Project Design

Module 4 Project Design
The name of the hospital to use for this project/paper is Washington DC Veterans Affairs Medical Center.

QUESTIONS
(1) Introduction:
(a) Write a thesis statement that tells the reader purpose of the paper

(b) Write a description of what will be discussed.
PLEASE NOTE!!!!
The writer can introduce the problem (from the last paper) that is Module 3 paper and tell the reader the purpose of the paper and what will be discussed.
Problem: “Nurse-to-Patient ratio in a Medical-Surgical Unit”

(2) Sampling:

(a) Describe your participants.

(b) What are the inclusion and exclusion criteria?
(c) Describe the sampling technique (probability/non-probability) simple random, stratified random, quota, convenience, etc.
Hint: How will participants be chosen? Is it a probability (simple random, etc.) or non-probability (convenience, etc.) sample?
(d) What is the number of participants you plan to include in your project?

(e) Describe the setting and environment where the project will be conducted.

(3) Outcomes:
(a) Describe at least 3 measurable outcomes that are direct outcomes of the project being implemented.

(b) State the rationale for selecting the outcome.

Outcomes: Hints on how to answer Number 3 questions regarding outcomes
What do you think are going to be the outcomes from the strategy(s) you choose to implement? Provide a rationale for your selection of outcomes.
In the module 3 Assignment, the writer identified best practices that may impact the practice problem or issue.

What do you think are going to be the outcomes from the strategy(s) you selected to implement for your quality improvement initiative.

Describe the outcome and provide a rationale for your selection of outcomes (you will need more than one outcome; try to think of at least 3 that are appropriate).

In the next section, you will need to report reliability and validity for at least one of your outcomes. Therefore, you may want to choose a “latent” variable as an outcome. These variables are something that you can’t see (pain, quality of life, anxiety, depression, patient satisfaction, etc.). Our goal is for you to start thinking about what outcomes would be appropriate to use to evaluate the effectiveness of your program. Make sure your outcomes are measurable and relate directly to the evaluation of your program. In the description of the outcome, identify whether it is a qualitative or a quantitative measure. HINT: If it can be counted and manipulated statistically – it is quantitative. If the measure involves written diaries or verbal reports that you must interpret to give meaning (i.e., focus group data or interviews with patients/staff), it is qualitative.

(4) Measurement Tool/Methodology:

(a) Describe the measurement strategy for the 3 outcomes listed in the previous section (i.e., baseline and follow-up; monthly, quarterly, etc.)

(b) Describe how the selected outcomes are measured and what instrument is used (i.e., questionnaire, EHR/chart data, count data, number of referrals, etc.)

(c) Describe how the reliability and validity was established in prior research for at least 1 of your outcomes. Report the methods used and the statistical test if available.

(d) Include the instrument as an Appendix (1 point will be deducted if it is not included)

Hints regarding answering Number 4 questions (Measurement Tool/Methodology)
What are your ideas about how you will measure these outcomes?
What data collection methods are you going to use to measure the outcomes you have selected?
What kind of instrument or measurement methodology will be used?
What is the validity and reliability of the instrument(s) you have chosen?
Provide 1 instrument that would be appropriate and share the validity and reliability. This instrument must be something that already exists (do not create a data collection tool for this section). For example, if you are measuring pain, you could include a copy of a visual analog scale or the Wong-Baker FACES pain scale.

Please describe how the validity and reliability were established. Do not just say that it was good. HINT: there is often a statistical test involved. For reliability think test/retest, internal consistency, Cronbach’s alpha, or inter-rater; validity can be construct, content, or one of the criterion related validities. Report the methods used and the statistical test if available.
(5) Cultural Considerations :

(a) Discuss the primary culture or cultures in the area of the clinic/location.

(b) Describe the organizational culture.

Reflect on your system and consider the problems and strengths
of that system. How might that impact the implementation of
your project idea?

Hints regarding answering Number 5 questions (Cultural Considerations):
Cultural Sensitivity: There are cultural implications for every people group. In order to plan an effective intervention, you have to consider cultural implications.
How would you modify your intervention to meet the needs of a different culture?
Remember, all groups of people require cultural sensitivity.
If your project idea is more administrative in nature that is not impacted by different culture groups, then choose a people group that you see in your community and speak to the cultural norms of that group and what nurses and other healthcare professionals need to consider when caring for this population in your community. For example, in Baldwin County, we have a Hispanic population of migrant workers who move to various farms for harvesting.
What do nurses need to know about the group in order to provide the most effective care for them?
How do we alter the care we provide to meet their needs?
Within the system where you practice or hope to implement your project idea, describe the organizational culture of that system and how might that culture impact your implementation of best practices?
Are you going to have to modify or change your strategies based on that information? For example, if someone works in a system that is very hierarchical in decision making (top-down) or there are problems with staff morale, they may have challenges to overcome that someone else in a collaborative environment may not have. Reflect on your system and consider the problems and strengths of that system. How might that impact the implementation of your project idea?

(6) HIPAA Considerations:

(a) Describe HIPAA

(b) Identify how HIPAA could be breached with your project AND how to prevent it.

(7) Ethical Considerations

(a) Describe the ethical consideration for the project you have selected.

(b) Describe an ethical breach that could occur as a result of the project and how to prevent it.

(c) Discuss the Institutional Review Board process and what research category your project should be classified by Institutional Review Board.

(d) Attach CITI training certificate (1 point deduction if not attached)

(I have the CITI training certificate)

Hints regarding answering Questions 6 and 7

What are possible challenges related to Ethics and HIPAA issues you may encounter for this project? Think about what could happen if your best practices were implemented. How would you plan to address the possible challenges? You must include at least one ethical concern and at least one possible challenge related to HIPAA. How does IRB protect human subjects?

(8) Dissemination:

(a) Identify a conference that you think is appropriate for your clinical area.

(b) Describe the conference.

(d) Identify a journal that would be interested in your final manuscript and discuss why it is an appropriate venue.
(9) Conclusions:
(a) In 3 – 5 sentences summarize the paper

(b) Describe the next steps for this topic.

PLEASE NOTE!!!!!!!
APA/Grammar/Scholarship

(1) Paper is organized and logical progression of ideas.

(2) Page limit: 7 pages. Page length does not include the title page, reference list, or any Appendix.

(3) Communicates effectively all aspects of the discussion.

(4) Correct grammar, spelling, and word choice.

(5) Minimum of 16 current peer-reviewed references. References must be current, appropriately paraphrased, and acknowledged.

(6) Correct use of APA.

(7) Correct title page must be used for this assignment.

(8) The writer should follow the guidelines above for each section.

(9) The writer MUST USE HEADINGS. Remember that “Introduction” is not an APA heading.

(10) The writer should put doi number behind every article on the reference page.

The WRITER SHOULD CAREFULLY READ THE HINTS TO GUIDE HIM REGARDING ANSWERING ALL THE QUESTIONS CORRECTLY.

Paper over the page limit will not be accepted and will result in a 10% point deduction.
THE PAGE LIMIT IS 7 PAGES EXCLUDING THE TITLE PAGE, REFERENCE LIST, OR APPENDIX.

ALL QUESTIONS MUST BE ANSWERED CORRECTLY AND ADEQUATELY.

THE WRITER SHOULD USE A PLAGIARISM CHECKER FOR THIS PAPER.

THIS PAPER WILL BE SUBMITTED VIA TURNITIN. THEREFORE, PAPER MUST NOT BE PLAGIARIZED.

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