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DNP Role Development

FINAL ASSIGNMENT

Please use the attached Timeline & Outline Project Plan with ROL Template to complete this assignment.

Please make sure to use the attached Literature Resources and additional ones to complete the assignment

The PICOT is also attached, please, DO NOT change

PDF of previously used Articles are also attached

*Please note that a draft form of this assignment for faculty feedback prior to final assignment submission is required for this course.* 

In week 13, your timeline and outline of your project will be due. At this point, you have been working with your faculty advisor to gather ideas and work through the specifics of your project. The purpose of this assignment is to explain your ideas to ensure you are on the right track before starting on the Timeline and Outline.

INSTRUCTIONS

1. Include your PICO(T) question. State the issue and explain why this issue is of interest.  Include background information showing the need for this project. 

2. Show at least some of your review of the literature (ROL) so we can get an idea of how you are synthesizing the information. The more you have the better. You should have some information from your matrix assignment in 816 that you can use here.

3. Next, briefly explain what your project is. Include where you plan to conduct your project, who you plan to collaborate with for your project (who the key participants will be to ensure the success of your project), and approximately how long your project will last.  Also include sampling information, any intervention that you propose as well as the design you will be using.

4. Last, discuss what tools you plan to use for your project. If you will be using a survey to measure the results, you will need to include the name of the survey and identify the creator. If you plan on using an established teaching tool as your intervention, again you will need to identify the originator of that tool. Any established tools will need permission to use before you initiate your intervention

5. Begin to think about the budget that you will need to carry out this project.  

6. These are not all the details- if you want more details- review the rubric for the document and see the template below.  

MY INFORMATION FOR THIS PROJECT

PICO Format

· P = Nurses

· I = Using a mindfulness-based program

· C = Nurses with no intervention at all

· O = To reduce nurse burnout

· T = within a 6-month period

My PICOT Question

· For nurses in an inpatient hospital experiencing burnout, does the introduction and usage of a mindfulness-based program versus no intervention at all during a 12-hour shift, reduce their burnout within 6 months?

,

RUNNING HEAD IN ALL CAPS 1

5

RUNNING HEAD

[Title here-bolded]

[Student Name here]

DNP 896

[Date here]

Author Note

[conflict of interest statement here-see page 35 of your APA maual]

Abstract

Should be approximately 250 words – introduces the paper.

Keywords: [enter the key words you may have used to perform a literature search]

(Students, please remove instructions before submitting).

Title of the Paper Here

Introduce the reader to the content that will be covered in this paper. First discuss the topic, gap in practice, and state the PICOT as a question. You can put a heading for your PICOT question

Provide an introduction and background information that offers what the reader should expect to read related to themes that emerged from the literature review.

Review of the Literature

Next, describe your search process. What databases were used? How many articles populated? How did you narrow your search? What key words were used. How many articles were reviewed and how many were used within the ROL. Remember do not use first person. The articles presented must be current and published within the last five years.

Provide an overview of the articles/themes.

The ROL should be 2 pages.

Theme 1

In this section you will want to discuss a theme that emerged. Provide as many sections with independent themes as you deem appropriate. Consider how each theme provides evidence to support the need for your intervention and the pervasiveness of the problem.

Theme 2

In this section you will want to discuss a theme/topic that emerged. Provide as many sections with independent themes as you deem appropriate. Consider how each theme/topic provides evidence to support the need for your intervention and the pervasiveness of the problem.

Include more themes as appropriate.

Implications Related to the Topic

Describe how the evidence will inform your project.

Implementation Plan

Describe a written plan to implement the interventions for your project and include a bullet list. Explain your project briefly. Outline the intervention. Include who, what, where, when of your project and timing. If utilizing a tool or survey, include the name it and describe it. Include any stakeholders or collaborators. Is your project a QI project or a research project? Will you use a model? What design will you be using?

Expected Outcomes

Describe the expected outcomes-bullet list. What do you plan to evaluate and how will it be measured.

Evaluation Plan

Describe how you plan to evaluate the results in one paragraph. Be sure to outline each of your expected outcomes.

Timeline

Please include an expected timeline of your project. This should include planning, implementeation, evaluation, and dissemination. A written description with a project timeline visual chart. Moran Text pages 213-214 and 230-232 has some information that is helpful. You can simply use bullet points with months and year. It should be a timeline of the 4 semesters of DNP 896.

Dissemination Plan

How you plan to disseminate your project after implementation and evaluation? Seek publication and NKU presentation. Do you plan to present to leadership at the organization/site? Submit abstractions to present at conferences?

Budget

Devise a preliminary budget for the project via table.See Moran Text Appendix D, page 348 for a sample budget. Include a short paragraph outlining projected budget components and a table as outlined in the text.

Conclusion

References

**Here are a couple of samples of 7th edition APA format. Please also view the videos I posted in the announcements.

Author Last Name, F. I. (Year). Name of the book (7th ed.). Publisher name here.

Author, A. A. (Year). Title of article. Publication Title, volume number(issue), pp–pp. https://doi.org/…

Author, A. (Year). Title of article. Publication Title, volume number(issue), pp–pp. URL

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8

Article Matrix and Analysis

XXXXXXXXX

College of Health and Human Services-School of Nursing

DNP 816: Analysis & Application of Health Data for ANP

XXXXXXXXXX

DATE

Article Matrix and Analysis

Student Name: XXXXXXXXXXXX

PICO Question: For nurses in an inpatient hospital experiencing burnout, does the introduction and usage of a mindfulness-based program versus no intervention reduce their burnout within 6 months?

Search process: I used the NKU online library to search for my articles the databases included Medline plus, cinahl, there were peer reviewed, and some reputable search engines that also gave me some recent articles. I also utilized the John Hopkins and the Cincinnati Children’s evaluation sources to find credible components that shall allow comprehensive research.

Search terms: issue of burnout affecting nurses, cases of nursing burnout, stress reduction for nurses, the effect of large workload on nurses, interventions to manage nursing burnout, mindfulness-based programs.

Databases: CINHAL COMPLETE and MEDLINE PLOS ONE, Routledge Taylor & Francis Group, SAGE,

Total number of articles obtained from search results: N=1500

Number of articles initially excluded based on abstract reading: N=20 (out of first 100 relevant ones that was brought up)

Number of articles reviewed: N=7

Number of articles excluded based on criteria: N=2000

Inclusion Criteria: Presented in the English language, published from 2018 or later, only peer-reviewed articles, detailed using concepts about nursing, and be from reliable academic databases.

Exclusion Criteria: Any article published before 2018, displayed after accessing a non-reputable source, no full-text link, and no option for downloading a PDF version.

Number of systematic reviews or meta-analyses used in Matrix: N =0

Repeat this table – one for each article you are reviewing.

The matrix and analysis assignment to submit consists of: 1). introduction describing the search process for this topic, 2). the review table (1 for each article = 5), 3). summary analysis, 4). reference page and 5). 5 PDF copies of the articles

Author, year; Credentials Article #1

Elisabeth Diehl, Sandra Rieger, Stephan Letzel, Anja Schablon, Albert Nienhaus, Luis Carlos Escobar Pinzon, Pavel DietzID. All authors have some relation to institutes of environmental and health sciences, which are the Federal Institute of Occupational Safety and Health, the Institute of Occupational, Social and Environmental Medicine, the Institution for Accident Insurance and

Prevention in the Health and Welfare Services (BGW), and Institute for Health Services Research in Dermatology and

Nursing (IVDP) Their credentialing was not mentioned.

Article Focus/Title

The relationship between workload and burnout among nurses: The buffering role of personal, social and organizational resources

Research Design/Intervention

Exploratory cross-sectional study

Level of Evidence and model used to grade evidence

Level IV, John Hopkins model (Dearholt & Dang, 2017).

Sample/# of subjects, how recruited

Data was collected from a stratified 10% random sample of a database with outpatient facilities, hospitals, and nursing homes N=437 nurses were involved. Only 29 nurses were not allowed to participate since they were from hospitals. There were 2,982 questionnaires sent out, but only 497 were valid for analysis. A response rate of 16.7% got discovered.

Evaluation Tool (CASP or others- identify tool used)

JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies, Score 7/8

Data Collection Procedure

Questionnaires got sent to participants online while some were done paper. There was voluntary participation at 160 hospitals.

Type of Instrument, reliability and validity of the instrument

The questionnaire is broken into 5 parts. Part one encompassed demographic information. Part two included 28 questions that assessed the patients’ reasons for noncompliance to treatment. Then there was the German version of the Copenhagen Psychosocial Questionnaire (COPSOQ) used a Likert scale, a resilience questionnaire (RS-13), and the last part on questions on resources.

Reliability and Validity of study, limitations

Informed consent was obtained at the start of the questionnaires so that only appropriate persons could access the questions. Approval from the State Chamber of Medicine in Rhineland-Palatinate was also attained. Due to the participation rate, the results of the study was labeled as preliminary. The potential for selection bias has to be considered.

Data Analysis – identify LOM, Statistics, and findings.

The analysis processes used were moderator and bivariate. Statistical findings indicate that 388 were female, while 45 were male. The age distribution indicated 27.7% were persons aged 35 and below, 36.2% of the participants were aged between 35 to 49, and 36.2% were aged 50 and above. Marital status revealed that 140 participants were single, 210 were married, and 79 were widowed or divorced. Bivariate analysis -there was a strong correlation between the quantitative demands and burnout scale(r=0.498, P<0.01) and a small negative correlation between burnout and meaning of work (r=0.222, P<0.01) and workplace commitment (r=0,240, P<0.01). In the moderator analysis there was a significant moderation between quantitative demands, workplace commitment, and burnout (b=0.47, SE=0.051, P<0.001) An increase of one value on the scale of quantitative demands increased the burnout scale by 0.47.

Results

The average age of the nurses was 42.8years and (89.6%) were female. Of the 437 participating nurses there was a direct illustration on how cases of burnout were common especially when there was not suitable change in the healthcare environment’s operations.

Discussion/

Significance/

Limitations

Discussion: The study illustrated how the extent of palliative care can impact nurses leading to burnout. It also indicates that If Healthcare leaders integrate flexibility and impeccable benefits in patient care can embrace nurses’ healthcare management positively. The higher quantitative demand led to higher nurse burnout.

Findings: The issue of burnout can occur mostly among nurses with advanced knowledge since they are always asked to provide their expertise. In this regard, developing healthcare regulations that are adequately explained, connected to nurses’ experiences, and integrated during brainstorming sessions shall all promote better healthcare management.

Limitations: The sample is not representative of general palliative care due to the low participation rate of the health facilities, low response rate of the nurses and the different responses of the health facilities, and the exclusion of hospitals. However, the low participation rate could be aligned to the sampling procedure and data protection rules which limited the study team from contacting the institutions in the sample. The cross-sectional design does not allow for causal inferences. Longitudinal and intervention studies are needed to support causality in the relationships examined.

Helpful/Reliable/Compared to other art

The large sample size created a reliable data review, which promoted good study connections. There is a clear statement of findings in connection to the statistical data discussed. Compared to other research, the content in the article got presented using appropriate titles all indicating proper medical information.

Author, year; Credentials, Article #2

Alyssa A. Green, BSN, RN Elizabeth V. Kinchen, PhD, RN, AHN-BC. (2021)

Article Focus/Title

The Effects of Mindfulness Meditation on Stress and Burnout in Nurses

Research Design/Intervention

Literature review-

Level of Evidence and model used to grade evidence

Level V John Hopkins model (Dearholt & Dang, 2017).

Sample/# of subjects

N=491 articles were used. The research ensured N=491 got eliminated since they were not valid and were duplicates. Only N=8 studies were selected for review.

Evaluation Tool (CASP or others- identify tool used)

JBI checklist for qualitative research 9/10

Data Collection Procedure

Document analysis was the process used to collect data since it was possible to compare different components to each other.

Type of Instrument reliability and validity of instruments

Theoretical review, tables were utilized,

Reliability and Validity of study, limitations

Validity and reliability were evaluated and was established by focusing on the articles since they provided a generalized view of stress and burnout by connecting ideas related to how occupational operations are performed in the right way. The study ensured to use of literature search in credible sources so that the discussed data would be accurate.

Data Analysis: id statistics, LOM, findings

The study performed an analysis by comparing information about common causes of burnout by integrating theoretical and methodological methods. Mindfulness meditation is effective in decreasing stress and burnout in nurses. The Maslach Burnout Inventory (MBI), the self-compassion scale (SCS- has 6 subscales ), the Perceived stress scale(PSS) and the Professional quality of life scale (PQOLS) was used. The subscales measure emotional exhaustion depersonalization and decreased personal accomplishment.

Results

N=37 nurses were discovered to get affected by stress and well-being issues, N=13 were affected by burnout and lack of compassion, N=55 were affected by stress and lack of resilience, N=48 were affected by anxiety and depression, and the rest were affected by depression and stress.

Discussion/

Significance/

Limitations

Discussion: The article illustrated how nurses who work in different types of healthcare settings get subjected to limited well-being and stressful encounters that cause them to enter into depressive states.

Findings: The application of mindfulness meditation got discovered to be a reliable method of handling cases of burnout and stress among nurses.

Limitations: Most studies integrated a small sample size of 10 – 40 nurses and this makes the results difficult to generalize. No consistency in their interventions because they had different methods in regard to the length of meditation, the required amount of practice per week and program length.

Helpful/Reliable/Compared to other art

Helpful but cautions warranted, no power analysis was mentioned, sampling method, and improving nurses’ motivation is necessary to facilitate changes since there is a dependable method for handling healthcare environment requirements. Nurses feel a greater responsibility if they can perform healthcare with minimal supervision, especially when they gain advanced education.

Author, year; Credentials, Article #3

Anna Marconi, Maria Antonietta Bàlzola, Ramona Gatto, Annalisa Soresini, Diana Mabilia & Stefano Poletti(2019) All authors are associated with No credentials were mentioned except that Stefano Poletti was associated with the National Institute Sante Et Recherche Medicale.

Article Focus/Title

Compassion-Oriented Mindfulness-Based Program And Health Professionals

Research Design/Intervention- describe the intervention

A quantitative, pre-post, single-centered pilot study. The intervention was an 18-week compassion-oriented mindfulness-based program that involved practicing mindfulness meditation combined with psycho-educational training.

Level of Evidence

Level III John Hopkins (Dearholt & Dang, 2017).

Sample/# of subjects, how recruited.

Recruitment was open to all health professionals working at the mental health department, all participants were informed about details of the activities during the training. N=34 psychiatric health professionals were recruited. The participants had an average age of 50 years. The participants were recruited from G. Salvani Hospital in Milan where it was possible to access credible healthcare practitioners. The participants were split into two groups for the program which took place on two different days of the week.

Evaluation Tool (CASP or other tool used)

JBI for case-control studies checklist 8/11

Data Collection Procedure

Self-report questionnaires were used to collect data from participants. The Likert scale was adopted to ensure a reliable display of the information.

Type of Instrument, reliability and validity of instruments used

Questionnaire Inclusion criteria for the study included persons above the age of consent, 18 years, persons capable of understanding study requests, and persons with at least three years of employment in a mental health department. The exclusion criteria secondary severe comorbidity and concurrence of psychological support

Reliability and Validity of study, limitations

Informed consent was obtained from participants who signed a form accepting to take part in the study.

Data Analysis – identify statistics, LOM, and findings.

Analysis was performed using a statistical tool, the SPSS-21 and the Wilcoxon T-Test were used. They illustrated that different nurses had conflicting perceptions about burnout and personal realization. The correlation coefficient was included between -1 ad 1 while >0,30 or <-0.30 shows a significant correlation the P value is considered significant under 0.005

Results

There were transformations in all study participants after they integrated the mindfulness intervention into their lives. Changes in emotional aspects were observed since the participants had fewer depression and anxiety problems. Different tools were used for the study, including the State-Trait Anxiety Inventory (STAI), Beck Depression

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