NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

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NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap – Step-by-Step Guide With Example Solution

The first step before starting to write the NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”

How to Write the Conclusion for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap Instructions

Purpose

The purpose of this discussion is to introduce your peers to your specific practice problem at the practicum site. Please consider your discussion with organizational key stakeholders, how the problem was identified, and the practice gap that informs your project design. Have a look at NR702 Week 2 Assignment 1: DNP Project Manuscript Part 1.

Instructions

Review this week’s readings and provide your response in 150 words or less:

  1. State your practice question in PICOT format.
  2. State the title of your Project: The title should inform and engage the reader and must be succinct. The title should include the intervention and the anticipated outcome and may include the population. (Please do not include abbreviations in the title.)
  3. Examine the problem at the practicum site and evaluate the gap in practice you will address with this project.
  4. Find the DNP Project Manuscript Template from the Student Resource Center in Canvas and Upload the blank DNP Project Manuscript Template to this discussion. This is the document you will use for your assignments in NR702.

Use Grammarly and current APA format for the posts. Do not repeat the prompts in the post. Provide respectful and thought-provoking feedback to your student colleagues. Ask for clarification and elaboration if needed.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

  • Link (webpage): DNP Discussion Guidelines.
Program Competencies

This discussion enables the student to meet the following program competencies:

  1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
  2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
  3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
  4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
  5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
  6. Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)
  7. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
  8. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)
Course Outcomes

This discussion enables the student to meet the following course outcomes:

  1. Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)
  2. Demonstrate project management and leadership skills in the design process for the evidence-based translational science project. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 5, 6, 7, 8, 9)

Create collaborative relationships with interprofessional and intraprofessional groups to champion organizational improvements through project design. (PCs 2, 4, 5, 6, 8; POs 2, 4, 6, 8)

NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap Example

Practice Question

For adult psychiatric patients at Desai Medical Group, does the implementation of a mindfulness-based stress reduction program, compared to the current practice, impact anxiety levels in 8-10 weeks?

Project Title

Efficacy of Mindfulness-Based Stress Reduction (MBSR) in Alleviating Anxiety Levels among Adult Psychiatric Patients at Desai Medical Group: An 8-10 Week Intervention Study.

Problem and Gap in Practice at the Practicum Site

Anxiety disorders are pervasive mental health conditions that affect a significant number of individuals worldwide, causing distress and impairment (Penninx et al., 2021). In medical institutions like Desai Medical Group, the primary method of addressing these disorders is through medication. However, while these treatments can be helpful, they may have side effects and not fully address all aspects of the patient’s needs (Garakani et al., 2020). The limitations and recognized adverse reactions associated with certain anti-anxiety medications highlight the importance of exploring alternative or supplemental treatment options.

Recognizing this need, Zhou et al. (2020) emphasize the potential benefits of introducing evidence-based interventions, such as MBSR, to expand therapeutic possibilities. Incorporating MBSR alongside pharmacological interventions can potentially improve patient therapeutic outcomes (Fumero et al., 2020), positioning Desai Medical Group at the forefront of holistic mental health care. The practice gap thus lies in leveraging established alternative or complementary approaches, such as MBSR, to provide a more comprehensive and potentially side-effect-free strategy for managing anxiety symptoms.

References

Fumero, A., Peñate, W., Oyanadel, C., & Porter, B. (2020). The effectiveness of mindfulness-based interventions on anxiety disorders. A systematic meta-review. European Journal of Investigation in Health, Psychology and Education, 10(3), 704–719. https://doi.org/10.3390/ejihpe10030052

Garakani, A., Murrough, J. W., Freire, R. C., Thom, R. P., Larkin, K., Buono, F. D., & Iosifescu, D. V. (2020). Pharmacotherapy of anxiety disorders: Current and emerging treatment options. Frontiers in Psychiatry, 11(595584). https://doi.org/10.3389/fpsyt.2020.595584

Penninx, B. W., Pine, D. S., Holmes, E. A., & Reif, A. (2021). Anxiety disorders. The Lancet, 397(10277), 914–927. https://doi.org/10.1016/s0140-6736(21)00359-7

Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

NR702 Week 2 Discussion | The DNP Project: The Problem Development and Practice Gap Example 2

PICOT Question: For clients diagnosed with Major Depressive Disorder at a mental health clinic, how does implementation of a weekly, nurse-led medication adherence therapy, compared to current practice, affect medication adherence after 10 weeks?

Project Title: Improving Medication Adherence Among Depressed Patients Through Weekly Administered Adherence Therapy

Practice Problem and Practice Gap to Address: In the current mental health clinic, medical directors and providers have identified poor adherence to medication management to be problematic. While this can affect many mental health populations, those with Major Depressive Disorder commonly fail to adhere to medication instructions, which undermines care, quality of life, and cost efficiency of services (Solmi et al., 2020). In chart audits and reviews, it is estimated that about half of depressed patients in the clinic fail to comply with medication instructions and use. This has similarly been recognized as a national issue among depressed patients as well (Solmi et al., 2020). Based on this information, this is a current practice problem that this project seeks to address.

In terms of a specific practice gap, medication adherence problems are often related to a variety of issues. In many instances, patients may not believe a medication will help, or they believe they will experience unwanted side effects and adverse events. Cost of care is also a concern for many, and some prefer not to take any kind of medication but instead pursue non-medical treatments (Balikai et al., 2022).

Other factors also related to perceptions about providers, healthcare systems, and pharmaceutical companies (Khalifeh et al., 2023). In most cases, these concerns and beliefs are not explored in the mental health clinic. However, exposing such beliefs and discussing them in a respectful manner can notably improve treatment planning as well as medication adherence (Khalifeh et al., 2023). Through medication adherence therapy, nurses can address this current practice gap and potentially improve medication compliance and patient outcomes (Balikai et al., 2022). This is similarly a focus of the current project.

References

Balikai, S. I., Rentala, S., Mudakavi, I. B., & Nayak, R. B. (2022). Impact of nurse‐led medication adherence therapy on bipolar affective disorder: A randomized controlled trial. Perspectives in Psychiatric Care, 58(4), 2676-2686. https://doi.org/10.1111/ppc.13108

Khalifeh, A. H., Alhalaiqa, F. N., Hamaideh, S. H., Horne, R., & Hamdan‐Mansour, A. M. (2023). The effect of adherence therapy on medication adherence, health beliefs, self‐efficacy, and depressive symptoms among patients diagnosed with major depressive disorder. International Journal of Mental Health Nursing, 32(3), 778-790. https://doi.org/10.1111/inm.13113

Solmi, M., Miola, A., Croatto, G., Pigato, G., Favaro, A., Fornaro, M., … & Carvalho, A. F. (2020). How can we improve antidepressant adherence in the management of depression? A targeted review and 10 clinical recommendations. Brazilian Journal of Psychiatry, 43, 189-202. https://doi.org/10.1590/1516-4446-2020-0935