Syllabus

DNP Project I

1191-FIU01-NGR-7940C-SECRVE-15581

    General Information

    Professor Information

    Professor Photo
    Prof. Ellen L. Brown, EdD, MS, RN, FAAN
    Associate Professor
    (305) 348-1312
    MMC, ACH‐3 Room 226
    SKYPE appointment sign‐up (ellen.brown905), Tuesdays 4 pm - 8 pm
    Nicole Wertheim College of Nursing & Health Sciences

    Course Objectives

    Upon completion of the DNP Project I, the DNP student will be able to:

    1. Assess and analyze a current practice intervention, procedure, policy, setting or system specific to one of three focus areas (advanced clinical practice, clinical education, or systems administration) in the context of:
      1. Current and emerging scientific basis of knowledge.
      2. Organizational, financial, and system policies and practices.
      3. Research findings relevant to evidence‐based practices.
      4. Applicable information technology systems.
      5. Policy and leadership practices relevant to patient safety, clinical excellence, or models of health care delivery.
      6. Transdisciplinary team management of individual health care provision and complex clinical systems.
      7. Health promotion, prevention, and provision of individuals, aggregates, and systems.
      8. Cultural diversity and global perspectives in delivery of health care.
      9. An ethical and legal framework to guide practice and leadership.
      10. Advanced clinical practice of evidence‐based care.
    2. Formulate a project question or practice issue for which there is a need to improve practice and/or outcomes.
    3. Analyze the evidence from research, theory, and other sources pertinent to the proposed question or issue.
    4. Evaluate the evidence for its validity, predicted impact, and potential applicability to the proposed project question or practice issue.
    5. Synthesize findings from the review of literature, research, evidence data bases, practice standards and other applicable sources applicable to address the proposed project question or practice issue.
    6. Formulate a proposed project proposal inclusive of:
      • Problem/issue to be addressed
      • Significance/importance of problem to nursing practice
      • Purpose/goals of the project
      • Definition of terms
      • Summary of the literature/evidence related to the topic
      • Framework to guide project, if applicable (e.g., quality improvement model)
      • Description of approach to the project (e.g., how the project is to be implemented)
      • Protection of Human Subjects (if required)
      • Procedures for conducting the project
      • Participants in the project (e.g., nurses, patients)
      • Tools, instruments, other measures to collect data; reliability and validity as appropriate
      • Data management plan
      • Proposed data analysis plan
      • Proposed outcomes measures

    Course Information

    Placement: Senior Year, DNP Program
    Course Credits: 4 credits

    Course Description

    First of a 3-course series providing the DNP resident with an immersive residency experience and mentored guidance undertaking the development, implementation and evaluation of a scholastic project.

    Expanded Course Description

    This first of a three-course series, provides the DNP resident with an immersive residency experience and mentored opportunities to identify, develop, implement, evaluate and disseminate an independent, analytic scholarly project focusing on problems of practice within specific populations. Each course builds on the knowledge and practice expertise of the DNP resident, culminating in the completion of the scholastic project. The focus of this course is on the identification of a project interest and the development of a project proposal.

    Teaching Strategies

    This supervised immersion and integrative application of evidence-based practice experience is designed to provide the DNP resident with in-depth advanced practicum and facilitated opportunities to identify and develop a project proposal to implement, evaluate and disseminate an independent, analytic scholarly project within the domain of advanced doctoral nursing practice.

    DNP Project

    The DNP Project will build upon the knowledge and practice expertise of the DNP. The DNP Project will be facilitated by a DNP Project team of university based faculty and selected advanced practice expert clinician/mentors from the practice setting.

    The range of projects will be varied as they relate to the unique clinical practices of the DNP resident:

    • Translation of research into practice and evaluation of outcomes
    • Implementation and analysis of patient safety intervention
    • Quality improvement (care processes, continuity of care, patient outcomes)
    • Implement and evaluate evidence based practice guidelines
    • Analyze policy: develop, implement, evaluate, or revise policy
    • Design and use databases to retrieve information for decision making, planning, evaluation
    • Conduct financial analyses to compare care models and potential cost-benefit ratio
    • Design and evaluate new models of care
    • Design and evaluate health promotion and disease prevention programs
    • Application or integration of technology in care
    • Other project development, implementation and evaluation specific to one of three focus areas (advanced clinical practice, clinical education, or systems administration)

    Important Information

    Policies

    Please review the FIU's Policies webpage. The policies webpage contains essential information regarding guidelines relevant to all courses at FIU, as well as additional information about acceptable netiquette for online courses.

    Academic Integrity

    View our Code of Academic Integrity

    Academic Misconduct
    Florida International University is a community dedicated to generating and imparting knowledge through excellent teaching and research, the rigorous and respectful exchange of ideas, and community service. All students should respect the right of others to have an equitable opportunity to learn and honestly to demonstrate the quality of their learning. Therefore, all students are expected to adhere to a standard of academic conduct, which demonstrates respect for themselves, their fellow students, and the educational mission of Florida International University. All students are deemed by the University to understand that if they are found responsible for academic misconduct, they will be subject to the Academic Misconduct procedures and sanctions, as outlined in the Student Handbook. Students who plagiarize or cheat can be charged with academic misconduct. Penalties for academic misconduct can include up to dismissal from the University.

    Misconduct includes:

    Cheating: The unauthorized use of books, notes, aids, electronic sources; or assistance from another person with respect to examinations, course assignments, field service reports, class recitations; or the unauthorized possession of examination papers or course materials, whether originally authorized or not.

    Plagiarism: The use and appropriation of another's work without any indication of the source and the representation of such work as the student's own. Any student, who fails to give credit for ideas, expressions or materials taken from another source, including internet sources, is guilty of plagiarism.

    As a student taking this class:

    • I will not represent someone else’s work as my own.
    • I will not cheat, nor will I aid in another’s cheating.
    • I will be honest in my academic endeavors.
    • I understand that if I am found responsible for academic misconduct, I will be subject to the academic misconduct procedures and sanctions as outlined in the Student Handbook.
    • I promise to adhere to FIU’s Student Code of Academic Integrity.

    Failure to adhere to the guidelines stated above may result in one of the following:

    • Expulsion: Permanent separation of the student from the University, preventing readmission to the institution. This sanction shall be recorded on the student's transcript.
    • Suspension: Temporary separation of the student from the University for a specific period of time.

    Religious Holidays
    Religious holidays are an excused absence, but not beyond the day for the holiday itself. Students should make their requests known at the beginning of the semester and arrangements must be made with the faculty member for missed work.

    Religious Holy Days
    The University's policy on religious holy days as stated in the University Catalog and Student Handbook will be followed in this class. Any student may request to be excused from (on‐line) class to observe a religious holy day of his or her faith.

    Students with Disabilities
    If you have a disability and need assistance, please contact the Disability Resource Center (University Park: GC190; 305‐3483532) (North Campus: WUC139, 305‐919‐5345). Upon contact, the Disability Resource Center will review your request and contact your professors or other personnel to make arrangements for appropriate modification and/or assistance.

    Sexual Harassment
    Sexual harassment is defined as any unwelcome sexual advances, requests for sexual favors or other verbal or physical conduct of a sexual nature.

    Technical Requirements & Skills

    One of the greatest barriers to taking an online course is a lack of basic computer literacy. By computer literacy we mean being able to manage and organize computer files efficiently, and learning to use your computer's operating system and software quickly and easily. Keep in mind that this is not a computer literacy course; but students enrolled in online courses are expected to have moderate proficiency using a computer. Please go to the "What's Required" webpage to find out more information on this subject.

    This course utilizes the following tools:

    Please visit our Technical Requirements webpage for additional information.

    Accessibility And Accommodation

    Please visit our ADA Compliance webpage for information about accessibility involving the tools used in this course.

    For additional assistance please contact FIU's Disability Resource Center.

    Panthers Care & Counseling and Psychological Services (CAPS)

    If you are looking for help for yourself or a fellow classmate, Panthers Care encourages you to express any concerns you may come across as it relates to any personal behavior concerns or worries you have, for the classmate’s well-being or yours; you are encouraged to share your concerns with FIU’s Panthers Care website.

    Counseling and Psychological Services (CAPS) offers free and confidential help for anxiety, depression, stress, and other concerns that life brings. Professional counselors are available for same-day appointments. Don’t wait to call 305-348-2277 to set up a time to talk or visit the online self-help portal.

    Academic Misconduct Statement

    Florida International University is a community dedicated to generating and imparting knowledge through excellent teaching and research, the rigorous and respectful exchange of ideas and community service. All students should respect the right of others to have an equitable opportunity to learn and honestly to demonstrate the quality of their learning. Therefore, all students are expected to adhere to a standard of academic conduct, which demonstrates respect for themselves, their fellow students, and the educational mission of the University. All students are deemed by the University to understand that if they are found responsible for academic misconduct, they will be subject to the Academic Misconduct procedures and sanctions, as outlined in the Student Handbook.

    Academic Misconduct includes: Cheating – The unauthorized use of books, notes, aids, electronic sources; or assistance from another person with respect to examinations, course assignments, field service reports, class recitations; or the unauthorized possession of examination papers or course materials, whether originally authorized or not. Plagiarism – The use and appropriation of another’s work without any indication of the source and the representation of such work as the student’s own. Any student who fails to give credit for ideas, expressions or materials taken from another source, including internet sources, is responsible for plagiarism.

    Learn more about the academic integrity policies and procedures as well as student resources that can help you prepare for a successful semester.

    Required Textbooks

    Textbook Image
    Comprehensive Systematic Review for Advanced Nursing Practice, 2nd Edition
    Cheryl Holly, Susan Warner Salmond, Marie K. Saimbert
    Springer Publishing Company, 2nd Edition
    ISBN-10: 0826131859
    ISBN-13: 978-0826131850
    You may purchase your textbook online at the FIU Bookstore.

    Call Number: RT82.8 .H64 2012 (GL General)

    Required Readings: Chapters 1-10:

    1. Systematic Review as the Basis for EBP
    2. Steps in the Systematic Review Process
    3. Planning and Organizing a Systematic Review
    4. Developing Clinical Questions for Systematic Reviews
    5. Key Principles for Search Literature
    6. Resources and Techniques to Maximize Search Efforts
    7. Critical Appraisals
    Textbook Image
    Publication Manual of the American Psychological Association
    American Psychological Association
    Washington, D.C.: American Psychological Association (APA), 6th Edition, 2010
    ISBN-10: 1433805626
    ISBN-13: 9781433805615
    You may purchase your textbook online at the FIU Bookstore.
    Textbook Image
    The Doctor of Nursing Practice Scholarly Project: A Framework for Success
    Katherine J. Moran, Dianne Conrad, Rosanne Burson
    2nd Edition
    ISBN-10 1284079686
    ISBN-13 978-1284079685
    You may purchase your textbook online at the FIU Bookstore.

    Required: Read Chapters 1-10 by September 20, 2017.

    Please also be prepared to complete content displayed Appendix E: DNP Project Charter in collaboration with your DNP Project Team.  

    Expectations Of This Course

    This is an online course, which means most (if not all) of the course work will be conducted online. Expectations for performance in an online course are the same for a traditional course. In fact, online courses require a degree of self-motivation, self-discipline, and technology skills which can make these courses more demanding for some students.

    Students are expected to:

    • Review the how to get started information located in the course content
    • View the Academic Misconduct Policy and accept the policy conditions. The link for the policy can be found on the main Course Content page below the welcome message.
    • Introduce yourself to the class during the first week by posting a self introduction in the appropriate discussion forum
    • Interact online with instructor/s and peers
    • Review and follow the course calendar
    • Submit assignments by the corresponding deadline

    Residency Immersion Experience

    Students, under faculty guidance and with faculty help, will choose a clinical preceptor who is ideally a nursing leader in an academic setting, public or private health care setting, political office or who functions as a professional lobbyist. Students will spend a minimum of 160 hours in this DNP residency immersion experience over the duration of the course. The purpose of this activity is not to "shadow" or observe the preceptor, but to actively participate in activities negotiated between the student and preceptor/mentor that help the student learn and participate in the leader’s role in the system. A wide range of activities are acceptable with a focus on building experiences to eventually implement an evidenced based DNP project. Developing course objectives, conducting a guest lecture(s) or a class for nursing students, drafting documents or policies, attending faculty or national meetings, committee meetings, legislative sessions, assisting with budget projections, staffing ratios and scheduling, assisting with workload assignments, strategic planning, and, developing or implementing evaluation plans of any kind.

    The DNP clinical preceptor will serve as the primary clinical content and clinical institution resource contact for the student. They will work in close consultation with the FIU course faculty and student to support the development and implementation of the DNP project.

    Evaluation of potential clinical site(s)/preceptor MUST follow the following process:

    1. We (FIU NWCNHS) MUST have an affiliation agreement in place with the potential clinical site before you can attend that site
    2. You must fully fill out the DNP Preceptor information form and return it to Dr. Vanessa Gordon, Clinical Placement Coordinator @  gordonv@fiu.edu
    3. You must also submit a copy of your preceptors CV/resume, and copy of current professional license and national certification (if applicable) to Dr. Vanessa Gordon
    4. Copy your clinical faculty in all communication with Clinical Placement Coordinator, Dr. Vanessa Gordon.
    5. DO NOT START clinical rotation until approval is received via email by Clinical Education Department.

    Upon initial contact with the identified/approved clinical site, the specific distribution and timing of clinical hours are to be arranged with the clinical preceptor. A Clinical Goal Form and Goal Statement and Action Plan Form with objectives, proposed goals, and the names and signatures of the student and preceptor with agreed “preceptorship timeline” must be submitted to Dr. Brown by February 1, 2019.

    DNP Electronic Portfolio

    The DNP Portfolio is initiated in the first DNP residency course and is maintained throughout the residency curriculum. DNP Portfolio is intended to reflect measures of outcome attainment for the DNP Program: The competencies addressed in the Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006).  It is crucial that the student become familiar with these outcomes in order to demonstrate DNP competency.

    The portfolio at the end of the Spring 2019 semester is to include:

    • DNP Essentials Table
    • DNP Residency 1 Timesheet
    • DNP 1 End-product (Deliverable 2)

    Residency Experience

    The DNP residency experience will be evaluated through Resident Immersion Log, faculty observation, preceptor reports, identification and progression toward independent learning objectives, residency team conference and DNP Residency Practice Evaluation.

    The DNP resident, in concert with DNP project team, will develop a set of professional experience objectives to be achieved during this residency period specific to their focus concentration area: advanced clinical practice, clinical education, or systems administration. The DNP resident will maintain a DNP Residency Log of the date, times, location, and professional experiences during the course. The DNP resident will complete a bi-weekly journal log of professional experiences, reflection, and progression during the residence course. The DNP resident is responsible for arranging a pre-course, mid-course, and post-course residency team conference with their assigned faculty and preceptor. The DNP resident is responsible for completing a pre-course, mid-course, and post-course DNP Residency Self-Evaluation.

    Formative and summative residency evaluation will be based on progression and achievement of individual, course, and program objectives using the DNP Residency Evaluation Form. A rating of Satisfactory represents satisfactory performance and progression and a rating of Unsatisfactory represents unsatisfactory performance and/or progression. The DNP resident must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a “Passing” grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of “Not Passing.

    To complete the practicum/residency objectives of this course successfully, the DNP resident is expected to engage in a minimum of 160 hours of advanced doctoral nursing practice specific to their focus concentration area: advanced clinical practice, clinical education, or systems administration. To The DNP resident is responsible for tracking hours via the time card and submitting completed time card with signatures of verification. 

    FIU Library Support

    The FIU library provides a number of services to distance learning students. For example:

    • Students can request a chat session in Canvas for an explanation on how to access library resources.
    • Students can request detailed instructions on how to access library resources.
    • One‐on‐One assistance from the Distance Learning Librarian.

    Don't struggle through your library research alone! Help is available. For further information, contact Sarah Hammill, Distance Learning Librarian, via email at hammills@fiu.edu or call 305‐919‐5604.

    You can visit the FIU Library at: http://library.fiu.edu/.

    Course Detail

    Course Policies

    It is the student’s responsibility to participate by signing‐on frequently (at least weekly) to the Canvas messages system and be aware of information presented. Failure to sign‐on and review the course messages and content may result in missed important information and changes in course assignments/requirements. Because of unforeseen situations that may occur (i.e., a hurricane) course assignments/requirements may be changed by the professor at any time with appropriate notice given to students.

    Use staff at FIU Online to answer questions and issues related to hardware and software. The FIU Online staff is available days, evenings and weekends. See FIU Online home page for available hours. The staff can assist you in creating files in Word, uploading files, etc. Questions and issues related to course content should be directed to the professor.

    All papers must be created in a Microsoft Word document. If you do not have Word or have an "older" version of Word, students can download a free version of Microsoft Office (which contains Word) from FIU. FIU Online staff can assist you with that process.

    This course contains readings, assignments, deliverables, and FIU DNP Project form completion. Develop your own schedule for working on class assignments, but be aware of due dates. Do not wait until the last 30 minutes to upload your assignments. This is a HARD deadline. Please I suggest you upload your first assignment at least 24 hours before the deadline in case you have uploading questions for FIU Online staff. All written assignments must be turned in on or before the deadline. Illness the day it is due or computer failures are insufficient reasons to not have the assignment completed on the assigned date.  Students should regularly create backup files.

    Course Communication

    Communication in this course will take place via Skype, Messages and/or Email.

    Visit our Writing Resources webpage for more information on professional writing and technical communication skills.

    Discussion Forums

    Keep in mind that your discussion forum postings will likely be seen by other members of the course. Care should be taken when determining what to post.

    Assessments

    In order to mitigate any issues with your computer and online assessments, it is very important that you take the "Practice Quiz" from each computer you will be using to take your graded quizzes and exams. It is your responsibility to make sure your computer meets the minimum hardware requirements.

    Assessments in this course are not compatible with mobile devices and should not be taken through a mobile phone or a tablet. If you need further assistance please contact FIU Online Support Services.

    DNP Project

    The supervised immersion experience is designed to provide an in-depth advanced project development, implementation and evaluation opportunity which will build upon the knowledge and practice expertise of the DNP. The DNP Project will be facilitated by course faculty, university based faculty and selected advanced practice expert clinical preceptor from the practice setting. The range of project topics will be varied as they relate to the unique clinical practices of the DNP resident. Most projects will not include primary data collection. The DNP Project will be primarily focused on the agreed upon desired outcomes, objectives, and deliverables (DNP Project Charter) of the DNP Project Team and a systematic, reproducible search of the literature. The theme that links these forms of scholarly experiences is the use of evidence to improve either practice or patient outcomes. NGR 7940C is focused on the development and conceptualization of the DNP project in collaboration with course faculty, university based faculty and selected advanced practice clinical preceptor from the practice setting.

    The skills needed to conduct systematic reviewing are an essential step in providing and promoting evidence based nursing care. The doctoral education, whether practice or research, is distinguished by the completion of a specific project that demonstrates synthesis of the student’s work and lays the groundwork for future scholarship. For practice doctorates, requiring a dissertation or other original research is contrary to the intent of the DNP. The DNP primarily involves mastery of an advanced specialty within nursing practice. Therefore, other methods must be used to distinguish the achievement of that mastery.

    Unlike a dissertation, the work may take a number of forms. One example of DNP final product could include manuscripts submitted for publication, systematic review, professional meeting submission, practice topic dissemination, substantive involvement in a larger endeavor, or other practice project. The final DNP project produces a tangible and deliverable academic product that is derived from the practice immersion experience and is reviewed and evaluated by an academic committee. The final DNP product documents outcomes of the student’s educational experiences, provides a measurable medium for evaluating the immersion experience, and summarizes the student’s growth in knowledge and expertise.
    *Retrieved from http://aacn.nche.edu

    Each DNP student is responsible for initiating the development of a DNP project. Students will work primarily with the course faculty (Dr. Brown), FIU NWCNHS faculty, clinical preceptor (i.e, practitioners or clinicians who have required expertise and are affiliated with clinical institutions where they are performing their residency). Course faculty (Dr. Brown) in collaboration with NWCNHS faculty members (with relevant clinical expertise) will work with the DNP student to develop a PICO clinical question, problem statement. Course faculty (Dr. Brown) will serve as the student’s primary advisor and guide them through the process of developing a proposal for their DNP project as well as the implementation and final presentation of their project. Course faculty will have final authority on the content and organization of the students DNP project proposal, implementation procedures, and final presentation.

    Additionally, by February 1, 2019 complete the DNP Project Approval Form and submit to both Dr. Brown and Dr. Yhovana Gordon, Department Chair.

    DNP Student Responsibilities For The Project

    For this course, the DNP student- resident is responsible for:

    1. Course Orientation
      • DNP Project Orientation will take place January 16, 2019 from 9 AM- 12 noon in AHC3 Room 101 (lunch on your own) then move to Green Library 1pm - 4 pm (room GL 280 ) for “Introduction to the Mechanics of a Systematic Review “ with Barbara Sorondo,MS, MLIS, Health Sciences Librarian
    2. DNP Project

      Please develop the DNP Project Charter with the Project Team (Dr. Brown, Immersion Clinical Faculty, and others). The DNP Project Charter must include all components as displayed Appendix E. textbook "The Doctor of Nursing Practice Scholarly Project ". DNP Project Charter includes the desired outcomes, objectives, project deliverables, and a DNP Project Timeline covering all 3 courses in the DNP Project Series. It is anticipated that activities such as an organizational assessment, quality improvement planning, and development of materials/ training to implement the desired change will be developed in subsequent courses (NGR 7941, NGR 7942). As DNP Projects take various forms the  “tasks that must be achieved to meet the objectives/ complete the project” will vary and will be developed by the DNP Project Team ( Moran, Bursin, & Conrad, 2017, pg 322)

      Deadline January 30, 2019

      To complete the objectives of the three course series successfully, the DNP resident is expected to implement, evaluate and submit all required Project deliverables and complete required readings, please see below. Formative and summative residency evaluation will be based on timely resident submission of project deliverables per the course schedule, and progression and achievement of individual, course, and program objectives using the DNP Project Progression Evaluation. A rating of Satisfactory represents satisfactory performance and progression and a rating of Unsatisfactory represents unsatisfactory performance and/or progression. The DNP resident must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a “Passing” grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of “Not Passing.

    3. RESIDENT HOURS
      As described above, the DNP resident, in concert with Lead faculty and project team, will develop a set of professional experience objectives to be achieved during the project period specific to their focus concentration area. The DNP resident will be responsible for timely resident submission of project deliverables per the course schedule. The DNP resident is responsible for arranging a mid-course, and post-course residency team conference with their Lead faculty and project team. The DNP resident is responsible for tracking hours via the time card and submitting completed time card with signatures of verification.
       

    All to be completed by April 24, 2019

     

    DELIVERABLES:

    It is expected deliverables will require use of multiple resources, librarian consultation, potentially statistical consultation, clinical expertise, and discussions with faculty.  All deliverables will receive a Pass or Fail grade. Please use American Psychological Association (APA) style and citation format on all deliverables. Deliverables not conforming to APA format, or include awkward wording, poor grammar, and misspelled works will be returned for revision.  Failed assignments will be returned with comments. All 4 assignments must receive a “Pass” grade to “pass” NGR 7940C.

    Deliverable 1:
    The DNP Project courses are organized by deliverables corresponding to the John Hopkins Evidence-Based Practice (EBP) process. The first steps include identifying a problem and developing a specific clinical question using the PICO format: Population/Intervention/Comparison (or non comparison)/Outcome. In order to identify a problem and PICO clinical question conduct a preliminary search for related evidence. Deliverable 1 has three components:

    1. Please provide a preliminary PICO clinical question
    2. Search the literature for existing systematic reviews and evidence based guidelines: Explain what was found? Describe how you searched the literature
    3. Please describe in 2000 words or less a rationale for the systematic review in the context of what is already known

    (Deadline February 1, 2019)

    Deliverable 2:
    Statement of Problem (please see below bullets to be addressed for deliverable). The below “Statement of the Problem” was modified from the 2014 American Journal of Occupational Therapy (AJOT) Preferred Reporting Items for  systematic Reviews and Meta-Analyses (PRISMA) guideline (see course resources). (Deadline February 27, 2019). Review the detailed Turnitin Instructions on how to submit your assignments and how to review the Grademark comments (feedback) from your professor.

    Statement of Problem (formulation of the topic for the systematic review):

    • What is the problem addressed by the focused question/topic?
    • Provide statistics in defining the magnitude of the problem. Who does the problem impact? Is there a health disparity?
    • What significance does addressing this problem have for the following items (address areas as appropriate):

      Health care delivery, quality improvement, health policy, clinical and community-based practice of nursing
      The education and training of nursing students
      Refinement, revision, or advancement of knowledge, theory, or research
      Program development
      Societal needs 
      Coverage of payment for nursing services at local, state, and national levels
       
    • What is currently known about the problem, and what is not yet known?
    • Provide relevant definitions and descriptions of the intervention (or other studies) and approach, as needed. 
    • Discuss how a systematic review and development of an EBG will assist in the resolution of the problem addressed.
    • Please provide an explicit statement of question(s) being addressed with reference to participants, interventions, comparisons, and outcomes (PICO).

    Deliverable 3:
    Search Strategy Formulation
    (4 parts)

    1. Please work with FIU Librarian and save search strategy used and submit. Please identify topics, terminology, inclusion criteria, key words, and where you searched?
    2. Describe the process for selecting studies (i.e., screening, eligibility, inclusion in the systematic review).
    3. Please provide three examples of studies excluded and rationale.
    4. Please provide the number of documents identified, screened and assessed for eligibility, and reasons for exclusion using a flow diagram (see PRISMA template). The PRISMA Diagram Generator may be helpful.

    (Deadline March 9, 2018)

    Deliverable 4:
    To complete Deliverable 4, you must first complete the literature search based on the systematic review eligibility criteria (defined by the PICO clinical question elements). Please for Deliverable 4 create 3 folders using RefWorks. The folders are to include all of the abstracts/titles identified through your literature search and are to be screened according to the eligibility criteria and should organized within 3 Electronic Folders.ics Folders.

    Please for articles categorized into Folder 2 or Folder 3 the full article is to be attached.

    The 3 Ref-Work Folders to be created are to include study abstracts:

    • Folder 1. Irrelevant to the PICO elements that form the clinical question. These study abstracts are clearly not relevant. Please note: study articles that fail to meet a methodologic threshold or bias may later be excluded from the review. All exclusions will require documentation.
    • Folder 2. Relevant to the PICO elements that form the clinical question (attach full article) and selected according to eligibility criteria.
    • Folder 3. Potential background article used for systematic review introduction and background, for example epidemiology or policy articles (attach full article).

    There will be 3 dropboxes for Deliverable 4, one dropbox for each folder’s contents. You will need to create a bibliography, with abstracts, for each folder. Select the citation style “APA 6th – Annotated with Abstracts – American Psychological Association, 6th Edition.” Copy/paste the bibliographies into a Word file and submit each file in Canvas.

    RefWorks does not include the full text of journal articles by default. You will need to obtain the full text of the articles separately and attach them to each citation. You can obtain the full text from the databases (click the Find It @ FIU icon) or by using the FIU Libraries’ CitationLink tool. (Note: FIU does not yet have a 360 link in RefWorks. You will need to save the articles from the databases or using Citation Linker, as noted above, and select the files from your computer.) These articles do not need to be submitted with Deliverable 4 but need to be accessible from your RefWorks folders. (Deadline March 22, 2019)

    Deliverable 5:
    Evaluate Quality of Resources Table analysis of individual study information (source information, participant characteristics, research methods, and outcomes) to be included in the systematic review. It is strongly encouraged each study be read and reread (highlight key components) and then appraised. “Strong studies should be given more weight than weaker ones in coming to conclusions about a body of evidence” (Polit & Beck, 2012, pg. 658). There is no consensus on the best approach to assess an individual study for a systematic review, but see in Polit and Beck (2012) an approach to appraise an individual study. At a minimum appraisal of the study design for biases and threats to internal validity; adequate and appropriate sample selection; measurement of variables yielding data that is reliable and valid. Please discuss with your primary DNP faculty your approach to study appraisal, there are various tools available (see course content).

    A table should be developed to organize individual study characteristics with columns (for example: author, study type/objective, quality rating score, sampling/setting, intervention/intervention fidelity, relevance to review/key findings).  Tables will vary based on the focus of the systematic review. A systematic review can include meta-analysis but this is not a requirement. Due date for this deliverable April 24, 2019. Review the detailed Turnitin Instructions on how to submit your assignments and how to review the Grademark comments (feedback) from your professor.

    Evaluation

    Student evaluations will be based on timely submission of project deliverables per the course schedule, and progression and achievement of individual, course, and program objectives using the DNP Project Progression Evaluation. The DNP student must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a “Passing” grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of “Not Passing”.

    To complete the objectives of this course successfully, the DNP student is expected to propose a DNP Project commensurate with advanced doctoral nursing practice specific to their focus concentration area: advanced clinical practice, clinical education, or systems administration and complete all assignments and deliverables. To complete the objectives of the three course series successfully, the DNP resident is expected to implement, evaluate and submit a doctoral thesis of the Project completed in conjunction with the advanced doctoral nursing practice residency. The DNP residency experience will be evaluated through resident log and journal of experience, faculty observation, preceptor reports, identification and progression toward independent learning objectives, residency team conference and DNP Residency Practice Evaluation. Formative and summative residency evaluation will be based on progression and achievement of individual, course, and program objectives using the DNP Residency Evaluation Form. A rating of Satisfactory represents satisfactory performance and progression and a rating of Unsatisfactory represents unsatisfactory performance and/or progression. The DNP resident must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a “Passing” grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of “Not Passing. To complete the objectives of this course successfully, the DNP resident is expected to engage in a minimum of 160 hours of advanced doctoral nursing practice specific to their focus concentration area. To complete the objectives of the three course series successfully, the DNP resident is expected to engage in a minimum of 480 hours of advanced doctoral nursing practice residency across the three courses DNP Project I, II, III.

    Grading Scale

    Passing – Overall Satisfactory performance rating

    Not Passing – Overall Unsatisfactory performance rating