DNP Practicum Readiness Form Draft Essay Assignment

DNP Practicum Readiness Form Draft Essay Assignment

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My practice problem is Major Depressive Disorder. Using PHQ 9 tool to diagnose MDD

i. A minimum of 2 articles should be related to your practice problem.
ii. A minimum of 3 articles related to your evidence-based intervention. DNP Practicum Readiness Form Draft Essay Assignment

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DNP PRACTICUM READINESS FORM

SECTION I: Please type your responses to all questions.

Question # 1.. Based on the needs of the practicum site, please provide your one-sentence PICOT question below. Be clear and concise. Note: your population cannot be students or faculty; your intervention cannot be educational and your time frame must be 8-12 weeks.

The PICOT question is:  Does implementing Patient Health Questionnaire-9 (PHQ-9) tool in an outpatient clinical setting compared to current practice on behavioral health referrals improve adults’ detection and treatment of major depressive disorder within 12 weeks?

Question # 2: Explain the intervention you will implement to address the issue identified based on the needs of the practicum site. Remember, educational only interventions are not allowed. The intervention should be based on the translational science model you have chosen. You must provide an overview of the intervention so the reader(s) can duplicate the intervention on their own. (Include or attach any relevant documents, if available such as protocols, procedures, guidelines, etc. that you will implement)DNP Practicum Readiness Form Draft Essay Assignment.

The main interventions to address the Major Depressive Disorder diagnosis and treatment will focus first on microsystems. According to Blackstone et al. (2022), one of the best improvement processes that medical groups and health plans need to incorporate in any project is the correlation of different microsystems. Since the PHQ-9 tool is a reliable and valid tool for screening depression as well as depression symptoms and response to treatment, there will be a need to ensure that the healthcare professionals resonate with its effectiveness (O’Byrne & Jacob, 2019). Hence, there will be a need to ensure that the core health professionals’ teams are identified, especially those that work with the target patient population, to ensure that they engage in appropriate measures in administering the PHQ-9 questionnaire.

The other intervention will ensure that the project team fully understands the project cycle. That way, it will be easier to provide the target patient population with patient-centered care, thus improving care coordination by attaining the project goals. According to Kroenke et al. (2021), the PHQ-9 has had international dissemination, with more than 11 000 scientific citations and translations in over 100 languages (Siniscalchi et al., 2020). It has been utilized in hundreds of population-based and clinical studies, integrated into multiple depression guidelines, and implemented in numerous clinical practice settings. Its nine items contain the DSM criteria for depressive disorders, making it a severity and potentially diagnostic measure (Kroenke et al., 2021)DNP Practicum Readiness Form Draft Essay Assignment. Unlike other depression scales, the PHQ-9 is free for utilization as a public domain measure, and the numerous translations make it available to the population around the globe. In such a case, the plan-do-study-act model will work since it helps by providing valuable knowledge and learning on various factors that may interfere with the implementation process. The intervention is also essential since it incorporates all stakeholders and helps implement and monitor the progress of the PHQ-9 tool implementation process.

Steps in the PHQ-9 Tool Implementation Plan

The implementation plan will involve five steps: exploration, installation, initial implementation, full implementation, and scaling up and expansion. Therefore, the project will commence with exploring ways that PHQ-9 can be easily implemented. Hence, in week one, before implementing PHQ-9, I will conduct a provider needs assessment to recognize impediments to depression screening and treatment, utilizing a printed survey that will be distributed in the clinic (Samples et al., 2020) . The survey will be distributed to physicians and advanced practice providers, including physician assistants and nurse practitioners. In weeks 4 and 5, the PHQ-9 tool will be implemented.

The installation will take place in weeks two and three, where the healthcare providers will be educated on depression screening using the PHQ-9 tool to increase their confidence and knowledge level in depression screening, diagnosis, and treatment. After installation from week four to week eight the project team will evaluate a pilot study on the effectiveness of the PHQ-9 tool and identify the gaps that need to be addressed using the plan-do-study-act model (Sun et al., 2020). Full implementation will take place in weeks 9 to 11, where the project team will ensure that the whole process is effective and that the healthcare facility can use PHQ-9 to achieve the desired outcomes in preventing Major Depressive Disorder among the target population. Lastly, in week 12, the project team will hand over the project report that will be essential in future implementation processes.

Question 3 # Measurable Outcome(s) as identified in the PICOT question

The measurable outcome of the PHQ-9 tool implementation is to enhance the detection and treatment of major depressive disorder within 12 weeks. The anticipated result will be achieved before project implementation, and the project team will first assess the healthcare practitioners’ needs and equip them with the knowledge, thus increasing the chance for PHQ-9 tool success DNP Practicum Readiness Form Draft Essay Assignment.

References

Blackstone, S. R., Sebring, A. N., Allen, C., Tan, J. S. & Compton, R. (2022). Improving Depression Screening in Primary Care: A Quality Improvement Initiative. Journal of Community Health, 47(3), 400-407. doi: 10.1007/s10900-022-01068-6.

Kroenke, K. (2021). PHQ-9: global uptake of a depression scale. World Psychiatry, 20(1), 135-136. doi: 10.1002/wps.20821

O’Byrne, P., & Jacob, J. D.  (2018). Screening for depression: Review of the Patient Health Questionnaire-9 for nurse practitioners. Journal of the American Association of Nurse Practitioners, 30(7), 1. DOI:10.1097/JXX.0000000000000052

Samples, H., Stuart, E. A., Saloner, B., Barry, C. L., & Motabai, R. (2020). The Role of Screening in Depression Diagnosis and Treatment in a Representative Sample of US Primary Care Visits. Journal of General Internal Medicine, 35, 12-20. https://doi.org/10.1007/s11606-019-05192-3

Siniscalchi, K. A., Broome, M. E., Fish, J., Ventimiglia, J., Thompson, J., Roy., P., Pipes, R., & Trivedi, M.  (2020). Depression Screening and Measurement-Based Care in Primary Care.   Journal of Primary Care & Community Health, 11, 1-11. https://doi.org/10.1177/2150132720931261

Sun, Y., Fu, Z., Bo, O., Mao, Z., Ma, X., & Wang, C. (2020). The reliability and validity of PHQ-9 in patients with major depressive disorder in psychiatric hospital. BMC Psychiatry, 20, 474. https://doi.org/10.1186/s12888-020-02885-6 DNP Practicum Readiness Form Draft Essay Assignment

Draft DNP Practicum Readiness Form

Assignment

Purpose

The purpose of this assignment is to complete the DNP Practicum Readiness Form (located in the DNP Project & Practicum Resources section of the Student Resource Center) in preparation for the practicum courses. The Practicum Readiness Form must be completed entirely because the information will be needed to write the project plan, complete the institutional review board application, and implement the DNP practice change project.

Successful completion of this form is required to enroll in NR711.

Instructions

Complete all pages entirely with sufficient detail, paying attention to the following:

1. Page 1
   1. If some information does not apply, such as the mentor information, enter Not Applicable. Be sure to answer the questions at the bottom of the page with the check-boxes.
2. Page 2
   1. Answer all questions and sub-questions. If a sub-question is not completed, the form is considered incomplete.
   2. Enter complete APA references for 5 contemporary research articles (< 5 years old)DNP Practicum Readiness Form Draft Essay Assignment.
      • A minimum of 2 articles should be related to your practice problem.

My practice problem is Major Depressive Disorder. Using PHQ 9 tool to diagnose MDD

• A minimum of 3 articles related to your evidence-based intervention.
• The form is considered incomplete with less than 2 articles for the practice problem and 3 articles supporting the evidence-based intervention.

3. Page 3
   1. Explain the steps in your intervention implementation plan in detail so that the reader can implement the same intervention by following your plan’s exact steps.
   2. Examine the feasibility of implementing your project in 8-12 weeks.
   3. Analyze the barriers you anticipate and the strategies to overcome or mitigate the barriers.
4. Page 4
   1. Explain your data collection plan and process fully so that the reader can replicate the data collection process exactly.
      • State the outcome(s) you will measure and the data collection process pre-implementation and process post-implementation.
      • Explain your data analysis plan and the statistical tests you will use to evaluate the outcome data. Importantly, you must complete the two questions with check boxes at the bottom of the page. DNP Practicum Readiness Form Draft Essay Assignment

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