Fall Reduction in the Medical-Surgical Micro-system

MSN Prospectus Clinical Nurse Leader – Final Paper (Sections I-VII)
Section I. Title Page and Abstract
Title Page
Abstract
o Problem
o Context
o InterventionsACME WRITERS
o Measures
o Results
o Conclusions
o Keywords (5 or 6 search terms that are in the body of the abstract)
Section II. Introduction (Why did you start?)
o Introduction (Why this improvement topic; impact for patients, system; link to organizational priorities)
o Problem description (Describe the setting; summarize current knowledge about the problem as it relates to the setting: metrics that matter, benchmark data, baseline data and current performance)
o Available knowledge (PICOT question; synthesis of exiting literature and evaluation table)
o Rationale (conceptual framework or theory used to guide the project )
o Specific project aim
Section III. Methods (What did you do?)
o Context : Contextual elements considered important at the outset of introducing the intervention(s).EX: Microsystem assessment or reassessment (See MAT tool); Literature review that identifies scope of problem and best practices/EBP; SWOT analysis, ROI/cost/benefit plan, communication plan, etc)
o Intervention Description of the intervention(s) in sufficient detail that others could reproduce it. Specifics of the team formation involved in the work. EX: Description of changes to test for improving chosen outcome.
o Study of the intervention Approach chosen for assessing the impact of the intervention(s). EX: Measurement strategy
o Measures Measures chosen for studying processes and outcomes of the intervention(s), including rationale for choosing them, their operational definitions, and their validity and reliability EX: Family of measuresACME WRITERS
o 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
Section IV. Results
o Results (outcome measure results )
Section V. Discussion
o Summary (Key findings, lessons learned, what contributed to the successful change)
o Conclusions (Usefulness of the work, sustainability, potential for spread, implications for practice)
Section VI. References (APA in text and references)
Section VII. Appendices
IRB exemption for non-research statement of determination form (See Appendix R, pp. 118-121 Graduate Student Handbook).
Evaluation Table or Annotated Bibliography (at least 5 evidence-based recent papers)
Timeline/Gantt Chart (N 654 Planning; N 655 Implementation; N 653 Implementation/Evaluation; Write up)
Team Members/Stakeholders (core/consulting/liaison)
IHI QI Essentials Toolkit – Performance Improvement Tools Used (Cause & Effect Diagram/Fishbone; Process map; Flow chart; PDSA worksheets; SWOT analysis, Run chart; and Data Display methods – histogram, control chart, bar graph; Driver diagram etc.)
Results Reporting and Data Display (baseline and comparative)
Cost-benefit Analysis (Table)ACME WRITERSBudget (Table)
All other materials for implementation and evaluation (For example, conceptual framework(s), updated policy/procedure, job description, learning needs assessment, teaching plan, surveys, assessments, meeting agendas; photographs, pictorials, education materials, creative work etc.)

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