Individual Success Plan (ISP)
2
Less than
Satisfactory
74.00%
1
Unsatisfactory
0.00%
100.0 %Content
30.0
Description of
Description of
%Deliverables specific deliverables specific deliverables
to be completed in to be completed in
the course is not
the course is
included.
incomplete or
incorrect.
30.0
%Remaining
Deliverables
Description of
remaining
deliverables to
complete is not
included.
3
Satisfactory
79.00%
Description of
specific
deliverables to be
completed in the
course is included
but lacks sufficient
detail.
Description of
remaining
deliverables to
complete is
incomplete or
incorrect.
Description of
remaining
deliverables is
included but lacks
sufficient detail.
N/A
N/A
15.0
%Objectives
A list of objectives is N/A
not included.
N/A
5.0 %Mechanics
of Writing
(includes
spelling,
punctuation,
grammar,
language use)
Surface errors are
pervasive enough
that they impede
communication of
meaning.
Inappropriate word
choice or sentence
construction is
used.
Frequent and
Some mechanical
repetitive mechanical errors or typos are
errors distract the
present, but they
reader.
are not overly
Inconsistencies in
distracting to the
language choice
reader. Correct
(register) or word
and varied
choice are present. sentence structure
Sentence structure is and audiencecorrect but not varied. appropriate
language are
employed.
5.0 %Paper
Template is not
Format (use of used appropriately
appropriate style or documentation
for the major
format is rarely
and assignment) followed correctly.
Appropriate template Appropriate
is used, but some
template is used.
elements are missing Formatting is
or mistaken. A lack of correct, although
control with
some minor errors
formatting is
may be present.
apparent.
15.0 %Domains A list of domains
and
and competencies
Competencies used are not
included.
100 %Total
Weightage
4
Good
87.00%
5
Excellent
100.00%
Description of
Description of
specific
specific
deliverables to be deliverables to be
completed in the completed in the
course is
course is
complete and
extremely
includes
thorough and
sufficient detail. includes sufficient
detail.
Description of
Description of
remaining
remaining
deliverables to deliverables to
complete is
complete is
complete and
extremely
includes
thorough and
sufficient detail. included sufficient
detail.
N/A
A list of domains
and
competencies
used are
complete.
N/A
A list of
objectives is
included.
Prose is largely Writer is clearly in
free of
command of
mechanical
standard, written,
errors, although a academic
few may be
English.
present. The
writer uses a
variety of
effective
sentence
structures and
figures of
speech.
Appropriate
All format
template is fully elements are
used. There are correct.
virtually no errors
in formatting
style.
The 10 Strategic Points for the Prospectus, Proposal, and
Direct Practice Improvement Project
Introduction
In the Prospectus, Proposal, and Direct Practice Improvement Project there are 10 key or
strategic points that need to be clear, simple, correct, and aligned to ensure the project is
doable, valuable, and credible. These points, which provide a guide or vision for the project,
are present in almost any research. They are defined within "The 10 Strategic Points for the
Prospectus, Proposal, and Direct Practice Improvement Project" (10 Strategic Points) document.
The ten strategic points are developed in table format.
The 10 Strategic Points
The 10 strategic points emerge from researching literature on a topic that is based on, or aligned
with, the defined need in the literature as well as the learner’s personal passion, future career
purpose, and degree area. The 10 Strategic Points document includes the following 10 key or
strategic points that define the project focus and approach:
1. Topic (10%) – Provides a broad project topic area/title.
2. Literature Review (15%) - Lists primary points for four sections in the Literature
Review:
a. Background of the problem/gap and the need for the project based on citations
from the literature.
b. Theoretical foundations (models and theories to be foundation for project).
c. Review of literature topics with key theme for each one.
d. Summary.
3. Problem Statement (10%) – Describes the problem to address through the project based
on defined needs or gaps in practice from the literature.
4. Sample and Location (10%) – Identifies sample, needed sample size, and location.
5. Clinical/PICOT Questions (10%) – Provides clinical/PICOT questions to collect data to
address the problem statement.
6. Variables (5%) – Identifies and describes independent and dependent variables.
7. Methodology and Design (10%) - Describes the selected methodology and specific
project design to address problem statement and clinical questions
8. Purpose Statement (10%) – Provides one sentence statement of purpose including the
problem statement, methodology, design, population sample, and location.
9. Data Collection (10%) – Describes primary instruments to answer clinical questions.
© 2017. Grand Canyon University. All Rights Reserved.
10. Data Analysis (10%) – Describes the specific data analysis approaches to be used to
address clinical/PICOT questions.
The Process for Defining the 10 Strategic Points
The order of the 10 strategic points listed above reflects the order in which the learner completes
the work product. The first five strategic points focus primarily on defining the focus for the
project based on a clearly defined need or gap from the literature as well as the learner’s passion,
purpose, and specialty area focus. First, learners identify a broad topic area to investigate for
their Direct Practice Improvement (DPI) Project based on a clearly defined need or gap from the
literature or practice problem, and one in which they are interested based on personal passion,
future career purpose, and degree being pursued. Second, learners complete a review of the
literature to define the need or gap to be addressed, the theories and models that will provide a
foundation for the project, related topics that are needed to demonstrate the learner's expertise in
the field, and to define the key strategic points behind the learner's proposed research. Third, the
learners develop a clear, simple, one-sentence problem statement that defines the problem or gap
that will be addressed by the DPI project. Fourth, learners identify potential population samples
for which they would have access in order to collect the data for the project, considering the fact
the quantitative study sample sizes need to be much larger than those for qualitative studies.
Fifth, learners develop the clinical/PICOT question(s) that will define the data needed to address
the problem statement.
Based on the first five strategic points above, learners next define the key aspects of the project
methodology through the last five strategic points. The sixth point describes the independent and
dependent variables. Seventh, learners determine if the project will be a qualitative, quantitative
or mixed methodology. Due to the nature of the DPI project requirements, most projects will be
utilizing a quantitative method because learners are not creating new research in a qualitative
study. Qualitative projects often do not facilitate the intervention needed to demonstrate direct
practice improvement. Please note that if you choose a qualitative project, you are still
responsible for ensuring practice improvement is demonstrated through your work. Additionally,
learners must be able to perform both qualitative and quantitative data analysis. A qualitative
project with numbers or descriptive statistics does not mean it is mixed method study.
Qualitative data can be displayed using tables, charts, graphs and descriptive statistics. Following
are samples for a quantitative project and a qualitative project. A mixed method project, which
includes quantitative and qualitative methods, takes much more time and many more resources to
complete and is not recommended unless learners have a significant amount of extra time and
resources to complete it.
2
For the eighth strategic point, learners develop a purpose statement by integrating the problem
statement, methodology, design, sample, and location. Ninth, learners identify the data they will
need to collect to address the clinical questions or hypotheses and how they will collect the data
(e.g., interviews, focus groups, observations, tested and validated instruments or surveys,
databases, public media, etc.). Tenth and last, learners identify the appropriate data analysis,
based on their project design, which will be used to answer the clinical questions and address the
problem statement.
Criteria for Evaluating the 10 Strategic Points: Clear, Simple, Correct, and
Aligned
When developing a project, it is important to define the 10 strategic points so they are simple,
clear, and correct in order to ensure that anyone who reviews them will easily understand them.
It is important to align all of the 10 strategic points to ensure it will be possible to conduct and
complete the project. The problem statement must come out of the literature or practice problem.
The clinical questions must collect the data needed to answer the problem statement. The
methodology and design must be appropriate for the problem statement and PICOT questions.
The data collection and data analysis must provide the information to answer the PICOT
questions.
Developing the 10 Strategic Points document as a two- or three-page document can help ensure
clarity, simplicity, correctness, and alignment of each of these 10 key or strategic points in the
prospectus, proposal, and Direct Practice Improvement Project. Developing these 10 strategic
points in this format also provides an easy-to-use use template to ensure the 10 strategic points
will always be worded the same throughout the prospectus, proposal, and Direct Practice
Improvement Project.
Value of the 10 Strategic Points Document
The 10 Strategic Points document can be used for communicating and aligning key stakeholders
for the Direct Practice Improvement Project. This document can be used to obtain agreement
between the learner and the chair regarding the initial focus and approach for the project. The
document can be used to review the proposed project with the people or organizations from
whom learners need to gain permission to conduct their research, a critical step required before
learners can develop their proposal. The document also proves useful for communicating the
Direct Practice Improvement Project focus when attracting a Content Expert, as well as for
reviewing the proposal with the Direct Practice Improvement Project committee and the AQR
3
reviewers. Learners may choose to consult methodologists, statisticians, and editors in the
process of developing the final manuscript.
Examples of the 10 Strategic Points Document
It is important that the 10 strategic points are clear, concise, doable, and aligned throughout the
prospectus, proposal, and Direct Practice Improvement Project. Provided below is an example of
a completed 10 Strategic Points document for a quantitative project. A blank 10 Strategic Points
Table template is provided following the example for learners to use when developing their own
10 Strategic Point documents.
Example: 10 Strategic Points Document for a Quantitative Project
The 10 Strategic Points
Broad Topic
Area
1. Broad Topic Area:
Literature
Review
2. Literature Review:
Hint: What would I title my project?
List primary points for four sections in the Literature
Review: Background of the problem/gap; theoretical
foundations (models and theories to be foundation for
study); review of literature topics with key theme for
each one; and summary.
a. Background of the Problem/Gap:
•
Rural ambulatory clinics have had to reorganize
their management structures to enhance
reimbursement.
•
Access to appropriate health services for rural
Americans needs to be improved in areas where
specialists are not available (Schoenberg, 2012).
•
Telehealth nursing services can be provided
through rural health clinics to support specialty
clinics (Schoenberg, 2012).
•
Approximately 200 telemedicine networks have
been established nationwide. (American
Telemedicine Association, 2017)
4
Comments or
Feedback
b. Theoretical Foundations (models and theories to
be foundation for study):
•
The Greenhalgh’s Dissemination of Innovations
model (Greenhalgh, Robert, Bate, Macfarlane, &
Kyriakidau, 2005) can be used to implement
rural telehealth services for rural Americans.
•
The D&M Information System Success model
(DeLone &McLean, 2003) is a framework to
conceptualize and operationalize information
system success.
•
Path constitution theory combines two
contrasting perspectives on technology, path
dependence, and path creation (Singh,
Mathiassen, & Mishra, 2015).
c. Review of Literature Topics With Key
Organizing Concepts or Topics for Each One
Rural Telehealth Services:
•
Rural telehealth can improve care in burn
patients (McWilliams, Hendricks, Twigg, Wood,
& Giles, 2016); smoking cessation (Carlson,
Lounsberry, Maciejewski, Wright, Collacutt, &
Taenzer, 2011), psychotherapy (Gonzales &
Brossart, 2015); cancer education (Doorenbos et
al., 2011); diabetes (Holloway, Coon, Kersten, &
Clemins, 2011).
Population Specific Telehealth Services:
•
Community based telehealth: Home-based
telehealth can enhance older adults’ access to
care and facilitate patient-provider collaboration
which may in turn improve patient selfmanagement (Hsieh, Tsai, Chic, & Lin, 2015).
•
Chronically ill: Disease management needs of
chronically ill patients include prescription
refills, medication and symptom management,
lab results, and patient education (Vinson,
McCallum, Thornlow, & Champagne, 2011).
•
Rural Native American telehealth: Telehealth
can improve health disparities in Native
American communities (Kruse, Bouffard,
Dougherty, & Parro, 2016).
5
•
Diabetes education and management: Telehealth
education improves glycemic control (Barker,
Mallow, Theeke, & Schwertfeger, 2016).
•
Mental health emergencies can be managed
effectively through telehealth services (Saurman
et al., 2011).
Settings:
•
Rural health clinic/hospital (Carlson et al.,
2011); Doorenbos et al., 2011; Gonzales &
Brossart, 2015; Holloway et al., 2011).
•
Home-based (Demiris et al., 2103).
•
Community center (Demiris et al., 2103).
•
Library (Demiris et al., 2103).
•
Smart phone, computer-based (Forchuk et al.,
2016).
Certifications:
•
National Committee for Quality Assurance (n.d).
Disease Management Accreditation. Retrieved
from
http://www.ncqa.org/programs/accreditation/dise
ase-management-dm
•
American Association of Critical Care Nurses
(n.d.). CCRN-E: Certification for Tele-ICU
Nurses. Retrieved from
https://www.aacn.org/certification?tab=FirstTime%20Certification
•
Acute stroke ready designation (Slivinski, Johes,
Whitehead, & Hooper, 2017).
Network Systems:
•
American Telemedicine Association:
approximately 200 telemedicine networks have
been established nationwide (Frederick, 2013).
•
Tablet PC Enabled Body Sensor System: realtime continuous collection of physiological
parameters (Panicker, Kumar, 2016).
d. Summary
•
Gap/Problem: There is a need to implement
evidence-based methods of improving health
6
outcomes of rural residents through the use of
telehealth.
Problem
Statement
•
Prior studies: Prior studies show that telehealth
improves patient outcomes in diverse settings,
including rural areas.
•
Quantitative application: Sources of data exist to
collect numerical data on the rate of follow-up
with primary care provider in rural areas.
•
Significance: Improving rate of follow-up with
primary care provider will improve health
outcomes of rural residents.
3. Problem Statement:
Describe the variables/groups to study, in one sentence.
A well-written problem statement begins with the big
picture of the issue (macro) and works to the small,
narrower, and more specific problem (micro). It clearly
communicates the significance, magnitude, and
importance of the problem and transitions into the
Purpose of the Project with a declarative statement such
as: “It is not known if and to what degree/extent...” or
“It is not known how/why and….”
Other examples are:
•
While the literature indicates ____________, it is
not known in _________
(organization/community) if __________.
•
It is not known how or to what extent
________________.
While the literature indicates that telehealth is an
important emerging technology for rural patient access,
it is unknown if the implementation of telehealth
impacts the rate of patient follow up for patients living
in a rural area.
Clinical/
PICOT
Questions
4. Clinical/PICOT Questions:
Provide PICOT question to guide the implementation
and data collection of findings of the project:
(P) Among adult patients in a rural care setting, (I)
how does implementation of a telehealth program
(C) compare to traditional commute-for-care (O)
impact rate of follow-up with the primary care
7
provider (T) over a period of four weeks.
Sample
5. Sample (and Location):
Identify sample, needed sample size, and location (study
phenomena with small numbers and variables/groups
with large numbers).
a. Location: Arizona
b. Population: Two neighboring rural towns equal
distance from the nearest primary care provider.
c. Sample: 40 participants include a power analysis if
appropriate.
Define
Variables
6. Define Variables:
a. Independent Variable: Telehealth program.
b. Dependent Variable: Follow-up rate with primary
care provider.
Methodology
and Design
7. Methodology and Design:
Name the selected methodology and specific design to
address the problem statement and clinical questions:
This project will use a quantitative methodology
with a quasi-experimental design.
Purpose
Statement
8. Purpose Statement:
Provide one sentence statement of purpose including the
problem statement, sample, methodology, and design:
Creswell (2003) provided some sample templates for
developing purpose statements aligned with the different
project methods as follows:
The purpose of this quantitative ___________
(correlational, descriptive, etc.) project is to
____________ (compare or see to what degree a
relationship exists) between/among
______________________ (independent variable) to
___________________ (dependent variable) for
________________ (participants) at
___________________ (project site/geographical
location). The ________ (independent variable) will
be defined/measured as/by _______ (provide a
general definition). The
8
(dependent variable) will be defined/measured as/by
______ (provide a general definition).
Data
Collection
Approach
9. Data Collection Approach:
Data
Analysis
Approach
10. Data Analysis Approach:
Describe primary instruments that will be used to answer
clinical question.
Descriptive statistics will describe the sample characteristics
and variable results. An independent t-tests will test for
difference between the two groups of 40 participants
(telehealth and commute-for-care) follow-up with primary
physician. A priori analysis will be used to justify the
sample size.
9
10 Strategic Points Table
(Use this table to complete the 10 Strategic Points document for your project.)
10 Strategic Points
Broad Topic
Area
Literature
Review
Problem
Statement
Clinical/PICO
Questions
Sample
Define Variables
Methodology
and Design
Purpose
Statement
Data Collection
Approach
Data Analysis
Approach
10
Comments/Feedback
Purchase answer to see full
attachment