MINIMUM 8 FULL PAGES
Assignment/ Project Evaluation Guidelines:
Construct a framework for the evaluation of your project. Identify and describe the type of model selected for evaluation: discrepancy, goal-free, transaction, goal-based or decision-making model. Discuss why this model was chosen. You will then develop the tool(s) to be used to evaluate if the objective/goals, the financial aspect of the project and how the data collected will be analyzed.
See Attached Assignment Instructions, Articles and Assignment Sample and Rubric.
Must USE Attached Articles, in Addition to Extra Outside Resources to Complete Assignment.
2
DNP-806 PROGRAM DEV. IMPLEM & EVALUATION
MINIMUM 8 FULL PAGES
Assignment/ Project Evaluation Paper Guidelines:
Construct a framework for the evaluation of your project. Identify and describe the type of model selected for evaluation: discrepancy, goal-free, transaction, goal-based or decision-making model. Discuss why this model was chosen. You will then develop the tool(s) to be used to evaluate if the objective/goals, the financial aspect of the project and how the data collected will be analyzed. The final paper should not exceed eight pages
without title page, references, and appendix. It should be written in the APA Professional Paper Format, not the student paper format.
Complete and submit the Program Evaluation Paper (CO1, CO5) due in Week 5. Review the assignment rubric before submission:
ATTACHED
See attached articles and week 5 assignment and sample paper and rubric.
Must USE Attached Articles, in Addition to Extra Outside Resources
Articles:
1.
This article examines nursing professionals’ experiences of the facilitators and barriers to the use of telehealth applications:
Nursing Professional Experiences and Telehealth.pdf (CO1, CO5)
ATTACHED
2. This article discusses nursing participation in developing IT policy:
Nurse engagement in healthcare IT policy.pdf (CO1, CO5)
ATTACHED
3. This article illustrates how new, policy-driven computer work is being integrated into the value systems, social relationships, and communication patterns of interprofessional teams: 1
DNP Scholarly Program Evaluation
School of Nursing, Northern Kentucky University
DNP 806: Program Development, Implementation, & Evaluation
Dr. Teresa Huber
September 20, 2020 2
DNP Scholarly Program Evaluation
Doctor of Nursing Practice (DNP) scholarly projects help to lead change and improve
patient outcomes within the healthcare industry. It is important to evaluate DNP scholarly
projects in order to determine if the project achieved expected outcomes. This paper uses the
goal-based model to evaluate the effectiveness of a care-team led patient mobility program. This
paper provides an evaluation of objectives, identifies how the financial aspect of the project will
be evaluated for effectiveness, and explains how data collected will be analyzed and how results
will be utilized.
Evaluation Model—Goal-Based Model
Program evaluation is an important part of completing a DNP scholarly project. Terhaar
& Sylvia (2015) explain that a project evaluation helps to support translation into practice,
replication, and dissemination. When evaluating programs, it is important to determine the
specific model for evaluation. The DNP scholarly project for using a care-team led mobility
program will be evaluated using a goal-based model.
Description of Goal-Based Model of Evaluation
The goal-based model of evaluation uses specific metrics to evaluate the effectiveness of
goals and objectives, and this model helps to identify if the intended goals are met or not met
(Pell Institute and Pathways to College Network, 2020). This model helps to answer questions
such as: 1) Did the program achieve intended outcomes? 2) What effect does the program have
on individuals involved? 3) Does the program impact individuals and populations on a larger
scale? (Pell Institute and Pathways to College Network, 2020). Furthermore, using this model of
evaluation helps to determine if the program needs modifications or improvements prior to
disseminating (Pell Institute and Pathways to College Network, 2020). 3
Rationale for Using Goal-Based Model of Evaluation
The goal-based model of evaluation is the best method to use for evaluating the
program’s goals for decreasing length of stay (LOS) and the increasing patient experience.
Inconsistency with using systematic evaluation tools is a common barrier for effectively
measuring the impact of quality improvement projects (Izumi, 2012). The rationale for using a
goal-based model of evaluation is to decrease inconsistencies for evaluating the program’s
effectiveness by providing quantitative data to support the need
70-60 POINTS
59-35 POINTS
34-25 POINTS
24-10 POINTS
9-0 POINTS
PROGRAM EVALUATIONPAPER CRITERIA
Identifies and clearly describes the type of model selected for evaluation; discrepancy, goal-free, transaction, goal-based or decision-making model. Discuss why this model was chosen. Much detail included. Clearly demonstrates how objectives will be evaluated. Identifies how the financial aspect of the project will be evaluated for effectiveness. Much detail included. Evaluation tools are developed well with the tool included in the appendix. Identifies how the data collected will be analyzed and how the results will be utilized. Much detail included. Evidence-based practice is incorporated into the project and clearly defined. Identifies and describes the type of model selected for evaluation; discrepancy, goal-free, transaction, goal-based or decision-making model. Discuss why this model was chosen. Detail included. Demonstrates how objectives will be evaluated. Generally clear. Identifies how the financial aspect of the project will be evaluated for effectiveness. Detail included. Evaluation tools are developed with the tool included in the appendix. Identifies how the data collected will be analyzed and how the results will be utilized. Detail included. Evidence-based practice is incorporated into the project and defined. Generally clear. Identifies and describes the type of model selected for evaluation; discrepancy, goal-free, transaction, goal-based or decision-making model. Lacking detail. Discuss why this model was chosen. Lacking detail. Demonstrates how objectives will be evaluated. Lacking detail. Identifies how the financial aspect of the project will be evaluated for effectiveness. Lacking detail. Evaluation tools are developed with the tool included in the appendix. Lacking detail. Identifies how the data collected will be analyzed and how the results will be utilized. Lacking detail. Evidence-based practice is incorporated into the project. Lacking detail. Identifies and describes the type of model selected for evaluation; discrepancy, goal-free, transaction, goal-based or decision-making model. Lacking much de TECHN INFORMATICS AND HEALTH INFORMATION OLOGY Nurse Engagement in Health Care Matthew D. Byrne, PhD, RN, CPAN THE ‘‘CARE NOT DOCUMENTED is care not
delivered’’ adage is similarly applicable to the
notion that a nurse’s voice of advocacy is lost
when not raised. The emphasis on clinical docu-
mentation having real meaning for practice and pa-
tients is one of the most important evolutionary
changes to health care information technology.
Federal and state policy reforms will guide these only from the health care–consuming public, but
by those that care for them. The unprecedented in-
vestment in health care information technology
has been built largely on the critical realization
that data can and should be used to drive down
cost while raising quality and safety. Nursing
engagement in health information technology pol- policy forum as clinical experts well suited to guid-
ing reform and innovation in the ongoing digital
data conversion. Rules of Engagement
Engagement in health care reform and policy-
making often does not come naturally for registered
nurses and may seem as enjoyable as watching the
cycling of a continuous passive motion device. To
be a professional nurse in this era of rapid digital not just internal agency changes to practice and
policy, but the external political mechanisms that Matthew D. Byrne, PhD, RN, CPAN, CNE, is an Assistant Pro-
fessor of Nursing, Department of Nursing, Saint Catherine
University, Saint Paul, MN.
Conflict of interest: None to report.
Address correspondence to Matthew D. Byrne, Department
of Nursing, Saint Catherine University, 2004 Randolph
Avenue, Saint Paul, MN 55105; e-mail address: mdbyrne@
stkate.edu.
� 2016 by American Society of PeriAnesthesia Nurses
1089-9472/$36.00
http://dx.doi.org/10.1016/j.jopan.2015.11.005
Journal of PeriAnesthesia Nursing, Vol 31, No 1 (February), 2016: pp 99-102 churn out reforms shaping the latter. Understand-
ing, responding to, and shaping health care policy
are particularly important for the nursing profes-
sion because of the value placed on nurses as highly
ethical practitioners whose dedication and knowl-
edge warrant respect. Nurses may need to sidestep
the sometimes distasteful political gridlock and
rhetoric to engage in the policy-making process. health information technology may also introduce REV I EW ART ICLE
Nursing professionals’ experiences of the facilitators and Marita Koivunen PhD (Adjunct Professor, Nursing Director)1,2,3 and Kaija Saranto PhD, RN (Professor)2,4
1Department of Nursing Science, University of Turku, Pori, Finland, 2The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs
Institute Centre of Excellence, 3Satakunta Hospital District, Pori, Finland and 4Department of Health and Social Management, University of
Eastern Finland, Kuopio, Finland
Scand J Caring Sci; 2018; 32; 24–44
Nursing professionals’ experiences of the facilitators
and barriers to the use of telehealth applications: a
systematic review of qualitative studies
The aim of the study was to synthesise the best available
research evidence on nursing professionals’ experiences
of the facilitators and barriers to the use of online tele-
health services in nursing practice. Telehealth is used to
deliver healthcare services and health-related information
by means of information and communication technology
(ICT). The systematic review of qualitative studies was
conducted using thematic synthesis of previous studies.
International electronic databases PubMed, CINAHL, Eric,
Web of Science/Web of Knowledge and Scopus, and Fin-
nish databases Medic and Ohtanen were searched in
spring 2013. In addition, the search was complemented
in fall 2015. Following critical appraisal, 25 studies from
1998 to fall 2015 were reviewed and the findings were
synthesised. Both facilitators and barriers were grouped
into five main categories which were related to nurses’
skills and attitudes, nurses’ work and operations,
organisational factors, patients and technology. The high-
est number of facilitators and barriers was found in the
category focusing on nurses’ work and operations. Based
on the findings, nurses’ skills and attitudes are prevent-
ing factors in the implementation of telehealth. There is
also a need to focus on patients’ role in telehealth usage
although the findings support positive adoption of ICT
tools among patients. The findings call for further devel-
opment of technological tools used in nursing practice
and healthcare services. The change from traditional
face-to-face nursing to the use of telehealth calls for local
agreements and further discussions among professionals
on how this change will be accepted and implemented
into practice. In addition, organisations need to make
sure that nurses have enough resources and support for
telehealth use.
Keywords: communication, informat lable at ScienceDirect
Journal of Interprofessional Education & Practice 10 (2018) 1e5 Contents lists avai Journal of Interprofessional Education & Practice
journal homepage: http: / /www.j ieponl ine.com Is health information technology improving interprofessional care Myles Leslie a, b, *, Elise Paradis c, d
a Department of Community Health Sciences, University of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, Alberta, T2N 4Z6 Canada a r t i c l e i n f o Article history: Keywords: 1. Introduction
1.1. Background
The 2009 Affordable Care Act (ACA) encouraged the ‘meaningful * Corresponding author. Department of Community Health Sciences, University E-mail address: [email protected] (M. Leslie).
https://doi.org/10.1016/j.xjep.2017.10.002 support them are central to modernizing the US system.9
This paper uses ethnographic methods to examine the front line Contents lists available at ScienceDirect
Applied Nursing Research
journal homepage: www.elsevier.com/locate/apnr
Original article
Estimating the association between burnout and electronic health record- Daniel A. Harris, MPHa,c, Jacqueline Haskell, MSc, Emily Cooper, MPHc,⁎, Nancy Crouse, CNSd, a Department of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada A R T I C L E I N F O
Keywords: A B S T R A C T
Background: Health information technology (HIT), such as electronic health records (EHRs), is a growing part of 1. Introduction
Resulting from chronic job-related stress, burnout is characterized Authenticity:
Information Technology Policy
changes, which in turn are shaped by input not
icy is an advocacy duty. Nurses can navigate the
expansion, however, requires engagement with
Engagement in health care reform pertaining to
<
barriers to the use of telehealth applications: a systematic
review of qualitative studies
team communications? An ethnographic study in critical care
b School of Public Policy, University of Calgary, 5th Floor, 906 e 8 Avenue SW, Calgary, Alberta, T2P 1H9 Canada
c Leslie Dan Faculty of Pharmacy & Department of Anesthesia, University of Toronto, 144 College Street, Toronto, Ontario, M5S 3M2 Canada
d The Wilson Centre, 200 Elizabeth Street, 1ES-565, Toronto, Ontario, M5G 2C4 Canada
Received 1 February 2017
Received in revised form
6 October 2017
Accepted 13 October 2017
Health information technology
Interprofessional patient care team
Ethnography
Sociology
use’ of Health Information Technology (HIT)1 to achieve improve-
ments in healthcare.2e6 Specifically, the Office of the National
Coordinator for Health Information Technology notes: “the main
goals of HIT adoption are to achieve improved health and health-
care quality, safety, and communication among all members of the
care team”.7 Computers in clinical spaces are thus intended to
usher in a new and improved era of care team communication and
interaction. Regardless of any changes to, or even the repeal of the
ACA, HIT systems have become a pervasive presence in US
healthcare, and are unlikely to be removed.8 Indeed, their presence
in clinical settings at the behest of the federal government is the
result of bi-partisan agreement over the course of more than a
decade that electronic health records and the infrastructure to
of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, Alberta, T2N 4Z6 Canada.
2405-4526/© 2017 The Authors. Published by Elsevier Inc. This is an open access article u
communication experiences10 of care teams in two Intensive Care
Units (ICUs) with high levels of HIT adoption. Ethnography is the
systematic observation of people living and making sense of their
lives in a specific cultural or organiz
related stress among advanced practice registered nurses
Rebekah Gardner, MDb,c
bWarren Alpert Medical School, Brown University, Providence, RI, United States of America
cHealthcentric Advisors, Providence, RI, United States of America
d Boston Medical Center, Boston, MA, United States of America
APRN
Burnout
Electronic health record
Health information technology
the clinical landscape. Recent studies among physicians suggest that HIT is associated with a higher prevalence
of burnout. Few studies have investigated the workflow and practice-level predictors of burnout among ad-
vanced practice registered nurses (APRNs).
Aim: Characterize HIT use and measure associations between EHR-related stress and burnout among APRNs.
Methods: An electronic survey was administered to all APRNs licensed in Rhode Island, United States
(N= 1197) in May–June 2017. The dependent variable was burnout, measured with the validated Mini z
burnout survey. The main independent variables were three EHR-related stress measures: time spent on the EHR
at home, daily frustration with the EHR, and time for documentation. Logistic regression was used to measure
the association between EHR-related stress and burnout before and after adjusting for demographics, practice-
level characteristics, and the other EHR-related stress measures.
Results: Of the 371 participants, 73 (19.8%) reported at least one symptom of burnout. Among participants with
an EHR (N=333), 165 (50.3%) agreed or strongly agreed that the EHR added to their daily frustration and 97
(32.8%) reported an insufficient amount of time for documentation. After adjustment, insufficient time for
documentation (AOR=3.72 (1.78–7.80)) and the EHR adding to daily frustration (AOR=2.17 (1.02–4.65))
remained predictors of burnout.
Conclusions: Results from the present study revealed several EHR-related environmental factors are associated
with burnout among APRNs. Future studies may explore the impact of addressing these EHR-related factors to
mitigate burnout among this population.
by emotional exhaustion, depersonalization, and decreased job sa-
tisfaction (Maslach, Schaufeli, & Leiter, 2001). Given the high-stress
nature of clinical environments,
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