data. The instrument identifies information that is needed for the nurses in the ASP programs. The t-test and ANOVA are other different analysis techniques that I have used as well to collect data.

The efficiency of information is determined by how reliable it is. This information can be applied in many different areas and sections of the DPI project. DNP-820 would provide a perfect illustration of how such cues are applicable in the DPI project.

Outcome 4

These types of outcomes are achieved through equipping the DNP nurses to formulate and apply ethical principles both during training and participation in practice immersion hours (Buchholz et al, 2013). As a DNP nursing student, I am engaged in many different activities which demonstrated my ability to advocate for the ethical health care models.

Implementing policies and which address issues of social justice and equity in healthcare is another way to advocate (Buchholz et al. ,2013). I use different activities to enhance ethical practice and also provides the criterion for formulating ethical principles.

Critically analyzing healthcare proposals, policies and related issues to ensure each member of the health care team such as the nurses, stakeholders and any other healthcare professionals is essential. Based on Buchholz et al. (2013) argument, this implies that each health care member and stakeholder are all important when it comes to health care proposals.

Therefore, how each member of the team advocates and collaborates with one another within the healthcare sector is a perfect example of supports needed for an ethical practice (Buchholz et al,2013). Ideally, the principle of consent even advocates that each person has the right to communication and therefore any action that acts contrary is unethical and a setback to any practice that advocates for such (Hamric et al, 2013).

Breaches of regulations and other actions of negligence can either be related to the healthcare providers or even the patients (Buchholz et al, 2013). The rise of malpractice is primarily due to negligence. Training some patients on the values and guidelines, which protect them from acts of malpractice is essential (Hamric et al, 2013). Health care providers often lack these necessary training and competencies. Participating in training is necessary for the healthcare provider to enhance the advocacy for ethical principles (Hamric et al, 2013).

I also utilize the same concepts when it comes to different ways of advocating ethical values and principles in my DPI project. One thing that I will take into consideration is obtaining a signed consent, ensuring that personal information is safe and maintaining confidentiality (Buchholz et al, 2013). This will protect the rights of the patients and provide the opportunity for me to exercise ethical responsibility (Hamric et al, 2013). In DNP /835 I used quality and sustainability to implement and evaluate advocates for an application of ethical principles for my DPI project (Bush, 2014).

Outcome 5

The multi-tiered healthcare environment focuses on improving healthcare and minimizing errors which could contribute to malpractice. The complexity of the health care makes it difficult to do so at times. It is necessary to provide safe, timely and patient-centered that is effective (Hamric et al, 2013). Analyzing some of the roles that a doctoral nurse provides should show skills of basic care and ethics (Hamric et al, 2013).

I’ve learned that outcomes and goals requires follow up assessment of the patients after implementation of interventions (Hamric et al, 2013). Follow up assessment ensures that needs are being met, patients are being treated in an ethical manner and that there are decreases in errors. It also contributes to quality improvements since the errors are identified (Hamric et al, 2013).

Continuous training and educating nurses are ways to increase quality improvements.

Self-training provides information that will help to perfect skills and competencies. Ensuring that nurses are trained effectively and advancing in knowledge will help with the delivery of quality care. I used this method with my DPI project to help to improve quality initiatives. Decision making skills are very essential and is one of the skills that I have acquired throughout this course (Bush, 2014). Ideally, such a proficiency is ideal in dealing with conflicting issues such as a dilemma involving whether to initiate a certain action or not (Bush, 2014). I’ve also used the rational decision making concept to evaluate the effectiveness of the patients or the healthcare providers perceptions.

Assessing the efficacy, quality of the multidisciplinary approach are instances in which the quality could be improved in the DPI project in the management of the spread of healthcare- associated infections especially C-diff (Mathur et al., 2014). The goal of the DPI project is to help the nurses to be familiar with the ASP program in regards to decreasing the spread of CDiff. If the project meets the criteria of the guidelines and is beneficial will determine whether it will get adopted or not. Using the HBM model and the decision making concept will be effective will gauging the success of the project’s interventions (Hamric et al, 2013). Evaluating outcomes of the project and the benefits of cost effectiveness will also help to encourage the project.

Self-Reflection

My readiness to complete this project is measurable. I have an understanding of the requirements concerning this project and I intend to provide necessary documentation for verification as needed. I have learned the essentials necessary for this project and can admit that I was extremely nervous about it. For instance, my perception is no longer on just generating evidence or information to back up my claim. My main focus is on how to measure the quality as well as the beneficial longevity of such evidence (Buchholz et al., 2014).

this has also prepared me for various components in my 10 strategic point document and draft proposal prospectus. There is also a need to come up with different approaches to testing each hypothesis (Morse and Cheek, 2015). The assumption quoted in the 10 strategic document “there would be a significant correlation between the staff nurses in inpatient hospitals being underutilized and not recognized as members of the antimicrobial/antibiotic stewardship program and the rise in healthcare-associated c-diff.” The mode of testing that is applicable for testing is the linear regression model of hypothesis (Morse & Cheek, 2015).

Statistical inference is important when it comes to analysis because it involves drawing conclusions, as well as inferring the findings from the sample to the entire population. The DPI project will use different tools to determine the efficacy of the knowledge of the nurses (Barr et al, 2013). There are many different approaches that can be used to achieve this outcome. t-test statistical inference technique will be used to complete the DPI project.

The DPI project based upon research that is factual and is also based upon essentialities of the DNP exercise (Barr et al., 2013). The following steps are:

1. Approval from the Internal Review Board (IRB)
2. Awareness creation, obtaining consent from respondents as well as gathering the essential resources needed in the project

• Setting up the research environment and training participants on the critical roles and responsibilities

1. After data collection and analysis, dissemination of evidence follows suit

References

Barr, D. J., Levy, R., Scheepers, C., & Tily, H. J. (2013). Random effects structure for confirmatory hypothesis testing: Keep it maximal. Journal of Memory and Language, 68(3), 255-278.

Buchholz, S. W., Budd, G. M., Courtney, M. R., Neiheisel, M. B., Hammersla, M., & Carlson, E.

1. (2013). Preparing practice scholars: Teaching knowledge application in the Doctor of

Nursing Practice Curriculum. Journal of the American Association of Nurse Practitioners, 25(9), 473-480.

Bush, C. T. (2014). Postgraduate nurse practitioner training: what nurse executives need to know.

Journal of Nursing Administration, 44(12), 625-627.

Choi, J., & De Martinis, J. E. (2013). Nursing informatics competencies: assessment of undergraduate and graduate nursing students. Journal of Clinical Nursing, 22(13-14), 1970-1976.

Choi, J., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for doctor of nursing practice students. Journal of Professional Nursing, 29(6), 381-387.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2013). Advanced Practice Nursing-E-Book: An Integrative Approach. New York: Elsevier Health Sciences.

Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation. Health Communication, 30(6), 566–576. http://doi.org/10.1080/10410236.2013.873363 Mathur, H., Rea, M. C., Cotter,

710. D., Ross, R. P., & Hill, C. (2014). The potential for emerging therapeutic options for Clostridium difficile infection. Gut Microbes, 5(6), 696-710.

Medeiros, A. B. (2015). The Florence Nightingale’s environmental theory: A critical analysis.

Escola Anna Nery, 19(3), 518-524. doi.org/10.5935/1414-8145.20150069

Morse, J. M., & Cheek, J. (2015). Introducing qualitatively-driven mixed-method designs. Los Angeles, CA. SAGE Publications.

Pamer, E. G. (2016). Resurrecting the intestinal microbiota to combat antibiotic-resistant pathogens. Science, 352(6285), 535-538.

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TOPIC: Benchmark – Comprehensive Assessment Part Two: Outcomes and Reflection

Use the information collected in the competency matrix that you created for Comprehensive Assessment Part One to address the following prompts as directed.

Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies.

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