DNP 815 Postconference Evaluation Individual Success Plan ISP

Paper Instructions

Assessment Description

The Individual Success Plan (ISP) assignment in this course requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed-upon specific deliverables for your programmatic requirements. Programmatic requirements are:

  • Completion of required practice immersion hours
  • Completion of work associated with program competencies
  • Work associated with completion of your Direct Practice Improvement (DPI) Project.

A preconference meeting is intended for the learner and preceptor/mentor to review course- and learner-specific learning objectives the roles, responsibilities, and expectations of the learner and preceptor/mentor during this practice immersion experience. All faculty and preceptor/mentor information will be given to each party by the learner.

Any course or program information requested by the preceptor/mentor will be provided by the learner. During this meeting, the learner and preceptor/mentor will discuss the course and practice immersion goals, including any projects that are to take place. The faculty will review the submitted document and must approve proposed projects at this time. The faculty will also send an introductory email to the preceptor/mentor.

General Requirements

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course.

Locate and download Individual Success Plan (ISP) and Direct Practice Improvement (DPI) timeline documents in the DNP PI Workspace.
Review the DNP Program Milestones document in the DNP PI Workspace and identify which domains, competencies, and milestones apply to this course.

Note: Not all courses have milestones.

Determine what practice immersion experiences you plan to seek in order to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice and are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

Use the ISP to develop a personal plan for completing your practice immersion hours and how competencies will be met. Show all of the major milestones and deliverables in the timeline. Within the ISP, ensure you identify specific deliverables which can include the following individualized DNP practice immersion contracts; comprehensive log of practice immersion hours applied to doctoral-level learning outcomes; learner evaluations; preceptor/mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and preceptor/mentor approvals of course goals and documented practice immersion hours; and DPI Project milestones.

A preconference and a postconference/evaluation between learners and preceptors/mentors are mandatory for all learners enrolled in all DNP courses (from DNP-805 and DNP-815A on). Conferences may be conducted face-to-face or via technology. A copy of the wet-ink or digitally (digital identifier) signed document must be uploaded into the digital classroom no later than the end of Topic 1.

Overall course- and learner-specific objectives These objectives should be discussed during each conference, as learners are responsible for completing all experiences as mandated for the program.

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment uses a rubric. Review the rubric prior to the beginning to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.
Learners will submit this assignment using the assignment dropbox in the learning management system. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.

Directions

  • Identify the specific deliverables you will complete throughout this course from those defined above with your faculty. Update your faculty/chair with any revisions or changes to the ISP.
  • List the challenges you expect to encounter as you continue the practice immersion hour and competency requirements throughout this course. How might you overcome these challenges?
  • Complete the Contact Information table at the beginning of the ISP resource, and type in your signature (learner only) and the date on which you completed the table.
  • Read the information in the ISP document, including the following Learner Expectations, Derivation of the ISP, and Instructions for Completing the ISP.

Follow the instructions and complete the ISP.

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The table below should address the following programmatic requirements:

  • Completion of required practice immersion hours
  • Completion of work associated with all DNP and GCU program competencies
  • Successful defense, and completion of your Direct Practice Improvement Project, if applicable to the current course.

Application Based Learning Course Assignments, Independent Study, Project Site Visits

Challenges (list under assignment) Number of Planned Immersion Hours Associated with each Assignment/Project Site Date
Due Review Course Objectives and GCU DNP Domains & Competencies.
Create a plan for the practice experiences you plan to seek in order to address each course objective.

Consider how each assignment may relate back to your current project concept. Self-Assessed GCU DNP Domains & Competencies (see appendix) Actual Practice Immersion Hours Completed Associated with each assignment (blank until end-of-course) Date Complete

Individual Success Plan (ISP) 8 10/5/2022 The purpose of the assignment was to establish a plan for the successful completion of mutually identified and agreed-upon deliverables for my programmatic requirements. The three programmatic requirements are

  • Completing the required immersion hours
  • Completing the work associated with the DPI program competencies
  • Work associated with completing my Direct Practice Improvement (DPI) project N/A 8

10/5/2022

Topic 1 DQ 1 2

10/1/2022

The assignment discussed my role as a DNP-prepared nurse in facilitating research translation into clinical practice. DNP-prepared nurses implement science that PhD-prepared nurses develop (Neal-Boylan, 2020; Falkenberg-Olson, 2019).

I discussed my role as a change agent, expert advisor, and team player in research translation. The assignment also discussed how my education and clinical background affect the outcomes of clinical practice implementation. Domain 1 – Scientific Underpinnings for Practice (American Association of Colleges of Nursing (AACN), 2022).

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice (AACN, 2022). 

10/1/2022

Topic 1 DQ 2 2

10/3/2022

The discussion explored the importance of using research that applies high-level evidence when translating research into practice. Also discussed how an article related to my DPI project meets the required evidence level. I discussed how using high-level evidence research implies translating more accurate data and guiding practice change with valid, verifiable, and relevant information.

I also provided an article by Yap et al. (2021) and discussed how it meets the required evidence level. Domain 1 – Scientific Underpinnings for Practice
Competencies 1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice. 2

10/3/2022

Final PICOT-D Approval 3

10/5/2022

Entailed submitting my final PICOT-D for my DPI project for review and approval by the college. The final PICOT-D for the DPI project provided the PICOT-D question and three original research articles. Domain 1 – Scientific Underpinnings for Practice

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice. 

10/5/2022

Topic 2 DQ 1 3

10/8/2022

The discussion entailed finding a research article that supports my intervention and determining whether it is peer-reviewed or offers expert opinions. Also discussed the type of research conducted in the article and where it falls in the hierarchy of research designs. I discussed how the article by Yap et al. (2021) meets the peer-review criteria. Domain 1 – Scientific Underpinnings for Practice

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

10/8/2022

Topic 2 DQ 2 3

10/10/2022

Discussed the effects of personal bias and beliefs on the quality improvement project. Also discussed secondary research and possible sources of bias as well as useful strategies to recognize bias. I discussed sources such as unconscious bias and poor judgment, as explained under the process theory (Ballard, 2019). I also discussed how checking the sample size and variables can help in bias recognition.

Domain 1 – Scientific Underpinnings for Practice

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

10/10/2022

Topic 2 assignment Identification and evaluation of literature for proposed intervention- Part I 24 10/12/2022 The purpose of the assignment was to identify 8/15 quantitative research articles that support my DPI intervention. It also involved presenting a nursing and change theory that align to the DPI project and the clinical guidelines aligning to the project.

The research articles included five primary quantitative research that support the DPI intervention and three primary or secondary quantitative research providing additional support. The selected nursing theory is Imogene King’s goal attainment theory that demonstrates patient care as a transactional process where the nurse and patients set mutual goals (Park, 2021). The change theory that aligns with he DPI intervention is Kurt Lewin’s change theory.

According to Lewin, change is methodical and occurs through three phases unfreezing, change, and refreezing (Harrison et al., 2021; Saleem et al., 2019). I also discussed the relevance of the nursing theory and change theory to the DPI intervention. Domain 1 – Scientific Underpinnings for Practice
Competency 1.2 Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena (AACN, 2022).

10/12/2022

Topic 3 DQ 1 3

10/15/2022

The discussion involved identifying two primary research articles that support my DPI intervention and explaining why they are primary research articles with a high level of evidence and how they support my proposed intervention.

The articles included Zhang et al.’s (2021) evaluating the effectiveness of a pressure care bundle in reducing pressure injury incidence in intensive care units and Yap et al.’s (2021) study evaluating the effectiveness of repositioning intervals in reducing pressure ulcers in adult nursing home residents. Domain 1 – Scientific Underpinnings for Practice

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

10/15/2022

Topic 3 DQ 2 

10/17/2022

The discussion compared practice-based evidence, research, and evidence-based practice. Also discussed how the three complement and support one another. Domain 1 – Scientific Underpinnings for Practice

Competencies 1.1

Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

10/17/2022

Topic 4 assignment Identification and evaluation of literature for proposed intervention- Part II 36 10/26/2022 The assignment was the second part of identifying primary research articles that support my DPI intervention. It included revisions, analysis of more articles, nursing and change theory, and clinical guidelines that align to the DPI project.

The three primary or secondary quantitative research articles supporting the DPI intervention evaluated in part I were expanded to ten. The nursing theory and the change theory remained the same. Domain 1 – Scientific Underpinnings for Practice

Competency 1.3

Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate (AACN, 2022).

10/26/2022

Topic 4 DQ 1 3

10/22/2022

Entailed comparing validity and reliability and explaining why measurement tools used for my DPI project should be valid and reliable. Also discussed a primary research article (Darvall et al., 2018), the methods, sample, and research design of which resulted in strong validity and reliability.

1.3 Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate (AACN, 2022).

3 10/22/2022

Topic 4 DQ 2 3

10/2//2022

The discussion compared and contrasted qualitative, quantitative, and mixed methods research. Also discussed the levels of criteria most appropriate when choosing primary research for a literature review. The final part discussed the criteria to consider to support my evidence-based project intervention.

1.3 Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate.

4 10/2//2022

Topic 5 assignment Implementation Into Practice

11/2/2022

The purpose of the assignment was to critically appraise a gap between research findings and their implementation into practice. Domain 5 Analytic Foundations for Practice

5.1 Apply analytic methods to critically appraise existing literature and other evidence to identify and implement health care best practices (AACN, 2022).

48 11/2/2022

Topic 5 DQ 1 3

10/29/2022

Entailed comparing clinical significance and statistical significance. Also discussed why a project or practice outcome may not yield statistical significance but still have clinical significance. 1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

4 10/29/2022

Topic 5 DQ 2 3

10/31/2022

Discussed how incorporating evidence-based practice competencies leads to higher health quality health care and better outcomes for population health.

1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

3 10/31/2022

Topic 6 assignment literature synthesis for proposed intervention 48 11/9/2022 Entailed synthesizing the literature from the Literature Evaluation Table- DPI intervention into a written paper. The 2,000-2,500- word synthesis of the articles was segmented into introduction, search methods, synthesis of literature, comparison of articles, recommendations for future research, and conclusion with a summary statement of what I found in the literature. Domain 5 Analytic Foundations for Practice

5.1 Apply analytic methods to critically appraise existing literature and other evidence to identify and implement health care best practices.

36 11/9/2022

Topic 6 DQ 1

3 11/5/2022

The discussion explored the effects of a meta-synthesis or meta-analysis on research translation. I discussed meta-analysis and how it provides a statistical summary of results from past research (Dekkers, 2018). Also described a clinical practice (CAUTI prevention and management) that is supported by this level of evidence.

1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

3 11/5/2022

Topic 6 DQ 2 3

11/7/2022

Discussed an instance where I need to mediate patient preference and clinical expertise as critical components of evidence-based practice and the interprofessional collaboration needed. Also discussed how I would handle the situation.

Scenario discussed a depressed mother refuses to take antidepressants and opts for complementary and alternative medicine.

1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

3 11/7/2022

Topic 7 assignment Benchmark- DPI Project Milestone 10 Strategic Points for the Direct Practice Improvement Project. 24 16/11/2022 The assignment focused on outlining 10 strategic points that define the intended research focus and approach.

Domain 1 Scientific Underpinnings for Practice

Competency 1.2

Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena.

Competency 1.3

Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate.

Domain 4 Population management

Competency 4.2

Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate, and population health management (AACN, 2022).

48 16/11/2022

Topic 7 DQ 1 

11/10/2022

Discussed the ultimate goal of evidence-based practice. Also discussed the strategies health care organizations can employ to better promote a culture of evidence-based practice (EBP).

Ultimate goal discussed to improve care quality, effectiveness, and appropriateness (Engle et al., 2021). Strategies for promoting an EBP culture embracing change, educational programs on EBP, and establishing the necessary infrastructure for an EBP culture to thrive.

5.4 Disseminate and apply relevant findings from evidence-based practice and research to enhance practice guidelines and enrich practice leading to improved healthcare outcomes (AACN, 2022).

4 11/10/2022

Topic 7 DQ 2 

11/14/2022

Discussed why evidence-based practice might not yet be the standard practice for certain sectors of health care industry. Further discussed the strategies for overcoming these barriers to achieve a widespread and universal evidence-based culture.

5.4 Disseminate and apply relevant findings from evidence-based practice and research to enhance practice guidelines and enrich practice leading to improved healthcare outcomes.

4 11/14/2022

Topic 8 reflective journal 4

11/23/2022

Provided a reflective journal that integrates self-reflection, concepts analysis, and inquiry demonstrated in the current DNP course 1.1 Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

5 11/23/2022

Topic 8 Postconference evaluation Individual Success Plan (ISP) 10 11/23/2022 The purpose of the assignment was to review and evaluate (the learner and the preceptor/mentor) the completion of the ISP. N/A

10 11/23/2022

Topic 8 DQ 1 3

11/19/2022

Entailed discussing why the change model (Kurt Lewin’s change model) for the DPI is the best for implementing the proposed intervention. 5.4 Disseminate and apply relevant findings from evidence-based practice and research to enhance practice guidelines and enrich practice leading to improved healthcare outcomes.

4 11/19/2022

Topic 8 DQ 2 3

11/21/2022

Entailed describing two evidence-based methods for implementing and sustaining an evidence-based practice culture. Also discussed the role of DNP-prepared nurse within an evidence-based culture. 5.4 Disseminate and apply relevant findings from evidence-based practice and research to enhance practice guidelines and enrich practice leading to improved healthcare outcomes (AACN, 2022). 3 11/21/2022

References

  • AACN. (2022). DNP Essentials. https //www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
    Ballard, A. (2019). Framing bias in the interpretation of quality improvement data Evidence from an experiment. International Journal of Health Policy and Management, 8(5), 307–314. https //doi.org/10.15171/ijhpm.2019.08
  • Darvall, J. N., Mesfin, L., & Gorelik, A. (2018). Increasing frequency of critically ill patient turns is associated with a reduction in pressure injuries. Critical Care and Resuscitation, 20(3), 217-222. https //europepmc.org/article/med/30153784.
  • Dekkers, O. M. (2018). Meta-analysis Key features, potentials and misunderstandings. Research and Practice in Thrombosis and Haemostasis, 2(4), 658–663. https //doi.org/10.1002/rth2.12153
  • Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care Doing both well. Health Care Management Review, 46(3), 174-184. https //doi.org/10.1097%2FHMR.0000000000000254
  • Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership, 13, 85-108. https //doi.org/10.2147%2FJHL.S289176
  • Falkenberg-Olson, A. C. (2019). Research translation and the evolving PHD and DNP practice roles A collaborative call for nurse practitioners. Journal of the American Association of Nurse Practitioners, 31(8), 447-453. https //doi.org/10.1097/jxx.0000000000000266
  • Neal-Boylan, L. (2020). PhD or DNP? That is the question. The Journal for Nurse Practitioners, 16(2), A5-A6. https //doi.org/10.1016/j.nurpra.2019.11.015
  • Park, B. M. (2021). Effects of nurse-led intervention programs based on goal attainment theory A systematic review and meta-analysis. Healthcare (Basel, Switzerland), 9(6), 699. https //doi.org/10.3390/healthcare9060699
  • Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, S. A. (2019). Accreditation Application of Kurt Lewin’s Theory on private health care organizational change. Saudi Journal of Nursing and Health Care, 2(12), 412-415. doi 10.36348/sjnhc.2019.v02i12.003
  • Yap, T. L., Horn, S. D., Sharkey, P. D., Zheng, T., Bergstrom, N., Colon-Emeric, C., … & Kennerly, S. M. (2021). Effect of varying repositioning frequency on prevention of pressure injuries in nursing home residents TEAM‐UP cluster‐randomized clinical trial results. Research Square, 1-21. https //doi.org/10.21203/rs.3.rs-717425/v1
  • Zhang, X., Wu, Z., Zhao, B., Zhang, Q., & Li, Z. (2021). Implementing a pressure injury care bundle in Chinese intensive care units. Risk Management and Healthcare Policy, 14, 2435–2442. https //doi.org/10.2147/RMHP.S292579

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