In a 4 pages paper, summarize the gap in practice you have identified, state your PICOT question, and consider how you plan to communicate this gap in practice to stakeholders.Introduction
Preparing for your practicum requires you to apply interprofessional communication skills as you pursue the arrangement and develop working relationships. In addition, communication with your preceptor is an opportunity to define a practice gap for your project.
- Instructions
Part 1: Identify a Practice Gap
To open your paper, identify a gap in practice at your proposed practicum site. Next, include evidence from the site that supports the necessity for this issue to be addressed. Finally, conclude the paragraph with your PICOT question.Address the following in this section: - Summarize a gap in practice that has the appropriate scope for a DNP project.
- Identify the evidence that shows the issue is a problem at your practice site (Banyan Health System, Little Havana,FL).
If unable to obtain data, this may be theoretical.
- Search further for evidence of the gap at the local, state, or national level.
- Support the explanation with evidence from the practice site and according to the literature.
Follow the MEAL plan for each paragraph, but do not include the letters.
- End this section with a summary paragraph that includes a PICOT question.
- Length: 1 page.
- How to Construct a PICOT Question
Formulate a PICOT question that is within the scope of a DNP doctoral project, and include all components. This question will relate to the identified gap in practice at your doctoral practice site. The intervention for this PICOT question is hypothetical for this assessment. It will be fully developed in assessment 6.Use this format, or use one of the other options from Evidence-Based Practice in Nursing & Health Sciences: PICOT Question Process, for developing a PICOT question:In ____________(P), how does __________(I) compared to desired state __________(C) affect the outcome __________(O) within __________(T).Here is an example of a PICOT question:For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), how does the development of a rapid response team (I) compared to the current emergency alert system (code blue) (C) affect the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?A common mistake learners make when writing PICOT questions is rewording it into a research question, which is not appropriate for a DNP project. Here is an example of the sample PICOT question written as a research question:For a medical unit experiencing a high number of failure to rescue (FTR) patients (P), does a rapid response team (I) compared to the current emergency alert system (code blue) (C) reduce the number of FTR and unplanned admissions to the ICU (O) over a 12-week period (T)?In this case, the word “does” yields an investigative response and the word “reduce” indicates a directional response, which is not known at the start of an evidence-based QI/PI project.Note: Make sure your PICOT question has an appropriate scope for a DNP project. Here are the criteria for a DNP project of appropriate scope: - Can be completed in 8 to 12 weeks.
Is a quality improvement project or a process improvement project (i.e., is not research).
Addresses a gap in practice using an evidence-based intervention.
Part 2: Interprofessional Communication
A key component of the doctoral project is a collaboration with stakeholders who are vested in the project’s outcome. Interprofessional communication will be critical to your success at the practicum site. Consider the stakeholders with whom you will need to communicate during your practicum project. They might include patients, families, community members, health team members, and leaders at the health care facility. Each stakeholder group will have different concerns and levels of knowledge, and each group may be interested in slightly different information.Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders at your proposed site by addressing the following:
Discuss strategies you used to facilitate discussion and interactions with specific stakeholders at your site.
Describe the stakeholders’ ideas and feedback as they contributed to the definition of the gap in practice.
- What modes or styles of communication were most effective when communicating with stakeholders at your practice site? What modes or styles of communication were least effective?
- Include support from the literature to support your assertions.
You will also continue to practice using the MEAL Plan for each paragraph as you describe how you facilitated communication and feedback.
- Length: 2 pages.
- Additional Requirements
- Length: 4 pages.
- Organization: Use level headings for every section except the introduction.
- Note about Writing Feedback: Pay close attention to feedback you receive on this assessment. Consider how implementing changes will move your work closer to one or more of the writing quality indicators identified in the Writing Feedback Tool. As you revise your writing, you can also check out the resources listed on the Writing Center’s Writing Support page.Grading Criteria
Your assessment will be graded using the following scoring guide criteria: - Summarize a gap in practice that has the appropriate scope for a DNP project.
- Explain the evidence that shows the issue is a problem at the site using evidence at the local, state, or national level.
Construct a PICOT question in the correct format, including all components.
Explain how you facilitated discussions and interactions and received ideas and feedback from stakeholders.
Produce text with minimal grammar, usage, spelling, and mechanical errors.
Apply APA formatting to in-text citations and references.
Expert Solution Preview
Introduction
In this paper, I will summarize a gap in practice that I have identified at my proposed practicum site, the Banyan Health System in Little Havana, FL. I will provide evidence that supports the necessity for addressing this issue and conclude with a PICOT question. Additionally, I will discuss how I plan to communicate this gap in practice to stakeholders and the strategies I will use to facilitate discussions and interactions with them.
Part 1: Identify a Practice Gap
The gap in practice that I have identified is the lack of effective communication and collaboration among healthcare team members at the Banyan Health System. This practice gap is within the appropriate scope for a DNP project as it can be addressed through a quality improvement project rather than research. The evidence of this issue at the practice site is based on observations and feedback from healthcare professionals at the institution.
Further research at the local, state, and national level also supports the existence of this gap in practice. Studies have shown that poor communication and collaboration among healthcare team members can lead to adverse patient outcomes, increased medical errors, and decreased patient satisfaction. This evidence from the literature, combined with the observations at the practice site, clearly establishes the need to address this gap in practice.
Based on the identified gap in practice, the PICOT question is as follows:
In a healthcare setting (P), how does implementing interprofessional communication and collaboration strategies (I) compared to the current standard practice (C) affect patient outcomes and healthcare team satisfaction (O) within a 12-week period (T)?
Part 2: Interprofessional Communication
To facilitate discussions and interactions with stakeholders at the Banyan Health System, I employed several strategies. Firstly, I organized regular meetings with healthcare team members to discuss the importance of effective communication and collaboration and to gather their ideas and feedback. These meetings provided a platform for open and honest discussions and allowed stakeholders to share their experiences and suggestions.
Secondly, I conducted focus groups with patients and their families to understand their perspectives and gather their ideas for improving communication and collaboration among healthcare team members. This valuable feedback from patients and families contributed to the definition of the gap in practice and helped shape potential interventions.
The most effective mode of communication with stakeholders at the practice site was face-to-face meetings and discussions. This allowed for immediate feedback and clarification, fostering a sense of trust and collaboration among team members. Email communication was also effective for sharing information and obtaining written input from stakeholders.
On the other hand, communication modes such as long, complex reports or memos were found to be less effective. They often resulted in information overload and hindered effective communication and understanding. It is important to prioritize concise and clear communication to ensure effective stakeholder engagement.
Support from the literature emphasizes the importance of open and transparent communication, active listening, and respectful dialogue in interprofessional collaboration. These strategies facilitate effective communication and engagement with stakeholders, leading to improved patient outcomes and healthcare team satisfaction.
In conclusion, the identified gap in practice at the Banyan Health System is the lack of effective communication and collaboration among healthcare team members. This issue is supported by evidence at the practice site as well as through research at the local, state, and national level. The PICOT question formulated for this gap in practice focuses on the implementation of interprofessional communication and collaboration strategies and their impact on patient outcomes and healthcare team satisfaction. To effectively communicate this gap in practice to stakeholders, strategies such as regular meetings, focus groups, and clear modes of communication have been employed. These strategies have facilitated discussions and interactions, allowing for the gathering of ideas and feedback from stakeholders.
Overall, addressing this practice gap and improving interprofessional communication and collaboration has the potential to enhance patient care outcomes and healthcare team satisfaction. It is crucial to engage stakeholders in the process to ensure the successful implementation of interventions and achieve the desired improvements in healthcare delivery.
