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Week 6 discussion

DQ1 Evidence Supporting the Clinical Question and Suggested
Interventions

Consider your inquiry and formulation of the clinical
question thus far.

Explicate at least two pieces of evidence (current
literature less than 5 years old) that support the idea that the problem you’re
naming exists and is significant. For example, here is a 2013 American Heart
Association article on predicting and preventing early readmission:
http://circ.ahajournals.org/content/126/4/501.full

Be sure to also note what the evidence says about the
etiology or causative factors (what’s going on that influences this problem)?
For example, in the article above, early readmission rates are influenced
(caused by) situations such as psycho social and economic factors that limit
adherence as well as physiologic factors such as elevated filling pressures.

Finally, point to the evidence that suggests an intervention
that works to address the causes of the problem and to improve what we’re now
seeing in clinical practice on this topic. The AHA article named above suggests
that interventions such as comprehensive discharge planning, including patient
and caregiver education, guidance regarding sodium and fluid restriction,
collaboration with visiting nurses, and planned follow-up, may reduce early
readmission rates by as much as 25%.

In other words, for your problem, grounded in the
literature, what is the problem/etiology and what two pieces of current
literature provides evidence supporting those? Then what evidence supports the
intervention idea to improve this problem situation?

DQ2 Evidence-based Practice Change and Quality Improvement
Models

Identify an evidence-based practice change model and a
quality improvement model that you could use for your eventual DNP project.

Explain how each model may be applied to create change
through your practicum and project efforts.

Illustrate your ideas with two examples; one example of
applying a change model, and one example of applying a quality improvement model.