The DNP Project: Introduction, Background And Problem 2025

Using ‘Commit to Sit’ to Impact Patient Satisfaction on a Pediatric Medical-Surgical Floor In healthcare, organizations are strategizing methods to improve the patient’s experience, by staying current and agile to meet consumer expectations and prevent mistrust and poor health outcomes. (Lidgett, 2016; Loos, 2021; Mazurenko et al., 2017; Merel et al., 2016; Odai-Afotey et al., 2018; Shin & Park, 2018; Trotta, 2020). Performance of person and community engagement, clinical outcomes, safety, efficiency, and cost reduction are subject to financial reimbursement through the Centers for Medicare and Medicaid Services (CMS) Value-Based Purchasing Program which has a significant impact on an organization overall well-being (Centers for Medicare, and Medicaid Services [CMS], 2018; Mazurenko et al., 2017). The act of listening and effective health care communication has been linked to increased trust between patients and caregivers, improved perceptions of care, improved health outcomes, medication compliance, patient satisfaction scores, and lower readmission rates (George et al., 2018; Gilligan et al., 2017; Loos, 2021; McCaffrey et al., 2020). To best impact, these key performance and strategic measures, creating a culture that fosters a positive experience through interactions that emanate caring behaviors, staying present in the moment, empathy, and therapeutic verbal and non-verbal communications are key for organizational success (Merel et al., 2016; Orloski et al., 2019; Owens et al., 2017). The purpose of the proposed Doctor Nursing Practice (DNP) project is to improve patient satisfaction scores through the integration of the evidence-based intervention (EBI) ‘commit to sit’ to nurse rounding (George, 2018; Lidgett, 2016; Merel et al., 2016; Orloski et al., 2019; Pattison et al., 2017). This manuscript will describe an assessment of the practice problem and its significance, evidence synthesis of the intervention, translational science model and methodology, implementation plan, evaluation, and data analysis plan, and the sustainability of this EBI practice change. Problem The lens around patient experience has increased significantly over the past decade. Nationally, patient and family expectations are steadily increasing and requiring changes in practices to meet their needs (Lidgett, 2016; Loos, 2021; Mazurenko et al., 2017; Merel et al., 2016; Odai-Afotey et al., 2018; Shin & Park, 2018; Trotta, 2020). Alignment to the consumers’ needs of trust and safety is critical to provide an optimal experience that yields improved health outcomes (Loos, 2021; Merel et al., 2016; Odai-Afotey et al., 2018; Shin & Park, 2018). The Centers for Medicare and Medicaid Services (CMS) Value-Based Purchasing Program established by the Affordable Care Act, provides compensation based upon the overall quality of care provided, rather than volume of services (Centers for Medicare, and Medicaid Services [CMS], 2018; Mazurenko et al., 2017). Performance and hospital reimbursement are measured by four key components: person and community engagement (25%), clinical outcomes (25%), safety (25%), and efficiency and cost reduction (25%) (CMS, 2018; Mazurenko et al., 2017). Performance related to person and community engagement or consumer satisfaction is measured through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey scores (Mazurenko et al., 2017; Orloski et al., 2019; Owens et al., 2017; Trotta et al., 2020). The HCAHPS survey is the first national, public, and standardized, data collection repository, and benchmarking tool dedicated to ascertaining the patient’s perceptions of the care they were provided (CMS, 2018; Mazurenko et al., 2017; Owens et al., 2017; Trotta et al., 2020). The HCAHPS scores determine financial reimbursement from CMS, consumer trust, and reputation to remain competitive in the healthcare arena (CMS, 2018; Mazurenko et al., 2017; Owens et al., 2017; Trotta et al., 2020). Understanding the significant impact of enhancing current practices to impact patient experience scores has on an organization it is critical for facilities to pivot from current practices and embrace new evidence-based interventions to improve the experience and health outcomes of the consumer and a more favorable financial outcome. In the United States over 7,700 HCAHPS surveys are completed daily by patients and families (Hospital Consumer Assessment of Healthcare Providers and Systems, 2021). One dissatisfied patient can lead to a financial loss of approximately $200,000 to an institution (February & Holmes, 2020). On a local level, New York State data shows that a positive experience can enhance an institution’s marketability and attraction by 10%, whereas a poor experience can make a negative impact by 20%, as well as negatively impact the financial wellness and overall patient volume of an organization (February & Holmes, 2020). For many families, the act of listening and communicating effectively has been linked to improved perceptions of care, quality health outcomes, compliance, and higher satisfaction scores (Gilligan et al., 2017; Loos, 2021). Making these connections during patient interactions makes a significant impact on the overall patient experience and satisfaction scores. Campbell & Li (2018) discusses how both positive and negative interactions are cataloged on social media platforms and will correlate to an institution’s overall HCAHPS scores. At the practicum site, HCAHPS scores are tracked, trended, and analyzed to ensure alignment to the patients’ and families’ voices. Over the past year, this organization has seen a decrease in the HCAHPS scores, particularly around the nursing communication domain. Further analysis of the HCAHPS data revealed opportunities to improve the current practices to aid and support the nurse to stay present in the interaction and positively impact a patient’s experience (George, 2018; Lidgett, 2016; Merel et al., 2016; Orloski et al., 2019; Pattison et al., 2017). References Campbell, L., & Li, Y. (2018). Are Facebook user ratings associated with hospital cost, quality and patient satisfaction? A cross-sectional analysis of hospitals in New York State. BMJ Quality & Safety , 27 (2), 119-129. http://dx.doi.org/10.1136/bmjqs-2016-006291 (Links to an external site.) Centers for Medicare & Medicaid Services. (2018). Hospital consumer assessment of healthcare providers and systems (HCAHPS) Survey. Retrieved November 4, 2021, from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS (Links to an external site.) February, T., & Holmes, S. (2020). The business case for Magnet® in an international hospital. JONA: The Journal of Nursing Administration , 50 (10), 533-538. https://doi.org/10.1097/NNA.0000000000000930 (Links to an external site.) George, S., Rahmatinick, S., & Ramos, J. (2018). Commit to sit to improve nurse communication. Critical Care Nurse , 38 (2), 83-85. https://doi.org/10.4037/ccn2018846 (Links to an external site.) Gilligan, T., Coyle, N., Frankel, R. M., Berry, D. L., Bohlke, K., Epstein, R. M., … & Baile, W. F. (2018). Patient-clinician communication: American Society of Clinical Oncology consensus guideline. Obstetrical & Gynecological Survey , 73(2), 96-97. https://doi.org/10.1097/01.ogx.0000530053.40106.9b (Links to an external site.) Hospital Consumer Assessment of Healthcare Providers and Systems (2021). HCAHPS fact sheet. Retrieved November 26, 2021, from https://hcahpsonline.org/globalassets/hcahps/facts/hcahps_fact_sheet_march_2021.pdf (Links to an external site.) Lidgett, C. D. (2016). Improving the patient experience through a commit to sit service excellence initiative. Patient Experience Journal , 3 (2), 67-72. https://doi.org/10.35680/2372-0247.1148 (Links to an external site.) Loos, N. M. (2021). Nurse listening as perceived by patients: How to improve the patient experience, keep patients safe, and raise HCAHPS scores. JONA: The Journal of Nursing Administration , 51 (6), 324-328. https://doi.org/10.1097/NNA.0000000000001021 (Links to an external site.) Mazurenko, O., Collum, T., Ferdinand, A., & Menachemi, N. (2017). Predictors of hospital patient satisfaction as measured by HCAHPS: A systematic review. Journal of Healthcare Management , 62 (4), 272-283. https://doi.org/10.1097/JHM-D-15-00050 (Links to an external site.) McCaffrey, R., Hale, D., Kunupakaphun, S., Kaufman, L., & Eamranond, P. (2020). A multifaceted approach to improve physician communication scores. Journal of Patient Experience , 7 (4), 522-526. https://doi.org/10.1177/2374373519860041 (Links to an external site.) Merel, S. E., McKinney, C. M., Ufkes, P., Kwan, A. C., & White, A. A. (2016). Sitting at patients’ bedsides may improve patients’ perceptions of physician communication skills. Journal of Hospital Medicine , 11 (12), 865-868. https://doi.org/10.1002/jhm.2634 (Links to an external site.) https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_miscellaneous_1826711072 (Links to an external site.) Odai-Afotey, A., Kliss, A., Hafler, J., & Sanft, T. (2020). Defining the patient experience in medical oncology. Supportive Care in Cancer , 28 (4), 1649-1658. https://doi.org/10.1007/s00520-019-04972-1 (Links to an external site.) Orloski, C. J., Tabakin, E. R., Shofer, F. S., Myers, J. S., & Mills, A. M. (2019). Grab a seat! Nudging providers to sit improves the patient experience in the emergency department. Journal of Patient Experience , 6 (2), 110-116. https://doi.org/10.1177/2374373518778862 (Links to an external site.) https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_c136d5363ae74a569f5ca066642cd294 (Links to an external site.) Owens, K., Eggers, J., Keller, S., & McDonald, A. (2017). The imperative of culture: A quantitative analysis of the impact of culture on workforce engagement, patient experience, physician engagement, value-based purchasing, and turnover. Journal of Healthcare Leadership , 9 , 25. https://doi.org/10.2147/JHL.S126381 (Links to an external site.) b (Links to an external site.) Pattison, K. H., Heyman, A., Barlow, J., & Barrow, K. (2017). Patient perceptions of sitting versus standing for nurse leader rounding. Journal of Nursing Care Quality , 32 (1), 1-5. https://doi.org/10.1097/NCQ.0000000000000214 (Links to an external site.) https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_miscellaneous_1826739417 (Links to an external site.) Shin, N., & Park, J. (2018). The effect of intentional nursing rounds based on the care model on patients’ perceived nursing quality and their satisfaction with nursing services. Asian Nursing Research , 12 (3), 203-208. https://doi.org/10.1016/j.anr.2018.08.003 (Links to an external site.) Trotta, R. L., Rao, A. D., McHugh, M. D., Yoho, M., & Cunningham, R. S. (2020). Moving beyond the measure: Understanding patients’ experiences of communication with nurses. Research in Nursing & Health , 43 (6), 568-578. https://doi.org/10.1002/nur.22087 I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS

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EVIDENCE BASED PRACTICE AND APPLIED NURSING RESEARCH – 4 Pages 2025

A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects. 1. Identify the following PICO components of the clinical practice problem: • patient/population/problem (P) • intervention (I) • comparison (C) • outcome (O) 2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1. Note: Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question. B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal. 1. Discuss the background or introduction (i.e., the purpose) of the research article. 2. Describe the research methodology. 3. Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model. Note: The article you select should not be more than five years old. Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article. 4. Summarize how the researcher analyzed the data in the article. 5. Summarize the ethical consideration(s) of the research-based article. If none are present, explain why. 6. Identify the quality rating of the research-based article according to the JHNEBP model. Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating. 7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question. C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal. 1. Discuss the background or introduction (i.e., the purpose) of the non-research article. 2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline). 3. Identify the level of evidence using the JHNEBP model. Note: The article you select should not be more than five years old. Note: Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article. 4. Identify the quality rating of the non-research-based article according to the JHNEBP model. 5. Discuss how the author’s recommendation(s) in the article helps to answer your EBP question. D. Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C. 1. Explain how you would involve three key stakeholders in supporting the practice change recommendation. 2. Discuss one specific barrier you may encounter when implementing the practice change recommendation. 3. Identify one strategy that could be used to overcome the barrier discussed in part D2. 4. Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change. E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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Social Determinant Issue In Hialeah Florida. 2025

1. Explore a social determinant issue in your community (Hialeah, Florida, maybe homeless people or whatever you find pertinent) that may be impacting quality of life or health care. Take a picture of this issue as it may be represented on a billboard, or like Dr. Riley, a bus stop. Upload that picture into the discussion. 2. Share your perspective about the social determinant issue with your class colleagues defining what role you might play in changing this social determinant in your community. 3. Compose a 140-character Tweet that describes what you have shared with the class. Remember Twitter only allows 140 characters so you will need to be concise. Share this Tweet in the discussion. Instructions: Use an APA 7 style and a minimum of 250 words . Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old ( published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link. • Textbooks are not considered scholarly sour

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Reply To Classmate 2025

In Males aged 35 years or older is intermittent fasting compare with the Standard American Diet influence symptoms of anxiety and depression? needs to be a critique of the structure of the PICOT question . Is it in the correct PICOT format? Is the question specific enough? Is the patient population specific? Is the intervention a nursing intervention? Are there too many outcomes? Does the question make sense? Provide colleagues with suggestion on how to improve the PICOT question. No medical interventions!

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Week 1 Assignment: Major Perspectives Of Psychology 2025

Instructions The five major perspectives of modern psychology are important to understand because they are central to other key concepts and theories throughout the course. For example, you will learn about them again in our discussion about personality and psychological disorders. For this assignment, using the Psychological Perspectives Comparison template (Links to an external site.) , fill in the table to identify the key people and main ideas, as well as what you find compelling and what you don’t about each of the five major perspectives in psychology. Your chart should: Include at least 2 bullet points in each box Bullet points do not have to be in complete sentences (but should have enough explanation for each point to be clear and understandable) Should be in your own words (don’t just copy/paste from the book or a website – break down the ideas in your own words to explain what these perspectives are all about) Should include a list of references used in APA format following the template (this list should include at minimum your lessons and your textbook). In-text citations are not required (remember, this will be in your own words so don’t copy/paste) Be informed by content from your readings, lessons, and research this week.

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