In a 3-4 page paper, summarize the gap in practice you have identified, state your PICOT question

In a 3-4 page paper, summarize the gap in practice you have identified, state your PICOT question

In a 3-4 page paper, summarize the gap in practice you have identified, state your PICOT question, and consider how you plan to communicate this gap in practice to stakeholders.(such as individuals that are missing age-based or blood and physical screenings such as checking their blood to see what their LDL and HDL’s are which can worsen BP due to excess cholesterol and narrowing of the arteries or staying on top of vaccines such as COVID-19 boosters since new study suggests infection raises BP. FYI most of my patients are elderly and Spanish speaking)

https://www.facs.org/for-medical-professionals/education/cme-resources/practice-gaps-guidelines/#:~:text=A%20%22practice%20gap%22%20refers%20to,Practice%20(does%20not%20do)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260192/#:~:text=New%20onset%20hypertension%20was%20observed,may%20cause%20new%20onset%20hypertension. “New onset hypertension was observed in 18 patients at the end of 31.6 ± 5.0 days on average (P <.001). These findings suggest that COVID-19 increases systolic and diastolic BP and may cause new onset hypertension.”

INTRODUCTION

Preparing for your practicum requires you to apply interprofessional communication skills as you pursue the arrangement and develop working relationships. In addition, communication with your preceptor is an opportunity to define a practice gap for your project.

DEMONSTRATION OF PROFICIENCY

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 3: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
    • Summarize a gap in practice that has the appropriate scope for a DNP project.
    • Construct a PICOT question in the correct format, including all components.
    • Produce text with minimal grammar, usage, spelling, and mechanical errors.
    • Apply APA formatting to in-text citations and references.
  • Competency 4: Communicate with organizational and community stakeholders in a responsive and responsible manner that supports a team approach to a possible intervention or process change.
    • Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders.
  • Competency 5: Synthesize literature to support a possible intervention or process change.
    • Explain the evidence that shows the issue is a problem at the site.

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

INSTRUCTIONS

Part 1: Identify a Practice Gap

To open your paper, identify a gap in practice at your proposed practicum site. Next, include evidence from the site that supports the necessity for this issue to be addressed. Finally, conclude the paragraph with your PICOT question.

Address the following in this section:

  • Summarize a gap in practice that has the appropriate scope for a DNP project.
  • Identify the evidence that shows the issue is a problem at your practice site.
    • If unable to obtain data, this may be theoretical.
    • Search further for evidence of the gap at the local, state, or national level.
    • Support the explanation with evidence from the practice site and according to the literature.
  • Follow the MEAL plan for each paragraph, but do not include the letters.
  • End this section with a summary paragraph that includes a PICOT question.
  • Length: 1 page.

How to Construct a PICOT Question

Formulate a PICOT question that is within the scope of a DNP doctoral project, and include all components. This question will relate to the identified gap in practice at your doctoral practice site. The intervention for this PICOT question is hypothetical for this assessment. It will be fully developed in assessment 6.

Use this format, or use one of the other options from Evidence-Based Practice in Nursing & Health Sciences: PICOT Question Process, for developing a PICOT question:

In ____________(P), how does __________(I) compared to desired state __________(C) affect the outcome __________(O) within __________(T).

Here is an example of a PICOT question:

For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), how does the development of a rapid response team (I) compared to the current emergency alert system (code blue) (C) affect the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?

A common mistake learners make when writing PICOT questions is rewording it into a research question, which is not appropriate for a DNP project. Here is an example of the sample PICOT question written as a research question:

For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), does a rapid response team (I) compared to the current emergency alert system (code blue) (C) reduce the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?

In this case, the word “does” yields an investigative response and the word “reduce” indicates a directional response, which is not known at the start of an evidence-based QI/PI project.

Note: Make sure your PICOT question has an appropriate scope for a DNP project. Here are the criteria for a DNP project of appropriate scope:

  • Can be completed in 8 to 12 weeks.
  • Is a quality improvement project or a process improvement project (i.e., is not research).
  • Addresses a gap in practice using an evidence-based intervention.

Part 2: Interprofessional Communication

A key component of the doctoral project is a collaboration with stakeholders who are vested in the project’s outcome. Interprofessional communication will be critical to your success at the practicum site. Consider the stakeholders with whom you will need to communicate during your practicum project. They might include patients, families, community members, health team members, and leaders at the health care facility. Each stakeholder group will have different concerns and levels of knowledge, and each group may be interested in slightly different information.

Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders at your proposed site by addressing the following:

  • Discuss strategies you used to facilitate discussion and interactions with specific stakeholders at your site.
  • Describe the stakeholders’ ideas and feedback as they contributed to the definition of the gap in practice.
  • What modes or styles of communication were most effective when communicating with stakeholders at your practice site? What modes or styles of communication were least effective?
  • Include support from the literature to support your assertions.
  • You will also continue to practice using the MEAL Plan for each paragraph as you describe how you facilitated communication and feedback.
  • Length: 2 pages.

ADDITIONAL REQUIREMENTS

  • Length: 3–4 pages.
  • Organization: Use level headings for every section except the introduction.

Note about Writing Feedback: Pay close attention to feedback you receive on this assessment. Consider how implementing changes will move your work closer to one or more of the writing quality indicators identified in the Writing Feedback Tool. As you revise your writing, you can also check out the resources listed on the Writing Center’s Writing Support page.

GRADING CRITERIA

Your assessment will be graded using the following scoring guide criteria:

  • Summarize a gap in practice that has the appropriate scope for a DNP project.
  • Explain the evidence that shows the issue is a problem at the site using evidence at the local, state, or national level.
  • Construct a PICOT question in the correct format, including all components.
  • Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders.
  • Produce text with minimal grammar, usage, spelling, and mechanical errors.
  • Apply APA formatting to in-text citations and references.
  • ——-
  • Resources: Modes and Styles of Communication
  • Communicating clearly and effectively with your implementation team and other stakeholders will be an important component to your doctoral project, as well as your future career in healthcare. In your Interprofessional Communication and Practice Gap assessment, you will need to consider how you plan to communicate your practice gap to stakeholders to gain their support.The following resources are a great starting point to learning about different communication styles and modes, along with how to use them effectively when working with stakeholders:

Requirements: 3-4 pages

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state your PICOT question

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