create a possible log hours
DNP Program
Student Name: Valeria Klimack
Cohort: X
Mentor Name: Dr. Amarilys Gonzalez
|
Course Name |
Instructor |
|
Essential |
Activity |
Time Spent |
Date |
Note |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential I: Scientific Underpinnings for Practice |
Appraise literature for inclusion |
3 Hours |
07/02/25 |
I reviewed multiple peer-reviewed articles from CINAHL, PubMed, and ProQuest focusing on interventions to reduce psychiatric outpatient no-show rates. My goal was to identify studies that applied robust statistical methods, such as logistic regression, chi-square analysis, and survival analysis, to measure intervention effectiveness. Guided by Week 1’s course theme on descriptive statistics, I assessed whether each study clearly presented sample size, measures of central tendency, and dispersion. I also considered effect sizes, confidence intervals, and p-values to ensure that the findings were both statistically and clinically significant. This activity directly addressed DNP Essential I by grounding my project in strong scientific evidence. The AONL competency of Evidence-Based Practice/Outcome Measurement was used as I evaluated the applicability of each study to my target population and filtered out articles with flawed methodology. This process not only helped me curate a high-quality evidence base but also reinforced my understanding of statistical validity and reliability in practice-based research. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential I: Scientific Underpinnings for Practice |
Construct/Refine PICOT question |
2Hours |
07/08/25 |
I refined my PICOT question to ensure it was measurable, time-bound, and statistically analyzable. Initially, my question lacked specificity regarding outcome measures, so I integrated quantifiable endpoints such as the percentage change in attendance rates before and after intervention. I also identified primary independent variables (e.g., intervention type) and dependent variables (e.g., attendance outcome). I ensured my question aligned with statistical testing requirements, categorical variables for chi-square analysis and continuous variables for t-tests. Applying the AONL competency of Effective Communication and Relationship Building, I discussed revisions with my mentor to confirm the question’s clarity and feasibility. This task advanced Essential I by laying a rigorous scientific foundation that will drive my project’s statistical design, ensuring that the chosen methodology can accurately test the hypothesis. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential I: Scientific Underpinnings for Practice |
Review/Evaluate EBP material |
1.5 hr |
07/09/25 |
I finalized a draft with part of the theoretical framework using the Iowa Model to guide my intervention. This model emphasizes proactive, patient-centered management and fits well with chronic neuropathic pain care. It will support both clinical alignment and stakeholder communication during the implementation phase of my DNP project. The specific role competencies are knowledge of healthcare environment by using evidenced-based data for the establishment of standards of practice to enhance patient care |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Attend EBP/statistics workshop |
3 Hours |
07/11/25 |
I participated in a virtual workshop titled “Translating Statistical Results into Clinical Decision-Making.” The presenter covered practical applications of t-tests, ANOVA, and logistic regression in healthcare quality improvement projects. This linked directly to Week 3’s emphasis on counts, ratios, and epidemiological measures. One of the workshop’s key takeaways was the distinction between statistical and clinical significance, and how to report both in DNP projects. I learned how to create a data analysis plan that pre-specifies tests to reduce bias. I also practiced interpreting confidence intervals and adjusted odds ratios from example studies, skills essential for evaluating intervention impact in my project. This activity fulfilled Essential III by enhancing my analytical toolkit and supported the AONL competency of Knowledge of the Healthcare Environment by showing how statistical evidence can inform operational decisions in outpatient settings. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Consult with content experts: in person
|
4 hours |
07/18/25 |
I attended to the 2025 ASPN Annual conference to engage with the latest research and best practices in pain management including the most recent strategies to treat chronic pain and lumbar radiculopathy. The AONL competency of Knowledge of the Healthcare Environment was applied |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VII: Clinical Prevention and Population Health |
Collect epidemiologic data |
2 Hours |
07/19/25 |
I gathered local epidemiologic data from the state health department and CDC to identify mental health access disparities relevant to my project’s population. Measures included prevalence of depression, anxiety, and appointment adherence rates. This supported Week 7’s emphasis on using epidemiological measures to inform interventions. The AONL competency of Knowledge of the Healthcare Environment was applied by contextualizing my clinic’s data within broader public health trends. This work advanced Essential VII by linking population-level evidence to targeted prevention strategies. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice |
Developed data collection strategy |
2.5 hr |
07/20/25 |
I created a strategy for data collection that included pre- and post-intervention pain scores, medication tracking, and compliance logs. I selected validated tools and ensured alignment with measurable outcomes to assess effectiveness. This step will ensure data reliability and support strong project evaluation post-implementation. The role specific competencies were knowledge of the Health Care environment. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Participate in campus day discussion |
1.5 Hours |
07/21/25 |
I participated in a seminar with peers from various specialties to present my data collection strategy and receive feedback on statistical planning. I answered questions about variable selection and explained why chi-square testing was appropriate for certain comparisons. The AONL competency of Facilitating Group Discussions was applied, and Essential VI was reinforced through interdisciplinary collaboration. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Consult with statistician |
2 Hours |
07/13/25 |
I met via Zoom with a biostatistician to discuss analytic strategies for my dataset. We explored using logistic regression to model predictors of no-show behavior, as well as chi-square tests to compare categorical subgroups such as age and insurance type. We also discussed ensuring adequate sample size to maintain statistical power, referencing Week 5’s course content on sample size calculations. The AONL competency of Relationship Management was applied as I clarified my needs, listened to expert feedback, and agreed on the most feasible statistical approaches for my project. This task supported Essential VI by fostering productive collaboration with an interprofessional expert, ensuring that my project’s statistical plan is methodologically sound. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Meeting with stakeholders |
3 Hours |
07/17/25 |
I met with clinic leadership, front-desk staff, and IT personnel to assess feasibility of data extraction and reporting functions in the EHR. This connected to Week 11’s focus on applying survival analysis to time-dependent data. The AONL competency of Engaging Staff in Decision-Making was exercised, and Essential VI was strengthened by incorporating operational insight into statistical planning. |
|
DNP 7200 |
Dr. Perez |
Spring 2025 |
Essential III: Clinical Scholarship |
Consult with statistician |
2.5 Hours |
07/24/25 |
I Worked with a statistician to come up with a strong plan of analyzing the data in the project. Presented possible ways of measuring the severity of pain and outcomes related to opioids. This guaranteed the analytical integrity and the evidence-based practice of the project. The role-specific competencies associated was business skills by analyzing market data in regards to patients necessity |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential III: Clinical Scholarship |
Participate in data analysis |
2 Hours |
07/25/25 |
I generated a draft of descriptive statistics, including means, medians, and standard deviations, for continuous variables, and frequency counts for categorical variables. This reinforced Week 1’s descriptive statistics content. The AONL competency of Evidence-Based Practice/Outcome Measurement was applied to interpret baseline trends. This task advanced Essential III by transforming raw data into usable findings for hypothesis testing. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential I: Scientific Underpinnings for Practice |
Attend research webinar on confidence intervals |
3 Hours |
07/27/25 |
I attended a webinar focusing on interpreting confidence intervals in clinical research. I practiced calculating intervals and understanding how they convey precision and uncertainty. The AONL competency of Lifelong Learning was applied, and Essential I was reinforced by integrating nuanced statistical interpretation into my project’s evaluation framework. |
|
DNP 7200 |
Dr. Karen Perez |
|
Essential VI: Inter-Professional Collaboration |
Consult with mentor/preceptor |
2 Hours |
07/28/25 |
I met with my mentor to review my statistical plan and confirm alignment with the project’s clinical goals. We discussed operational constraints, variable definitions, and data collection timelines. The AONL competency of Relationship Management was demonstrated, and Essential VI was supported by ensuring collaborative alignment between statistical rigor and clinical feasibility. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VII: Clinical Prevention and Population Health |
Apply statistical results to intervention planning |
1.5 Hours |
07/29/25 |
I used pilot statistical findings to refine my planned intervention, emphasizing strategies with the highest effect sizes from prior studies and my preliminary data. The AONL competency of Evidence-Based Practice was demonstrated, and Essential VII was strengthened by linking statistical outcomes to actionable prevention strategies. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VII: Clinical Prevention and Population Health |
Interpret survival analysis results |
2 Hours |
08/03/25 |
I ran a Kaplan-Meier survival analysis to evaluate time-to-follow-up appointments and identify differences between patients who received reminders versus those who did not. The log-rank test revealed statistically significant differences, suggesting that reminders improved follow-up timeliness. The AONL competency of Analytical Thinking was applied, and Essential VII was supported by linking statistical evidence to preventive strategies that enhance continuity of care. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Meeting with IT department |
1.5 Hours |
08/05/25 |
I met with the clinic’s IT staff to discuss automated data pulls for ongoing monitoring of attendance metrics. We reviewed EHR reporting capabilities, potential for custom dashboards, and HIPAA considerations. The AONL competency of Business Skills was applied to evaluate cost and feasibility of dashboard creation. This work advanced Essential VI by coordinating with non-clinical professionals to integrate data-driven solutions into daily operations. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential III: Clinical Scholarship |
Draft statistical methods section of DNP manuscript |
2 Hours |
08/08/25 |
I drafted the statistical methods section for my DNP project manuscript, detailing variables, measurement scales, statistical tests, and rationale for test selection. I followed APA guidelines for reporting. The AONL competency of Professionalism was demonstrated in adhering to scholarly writing standards. This supported Essential III by ensuring methodological transparency and replicability in reporting. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential VI: Inter-Professional Collaboration |
Final peer review of statistical analysis |
1.5 Hours |
08/10/25 |
I shared my full analysis results with peers in a virtual session, walking through each statistical test, its assumptions, results, and clinical implications. Peers asked questions that prompted me to clarify certain interpretations, leading me to revise parts of my results narrative. The AONL competency of Communication Skills was applied, and Essential VI was reinforced through collaborative refinement of statistical outputs. |
|
DNP 7200 |
Dr. Karen Perez |
DNP |
Essential I: Scientific Underpinnings for Practice |
Review literature on effect size interpretation |
2.5 Hours |
08/11/25 |
I read three methodological articles on interpreting effect sizes in clinical research, focusing on Cohen’s d, Cramer’s V, and odds ratios. I compared thresholds for small, medium, and large effects and considered how these translate to real-world clinical impact in my project. This tied into Week 4’s theme on moving beyond p-values for significance. The AONL competency of Lifelong Learning was demonstrated, and Essential I was supported by deepening my capacity to interpret the magnitude of intervention effects. |