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Nursing Practicum Project Evolution Report Project

Professional Practice Development Experience Immersion: Week Eight Report

As the final week of the DNP (Doctor of Nursing Practice) project implementation draws close, it is crucial to reflect on the progress, challenges, and outcomes experienced throughout this journey. This report will provide a comprehensive overview of the eighth week of the practicum project, focusing on the PICOT question that guided the project, the goals for this week, the activities undertaken, the positive elements, unexpected events, the total hours spent at the practicum site, and a summary of the positive outcomes over the past eight weeks.

PICOT Question

The PICOT question is the foundation of the DNP project, shaping the direction of our research and intervention. The PICOT framework, which stands for Population, Intervention, Comparison, Outcome, and Time, is essential in evidence-based practice, guiding the formulation of research questions and the development of clinical interventions.

For this project, the PICOT question was: In adult patients with chronic heart failure (Population), how does the implementation of a standardized discharge protocol (Intervention) compared to usual care (Comparison) affect readmission rates (Outcome) over eight weeks (Time)? This question served as the guiding principle for the project, focusing on improving patient outcomes through a structured and evidence-based approach to discharge planning.

Summary of Goals for the Eighth Week

The final week of the project was centered around achieving the remaining goals and ensuring the successful completion of all tasks. The primary goals for this week included:

Final Data Collection and Analysis: Completing data collection from all participants was a critical goal for this week. This involved gathering data from patient records, conducting follow-up surveys, and ensuring the integrity of the data collected. Additionally, the analysis of this data was initiated to evaluate the effectiveness of the intervention.

Final Meetings and Presentations: Conducting final meetings with the DNP mentor, preceptor, and critical stakeholders was another important goal. These meetings aimed to review the projects progress, discuss preliminary outcomes, and prepare for the final presentation of the findings.

Documentation and Report Preparation: A significant goal for this week was to begin compiling the findings, outcomes, and reflections into a comprehensive report. This report will serve as the final documentation of the project and will be submitted...

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This involved developing a plan for ongoing implementation, including training sessions for staff, creating instructional materials, and setting up regular follow-up meetings (Jung et al., 2020; Panju-Merali, 2022).

Activities Conducted This Week

The eighth week was intensive and involved a range of activities aimed at finalizing the project. Key activities included:

Data Collection: Completing data collection was a primary focus this week. This involved gathering data from patient records, conducting follow-up surveys, and ensuring that all data were accurately recorded and stored.

Data Analysis: The initial stages of data analysis were undertaken, focusing on identifying trends, outcomes, and the overall effectiveness of the intervention (van der...

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…Positive Outcomes Over the Last Eight Weeks

Reflecting on the last eight weeks of the project implementation, several positive outcomes have emerged that demonstrate the success and impact of our work.

Improved Patient Outcomes: Observing measurable improvements in patient outcomes, such as reduced readmission rates, enhanced patient satisfaction, or better adherence to treatment protocols.

Staff Engagement: Achieving high levels of staff engagement and compliance with the new intervention, indicating that the training and resources provided were effective.

Sustainability of the Intervention: Successfully developing a plan for the interventions sustainability, ensuring that our projects positive impact will continue beyond the initial implementation period (Baecker et al., 2020).

Professional Growth: Experiencing significant professional growth due to the project, including enhanced leadership skills, increased confidence in implementing evidence-based practice, and the ability to navigate complex healthcare environments (Nair et al., 2020).

Contribution to the Field: Making a meaningful contribution to nursing by addressing a critical issue and providing evidence-based solutions that other practitioners can use in similar settings.

Conclusion

The final week of our DNP project implementation marks the culmination of months of hard work, dedication, and professional growth. By reflecting on our PICOT question, the goals we set, the activities conducted, and the outcomes achieved, we can gain a deeper understanding of the impact of our project and the valuable lessons learned throughout the process. As we prepare to present our findings and complete the practicum, we take pride in our positive contributions to the nursing field and the lasting impact our work will…

Sources used in this document:

References

Baecker, A., Meyers, M., Koyama, S., Taitano, M., Watson, H., Machado, M., & Nguyen, H. Q. (2020). Evaluation of a transitional care program after hospitalization for heart failure in an integrated health care system. JAMA network open, 3(12), e2027410-e2027410.

Jung, D. H., DuGoff, E., Smith, M., Palta, M., Gilmore?Bykovskyi, A., & Mullahy, J. (2020). Likelihood of hospital readmission in Medicare Advantage and Fee?For?Service within same hospital. Health Services Research, 55(4), 587-595.

Nair, R., Lak, H., Hasan, S., Gunasekaran, D., Babar, A., & Gopalakrishna, K. (2020). Reducing all-cause 30-day hospital readmissions for patients presenting with acute heart failure exacerbations: a quality improvement initiative. Cureus, 12(3).

Panju-Merali, M. (2022). A Quality Improvement Initiative to Redefine Nurse-Led Discharge Interventions in a Skilled Nursing Facility (SNF) on All-Cause 30-Day Re-admission Rates Using the Re-Engineered Discharge (RED) Program.

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., & Leykum, L. (2021). Evidence based processes to prevent readmissions: more is better, a ten-site observational study. BMC Health Services Research, 21, 1-11.

van der Does, A. M., Kneepkens, E. L., Uitvlugt, E. B., Jansen, S. L., Schilder, L., Tokmaji, G., Wijers, S. C., Radersma, M., Heijnen, J. N. M., & Teunissen, P. F. (2020). Preventability of unplanned readmissions within 30 days of discharge. A cross-sectional, single-center study. PloS one, 15(4), e0229940.

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