create a possible log hours
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Clinicalhours7100def.docx
DNP Project Hours Log
Student Name: Valeria Klimack
Cohort: X
Mentor Name: Dr Amarilys Gonzalez
PICOT: In nurse practitioners and physicians managing adult patients (≥18 years) with lumbar radiculopathy at Miami Wellness Pain Relief Center (P), how does the implementation of an evidence-based antineuropathic prescribing protocol combined with a structured educational program (I), compared to current opioid-based prescribing practices (C), affect patient pain intensity (VAS), functional outcomes (ODI), provider adherence to prescribing guidelines, and patient participation in physical therapy (O) over an eight-week period (T)?
Clinical Hours Course of Action
|
Course Name |
Instructor |
Session |
Essential |
Activity |
Time Spent |
Date |
Note |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I: Scientific Underpinnings for Practice |
Conducted literature appraisal |
2.5 hours |
05/10/2025 |
I analyzed and synthesized recent research literature comparing neuropathic medications to opioids for lumbar radiculopathy. This process helped ground my project in scientific evidence and strengthened my clinical judgment. The leadership competency demonstrated was Clinical Practice Knowledge by using evidence for establishment of standards. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I Analytical Methods for Evidence-Based Practice |
Synthesize literature |
3 hours |
05/11/2025 |
I review the literature on PICOT question elements to see their requirements and prepare one possible PICOT draft with attention to outcome measures relevant for evaluating medication efficacy over 8 weeks This activity supported my role as a clinical scholar and enhanced my analytical thinking. The leadership competency demonstrated was: Foundational Thinking Skills. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes |
Consult with content experts: in person, by phone, or by email |
1 hours |
05/12/2025 |
I spent 1 hour consulting with the Medical director of the practice A professional consultation that allowed me to understand practical approaches to implementing antineuropathic medication in pain care. The leadership competency demonstrated was Relationship Management through building collaborative relationships. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.) |
1.5 hours |
05/14/2025 |
I created a visual model to structure outcome evaluation for the project. This activity enhanced my competency in designing evidence-informed data strategies. Leadership demonstrated: Outcome Measurement and Research. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential IV: Information Systems/Technology and Patient Care Technology |
Participate as evaluator in Health Information Technology arena |
2 hours |
05/15/2025 |
I spent 2 hours evaluating documentation systems in place and their ability to capture medication-specific pain data. The leadership competency demonstrated was Technology in Health Care for performance improvement. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I: Scientific Underpinnings for Practice |
Synthesize literature (review) |
3 hours |
05/19/2025 |
After 3 hours reviewing data I created an updated evidence matrix to categorize findings based on possible treatment outcomes which helped me to clarify intervention focus and timeframe.. The leadership competency demonstrated was: Personal and Professional Accountability in synthesizing current knowledge. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Develop tools for sustainability (e.g., toolkits, PowerPoint, audit tools, etc.) |
1.5 hours |
05/22/2025 |
I developed an Excel-based tracking system aligned with project goals. The leadership competency demonstrated was: Business Skills in outcome monitoring. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential VIII: Advanced Nursing Practice |
Assess clients, populations or organizations in practice setting |
3hours |
05/23/2025 |
I executed a deep research of approximately 3 hours and reviewed the patient population of the practice analyzing the most common medications prescribed, and frequency of visits. This engagement helped me understand gaps in pain relief and education. The leadership competency demonstrated was: Advocacy and Clinical Expertise |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I: Scientific Underpinnings for Practice |
Synthesize literature (review) |
3 hours |
05/27/2025 |
I spent 3 hours researching data from antineuropathics, and extracted best-practice standards to support the use of antineuropathics. The leadership competency demonstrated was: Professional Writing and Dissemination of Research. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential II: Organizational and Systems Leadership for Quality Improvement |
Meet with stakeholders |
2 hours |
05/28/2025 |
I spent 2 hours in a meeting with stakeholders on a deep discussion which revealed key barriers and enablers for protocol change. The leadership competency demonstrated was: Governance and Risk Management. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential VIII: Advanced Nursing Practice |
Clinical practice |
2 hours |
05/29/2025 |
I Observed practical use of medication titration and communication techniques. The leadership competency demonstrated was: Knowledge of Current Nursing Practice. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential II: Organizational and Systems Leadership for Quality Improvement |
Evaluate rapid cycle improvement project |
2 hours |
06/02/2025 |
I spent 2 hours Evaluating adherence trends and systemic barriers to guideline compliance among prescribers. Developed strategies for leadership engagement and system redesign. The leadership competency demonstrated was: Business Skills and Performance Improvement. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I: Scientific Underpinnings for Practice |
Synthesize literature (review) |
2.5 hours |
06/04/2025 |
I Developed a structured implementation plan based on research evidence and best practices. This activity demonstrated advanced clinical knowledge and systematic planning. The leadership competency demonstrated was: Clinical Judgment and Strategic Alignment. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Participate in data analysis |
3 hours |
06/05/2025 |
I Revisited statistical frameworks and significance levels in relevant trials. This improved my data literacy and informed realistic outcome benchmarks. The leadership competency demonstrated was: Analytical Methods and Research Integration. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential VI: Inter-Professional Collaboration for Improving Patient and Population Health Outcomes |
Consult with mentor/preceptor: in person, by phone, or by email |
2 hour |
06/06/2025 |
I had a phone meetin with my Mentor and Engaged in detailed dialogue on clinically appropriate metrics and shared accountability. Enhanced my skills in interdisciplinary negotiation and shared decision-making. Leadership: Collaboration and Outcome The leadership competency demonstrated was: Focus. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential II: Organizational and Systems Leadership for Quality Improvement |
Attend quality improvement meeting |
2 hours |
06/08/2025 |
I Learned organizational strategies for reducing adverse events related to opioids. Applied systems thinking to incorporate risk reduction principles into the DNP project. The leadership competency demonstrated was: Quality and Safety in Practice Settings. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Conduct evaluation of DNP project evaluation |
2 hours |
06/09/2025 |
Developed clear outcome metrics for pain score improvements and patient satisfaction. Demonstrated ability to translate research into applicable clinical outcomes. The leadership competency demonstrated was: Evidence-Based Implementation. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential I: Scientific Underpinnings for Practice |
Make presentation pertaining to PICOT question |
1 hour |
06/10/2025 |
Created an executive-level summary to communicate project goals to stakeholders. Strengthened skills in strategic communication and knowledge dissemination. The leadership competency demonstrated was: Executive Communication. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential IV: Information Systems/Technology and Patient Care Technology |
Participate as team member in Health Information Technology arena |
2 hours |
06/11/2025 |
I Explored informatics platforms for integrating patient outcomes into clinical reports. Improved data visualization and digital solution planning. The leadership competency demonstrated was: Informatics Innovation. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Develop DNP project proposal |
2 hours |
06/14/2025 |
Identified internal and external factors influencing project execution. Strengthened leadership through strategic planning and foresight. Used assessment data to shape nurse training sessions tailored to actual gaps. The leadership competency demonstrated was: Organizational Strategy and Problem Solving. |
|
DNP 7100 |
Dr. David Trabanco |
DNP |
Essential II: Organizational and Systems Leadership for Quality Improvement |
Identify stakeholders |
2hours |
06/17/2025 |
Created a timeline with embedded stakeholder checkpoints for ongoing input. Applied project management skills for sustainable implementation. The leadership competency demonstrated was: Planning and Evaluation. Designed project timeline and stakeholder feedback loop |
