Direct Practice Improvement (DPI) Project Proposal Chapter 3 – Methodology Chapter 3 of the Direct Practice Improvement (DPI) Project, titled “Methodology,” will expand upon the content and concepts p

Direct Practice Improvement (DPI) Project Proposal Chapter 3 – Methodology

Chapter 3 of the Direct Practice Improvement (DPI) Project, titled “Methodology,” will expand upon the content and concepts presented in the “10 Strategic Points Final Draft” (Appendix A) document you completed in its final iteration in Topic 1.


General Requirements:

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

· Locate the “DPI Proposal Template” ATTACHED.

· Locate the 10 Strategic Points Final Draft assignment completed earlier in this course, ATTACHED.

· Doctoral learners are required to use APA style for their writing assignments.

· This assignment uses a rubric.

· You are required to submit this assignment to LopesWrite. .


Directions:

Use the “DPI Proposal Template” and the “10 Strategic Points Final Draft” document, to develop a draft of (Chapter 3) Methodology that describes the methodology you are utilizing in your DPI Project Proposal. Sections in Chapter 3 include:

1. Chapter 3 Methodology

2. Introduction and Statement of the Problem

3. Clinical Question(s)

4. Project Methodology

5. Project Design

6. Population and Sample Selection

7. Instrumentation

8. Validity

9. Reliability

10. Data Collection Procedures

11. Data Analysis Procedures

12. Ethical Considerations

13. Limitations

14. Summary



Resources

Read:

Zuzelo, P. R. (2018). Evidence-Based Practice Methodology. Holistic Nursing Practice, 32(6), 340–342.

URL:

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004650-201811000-00009&LSLINK=80&D=ovft

Read:

Grota, P., McKinley, L., & Lopez, E.(2017). Methodology minute: A guide for infection preventionists for sizing up systematic reviews. AJIC: American Journal of Infection Control, 45, 1402-1404.

URL:

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000545-201712000-00021&LSLINK=80&D=ovft

Direct Practice Improvement (DPI) Project Proposal Chapter 3 – Methodology Chapter 3 of the Direct Practice Improvement (DPI) Project, titled “Methodology,” will expand upon the content and concepts p
10 STRATEGIC POINTS 0 Ten Strategic Points Grand Canyon University DNP-815- O502: Scientific Underpinnings 10 Strategic Points Table (Use this table to complete the 10 Strategic Points document for your project.) 10 Strategic Points Comments/Feedback Broad Topic Area Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients Literature Review Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., & Ioannidis, J. P. (2015). Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. The American journal of medicine, 128(12), 1322-1324. The article looks at the “Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes” from the American journal of medicine. It takes into consideration the fact that, the oversights in the corporeal assessment are a medical fault which aren’t studied via chart evaluation. Furthermore, the article states that these oversights in the corporeal assessments may be the primary contributors to the neglected or late diagnosis besides unnecessary exposure to contrast as well as radiation on the Leukemia patients. Either the authors indicate that the incorrect treatments resulting from these delays leads to unfavorable results like fainting on the Leukemia patient, lack of appetite on the side of the patient, worsening the Leukemia conditions which eventually can lead to early death of the patient. Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis, S. C. (2017). Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients. Supportive Care in Cancer, 25(6), 1853-1858. The authors of this article explored the “Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients.” This article is from supportive care in cancer and it was retrieved from Google Scholar. The article authors acknowledge the fact that, the medication administration errors lead to severe impacts on the health conditions of the patient more especially the ones who are 3 – 4 years of Leukemia. According to the authors, the impacts associated with the medication administration errors may lead to worsening of the health condition of the patient, the rate of Leukemia advancement into higher stages may also increase with treatment or managing of this deadly disease being more complicated. The authors argue that using erroneous medicines, the Leukemia advancement increases without the knowledge of the patient which makes even the survival chances of the patient to reduce due to stress upon realizing that there was an error in his or her medication. Douer, D. (2016). Efficacy and safety of vincristine sulfate liposome injection in the treatment of adult acute lymphocytic leukemia. The oncologist, 21(7), 840-847. This research study examines the “Efficacy and safety vincristine sulfate liposome injection in the treatment of adult acute lymphocytic Leukemia” this article is from the oncologist. The article has been retrieved from Google Scholar. The authors take into consideration on the erroneous administration of vincristine sulfate liposome injection drug which is commonly used for treatment of Leukemia more especially at the lower stages like this of 3 – 4 years. However, when this drug is misused, it leads to instant death according to the author since even when it’s correctly applied, it’s normally restricted due to neurotoxicity concerns. The author indicates that if a patient with large body surface area to volume ratio is overdosed with the drug, it will lead to death or reduction of the survival rates to almost 20% in accordance with the authors’ analysis. Tavitian, S., Denis, A., Vergez, F., Berard, E., Sarry, A., Huynh, A., … & Bertoli, S. (2016). Impact of obesity in favorable‐risk AML patients receiving intensive chemotherapy. American journal of hematology, 91(2), 193-198. The authors of this article analyze the “Impact of obesity in favorable risk AML patients receiving intensive chemotherapy” an article from American journal of hematology. The article has been retrieved from Google Scholar. According to the authors, the obesity has got negative impacts more especially to the Leukemia patients who are receiving intensive chemotherapy while trying to manage it at the earlier stages. According to the authors, the erroneous medication administration to such Leukemia patients may lead to paralysis in the earlier stages as well as earlier death if the erroneous medication isn’t recognized earlier. Santoleri, F., Lasala, R., Ranucci, E., La Barba, G., Di Lorenzo, R., Vetrò, A., … & Costantini, A. (2016). Medication adherence to tyrosine kinase inhibitors: 2-year analysis of medication adherence to imatinib treatment for chronic myeloid leukemia and correlation with the depth of molecular response. Acta haematologica, 136(1), 45-51. This last article explores “Medication adherence to tyrosine kinase inhibitors: 2-year analysis of medication adherence to imatinib treatment for chronic myeloid leukemia and correlation with the depth of molecular response.” From Acta haematologica, the article is retrieved from Google Scholar. In accordance with the authors of the article, adherence to tyrosine medication can help in the treatment of Leukemia more especially at the earlier stage of 3 – 4 years. However, the authors stresses that the erroneous administration of these drugs that are meant to cure the Leukemia, they can turn out to be a poison in the body which facilitates the advancement of the disease in the body and eventually leads to coma and consequently death. From the above articles, various variables were identified which includes, the patients served between 4AM to 8AM experience higher rates of erroneous medication which is a time dependent variable. The second variable is on the medication ordered by practicing nurses, with resultant observation that it is very high more especially during weekends. This is an independent variable. The year of the trainee also means that a dependent variable in the last first year trainees committed many erroneous administrations of medication compared to final years trainees. Problem Statement It is not known the impact of medication administration errors on 3-4-year-old leukemia patients Clinical/PICO Questions What is the impact of medication administration errors in pediatric patients? What are the impacts of medication administration errors on 3-4-Year-old Leukemia Patients? Sample Location– Harris County, Texas. USA Target Population: Pediatric Hospitals/ Patients 3-4-Year-old Leukemia Patients Physicians Therapists Sample: Will be composed of interviews with 5 pediatric hospitals, physicians, parents and 5 Therapists in the county. Define Variables To effectively understand the impact of medication administration errors on 3-4-year-old Leukemia patients, the following variables would be used. The number of patients seen who erroneously administered medication are – dependent variable Medication ordered by the trainees – independent variable The year the trainee is in medical practicing like first year or final year – independent variable. Methodology and Design Qualitative Descriptive Study Purpose Statement The purpose of this qualitative descriptive case study is to understand are the impacts of medication administration errors on 3-4-Year-old Leukemia Patients in Harris County, Texas? Data Collection Approach Informed & signed consent by participants Visits to pediatric hospital facilities Interview with Physicians, Parents & Therapist recorded on tape Sampling Method: Purposeful Sampling Sources: Interviews, Surveys & Questionnaires Data Analysis Approach Data will be collected and analyzed for the study. Descriptive statistics will be used in summarizing the data collected. Coding will be used to address questions posed. A narrative summary will be developed. References Douer, D. (2016). Efficacy and safety of vincristine sulfate liposome injection in the treatment of adult acute lymphocytic leukemia. The oncologist, 21(7), 840-847. Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis, S. C. (2017). Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients. Supportive Care in Cancer, 25(6), 1853-1858. Santoleri, F., Lasala, R., Ranucci, E., La Barba, G., Di Lorenzo, R., Vetrò, A., … & Costantini, A. (2016). Medication adherence to tyrosine kinase inhibitors: 2-year analysis of medication adherence to imatinib treatment for chronic myeloid leukemia and correlation with the depth of molecular response. Acta haematologica, 136(1), 45-51. Tavitian, S., Denis, A., Vergez, F., Berard, E., Sarry, A., Huynh, A., … & Bertoli, S. (2016). Impact of obesity in favorable‐risk AML patients receiving intensive chemotherapy. American journal of hematology, 91(2), 193-198. Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., & Ioannidis, J. P. (2015). Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. The American journal of medicine, 128(12), 1322-1324.

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