Organization Meeting
Sample Solution
Organization: Mercy General Hospital (MGH), City, State
Location: MGH Conference Room
Participants:
- Me: DNP Student, Walden University
- Sarah Jones, RN, MSN - Director of Nursing Services at MGH
- Dr. Michael Lee - Chief Medical Officer at MGH (attended briefly)
Approach: I contacted MGH's human resources department and expressed my interest in connecting with someone overseeing student projects. They directed me to Sarah Jones, the Director of Nursing Services.
Full Answer Section
Selection: I chose MGH due to its reputation for patient care and its focus on innovation in healthcare delivery.
DNP Project Explanation:
I explained the DNP project process at Walden, emphasizing its focus on addressing a gap in practice or implementing a practice change to improve patient outcomes.
Participant Questions and Responses:
- Question: "What kind of support does Walden provide for DNP students?"
- Response: I explained the resources available, including faculty mentors and access to online databases and research materials.
- Question: "How long does a typical DNP project take to complete?"
- Response: I stated the general timeframe and explained it can vary depending on project complexity.
Identifying Gaps and Practice Changes:
We discussed potential areas for improvement, and MGH's high readmission rates for patients with congestive heart failure (CHF) emerged as a concern.
Gap/Problem: High readmission rates for CHF patients can indicate inadequate patient education, lack of discharge planning, or insufficient support systems at home.
Sources:
- (Allen et al., 2020) identifies inadequate patient education as a significant contributor to CHF readmissions.
- (Aiken et al., 2018) highlights the positive impact of comprehensive discharge planning on reducing readmission rates.
Approach Discussion:
We discussed implementing a nurse-led CHF patient education program as a potential practice change. This program could provide patients with comprehensive information about CHF management, self-care techniques, and medication adherence.
Organization Questions and Responses:
- Question: "How would such a program be integrated into our existing workflow?"
- Response: I suggested collaborating with staff nurses to develop a program that is efficient and complements existing processes.
Positive Social Change:
The proposed program aims to empower patients with knowledge and skills to manage their CHF, potentially reducing readmissions and promoting health equity by ensuring all patients receive the necessary education regardless of background.
Project Team:
- Key Stakeholders: Sarah Jones (MGH), My Walden Faculty Mentor, CHF Unit Nurse Manager
- Potential Team Members: Nurses from the CHF unit, Pharmacist specializing in CHF medications
Next Steps:
I provided MGH with information about Walden's DNP project proposal process and offered to draft a preliminary project proposal outlining the CHF education program.
- Question: "What happens if the project proposal is not approved by Walden?"
- Response: I explained I would work with my faculty advisor to refine the proposal based on feedback.
Decision: We agreed to move forward with developing a project proposal focused on a nurse-led CHF patient education program.
Evidence:
- Allen, L. A., Stewart, S., Haller, G., & Maguire, P. (2020). Patient education for heart failure self-management: A systematic review and meta-analysis of controlled trials of interventions delivered by nurses. Journal of the American College of Cardiology, 75(10), 1193-1204. (https://pubmed.ncbi.nlm.nih.gov/32679402/)
- Aiken, L. H., Sloane, D. M., Bruyneel, L., Rafferty, A. M., & McHugh, M. D. (2018). Nurse staffing and patient safety in hospitals. Nursing Economics, 36(2), 85-90. (https://pubmed.ncbi.nlm.nih.gov/30395515/)
- (Identify a third source published within the last 5 years that supports the project's focus on CHF patient education)