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

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for the study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

 

research the tympanic membrane and the thyroid gland. In a Microsoft Word document of 4-5 pages formatted in APA style, address each of the following criteria.

• Two focused health assessment histories
  • One assessment related to the tympanic membrane and the other focused on the thyroid gland.
  • The assessments can be hypothetical patients or patients you have had in the past (remember HIPAA if you are describing a previous patient).
• A description of the normal and abnormal findings of the tympanic membrane.
• Information on how to examine the thyroid gland using both the anterior and posterior methods.
• A concise note in the subjective, objective, assessment (be sure to include the NANDA diagnosis as well as the medical diagnosis), and plan (SOAP) format with each patient’s encountered findings.
  • For a review of SOAP notes:
  • SOAP Documentaion
• Information about laboratory/diagnostic tests used for screening clients with tympanic membrane or thyroid gland issues.
  • Include the expected normal results for each test.

 Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working in a healthcare setting, how has the medical record exposure in nursing school impacted your current knowledge? 

 

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.