POM 10

Please insert your project objectives from DNP Project I here.

OBJECTIVES

1. To create a cultural competence training program that will help in promoting cross-cultural awareness and competence skills needed for health care professionals to be culturally competent regarding African immigrants.

2. To create an African Immigrant Cultural Competence Toolkit that will be used by care providers to assess and enhance cultural competence in the organization (even after the completion of this project).

3. To create a Resources Toolkit that will be given to African immigrant patients visiting the primary care clinic.

Section I

Contextual elements considered important at the outset of introducing the interventions. (Note: You will use this outline to complete your section 1 project proposal for DNP Project II)

SQUIRE Criteria

Please outline project plan details

Context

Project setting

· Practice type

· Practice location

· Practice size

· Use of EHR

· Primary Care Clinic

· Texas

· 10

· EPIC

Population of Interest

· Direct population of interest (generally staff that will be educated or similar)

· Indirect population of interest (usually the patient population you hope to indirectly impact)

· Nurse, FNP, and medical assistants

· Geriatrics

· African immigrant population visiting the clinic for primary care services

Stakeholders

· Permission to complete project at site

· Affiliation agreements if necessary

· Identification of key stakeholders and their role in the DNP Project

· Yes

· No

· owner of the clinic - oversees the daily operations of the facility, provides administrative support and oversees the hiring, firing, and training of staff members, liaises with patients and health care providers as well as coordinating plans for patient care.

· site administrator- ensures that the activities of the clinic run efficiently and quality medical care is provided to the community being served by the clinic

· medical director- in charge of the daily operations of the clinic and documentation of the patients attended to as well as the services offered to the patients

Section II

Description of the intervention(s) in sufficient detail that others could reproduce it.

Specifics of teams involved in the work.

Review your project objectives for this section. What tools do you need to accomplish your project objectives?

.

SQUIRE Criteria

Please outline project plan details

Interventions

Interventions

· Describe planned interventions in sufficient detail that it could be reproduced. (Use the timeline and write a few sentences to briefly describe your approach to your QI project. The full timeline doesn’t need to be included in the paper but your general plan for intervention should be. (Note, data collection and analysis will be done during section 3)

· Creation of a cultural competence training program that will be attended to by health care providers with information regarding how care professionals can be culturally competent regarding African immigrants.

· Creation, administration, and implementation of an African Immigrant Cultural Competence Toolkit.

· Creation, administration, and implementation of a Resources toolkit for African immigrant patients.

Tools

Describe each tool that will be necessary for achieving your objectives and carrying out interventions of the QI project. Include the following information:

· Who will develop the tool (will you use an existing/established tool or develop your own)?

· 2) How will the tool be validated (was it validated by a previous study or will you seek expert consultation through stakeholders and the project team)?

· 3) If using an established tool, do you need to seek permission to use the tool? From who?

Note that very project will have different tools. Examples are provided below.

· Protocol/Policy

· Pre-Post Education Test/Questionnaires

· Educational Presentation/handouts

· Published Tools (Obtain Permission)

· Chart Audit Tool

· African Immigrant Cultural Competence Toolkit (AICCT). Self-developed, expert consultation through stakeholders and the project team will be sought for validation.

· African Immigrants Resources Toolkit (AIRT). Self-developed, expert consultation through stakeholders and the project team will be sought for validation.

· IAPCC-R. Validated by previous studies. Permission from Dr. Josepha Campinha-Bacote is needed for using the tool.

· Educational Presentation. Validated by previous studies. No permission needed.

· Chat Audit Tool. Expert consultation through stakeholders and the project team will be sought for validation. No permission needed.

Appendices

All tools need to be completed and placed in the appendices by the final due date for this section. Appendices should be listed in the order they appear in your paper. Use this section to plan out the order that you will list your appendices in your paper.

Additional appendices that should be included:

· Permission to complete project at the site

· IRB materials where applicable from the project site

· IRB determination form for TUN

· Graphic of any models/theories/frameworks being used in the project (where appropriate)

· Permission to complete project at the site

· African Immigrant Cultural Competence Toolkit (AICCT).

· African Immigrants Resources Toolkit (AIRT).

· IAPCC-R.

· Educational Presentation.

· Chat Audit Tool.

Section III

Approach chosen for assessing the impact of the intervention (s)

Approach used to establish whether observed outcomes were due to the intervention (s)

SQUIRE Criteria

Please outline project plan details

Study of Interventions/ Data Collection

Procedure for collecting data and plans for maintaining confidentiality during this process.

Common data collection approaches to consider:

· Chart review done using specific ICD codes at pre-implementation and then 5 weeks post implementation to evaluate outcomes and/or compliance

· Participant surveys before and after implementation or pre-implementation and then 5 weeks post implementation.

· Chart review done using specific ICD codes at pre-implementation and then 5 weeks post implementation to evaluate outcomes and/or compliance

· Participant surveys before and after implementation or pre-implementation and then 5 weeks post implementation.

· Data will be anonymous. Patients’ identities, locations, and addresses will be hidden.

· Data will not be disclosed to the public or third parties.

Ethics/ Human Subjects Protection

Explain how you will conduct ethical and confidential implementation.

· Discuss IRB process- note TUN doesn’t require IRB for QI projects- in week 10, you will submit an IRB determination form to demonstrate you have a QI project.

· Does your project site require IRB or QI Committee oversight? If so, define IRB process for the site.

· Benefits/Risks for participants

· Compensation for participants

· Recruitment methods (how will you get people to your training?)

·

·

· Benefits

Participants will help to identify interventions that can will be helpful in bridging healthcare gaps for the African Immigrant population.

Participants will be part of the quest to improve the health care experience for African immigrants.

Risks

Loss of privacy and confidentiality.

However, all mitigation strategies will be utilized.

· There will be no compensation for participants.

Measures/Plan for Analysis

· Appropriate statistical analysis tests chosen and decision justified.

· Discussion of assumptions to be addressed and specific process for analysis included

· Will you hire a statistician at the site to complete your analysis?

· (Note, in week 3 you will complete a statistics worksheet and submit to a TUN statistician and they will approve or redirect your plan for statistical analysis)

· SPSS statistics software. Will help to run data in a simpler manner as compared to entering the data.

Fisher’s exact test. It is more accurate when dealing with a small sample size as compared to other tests such as the chi-square test and the G-test of independence.

IAPCC-R Scoring since the IAPCC-R tool will be used.

· Assumptions: Normality-continuous data to be used in the analysis will be normally distributed.

Linearity- The relationship between the independent variables and the dependent variables is linear.

Equality of variance- Variances across different samples will be equal.

Process: Data will be analyzed using SPSS Statistics software to obtain insights for an informed conclusion. Analysis of the data of the chart review will be done using Fisher’s exact test. The absence of null sets will be guaranteed through filtering the data collected. IAPCC-R Scoring Key will be used to analyze the improvement in cultural competence for African immigrants.

· No statistician will be hired to complete the analysis.

Introduction

Project Site

PVC Family Practice

Project Mentor

Dr. Terrica Woods

Project Purpose

To develop a cultural competence training program aimed at enabling the health care providers to gain the knowledge and techniques they can employ to provide quality health care services to African immigrants.

Project Question

In healthcare workers caring for African Immigrant groups (P), how can how can an effective cultural competence training program (I) compared to no training program (C) be developed to improve the resource allocation and referrals for African Immigrants (O) in less than 4 weeks (T).

Project Timeline

The purpose of this timeline is to keep you and the project team on track during the implementation phase which will occur in DNP Project III. Intervention or project timeline should be clearly described. Time to carry out implementation, collect data, and evaluate the project should be clearly delineated. Please plan out the activities you will be performing each week during the implementation phase. Please set actual concrete dates for any training, interventions, data collection, and/or data analysis.

Week 1

Dates: (Nov 3-9)

·

Data collection and analysis

Week 2

(Nov 10-16)

·

Defining Clinical Staff Roles and Responsibilities

Week 3

(Nov 17- 23)

·

Debriefing the clinical staff, Interpretation of findings

Week 4

(Nov 24-30)

·

Dissemination of findings and Presentation

Week 5

(Dec 1-7)

·

Training and Evaluation of project

Weekly Summary

Clearly and succinctly summarizes project status and discussion includes any updates to the project timeline.

DO NOT COMPLETE THIS NOW- SAVE THIS FOR DNP PROJECT III

Week 1

Week 2

Week 3

Week 4

Week 5