DNP Project Manuscript TEMPLATE .docx652c45d28ae9d686

Running head: SHORTENED TITLE ALL CAPITAL LETTERS 1 Full Title of the DNP Project Student Author’s Name (no professional initials) SUNY Downstate Health Sciences University, College of Nursing This partial template is being provided as the general expectation for the Downstate College of Nursing DNP final paper. As you peruse other DNP program websites and repositories, you will see project papers that have similar content but different terminology and formatting (e.g., “Methods” may instead be called, “DNP Project Design”) Our template is based upon the SQUIRE 2.0 Guidelines and APA (7th edition) Guidelines. A DNP Project Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Nursing Practice The above “fulfilment” statement and following name section will only be included on the final submission in NDNP 7201…this is just an example to put the paper’s sections in context: Faculty Mentor: Type your faculty mentor’s name here Date of Submission: Month, Day, Year

SHORTENED TITLE OF PROPOSAL 2 Table of Contents Abstract ................................................................................................................................ 2 Dedication (optional) ........................................................................................................... 3 Acknowledgements (optional) ............................................................................................ 4 Chapter I: Background and Significance ....................................................................... 5 Problem Description ...................................................................................................... 5 Local Problem ................................................................................................................ 6 Available Knowledge ..................................................................................................... 7 Rationale for Conducting this Project ............................................................................ 8 Specific Aims and Expected Outcomes ......................................................................... 8 Project Framework ......................................................................................................... 9 Chapter II: Methods ……………………… …………….…………………………….9 Definition of Relevent Terms ......................................................................................... 9 Assumptions ................................................................................................................... 9 Proposed Setting and Sample ......................................................................................... 9 Project Plan ………………………………...………………….….…9 Timeline ...................................................................................................................... 10 Key Measures and Summary of Variables .................................................................. 10 Measurement Instrument(s) ........................................................................................ 11 Data Collection Procedure .......................................................................................... 11 Data Management and Analysis Plan ........................................................................... 11 Antcipated Facilitators and Barriers ............................................................................. 11 Ethical Considerations and Institutional Approval……………………………...……12 Chapter III: Results ........................................................................................................ 13

SHORTENED TITLE OF PROPOSAL 4 Abstract An abstract is a brief (approximately 300 words—no longer than one page) summary of the contents of the proposal. The abstract, often written last , includes an overview of the proposed project's introduction and background and review of literature, purpose, method, plan, (The abstract is added when you are in your final semester …this is just an example to put the paper sections in context…) Abstract is non-evaluative, that is, does not contain personal comments. It is not indented to nor does it contain citations. Headings may be used (common list below), and are often prescribed by a journal editor or a call for abstracts: Background Local Problem Methods Results Conclusions Keywords, such as those below, are words you used to perform database searches for the proposal. Keywords : interventional radiology, patient satisfaction, quality improvement, wait time

SHORTENED TITLE OF PROPOSAL 5 Dedication (optional, if you want to include) The dedication is the writer's personal acknowledgment indicating his or her appreciation and respect for significant individuals in the writer's life. The dedication is personal; thus, any individuals named are frequently unrelated to the topic of the project.

SHORTENED TITLE OF PROPOSAL 7 Background and Significance Begin by writing a concise paragraph that gives an overview of your problem telling why the problem within your chosen population is important. Always remember to use a lead/topic sentence for each paragraph. The lead sentence summarizes or states the point of the paragraph. Problem Description Describe key data about the magnitude of a healthcare problem, dynamics leading to problem, population characteristics, attitudes and behaviors that are causing or exacerbating a problem. Support this with findings from the literature; include relevant statistics (national, regional, and/or local), and cite them here. Public Health Departments and the Centers for Disease Control (CDC) are great places to look for these statistics. The main purpose of this section is to convince your readers that the problem you want to address is significant and worth exploring. Local Problem Also, describe the nature and significance of the local problem . You will need to know some information about your clinic setting to complete this section (e.g., what is the vaccination rate for nurse in a specific unit, or specific hospital in the place where you will be conducting your project). The Local Problem Statement section includes the detailed evidence of the local problem. It can be a few paragraphs up to a page or two in length. Build a case for the need for the project that you propose by discussing key indicators that are missing, lacking or inadequate in the local setting. Available Knowledge This section includes a summary of what is currently known about the problem

SHORTENED TITLE OF PROPOSAL 8 that adversely affects patients, providers, or the system as a whole, or that prevents care fro reaching its full potential in your setting. Relevant prior studies should be identified, identifying interventions/techniques that have been useful in other/similar settings or in other/similar populations. It is important to identify current guidellines and relevant standards that are foundational in your project. The Agency for Healthcare Research and Quality (https://www.ahrq.gov/professionals/clinicians-providers/guidelines- recommendations/index.html), professional organizations (e.g., American College of Cardiology), and many other electronic resources can provide foundational clinical practice guidelines and standards for your project. Please refer to your Population Health resource documents for supporting evidence. Rationale for Conducting this Project Take all that you have written about your population, problem, and what is lacking in local practice and encapsulate it into a few sentences that succinctly summarize the local problem. This section also includes a very brief overview of your project that you have chosen to address based on the review of the literature and your local problem (e.g., to conduct a survey of providers in the emergency room at the hospital described in the “local problem” setting). Include any reasons or assumptions that were used to develop the project, and why it is expected to work to improve the quality, safety, or value of healthcare in your specific setting. In this section, also briefly (but realistically) describe the ripple effect that your project may have on the local healthcare community, healthcare system, or patient

SHORTENED TITLE OF PROPOSAL 10 You should ALSO comment on broader expected outcomes – sucha s how conducting this project might raise awareness of an important issue, or how the project will develop your skills in a certain area that can be used in your current/future role. Be sure that these outcomes are reasonable for your project design, plan, and timeframe. Project Framework In this section, briefly identify and describe the framework that you plan to use to address the clinical issue. For example, you may use Plan-Do-Study-Act (PDSA) if your DNP project seeks to implement a change in a unit process. The content you cover in NDNP 7101 (Quality and Patient Safety) in the Institute for Healthcare Improvement assignment, covers frameworks for quality improvement projects. Please include an APA-formatted figure to assist readers in understanding your framework, and where you project may lie within the framework (e.g., in the “planning” phase of the PDSA cycle).

SHORTENED TITLE OF PROPOSAL 11 Methods In this section, clearly explain your DNP Project design (what type of project you will be implementing, such as a survey) and, generally, the methods (quantitative and qualitative) you will use to obtain the desired data for your project. You will describe your measurements and data collection methods in more detail in sections of the template. Use the future tense to explain what you will do in your DNP project when you are submitting this section in NDNP 7102 (when project is being planned), but CHANGE this to past tense when submitting the manuscript in NDNP 7201 (after project in completed). Convince the reader that your approach is practical and will lead to a credible solution to your proposed problem. Write a paragraph describing each of the following subheadings as they apply to your project. Definition of Relevant Terms (Conceptual Definitions) Provide, in list or table form, a brief definition of relevant terms with the specific definition that will be used in your project. A typically informed reader should be able to easily understand your project by supplementing common knowledge with knowledge of these terms. Here is an example of a table with conceptual definitions: Table 1.1 Conceptual Definitions Term Conceptual Definition Provider A health care professional (i.e., RN, LPN, MD, NP, PA) that provides direct patient care at Mount Sinai Medical Center. Electrnic Medical Record An account of a patient’s history, care activities and test results in a particular health care setting, including both electronic and physical forms of documentation. Medical Record Encounter Within the medical record, a discrete subset of documentations related to a specific patient visit or event.

SHORTENED TITLE OF PROPOSAL 13 inclusion and exclusion criteria for recruiting individuals for your project, which will be described in the Methods chapter.) Describe how the project site or practice is organized, the services offered, current procedures, staffing patterns, etc. and how you will interact with site personnel and patients (clients) to implement your project. If you are getting approval or a letter of support for your project on the agency letterhead, please include in the appendices. Project Plan This section is the ‘HOW TO’ part of your proposal. This section includes is a detailed description about how you will actualize (from set-up to data collection) and complete your project. You will describe the procedures that preceed and follow the intervention activity that you described above. It is in this section that you describe selection of patients, collection of surveys, deidentification of surveys, how you will keep the data secure. Describe your primary activity (e.g., provider survey, data extraction, chart review) in sufficient detail so that others could develop or reproduce it. For example, if you are conducting a survey and you are describing recruitment, you might write, “On Monday, Wednesday, and Friday mornings, I will the nursing staff during their morning break in the unit breakroom to inquire about survey interest.” Before writing this section, consider putting together an outline from which you will write your detailed text. Our minds jump ahead and think much faster than we can type, leaving out important steps in description. You can use Level 3 headings that define your approach. Include projected recruitment, data collection procedures, and how you will de-identify the data and get it into your SPSS database. You can organize your

SHORTENED TITLE OF PROPOSAL 14 procedures by stages or phases of your project implementation and/or according to a timeline. Include a Flow Chart of Project Procedures figure (either in-line or as an appendix) to guide the reader through the process. Two sample figures are provided below. (These are for research projects, but would look similar for quality improvement projects.) Include a figure that is simple enough to understand and complex enough to guide the reader through your project. Figure 2.1. Flow Chart of Project Procedures

SHORTENED TITLE OF PROPOSAL 16 Figure 2.2. Flow Chart of Project Procedures Timeline Prepare a realistic timeline for actualizing your project, starting with Endorsement Day approval and continuing through implementation/data collection through analysis of

SHORTENED TITLE OF PROPOSAL 17 and interpretation of outcomes. Assume that your project will be approved in the summer following Endorsement Day. Make a Timeline and place in line. Here is an example: Figure 2.3. Timeline TASK NDNP 7102 (Jan-May 2021) NDNP 7104 (June-Aug 2021) NPNP 7201 (Sept-Dec 2021) Develop Background and significance X Finalize study aims X Develop Project methods X Develop instruments (survey) and database (SPSS) X Apply for and obtain institutional and other approvals X Finalize survey X Distribute surveys X Enter survey results into SPSS for analysis X Analyze data – develop Results X Develop Discussion/Conclusions X Prepare poster/manuscript X Disseminate project results X Key Measures and Summary of Variables Describe the major variables and how these variables will be operationalized and measured. It is required to include a table of variables and measures. A sample table is presented in line here, but also can be included as an appendix item: Table 2.4 Summary of Study Variables and Measurement Units Variable Data type Measurement units (categories) Provider age Continuous years Provider gender Categorical (male, female, non-binary, prefer not to answer, other) Provider role Categorical (RN, LPN, PA, NP) Self-reported vaccine hesitancy? Categorical (yes, no, prefer not to answer) (and so forth)

SHORTENED TITLE OF PROPOSAL 19 collection tool/demographic intake form ). As appropriate, continuous variables will be categorized and relative frequencies reported. Visual inspection of distributions on continuous variables will be conducted to assess for normality. Scatterplots will be constructed for general inspection of key variables to visually examine relationships. Scatterplot inspection will be followed by construction of a correlation matrix of all variables to identify statistically significant relationships. This matrix will be developed using Pearson or Spearman rank correlation in the case of continuous data, point-biserial correlation in the case of mixed data, and phi correlation in the case of dichotomous data. The next phase of data analysis will be to address the specific project aim . In this case, the project question to be addressed is, “Are there differences in vaccine updake between nurse who are BS prepared and those who are AD prepared?.” Chi square testing will be applied to examine this difference. Finally, after addressng the specific project question/hypothesis , exploratory analyses will be conducted based upon their support by the data. Data management. The XX Program (e.g., Excel Version 2.0, IBM SPSS Version 2.0 ) will used for all data analysis procedures. Data management includes a plan for the identification of missing values. Missing values are expected to primarily relate to …. . If one of these two measurements are obtained, then the data will remain in the database and analyses proceed for where there is complete data…. If XXX is identified, then the data will not beincluded in the analysis. There will/will not to be imputation of missing data (describe if you will impute). Anticipated Faciltators and Barriers

SHORTENED TITLE OF PROPOSAL 20 Describe the resources, constraints, facilitators and barriers that will influence the implementation of your DNP project. Additionally, describe how you plan to overcome the barriers or roadblocks to actualization of project. Ethical Considerations and Institutional Approval Describe how you will get institutional approval in this section . For example, “This project wil not proceed until approved by course faculty, Downstate University, and my nursing unit adminsistration. After obtaining course faculty approval, I will submit an application to the Downstate University Office of Research Compliance to request dsignation of the project as a quliaty improvement project (non-rsearch). After obtainngt that approval, I will obtain approval to conduct the project from my unit supervisor.” Discuss ethical considerations. Describe how HIPPA and Standards of Care assist you to protect your particiapnts. Describe any risks and benefits, if applicable. For example, “The DNP student who conducted this project followed the Standards of Care for practice in a primary care office. All information collected as part of this project was aggregated data from the project participants and did not include any patient data. Participant confidentiality was assured by coding the participants using individual identification numbers. The list of participants and their identifying numbers were kept in locked filing cabinets each practice office, only accessible to the project coordinators. All electronic files containing identifiable information were password protected to prevent access by unauthorized users and only the project coordinators had access to the passwords. Note: Once you submit the get institutional letter of approval, include this in final manuscript as Appendix A.