Assignment ContentLeaders seek out change opportunities regularly. Innovation, critical thinking, and decision making are key to making an impact on an organization. This assignment is designed to help you look at aspects of your own clinical practice and become a change agent in your organization. Use your current or past experience to identify a change project to implement.Step 1: Select a topic [Process, policy, procedure, disaster management [Pandemic/Epidemic], and such, for a propossed change project. Review the following resources for potential change topic or process ideas. On your paper, you can opt to propose implementation of on of these: Institute for Healthcare Improvement: Transforming Care at the BedsideInstitute for Healthcare Improvement: Hospital Inpatient Waste Identification ToolFor process change resources: TeamSTEPPS® Pocket GuideStep 2: Identify the context for your change (Where will the change project occur? Who will it impact?). Describe the setting where the change will take place. For example, clinical, insurance, home health, or public and community.Explain who is affected: patients, nurses, leadership, and other stakeholders in the organization.Step 3: Review the literature to find possible solutions and evidence to address your topic (Support your actions with evidence). Research sources that guide evidence-based practice to improve outcomes related to your selected topic.Find a minimum of three peer-reviewed articles directly related to addressing your change topic.Step 4: Create a draft implementation plan [Action plan described within your paper or presentation]. Summarize each article to explain how the evidence you gathered will help address your change topic.Explain how you could use the information in the research to carry out the change in your identified setting.Format Options: You can format your assignment as either:A. An 700- to 1,050-word APA formatted paper [Use Propossal Outline]. Read, study, use APA sample paper as a guide to format your work.orB. 10- to 15-slide Power Point presentation. Include 'detailed' speaker notes (at least 450 words), citations for each slide, and references for each citation - formatted using APA format.Include an APA-formatted reference page or slide.Submit your assignment.Note: You may want to save copies of this assignment to refer to in NSG/498, Senior Leadership Practicum. In that course, you will be working to synthesize information. Although you cannot reuse it, this assignment may serve as a good starting point.

The House Painter Patient Evaluation & Management Plan A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following:  What additional information should you obtain about the pain the patient is experiencing? What additional physical assessment needs to be performed with this patient? What considerations are important to remember if the patient’s CRP level is elevated? What differential diagnoses should be considered for the patient? What patient teaching will be incorporated into the visit to modify the patient’s risk factors? How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?

Details:At this point in the course, learners have completed and submitted Chapters 1-3 and the 10 Strategic Points as individual components of the DPI Project Proposal. This assignment requires learners to incorporate feedback from their DPI Project Committee on these assignments, combine them into the DPI Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A), and submit it as one unit.Upon submission, the DPI Project Proposal: Draft Proposal will be sent for an Academic Quality Review (AQR). The AQR is performed by a qualified external reviewer that provides a formal scientific merit review and quality assurance check on the DPI Project Proposal.General Requirements:Use the following information to ensure successful completion of the assignment:Locate the "DPI Proposal Template" document in the PI Workspace of the DC Network.Locate your DPI Project Proposal - Strategic Points Final Draft assignment with DPI Committee feedback.Locate all previous feedback from Chapters 1-3, the 10 Strategic Points, and the soft submission submitted in Topic 7.You must submit this assignment in the form of a Word document. If this manuscript proposal is not submitted prior to due date in the designated format, you will receive 0 points for the assignment and will not undergo AQR. Remove the scoring grids/rubric and previous embedded feedback from your proposal for AQR submission.Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.Directions:Integrate the four individual DPI Project Proposal assignments into one document using the "DPI Proposal Template."Submit the completed document to your DPI chairperson.Benchmark - DPI Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A) 1Not Present0.00%2Does Not Meet Expectations 74.00%3Approaching Meeting Expectations 87.00%4Meets Expectations 100.00%36.0 %Chapter 1 3.0 %Chapter 1: INTRODUCTION: This section briefly overviews the project focus or practice problem, states why the project is worth conducting, and describes how the project will be completed. (3-4 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: BACKGROUND OF THE PROJECT: The background section of Chapter 1 explains both the history of and the present state of the problem and project focus. This section summarizes the Background section from Chapter 2. (2-3 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: PROBLEM STATEMENT: This section clearly states the problem or project focus, the population affected, and how the project will contribute to solving the problem. This section of Chapter 1 should be comprehensive yet simple, providing context for the practice project. This section is later summarized in Chapter 3. (3-4 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: PURPOSE OF THE PROJECT: The purpose statement section provides a reflection of the problem statement and identifies how the project will be accomplished. It explains how the proposed project will contribute to the field. This section is summarized in Chapter 3. (2-3 paragraphs).Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: CLINICAL QUESTIONS: This section narrows the focus of the project and specifies the clinical questions to address the problem statement. Based on the clinical questions, it describes the variables or groups and their hypothesized relationship for a quantitative project or the phenomena under investigation for a qualitative project. The clinical questions should be derived from, and are directly aligned with, the problem and purpose statements, methods, and data analyses. The Clinical Questions section of Chapter 1 will be presented again in Chapter 3 to provide clear continuity for the reader and to help frame the data analysis in Chapter 4. (2-3 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: ADVANCING SCIENTIFIC KNOWLEDGE: This section specifically describes how the proposed project will advance population health outcomes on the topic. This advancement may be a small step forward in a line of current research. This section summarizes the Theoretical Foundations section from Chapter 2 by identifying the theory or model upon which the project is built. It also describes how the project will advance that theory or model. (2-3 paragraphs or approximately 1 page )Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: SIGNIFICANCE OF THE PROJECT: This section identifies and describes the significance of the project. It also discusses the implications of the potential results based on the project questions and problem statement, hypotheses, or the investigated phenomena. Further, it describes how the project fits within, and will contribute to, the current literature or body of research. Finally, it describes the potential practical applications from the project. This section is of particular importance because it justifies the need for, and the relevance of, the project. (3-4 paragraphs)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: RATIONALE FOR METHODOLOGY: This section clearly justifies the methodology the investigator plans to use for conducting the project. It argues how the methodological framework is the best approach to answer the project questions and address the problem statement. It uses citations from textbooks and articles on research methodology or articles on related studies to justify the methodology. (2-3 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: NATURE OF THE PROJECT DESIGN: This section describes the specific project design to answer the clinical questions and why this approach was selected. Here, the learner discusses why the selected design is the best design to address the problem statement and clinical questions as compared to other designs. This section also contains a description of the project sample being studied, as well as the process that will be used to collect the data on the sample. In effect, this section provides a preview of Chapter 3: Methodology and succinctly conveys the project approach to answer clinical questions or test the hypotheses. It provides citations from research textbooks, research articles, and articles on similar studies. (3-4 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: DEFINITIONS OF TERMS: This section defines the project constructs and provides a common understanding of the technical terms, exclusive jargon, variables, phenomena, concepts, and sundry terminology used within the scope of the project. Terms are defined in lay terms and in the context in which they are used within the project. This section includes any words that may be unknown to a layperson (words with unusual or ambiguous meanings or technical terms) from the research or literature. It provides a rationale for each assumption, defines the variables for a quantitative project, or the phenomena for a qualitative project, from the research or literature. (Each definition may be a few sentences to a paragraph in length. The section is a minimum of 1 page.)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: ASSUMPTIONS, LIMITATIONS AND DELIMITATIONS: This section identifies the assumptions and specifies the limitations and the delimitations of the project. (3-4 paragraphs)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 1 3.0 %Chapter 1: SUMMARY AND ORGANIZATION OF THE REMAINDER OF THE PROJECT: This section summarizes the key points of Chapter 1 and provides supporting citations for those key points. It then provides a transition discussion to Chapter 2 followed by a description of the remaining chapters. The Proposal, but not the Project, provides a timeline for completing the research and writing up the practice improvement project. (3-4 paragraphs or 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.15.0 %Chapter 2 3.0 %Chapter 2: INTRODUCTION TO THE CHAPTER AND BACKGROUND TO THE PROBLEM: This section describes the overall topic to be investigated, outlines the approach taken for the literature review, and argues the evolution of the problem based on the Practice Setting Need supported in the literature from its origination to its current form. (2-3 pages)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.15.0 %Chapter 2 3.0 %Chapter 2: BACKGROUND: The background section provides the historical overview of the problem based on the Practice Setting Need supported in the literature and how it originated. It further discusses how the problem has evolved historically into its current form. This section summarizes the Background section from Chapter 2. (2-3 paragraphs)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.15.0 %Chapter 2 3.0 %Chapter 2: THEORETICAL FOUNDATIONS/CONCEPTUAL FRAMEWORK: This section identifies the theory(s) or model(s) that provide the foundation for the practice project. It also contains an explanation of how the problem under investigation relates to the theory or model. The seminal source for each theory or model should be identified and described. (2-3 pages) Benchmark (C: 1.4)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.15.0 %Chapter 2 3.0 %Chapter 2: REVIEW OF THE LITERATURE: This section provides a broad, balanced overview of the existing literature related to the proposed project topic. It identifies themes, trends, research methodology, design, and findings. It provides a synthesis of the existing literature, examines the contributions of the literature related to the topic, and presents an evaluation of the overall methodological strengths and weaknesses of the research. Citations are provided for all ideas, concepts, and perspectives. The personal opinions or perspectives of the researcher are not included.Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.15.0 %Chapter 2 3.0 %Chapter 2: SUMMARY: This section restates what was written in Chapter 2 and provides supporting citations for key points. It synthesizes the information from the chapter using it to define the Practice Setting needs supported by the literature, the theory(s) or model(s) to provide the foundation for the project, the problem statement, the primary clinical question, the methodology, the design, the variables or phenomena, the data collection instruments or sources, and the population to be studied. It then provides a transition discussion to Chapter 3. (1-2 pages) Benchmark (C: 4.2)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: INTRODUCTION: This section incorporates a summary of the project focus and purpose statement to reintroduce the reader to the need for the project. Clinical questions (in narrative format) and an outline of the expectations for this chapter also are included. (3-4 sentences from Chapter 1).Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: PROJECT METHODOLOGY: This section describes the research methodology for the project (quantitative, qualitative, or mixed) and explains the rationale for selecting this particular methodology. It also describes why this methodology was selected as opposed to the alternative methodologies.Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: PROJECT DESIGN: This section includes a detailed description of, and rationale for, the specific design for the project and describes how it aligns to the selected methodology indicated in the previous section. It explains exactly how the selected design will be used to collect data for each variable, or how the selected design will be used to collect data to describe the nature of the phenomena in detail. It identifies the specific instruments and data sources to be used to collect all of the different data required for the project. This section expands on the Nature of the Project Design section in Chapter 1. (1-2 pages )Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: POPULATION AND SAMPLE SELECTION: This section discusses the setting, total population, project population, and project sample. The discussion of the sample includes the research terminology specific to the type of sampling for the project as well as how the sample population and final sample will be protected. This section provides a detailed description of the population and sample that were identified in the Project Design for the Study section in Chapter 1, as well as project considerations relevant to the sample and population. (1-2 pages)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: INSTRUMENTATION OR SOURCES OF DATA: This section identifies and describes the types of data that will be collected as well as the specific instruments and sources used to collect the data. For quantitative studies, it also describes the specific type of scale of measurement used in an instrument or used to define the different groups. (1-3 pages)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: VALIDITY: This section describes and defends the procedures used to determine the validity of the data collected. (2-4 paragraphs or approximately 1 page in length)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: RELIABILITY: This section describes and defends the procedures used to determine the reliability of the data collected. (2-4 paragraphs or approximately 1 page)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: DATA COLLECTION PROCEDURES: This section details the entirety of the process used to collect the data. It describes each step of the data collection process in a way that another researcher could replicate the project. (1-3 pages in length)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: DATA ANALYSIS PROCEDURES: This section describes how the data was collected for each variable or group (quantitative project) or for each project question (qualitative project). It describes the type of data to be analyzed, identifying the descriptive, inferential, or nonstatistical analyses. Demonstrates that the project analysis is aligned to the specific project design. (1-3 pages in length)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: ETHICAL CONSIDERATIONS: This section discusses the potential ethical issues surrounding the project as well as how human subjects and data will be protected. It identifies how any potential ethical issues will be addressed. (3-4 paragraphs or approximately 1 page ) Benchmark (C: 1.1)Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: LIMITATIONS: This section discusses in detail the limitations related to the project approach and methodology and the potential impacts on the results.Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.36.0 %Chapter 3 3.0 %Chapter 3: SUMMARY: This section restates what was written in Chapter 3 and provides supporting citations for key points. It then provides a transition discussion to Chapter 4.Item is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.3.0 %Appendix A (Strategic Points) 3.0 %Strategic Points Final DraftItem is not present.Not all components are present. There are large gaps in the components that leave the reader with significant questions.Components are present and adequate, but there are small gaps that leave the reader with questions.Components are addressed clearly and comprehensively. There are no gaps that leave the reader with questions.5.0 %Organization and Effectiveness 3.0 %INCORPORATION OF PRIOR FEEDBACK: Addresses and includes feedback on prior Strategic Point programmatic deliverables into the final submission.Learner does not incorporate prior feedback and required revisions.Learner incorporates an insufficient level of prior feedback and required revisions.Learner incorporates a moderate level of prior feedback and required revisions.Learner incorporates all prior feedback and required revisions.5.0 %Organization and Effectiveness 2.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.5.0 %Format 3.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is not used appropriately or documentation format is rarely followed correctly.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.2.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Item is not present.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage