10 Strategic Points Document for the Quality Improvement Project Paper

Ten Strategic Points

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The 10 Strategic Points

Title of Project

1) Title of Project

Utilizing preventive care bundle to reduce the incidence of pressure ulcers among elderly and debilitated patients.

Background

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Theoretical Foundation

Literature Synthesis

Practice Change Recommendation

2) Background to Chosen Evidence-Based Intervention:

List the primary points for six sections.

i) Background of the practice problem/gap at the project site

The demand for quality patient care is universal across health care settings. Achieving this goal obligates nurses to identify areas where quality improvement is necessary to improve patient outcomes. Pressure ulcers are a significant health problem since they hamper care quality and safety, extend hospital stays, and increase morbidity and mortality (Darvall et al., 2018; Yap et al., 2021). In response, nurses should address such problems by implementing suitable evidence-based interventions. The current site primarily relies on standard pressure ulcer prevention strategies. Although they are somewhat effective, better interventions are needed to improve health outcomes.

ii) Significance of the practice problem/gap at the project site

Pressure ulcers are among the common hospital-associated infections. Since they hamper care quality and threaten patient safety, nurses must develop appropriate and sustainable solutions. As change leaders, nurses should guide their workplace settings in implementing quality improvement projects and a similar approach is needed to reduce the incidence of pressure ulcers in the practicum site. As Darvall et al. (2018) noted, preventing pressure ulcers improve patient outcomes by reducing mortality and hospitalization. Similar outcomes will be achieved by implementing the proposed intervention to reduce the gap between the present and the desired health outcomes in the facility.

iii) Theoretical Foundations

Nursing theories guide health care professionals in delivering patient care and responding to complex situations. Their primary objective is to define what nursing entails. A suitable theory for the current DPI project is Imogene King’s Goal Attainment theory. According to Butts and Rich (2021), health goals under King’s theory are achieved through transactional care. In such a care process, the nurse and patient identify the health problem together, set mutual goals, and develop mechanisms to achieve the goals. A similar approach would facilitate the effective implementation of the pressure ulcers preventive bundle. The change model appropriate for the project is Kurt Lewin’s change theory, which outlines practice change as a methodical process. Lewin described the change process as phased and achieved through three stages: unfreezing, change, and refreezing (Saleem et al., 2019). Unfreezing entails preparing people for change, while the change process entails implementing the intervention. Refreezing is primarily about solidifying the change to make it sustainable (Saleem et al., 2019). Similarly, the implementation site and patients should be prepared for the change. Appropriate mechanisms should also be implemented to solidify the change to achieve long-term benefits.

iv) Create an annotated bibliography using the “Preparing Annotated Bibliographies (APA 7th)” located in the Student Success Center.

Renganathan, B. S., Nagaiyan, S., Preejith, S. P., Gopal, S., Mitra, S., & Sivaprakasam, M. (2019). Effectiveness of a continuous patient position monitoring system in improving hospital turn protocol compliance in an ICU: A multiphase multisite study in India. Journal of the Intensive Care Society, 20(4), 309-315. https://doi.org/10.1177/1751143718804682

While repositioning patients, health care professionals should optimize turns to achieve better outcomes. In response, Renganathan et al. (2019) assessed the beneficial outcomes of improving turn compliance in patients highly susceptible to pressure ulcers. In this prospective, multiphase, multicenter trial, Renganathan et al. (2019) optimized patient turns using a monitoring system that automated alerts in the intervention group. The primary finding was a lower incidence of pressure ulcers in the intervention group than in the control group (p < 0.001). The article supports the DPI intervention by underlining the importance of patient turns and demonstrating how they can be optimized.

Hassan, N., & Afzal, M., Sehar, S., & Gilani, S. A. (2020). Effects of body repositioning in immobilized patients to prevent pressure ulcer in intensive care units at public hospital, Pakistan. Iris Journal of Nursing & Care- IJNC, 2(4), 2020. http://dx.doi.org/10.33552/IJNC.2020.02.000543

In this study, Hassan et al. (2020) assessed the effectiveness of body repositioning in reducing pressure ulcer incidence. Through a quasi-experimental approach, Hassan et al. (2020) subjected all immobilized patients in a public hospital in Pakistan to a 2-hourly repositioning and recorded the incidence of pressure injuries. The main finding was a reduced incidence of pressure injuries after implementing the project. The article supports the DPI intervention by confirming the effectiveness of repositioning in reducing the incidence of pressure ulcers in critical care settings.

Hahnel, E., El Genedy, M., Tomova‐Simitchieva, T., Hauß, A., Stroux, A., Lechner, A., … & Kottner, J. (2020). The effectiveness of two silicone dressings for sacral and heel pressure ulcer prevention compared with no dressings in high‐risk intensive care unit patients: A randomized controlled parallel‐group trial. British Journal of Dermatology, 183(2), 256-264. https://doi.org/10.1111/bjd.18621

Protective dressings are a vital component of a preventive care bundle for pressure ulcers. In response, Hahnel et al. (2020) conducted a randomized controlled trial to evaluate the effectiveness of appropriate dressing in reducing pressure ulcers. In the intervention group, areas susceptible to pressure ulcers such as the sacrum and the heels were covered using protective dressing. Patients in the control group received standard care only. Hahnel et al. (2020) confirmed the effectiveness of protective dressings by finding that pressure ulcers were lower in the intervention group (2.8%) than in the control group (10.5%). The study underlines the importance of protective dressings as a component of a preventive care bundle for reducing pressure ulcers.

Zhang, X., Wu, Z., Zhao, B., Zhang, Q., & Li, Z. (2021). Implementing a pressure injury care bundle in Chinese intensive care units. Risk Management and Healthcare Policy, 14, 2435–2442. https://doi.org/10.2147/RMHP.S292579

In this quasi-experimental pre-and-post intervention, Zhang et al. (2021) assessed the effectiveness of a pressure injury care bundle in reducing the incidence of pressure injuries in ICUs. Essential components include skin care, repositioning, and continuous risk assessment. The primary finding was a reduction in pressure injury incidence from 13.86% to 10.41%. These findings confirm the beneficial effects of a preventive care bundle in reducing the incidence of pressure injuries, as conjectured in the DPI intervention.

Santamaria, N., Gerdtz, M., Kapp, S., Wilson, L., & Gefen, A. (2018). A randomised controlled trial of the clinical effectiveness of multi-layer silicone foam dressings for the prevention of pressure injuries in high-risk aged care residents: The Border III Trial. International Wound Journal, 15(3), 482–490. https://doi.org/10.1111/iwj.12891

The purpose of this study was to evaluate the effectiveness of preventive dressings. Santamaria et al. (2018) conducted a randomized controlled trial where the intervention group (n= 138) received protective dressings (multi-layer silicone foam) besides standard care applied to the control group. The primary finding was a higher pressure ulcer incidence in the control group than intervention group (p = 0.004). The study supports the DPI intervention by confirming the importance of protective dressing as a protective care bundle component.

v) . Practice Change Recommendation: Validation of the Chosen Evidence-Based Intervention

Nurses have a professional mandate to improve patient care standards in health care facilities. Practice change through implementing quality improvement projects is instrumental in improving patient care outcomes. Similarly, the preventive care bundle for pressure ulcers will improve care standards in the practicum site by reducing the incidence of pressure ulcers. Therefore, it is an excellent opportunity for producing more desirable health outcomes than the current practices

vi) Summary of the findings written in this section.

As a significant problem in critical care settings, the incidence of pressure ulcers can be reduced through a preventive care bundle. The annotated research stresses the need for a multicomponent care bundle for reducing the incidence of pressure ulcers in the practicum site. Recommended practices include repositioning, evidence-based skin care routine and protective dressings. Technology can be used to automate alerts to optimize patient turns and compliance during repositioning. The inference is that the care bundle should include different practices, and the explored research confirms such an approach effective in reducing the incidence of pressure ulcers.

Problem Statement

3) Problem Statement:

It is not known if the implementation of pressure preventive bundle would impact pressure injury among the elderly and debilitated patients.

PICOT to Evidence-Based Question

4) PICOT Question Converts to Evidence-Based Question:

In elderly and debilitated patients, will the implementation of a pressure preventive bundle reduce the incidence of pressure injury within 60 days?

Evidence-Based Question:

Provide the templated statement.

To what extent will the implementation of a pressure preventive bundle reduce the incidence of pressure injury among elderly and debilitated patients in the long-term care facility?

Sample

Setting

Location

Inclusion and Exclusion Criteria

5) Sample, Setting, Location

Identify sample, needed sample size, and location (project phenomena with small numbers and variables/groups with large numbers).

i) Sample and Sample Size: The target group is elderly and debilitated patients with pressure ulcers or at risk of their development. It is expected that 50 patients will participate and provide a reasonable sample for the DPI intervention.

ii) Setting: The setting for the study is a long-term care facility

iii) Location: suburban Maryland City

iv) Inclusion Criteria

All participants should be of sound mind. Since informed consent is critical in studies involving humans, only the patients willing to participate will be included. Importantly, they should not be participating in another study.

v) Exclusion Criteria

Illiterate patients and those not meeting the inclusion criteria described above will be excluded. Besides, patients likely to leave the country during the study will also be excluded.

Define Variables

6) Define Variables:

i) Independent Variable (Intervention): application of preventive care bundle for pressure ulcers (preventive interventions)

ii) Dependent Variable (Measurable patient outcome): incidence of pressure ulcers.

Project Design

7) Project Design:

This project applies a quality improvement approach. You must be able to explain and cite the difference between research and quality improvement (one paragraph each).

i. Quality Improvement: Quality improvement typifies the continuous strive for better health care processes and outcomes. As a result, health care professionals engaging in quality improvement seek to standardize processes to achieve better health outcomes by reducing variations (CMS.gov, 2021). In health practice, quality improvement is achieved by implementing evidence-based research.

ii. Research: Research is primarily about developing new knowledge for practice use. Generally, researchers concentrate on studying and testing phenomena to prove or disprove different hypotheses. The knowledge developed through research is the foundation of evidence-based practice. Clinicians implement such knowledge to improve health outcomes.

iii. Summarize: The current project characterizes quality improvement. The initiative seeks to reduce health variations by reducing the incidence of pressure ulcers in the long-term care facility. Findings from previous research will be implemented to improve care quality.

Purpose Statement

8) Purpose Statement:

Provide the templated statement.

The purpose of this quality improvement project is to determine if the implementation of a Care Bundle Intervention would impact pressure ulcer prevention among elderly and debilitated patients in a long-term-care facility. The project will be piloted over an eight-week period in a suburban Maryland city in a long term care facility.

Data Collection Approach

9) Data Collection Approach:

i. Vital patients’ demographics like age, education level, and gender will be collected. Patients’ understanding of the pressure care bundle will also be assessed.

ii. Baseline data on the incidence of pressure ulcers in the facility will be obtained from the electronic health records (EHRs).

iii. Pre- and post-intervention data related to the incidence of pressure ulcers will be collected.

iv. Describe the step-by-step process you will use to collect the data, explain where the data will come from, and how you will protect the data and participants.

a. Record the subjects’ vital demographics such as age and gender

b. Retrieve baseline information from the electronic health records

c. Measure pre- and post-intervention incidence to compare outcomes

d. Make the necessary inferences from the findings: a reduction of the pressure ulcers incidence by over 50% will be considered statistically significant

e. Secure data from unauthorized access

v. Potential ethical issues involving human subjects include their protection, informed consent to promote voluntary participation, and data privacy will be observed. All data will be treated as confidential and used primarily for the DPI intervention’s purposes.

vi. The project must adhere to ethical principles of beneficence, non-maleficence (no harm), and autonomy. It is designed to benefit the patients by improving health outcomes and presents no harm whatsoever. Human subjects will also be allowed to make independent decisions to avoid biased results.

Data Analysis Approach

10. Data Analysis Approach:

Data will be analyzed through comparative data analysis. The difference between the incidence of pressure ulcers before and after the project implementation will be used to compute the percentage difference.

Statistically significant outcome: a reduction of pressure ulcer incidence by 0.5 (50%)

Clinically significant outcome- value above 10% reduction in pressure ulcer incidence.

References

CMS.gov. (2021). Quality measurement and quality improvement. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Improvement-#:~:text=Quality%20improvement%20is%20the%20framework,%2C%20healthcare%20systems%2C%20and%20organizations.

Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice. Jones & Bartlett Learning.

Darvall, J. N., Mesfin, L., & Gorelik, A. (2018). Increasing frequency of critically ill patient turns is associated with a reduction in pressure injuries.

Critical Care and Resuscitation, 20(3), 217-222. https://europepmc.org/article/med/30153784.

Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, S. A. (2019). Accreditation: Application of Kurt Lewin’s Theory on Private Health Care Organizationanl Change. Saudi Journal of Nursing and Health Care, 2(12), 412-415. doi: 10.36348/sjnhc.2019.v02i12.003

Yap, T. L., Horn, S. D., Sharkey, P. D., Zheng, T., Bergstrom, N., Colon-Emeric, C., … & Kennerly, S. M. (2021). Effect of varying repositioning frequency on prevention of pressure injuries in nursing home residents: TEAM‐UP cluster‐randomized clinical trial results. Research Square, 1-21. https://doi.org/10.21203/rs.3.rs-717425/v1

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Assessment Description
The purpose of this assignment is to outline the 10 strategic points that define the intended research focus and approach.

In the DPI Project, there are 10 strategic points that need to be clear, simple, and aligned to ensure that the resulting research is valuable and credible. These key points, which emerge over the course of the research process, will provide a guiding vision for the DPI Project.

General Requirements:

Use the following information to ensure successful completion of the assignment:

Refer to the “10 Strategic Points A Courses” resource located in the DC Network to complete this assignment.
Doctoral learners are required to use the current APA style for their essay writing assignments. The current APA Style Guide is located in the Student Success Center.
This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Directions:

Draft statements for each of the 10 strategic points for your intended project, incorporating feedback received on past submissions of the 10 Strategic Points document in previous courses. This assignment is not a paper and should be developed and submitted in a table format.

Benchmark Information:

This benchmark assignment assesses the following programmatic competencies:

DNP

1.2: Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena.

1.3: Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate.

4.2: Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management.

Benchmark – DPI Project Milestone: 10 Strategic Points for the Direct Practice Improvement Project – Rubric
Rubric Criteria
Total
70 points
Criterion

1. Not Present

2. Does Not Meet Expectations

3. Approaching Meeting Expectations

4. Meets Expectations

Data Collection

Describes primary instruments and sources of data to answer research questions. Reliability and validity of the instruments are addressed.

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Topic

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Documentation of Sources

Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.

0 points

Sources are not documented.

2.59 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

3.05 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

3.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Background to Evidence-Based Intervention Literature Review

Lists primary points for six sections (a) Background of the problem/gap and the need for the project based on citations from the literature; (b) Significance of the practice, problem, and gap (c)Theoretical foundations (models and theories to be foundation for study); (c) annotated bibliography (d) Practice change recommendation: Validation of the chosen evidence-based intervention (e) Summary

0 points

Item is not present.

7.77 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

9.14 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

10.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Variables

Provides variables for each project PICOT question component.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Sample, Setting, and Location

Identifies sample, needed sample size, and location.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Application of Theory and Concepts Justifying Actions or Strategies (B)

Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate. (C1.3)

0 points

Item is not present.

2.59 points

Science-based theories and concepts are not effectively used to justify actions and strategies proposed to enhance, alleviate or ameliorate problems or issues affecting patient outcomes or health care delivery.

3.05 points

Science-based theories and concepts are generally used to justify actions and strategies proposed to enhance, alleviate or ameliorate problems or issues affecting patient outcomes or health care delivery.

3.5 points

Science-based theories and concepts are used to justify all actions and strategies proposed to enhance, alleviate or ameliorate problems or issues affecting patient outcomes or health care delivery.

Paper Format

Use of appropriate style for the major and assignment.

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

2.59 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

3.05 points

Template is used, and formatting is correct, although some minor errors may be present.

3.5 points

All format elements are correct.

Synthesize Concepts (B)

Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management. (C4.2)

0 points

Item is not present.

2.59 points

A synthesis of concepts is not used to develop, implement, and evaluate interventions to improve individual, aggregate population health management.

3.05 points

A general synthesis of concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management is evident.

3.5 points

Synthesis of concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management is evident.

Application of Theory and Concepts in Evaluating Problem or Issue (B)

Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena. (C1.2)

0 points

Item is not present.

2.59 points

Science-based theories or concepts are not effectively applied in the evaluation process to determine the nature and significance of the issue or problem affecting patient outcomes or health care delivery.

3.05 points

Science-based theories or concepts are generally applied in the evaluation process to determine the nature and significance of the issue or problem affecting patient outcomes or health care delivery.

3.5 points

Science-based theories or concepts are evident in the evaluation process to determine the nature and significance of the issue or problem affecting patient outcomes or health care delivery.

Problem Statement

Describes the problem to address through the project based on defined gaps or needs from the literature.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Purpose Statement

Provides one-sentence statement of purpose, including the problem statement, methodology, design, population sample, and location.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Project Design

Describes the selected methodology and specific research design to address problem statement and clinical/PICOT questions.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Data Analysis

Describes the specific data analysis approaches to be used to address clinical/PICOT questions. The statistical test(s) that will be used must be identified and must be appropriate for the level of data and the clinical/PICOT question.

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

PICOT/Evidence-Based Questions

Provides clinical/PICOT questions to all of the collected data needed to address the problem statement.

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Benchmark – DPI Project Milestone: 10 Strategic Points for the Direct Practice Improvement Project – Rubric
Rubric Criteria
Total
70 points
Criterion

1. Not Present

2. Does Not Meet Expectations

3. Approaching Meeting Expectations

4. Meets Expectations

Application of Theory and Concepts in Evaluating Problem or Issue (B)

Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena. (C1.2)

0 points

Item is not present.

2.59 points

3.05 points

Science-based theories or concepts are generally applied in the evaluation process to determine the nature and significance of the issue or problem affecting patient outcomes or health care delivery.

3.5 points

Science-based theories or concepts are evident in the evaluation process to determine the nature and significance of the issue or problem affecting patient outcomes or health care delivery.

Background to Evidence-Based Intervention Literature Review

0 points

Item is not present.

7.77 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

9.14 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

10.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

PICOT/Evidence-Based Questions

Provides clinical/PICOT questions to all of the collected data needed to address the problem statement.

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Application of Theory and Concepts Justifying Actions or Strategies (B)

Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate. (C1.3)

0 points

Item is not present.

2.59 points

3.05 points

3.5 points

Science-based theories and concepts are used to justify all actions and strategies proposed to enhance, alleviate or ameliorate problems or issues affecting patient outcomes or health care delivery.

Topic

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Data Analysis

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Project Design

Describes the selected methodology and specific research design to address problem statement and clinical/PICOT questions.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Purpose Statement

Provides one-sentence statement of purpose, including the problem statement, methodology, design, population sample, and location.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Data Collection

Describes primary instruments and sources of data to answer research questions. Reliability and validity of the instruments are addressed.

0 points

Item is not present.

5.18 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions

6.09 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

7 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Variables

Provides variables for each project PICOT question component.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Problem Statement

Describes the problem to address through the project based on defined gaps or needs from the literature.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

Documentation of Sources

Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.

0 points

Sources are not documented.

2.59 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

3.05 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

3.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Paper Format

Use of appropriate style for the major and assignment.

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

2.59 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

3.05 points

Template is used, and formatting is correct, although some minor errors may be present.

3.5 points

All format elements are correct.

Synthesize Concepts (B)

Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management. (C4.2)

0 points

Item is not present.

2.59 points

A synthesis of concepts is not used to develop, implement, and evaluate interventions to improve individual, aggregate population health management.

3.05 points

A general synthesis of concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management is evident.

3.5 points

Synthesis of concepts to develop, implement, and evaluate interventions to improve individual, aggregate population health management is evident.

Sample, Setting, and Location

Identifies sample, needed sample size, and location.

0 points

Item is not present.

2.59 points

Not all components are present. Large gaps are present in the components that leave the reader with significant questions.

3.05 points

Component is present and adequate. Small gaps are present that leave the reader with questions.

3.5 points

Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions.

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10 Strategic Points Document for the Quality Improvement Project Paper