Problem Statement Discussion Paper
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Identifying a Target Population
Based on the information provided in Unit 7 discussion, identify the target population of your DNP project, why you selected this target population, and analyze the cultural and psychosocial dimensions; environmental factors; demographic descriptors; health literacy; and if appropriate, the bio-statistical data for the specific target population. Include in the scholarly paper, a strategy for implementation of the project, potential outcomes, and an evaluation strategy.
Unit 7 discussion was the following:
Problem statement
The Problem is patient returning to the ED because of the alleged inability to understand discharge instructions, access follow- up care, their concerns on the medical problem, and its progression. Most patients require resources for completing care that would get accessed timely through their return to the ED which creates one of the biggest problems in United States hospitals which is the overcrowded ED. The revisiting of the ED is now a measure of the adequacy of Emergency Department discharge practices. The short return to the Emergency Department closely gets monitored. This metric also reflects the emergency care quality, especially in cases where patients need hospitalization in their return to the ED. Many of the patients get discharged home after treatment without proper education or instructions. This investigation identified the issue associated with the adult population and also the language barrier.
Identified need
There are emerging measures seeking to minimize the number of readmissions to the Emergency Department. Policymakers and relevant stakeholders who want to reduce costs, improve outcomes, and promote improved patient experience regard safe transition as an essential goal. The hospital readmissions are regarded as tools that capture the transition of care deficits in hospital settings (Cheng et al., 2016). It is now a measure of quality that is now linked to penalties for poor-performing medical institutions. Several studies group the return visit rate as poor in marking quality. A study concerning return visits emphasized on patient-driven aspects. The study also revealed that patients utilize the ED according to their perception of value. They returned because of the alleged inability to understand discharge instructions, access follow- up care, their concerns on the medical problem, and its progression.
Proposed clinical intervention or system change
Intervention effort is to involve nurses that can offer detailed explanations concerning patient discharge to the patients. It will entail the factors that will arise while the patient will be at home, and how to approach situations that may compel them to go back to the ED. This will help prevent the patients from going to the ED again. Another short-term solution involves the physicians discussing detailed information about the illness involved with their patients. The physicians can also properly address concerns that their patients may have to reduce uncertainty from them and utilize interpreters if patient speaks foreign language for proper understanding. In the long run, the physicians and nurses should ensure they create an ED-based care program that will integrate the care teams in the ED. The program should offer more trainings on handling patients at the ED including the aspects of discharge to prevent the return cases. Intensive training should aim towards enhancing the nurses and physician role that includes patient engagement. Developing a discharge checklist that when patients are about to be discharge from the ED they can check mark and sign confirming that providers discussed what is on checklist with patients before they leave the ED. Alternative intervention is to establish a reliable way of contacting providers after the discharge period via telemedicine. Such methods can assist patients in managing their concerns without the need to return to the hospital.
Demonstrate how evidence from the literature search ties the problem or clinical inquiry to practice.
For over 20 years, physicians in the ED are under programs that report the visits back to the ED within 72 hours. Several studies group the return visit rate as poor in marking quality. A study concerning return visits emphasized on patient-driven aspects. the CDC data offered insights on this issue. For instance, in 2014, close to 5.7% of the ED visits involved patients who were previously in the ED in the last three days. Approximately 4.8% of the visits were due to follow-up. Also, close to 3% of the ED visits were previously there 72 hours before. The revisiting of the ED is now a measure of the adequacy of Emergency Department discharge practices. The short return to the Emergency Department closely gets monitored.
For this Assignment you will create a document:
a minimum of 5 pages in length (excluding title page and references);
supported with a minimum of five scholarly, peer review sources external to those assigned in class for this unit;
follow the conventions of Standard American English (correct grammar, punctuation, etc.);
well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and;
use APA 6th edition format.
The content for this essay will include:
Describe the proposed clinical intervention or practice change you proposed in the Unit 7 discussion. Which is above!!!!
Identify and discuss the problem or clinical inquiry through the lens of the system level.
Identify the specific target population for the DNP project. The specific target is the adult population!!!!!
Analyze the:
cultural;
psychosocial dimensions;
environmental factors;
demographic descriptors;
health literacy; and
bio-statistical data for the specific target population.
Demonstrate how evidence from the literature search ties the problem or clinical inquiry to practice.
Include in the scholarly paper, a strategy for implementation of the proposed clinical intervention or practice change, expected outcomes, and an evaluation strategy. ******The strategy will be classroom presentation and training of the appropriate way to discharge a patient and to learn the discharge check list that will be provided to patients at the moment of discharge which they have to check mark the boxes of what they understood provide their signature and return to the nurse once the nurse is finished educating the patient******
Follow grading rubric attached.
Assignment Rubric
| Unit 8 Assignment grading rubric. Instructors: Enter total available points in cell H2, and values between 0 and 4 in the yellow cells in the Score column. | |||||||
| Total available points = | 170 | ||||||
| Introductory – Not submitted or largely incomplete. Work may indicate very little if any comprehension of content. | Emergent – Work shows some comprehension but errors indicating miscomprehension may be present. | Practiced – Work indicates overall progress toward comprehension. Minor errors may present. | Proficient/Mastered – Work is complete and indicates full comprehension of content. | Score | Weight | Final Score | |
| 0 – 1.9 | 2 – 2.9 | 3 – 3.9 | 4 | ||||
| Describes the proposed clinical intervention or practice change you proposed in the Unit 7 discussion. | 15% | 0.00 | |||||
| Identifies the target population for the evidence-based clinical prevention and population health intervention. | 15% | 0.00 | |||||
| Identifies and discusses the problem or clinical inquiry through the lens of the system level. | 15% | 0.00 | |||||
| Analyzes the cultural;psychosocial dimensions; environmental factors;demographic descriptors; health literacy; andbio-statistical data for the specific target population.. | 15% | 0.00 | |||||
| Demonstrates how evidence from the literature search ties the problem or clinical inquiry to practice. | 15% | 0.00 | |||||
| Provides a strategy for implementation of the project, potential outcomes, and an evaluation strategy. | 25% | 1.60 | |||||
| Do not change anything from here down | Content Score | 68 | |||||
| Writing Deduction Rubric (everyone starts with 4’s = no deductions) | Introductory | Emergent | Practiced | Proficient/Mastered | Score | Weight | Final Score |
| 0-1 | 2 | 3 | 4 | ||||
| Grammar & Punctuation | The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult. | Several confusing sentences, or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion. | A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation. | There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences. | 4 | 35% | 1.40 |
| Spelling | The many misspelled words and incorrect words choices significantly interfere with the readability. | Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places. | Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear. | A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper. | 4 | 35% | 1.40 |
| Order of Ideas & Length Requirement | Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content. | The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall. | The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way. | The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements. | 4 | 20% | 0.80 |
| APA | There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear. | This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear. | There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear. | There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear. | 4 | 10% | 0.40 |
| Writing Deduction | 0 | ||||||
| Final Score | 68 | ||||||
| Percentage | 40% | ||||||
| Feedback: |
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