DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?

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DNP 801 What changes will you need to make in order to have a feasible topic for your PICOT-D?

I’ve had several topics for my DPI Project. Over the past eight weeks, my topic/problem has changed multiple times. With feedback from Dr. Etheridge, I think I have a topic that may be workable. Changes incorporated from feedback:

P: End-stage renal disease- Medicare patients Health plan in Oregon that serves Medicare patients

I: Member engagement with a single point of contact for Case Management

C: pending

O: ED hospital utilization, improved self-management

Other options for quality improvement projects include access to healthcare through non-emergent transportation (NEMT).

My goal is to provide a quality improvement initiative, based on the needs of the health plan. The population will be a vulnerable population and my improvement will be to improve the health inequities of patients with social determinants (SODH) in vulnerable populations.

It’s important to remember to incorporate feedback from our instructors and to remember the focus of the final project. As stated by the American Association of Colleges of Nursing (AACN),:

  • Focus on a change that impacts healthcare outcomes either through direct or indirect care.
  • Have systems (micro-, meso-, or macro-level) or population/aggregate focus.
  • Demonstrate implementation in the appropriate arena or area of practice.
  • Include a plan for sustainability
  • DNP Projects should be designed so that processes and/or outcomes will be evaluated to guide practice and policy. Clinical significance is as important in guiding practice as statistical significance is in evaluating research.
  • Provide a foundation for future practice scholarship

American Association of Colleges of Nursing. Doctor of nursing practice/DNP tool kit. (2022) https://www.aacnnursing.org/DNP/Tool-Kit

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