Articulate a Practice Problem

Purpose

The purpose of this assignment is to articulate a compelling practice problem. The development of a focused and accurate problem statement is foundational to drive actions and decisions to improve healthcare outcomes. Formulation of a clear and accurate practice problem statement with substantiation from primary peer-reviewed journals supports the professional formation of the DNP scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

1. Investigate practice problems relevant to advanced nursing practice.

2. Appraise practice problems at the micro, meso, and macrosystems levels. 

3. Examine the role of stakeholders in change and translation science. 

5. Compare and contrast differences and similarities in change models, conceptual frameworks, and translation models.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment.

1. The assignment should be no more than four pages (excluding Title and References pages).
2. The assignment will include the following components.
   1. Title Page
   2. Introduction
      1. Purpose Statement
      2. Practice Problem Identification
      3. Role of the DNP Practice Scholar in Influencing Practice Problems
   3. Implications of the Practice Problem at the National Level (Cancer)
      1. Significance
      2. Relevance
      3. Economic Ramifications
   4. Impact of the Practice Problem (cancer)at the National Level on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   5. Implications of the Practice Problem at the Local Level (cancer in Miami, Florida)
      1. Significance (INCIDENCE AND PREVALENCE OF CANCER)
      2. Relevance (MORTALITY OF CANCER)
      3. Economic Ramifications (financial data)
   6. Impact of the Practice Problem at the Local Level (cancer in Miami, Florida) on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   7. Conclusion
      1. Summation of the Impact of the Practice Problem at the National Level (CANCER IN USA)
      2. Summation of the Impact of the Practice Problem at the Local Level(cancer in Miami, Florida) Summation of the Role of the DNP Practice Scholar on Influencing a Practice Problem
   8. APA Style and Organization
      1. APA Standards for Scholarly Papers. use level 1 header*
   9. Grammar and Mechanics
      1. Paper is four pages (excluding Title and References pages)
      2. Five minimum scholarly, primary sources
      3. Level I Headings are included
3. Selects and reviews a minimum of five primary peer-reviewed journals to substantiate the Problem Statement.
4. To complete this paper, please search from the library home page at https://library.chamberlain.edu (Links to an external site.). Click the Search Everything tab to search on your keywords. Using this search field pulls from over 50 large databases. Federal and other open access sources are not included in the search function and must be searched individually. See the list of open access article databases at https://library.chamberlain.edu/az.php?t=9617. (Links to an external site.) For help, contact a librarian through http://chamberlain.libanswers.com/ask. (Links to an external site.) For additional search help, consider making an appointment with a librarian at https://library.chamberlain.edu/Appointments. (Links to an external site.)
5.  This written assignment will be screened for originality by Turnitin.

Introduction requirements:
1. Includes a focused purpose statement
2. Identifies selected practice problem in general terms
3. Identifies the role of the DNP practice scholar in influencing practice problems

 Implications of the Practice Problem at the National Level requirements:
1. Describes the significance of the practice problem at the national level.
2. Discusses the relevance of the practice problem at the national level.
3. Discusses the economic ramifications of the practice problem at the national level.

 Impact of the Practice Problem at the National Level on Key Stakeholders requirements:
1. Describes the impact of the problem on patients/families at the national level.
2. Discusses the impact of the problem on nurses/nursing care at the national level.
3. Describes the impact of the problem on interprofessional team members at the national level.
4. Discusses the impact of the problem on healthcare organizations at the national level.

 Implications of the Practice Problem at the Local Level Requirements:
1. Describes the significance of the practice problem at the local level.
2. Discusses the relevance of the practice problem at the local level.
3. Discusses the economic ramifications of the practice problem at the local level.

 Impact of the Practice Problem at the Local Level on Key Stakeholders Requirements:
1 Describes the impact of the problem on patients/families at the local level.
2 Discusses the impact of the problem on nurses/nursing care at the local level.
3 Describes the impact of the problem on interprofessional team members at the local level.
4 Discusses the impact of the problem on healthcare organizations at the local level.

 Conclusion Requirements:
1. Includes a summation of the impact of the practice problem at the national level
2. Includes a summation of the impact of the practice problem at the local level
3. Includes a summation of the role of the DNP practice scholar in influencing a practice problem.

 References Requirements:
1. Cites and references a minimum of 5 scholarly primary peer-reviewed journals

 APA Style and Organization Requirements:
1. Uses APA Standards for Scholarly Papers
2. Grammar and Mechanics are free of errors
3. Paper is 4 Pages (excluding Title and Reference Pages)
4. Uses required Level I Headings.

 Additional Resources

American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: Author.American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.American Association of Colleges of Nursing. (2017). The DNP fact sheet. Washington, DC: Author.

The Local Burden of Disease (LBD)

These websites explore the local burden of disease.

• View the U.S. State Burden Topic Profiles at http://www.healthdata.org/node/6444 (Links to an external site.).
• Download the GBD report, Rethinking Development and Health: Findings From the Global Burden of Disease at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• View main findings by country at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• Explore the GBD Compare data visualization at http://vizhub.healthdata.org/gbd-compare/ (Links to an external site.).
• Read about the GBD research study at www.healthdata.org/gbd (Links to an external site.).
• The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states (Links to an external site.). JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

The Role of the Stakeholder When Designing a Practice Change

Cluzeau, F., Wedzicha, J. A., Kelson, M., Corn, J., Kunz, R., Walsh, J., & Schünemann, H. J. (2012). Stakeholder involvement: How to do it right: Article 9 in integrating and coordinating efforts in COPD guideline development (Links to an external site.). Proceedings of the American Thoracic Society, 9(5), 269–273. https://www.atsjournals.org/doi/full/10.1513/pats.201208-062ST

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change (Links to an external site.). The American Journal of Nursing, 111(3), 54-60. https://doi.org/10.1097/10.1097/01.NAJ.0000395243.14347.7e

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.