Week 2 response

Response to Tyler Smith
The biggest thing I have learned that will help me complete my DNP project is the ability to research and evaluate literature to find the best information possible for the project. “Doctor of nursing practice (DNP) projects are summative evaluations of enactment of the DNP Essentials” (VanderKooi et al., 2018). Prior to starting this project I had a very basic overview on data collection and ways to find the articles and literature I needed to complete a project. After each doctoral level class I have taken, I have gained new knowledge in this area that has only benefited me when it comes to this project.

“The CITI program is currently used by thousands of organizations worldwide to fulfill the federal requirement of training faculty, staff, and students involved in conducting human subjects research” (Hadden et al., 2018). The CITI training will help us understand the legal and ethical procedures of our project in terms of dealing with human subjects, even though the projects may be safe we are still dealing with people. Quality improvement is also an important aspect of the CITI training because “QI can represent a valuable opportunity for individuals to be involved in leading and delivering change, from improving individual patient care to transforming services across complex health and care systems” (Backhouse et al., 2020). This is exactly what we are aiming to do with our DNP projects.


Backhouse A, Ogunlayi F. Quality improvement into practice. BMJ. 2020 Mar 31;368:m865. doi: 10.1136/bmj.m865. PMID: 32234777; PMCID: PMC7190269.

Hadden KB, Prince L, James L, Holland J, Trudeau CR. Readability of Human Subjects Training Materials for Research. J Empir Res Hum Res Ethics. 2018 Feb;13(1):95-100. doi: 10.1177/1556264617742238. Epub 2017 Dec 15. PMID: 29243548; PMCID: PMC5768447.

VanderKooi ME, Conrad DM, Spoelstra SL. An Enhanced Actualized DNP Model to Improve DNP Project Placements, Rigor, and Completion. Nurs Educ Perspect. 2018 Sep/Oct;39(5):299-301. doi: 10.1097/01.NEP.0000000000000384. PMID: 30096113; PMCID: PMC6092087.

Dissertation Chapters

Please see the attached file for detailed instructions and incorporate the weekly resources. Also use APA 7th edition format. This assignment is due 9/2/23 at 11:59pm EST

The Prospectus and Dissertation

Please see the attached file and respond to the two peers I have included their week 1 discussion posts. Please respond using APA format and incorporating the weekly resources from this week’s lesson. Each response can be at least 1 full paragraph all on the same page if possible. This assignment is due by 9/1/23 at 11:59pm EST

The Prospectus and Dissertation

Please see the detailed instructions in the attached file. Incorporate some of the weekly resources and use APA format (7th ed). This assignment is due 8/30/23 by 11:59pm EST

week 2 responjce

Karissa Rodriguez
6:57amAug 28 at 6:57am
Challenges Associated with Patient Satisfaction

Patient satisfaction may differ by perceptions of the experience during their hospital stay or visit with their provider. Many facets contribute to patient satisfaction, such as provider-patient education, cost of care, quality of care, and efficiency of time management for testing (Karaca & Durna, 2019). A study by Karact and Durna (2019) found that patients felt that the quality of nursing care impacted their satisfaction rates compared to the information provided during their hospital stay. One way to monitor patient satisfaction is to perform surveys regarding their experience, take the results of these findings, and improve in the lowest areas of dissatisfaction. Management should relay this information to their staff and the providers. Challenges in improving patient perceptions may be staff compliance, including hospital staff and providers with areas lacking in satisfaction rates, low staffing ratios to provide proper care, and cooperation by providers to perform better communication about the plan of care (Karaca & Durna, 2019).

Collaborative Approach to Improve Patient Satisfaction

One way for leaders to improve patient satisfaction through collaborative approaches is to utilize results from patient satisfaction surveys and conduct mandatory monthly meetings with attending providers, unit managers, and case managers to address patients’ main concerns. The information discussed during meetings should be relayed to staff members who perform direct patient care to improve the quality of care. Changes in how an institution functions must occur to align with patient needs and organizational policies to improve outcomes and satisfaction rates. These meetings should include the use of better patient engagement. Implementing policies that enhance patient-provider engagement can improve service delivery and governance (Bombard et al., 2018). To enhance communication and align the organization’s functional and organizational levels, performing interprofessional team rounding with patient and patient-family involvement has been shown to improve patient satisfaction rates (Heip et al., 2022). Research demonstrates that having healthcare professionals with different disciplines involved in the patient’s care simultaneously at the patient’s bedside improves interprofessional communication and collaboration, care coordination, and shared decision-making between the patient, their support systems, and their providers (Heip et al., 2022). In short, patient satisfaction is a huge indicator that they will return to a particular institution if needed and directly reflects their quality of care. While everyone’s perceptions may differ, leaders can use these collaborative approaches to maximize satisfaction.


Bombard, Y., Baker, G.R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., Onate, K., Denis, J.L., & Pomey, MP. (2018). Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018 Jul 26;13(1):98. doi: 10.1186/s13012-018-0784-z. PMID: 30045735; PMCID: PMC6060529

Heip, T., Van Hecke, A., Malfait, S., Van Biesen, W., & Eeckloo, K. (2022). The effects of interdisciplinary bedside rounds on patient centeredness, quality of care, and team collaboration: A systematic review. J Patient Saf. 2022 Jan 1;18(1):e40-e44. doi: 10.1097/PTS.0000000000000695. PMID: 32398542; PMCID: PMC8719516.

Karaca, A. & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nurs Open. 2019 Jan 4;6(2):535-545. doi: 10.1002/nop2.237. PMID: 30918704; PMCID: PMC6419107

week 2 response

response to raymoda and karrissa

Raymonda Johnson
12:32pmAug 28 at 12:32pm

In 2013, the United States Department of Health and Human Services declared the misuse of prescription opioids an epidemic. In October 2017, President Trump declared the opioid epidemic a national public health emergency (Salmond & Allread, 2019). Since then, thousands of healthcare professionals and their organizations have been working long hours to combat the consequences of decisions made by their peers. It is no longer a secret that a group of U.S. physicians worked in cahoots to overprescribe opioid medications to cause addiction in millions of Americans. Just recently, the U.S. Department of Justice ordered a pain clinic to close down and pay civil penalties for the unlawful distribution of illegitimate prescriptions (United States Department of Justice, 2023). It is extremely concerning that this ‘for profit’ practice is still being utilized alongside the alleged care of innocent persons. In order to further combat this, there needs to be an increase in educational in-services that are provided to medical students and interns before engaging in patient-centered care (Bartholomew & Bute, 2023).


Bartholomew, J. B., & Bute, J. J. (2023). Exploring internal medicine interns’ educational experiences on opioid addiction: A narrative analysis. Health Communication, 38(1), 169–176. https://doi-org.ezproxylocal.library.nova.edu/10.1080/10410236.2021.1939232Links to an external site.

HIMSS. (2021, January 27). Atrium health improves care for opioid use disorder. https://www.himss.org/news/atrium-health-improves-care-opioid-use-disorderLinks to an external site.

Salmond, S., & Allread, V. (2019). A population health approach to America’s opioid epidemic. Orthopedic nursing, 38(2), 95–108. https://doi.org/10.1097/NOR.0000000000000521Links to an external site.

United States Department of Justice. (2023, July 7). Federal court orders Florida pain clinic to close, physician and clinic owners to pay civil penalties for alleged role in unlawful opioid distribution. https://www.justice.gov/opa/pr/federal-court-orders-florida-pain-clinic-close-physician-and-clinic-owners-pay-civilLinks to an external site.

Week 3: Discussion Board Posting

Define evidence-based practice (EBP).
Explain why EBP is so important for:
Healthcare systems

leading week 3

Week 3: Discussion Board Posting
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The four interrelated underpinnings of a highly reliable culture include empowerment, ecosystem, efficiency, and effectiveness. New and innovative ideas and strategies are needed to provide reliable health care and improve outcomes.

Discuss two (2) team building and/or coaching strategies a doctoral prepared nurse could implement to develop the four underpinnings of a reliable organization.

week 3 health

Reflect on a clinical quality improvement issue in actual or hypothetical practice. Access the National Quality Forum (NQF) website found in Modules/Week 3. Search this quality metric database with the Quality Position System (QPS) search tool for three quality measures: one process, one structure, and one outcome metric addressing this issue to improve patient safety or quality of care.

***If there are no measures found in the NQF database for the selected issue, then search the Web for additional sources e.g., measures endorsed by professional nursing/healthcare organizations, or addressed in research studies.

Identify the quality improvement issue of interest e.g., lowering readmission rates.
Create an APA 7th edition formatted table; include the following five columns:
Title of the metric, number of the metric, description of the metric, type of metric (process, structure, or outcome), and if endorsed by the NQF.
Cite sources utilized in the table.
Propose one current evidence-based practice improvement the Doctor of Nursing Practice (DNP) could utilize that has successfully addressed this identified quality improvement issue.