DPI Project Manuscript 6 DQ1

DPI Project Manuscript 6 DQ1

DPI Project Manuscript 6 DQ1

Compare your DPI project manuscript thus far to the “Revised Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0” guidelines. Discuss what you can improve in your DPI project manuscript. 1 page, APA

Go!

Revised Standards for Quality Improvement Reporting Excellence 

SQUIRE 2.0

       Notes to Authors
    • The SQUIRE guidelines provide a framework for reporting new knowledge about how to improve healthcare.
    • The SQUIRE guidelines are intended for reports that describe system level work to improve the quality, safety, and value of healthcare, and used methods to establish that observed outcomes were due to the intervention(s).
    • A range of approaches exists for improving healthcare.  SQUIRE may be adapted for reporting any of these.
    • Authors should consider every SQUIRE item, but it may be inappropriate or unnecessary to include every SQUIRE element in a particular manuscript.
    • The SQUIRE Glossary contains definitions of many of the key words in SQUIRE. 

  • The Explanation and Elaboration document provides specific examples of well-written SQUIRE items, and an in-depth explanation of each item.
  • Please cite SQUIRE when it is used to write a manuscript.

        Title and Abstract
1.  Title Indicate that the manuscript concerns an initiative to improve healthcare (broadly defined to include the quality, safety, effectiveness, patient-centeredness, timeliness, cost, efficiency, and equity of healthcare)
2.  Abstract

a.  Provide adequate information to aid in searching and indexing

b.  Summarize all key information from various sections of the text using the abstract format of the intended publication or a structured summary such as: background, local problem, methods, interventions, results, conclusions. DPI Project Manuscript 6 DQ1

Introduction

Why did you start?
3. Problem Description Nature and significance of the local problem
4. Available Knowledge Summary of what is currently known about the problem, including relevant previous studies
5. Rationale

Informal or formal frameworks, models, concepts, and/or theories used to explain the problem, any reasons or assumptions that were used to develop the intervention(s), and reasons why the intervention(s) was expected to work 
6. Specific Aims Purpose of the project and of this report

Methods

What did you do?
7. Context Contextual elements considered important at the outset of introducing the intervention(s)
     8. Intervention(s)

a.  Description of the intervention(s) in sufficient detail that others could reproduce it

b.  Specifics of the team involved in the work
9. Study of the Intervention(s)

a.  Approach chosen for assessing the impact of the intervention(s)

b.  Approach used to establish whether the observed outcomes were due to the intervention(s)
10. Measures

a.  Measures chosen for studying processes and outcomes of the intervention(s), including rationale for choosing them, their operational definitions, and their validity and reliability

b.  Description of the approach to the ongoing assessment of contextual elements that contributed to the success, failure, efficiency, and cost

c.  Methods employed for assessing completeness and accuracy of data
11. Analysis

a.  Qualitative and quantitative methods used to draw inferences from the data

b.  Methods for understanding variation within the data, including the effects of time as a variable   
12. Ethical Considerations Ethical aspects of implementing and studying the intervention(s) and how they were addressed, including, but not limited to, formal ethics review and potential conflict(s) of interest

Results

What did you find?
13. Results

a.  Initial steps of the intervention(s) and their evolution over time (e.g., time-line diagram, flow chart, or table), including modifications made to the intervention during the project

b.  Details of the process measures and outcome

c.  Contextual elements that interacted with the intervention(s)

d.  Observed associations between outcomes, interventions, and relevant contextual elements 

e.  Unintended consequences such as unexpected benefits, problems, failures, or costs associated with the intervention(s).

f.  Details about missing data

Discussion

What does it mean?
14. Summary

a.  Key findings, including relevance to the rationale and specific aims

b.  Particular strengths of the project
     15. Interpretation

a.  Nature of the association between the intervention(s) and the outcomes

b.  Comparison of results with findings from other publications

c.  Impact of the project on people and systems

d.  Reasons for any differences between observed and anticipated outcomes, including the influence of context

e.  Costs and strategic trade-offs, including opportunity costs
16. Limitations

a.  Limits to the generalizability of the work

b.  Factors that might have limited internal validity such as confounding, bias, or imprecision in the design, methods, measurement, or analysis

c.  Efforts made to minimize and adjust for limitations
         17. Conclusions

a.  Usefulness of the work

b.  Sustainability

c.  Potential for spread to other contexts

d.  Implications for practice and for further study in the field 

e.  Suggested next steps

Other Information

  
18. Funding Sources of funding that supported this work. Role, if any, of the funding organization in the design, implementation, interpretation, and reporting

 

 

 

SQUIRE 2.0

NOTES TO AUTHORS

TITLE AND ABSTRACT

INTRODUCTION

METHODS

RESULTS

DISCUSSION

OTHER INFORMATION

 

SHORTCUTS

SQUIRE 2.0 E&E

SQUIRE 2.0 PDF

SQUIRE 2.0 E&E PDF

SQUIRE 2.0 REVIEWER CHECKLIST

GLOSSARY

BMJ QUALITY & SAFETY

SQUIRE 2.0 PUBLICATIONS

 

 

SQUIRE 2.0 MADE POSSIBLE BY THE GENEROUS SUPPORT OF:

 

 

 

SQUIRE 2.0 TRANSLATIONS

SQUIRE 2.0 Italian (HTML)

SQUIRE 2.0 Italian (PDF)

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – DPI Project Manuscript 6 DQ1

DPI PROJECT MILESTONE 5

Assessing how Advanced Practice Providers Minimize Delays in Emergency Departments

  10 Strategic Points Comments/Feedback
Broad Topic Area The use of advanced practice providers in triage to improve waiting times in emergency departments.  
Literature Review

a) Background of the problem/gap;

I. The waiting times in the emergency departments are mostly fueled by the large number of the patients seeking the requisite medical services. The large number of such patients causes overcrowding in the emergency department. The overcrowding is a major problem in the emergency department even in the global arena (Di Somma, Paladino, Vaughan, Lalle, Magrini, & Magnanti, 2015).

II. The mismatch between the demand for the emergency services and the available resources has greatly contributed to the overcrowding within the emergency departments (Murphy, Lietz, &Jordan, 2012)

III. When advanced practice practitioners are placed in the emergency department, the quality of care as well as reduced overcrowding become the order of the day (Bahena & Andreoni, 2013; Imperato et al., 2012). DPI Project Manuscript 6 DQ1

b) Theoretical foundations;

I. Demand and capacity variation model by Eriksson (Bergbrant, and Berrum-Svennung, 2011)

II. The co-management model in healthcare (Norful, Jacq, Carlino & Poghosyan, 2018)

c) Review of literature topics with the key themes;

I. Critical Care Medicine Advanced Practice Provider Model at a Comprehensive Cancer Center: The increasing demand for meeting the critical medical services are prompting for the increment of the number of the advanced practice providers (APPs). The role of APPs, especially in the ICUs, cannot be underestimated (Paton, Stein, Agostino, Pastores, & Halpern, 2013).

II. Frequent Overcrowding in the U.S. Emergency Departments: Overcrowding in the emergency departments is a serious problem which affects not only the US but also the other countries across the world. This overcrowding cannot be limited to the county or public hospitals since it has been evident even in both the private and academic hospitals within the urban and rural areas (Derlet, Richards, & Kravitz, 2001).

d) Summary;

I. Gap/problem: There is a need to reduce the waiting time or delays in the emergency departments.

II. Prior studies: The prior studies have proved that the involvement of advanced practice providers not only reduces the delays in the emergency departments but it also leads to provision of a quality care.

III. Quantitative application: Instruments and sources of data exist to collect numerical data on the value of advanced practice providers in emergency departments.

  
Problem Statement While the literature indicates that the involvement of advanced practice providers helps reduce the delays in the emergency departments, it is yet to be known how they help to reduce these delays.  
Clinical/PICO Questions How effective is the use of Advanced Practice Providers in triage in improving waiting times in Emergency departments?  
Sample

Location: District of Columbia.

Population: Three county hospitals.

Sample: 30 adult patients receiving the care at the emergency department.

  
Define Variables

Dependent variable: The waiting times.

Independent variable: The Advanced Practice Providers.

 

  
Methodology and Design This project will use the quantitative methodology with a descriptive research design  
Purpose Statement The purpose of this quantitative descriptive research study is to assess how the advanced practice providers help reduce the waiting times in the emergency departments. The advanced practice providers will be defined as the assistant physicians as well as the nurse practitioners. The waiting time will be measured by the number of hours or even days that a patient queues in the emergency department prior to getting the requisite medical services.

 

 
Data Collection Approach This study will use questionnaires which will be provided to the participants to fill, but for those without literary skills, oral questions will be posed.  
Data Analysis Approach Descriptive statistics will be used to summarize the sample descriptive data. The data will then be presented in tables and pie charts.  

References

Bahena, D., & Andreoni, C. (2013). Provider in triage: Is this a place for nurse practitioners? Advanced Emergency Nursing Journal, 35(4), 332-343. doi 10.1097/TME.0b013e3182aa05ba.

Derlet, R., Richards, J., & Kravitz, R. (2001). Frequent overcrowding in the US emergency departments. Academic Emergency Medicine, 8(2), 151-155. doi: 10.1111/j.1553- 2712.2001.tb01280.x

Di Somma, S., Paladino, L., Vaughan, L., Lalle, I., Magrini, L., & Magnanti, M. (2015). Overcrowding in emergency department: an international issue. Internal and Emergency Medicine, 10(2), 171-175. doi:10.1007/s11739-014-1154-8

Eriksson, H., Bergbrant, I., Berrum-Svennung, I. (2011). Reducing queues: Demand and capacity variations. International Journal of Health Care quality Assurance/MCB University Press, 24(8), 592-600.

Imperato, J., Morris, D. S., Binder, D., Fischer, C., Patrick, J., Sanchez, L. D., & Setnik, G. (2012). Physician in triage improves emergency department patient throughput. Internal and Emergency Medicine, 7(5), 457-462. doi 10.1007/s11739-012-0839-0

Love, R. A., Murphy, J. A., Lietz, T. E., & Jordan, K. S. (2012). The effectiveness of a provider in triage in the emergency department: A quality improvement initiative to improve patient flow. Advanced Emergency Nursing Journal, 34(1), 65-74. doi:10.1097/TME.0b013e3182435543

Norful, A., Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: a theoretical model to alleviate primary care strain. The Annals of Family Medicine, 16(3), 250-256. doi:10.1370/afm.2230

Paton, A., Stein, D., D’Agostino, R., Pastores, S., & Halpern, N. (2013). Critical care medicine advanced practice provider model at a comprehensive cancer center: Successes and challenges. American Journal of Critical Care, 22(5), 439-443. doi:10.4037/ajcc2013821

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – DPI Project Manuscript 6 DQ1

Professor’s comments:

Please note the followings: The introduction and the literature review are complete and thorough. The problem statement is written clearly PICOT is clear and very good Sample: How will you determine the sample size? What are the inclusion/exclusion criteria of the subjects? Methodology: Why is the selected methodology is appropriate? Please justify! Data collection approach is not clear. How will you collect your data? What is needed here is to describe the process of collecting data form signing the informed consent until completing the measuring. Data analysis-What test will you use to answer your research question? Thank you for a work well done. DPI Project Manuscript 6 DQ1

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – DPI Project Manuscript 6 DQ1

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. DPI Project Manuscript 6 DQ1

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