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Project Title:

Implementing and evidence-based scale that assessment tool which measures depression, anxiety and stress in an outpatient mental health private practice.

Doctorate Student Name:

Ramona Wilkersom

Check One:

X Herzing University Student

☐ Student not affiliated with Herzing University – list institution this project is affiliated with:

Email:

[email protected]

Primary Phone Number:

201-706-1511

Location/Sponsor:

Wilkerson & Company LLC- Put your medical director here.

Faculty Information:

Faculty Name: Colleen Bartlett

Faculty Email:[email protected]

Faculty Phone:

352-428-7472

Anticipated Start Date:

2-1-24

Anticipated Completion Date:

5-1-24

Where are the prompts? In the videos it clearly stated not to remove them.

Over the course of 4 weeks, the Depression, Anxiety, and Stress Scale (DASS21) will be implemented in an established private mental health practice aimed at evaluating stress prevalence and offering psychotherapy stress remedies to improve patient outcomes related to their mental health diagnoses. (This aim statement should be short and sweet without references. The bulk with references goes below) this project will help to fill the gap which currently exists in the assessment of stress in outpatients in our clinic. Through administering the Depression, Anxiety, and Stress Scale (DASS21), we aim at conducting a more organized approach to evaluating stress prevalence in our patients (Ali, et al., 2022). Therefore, the aim will be to revolutionize patient care and satisfaction in routine practice through stress assessment, which, in turn, will enable proffering of appropriate psychotherapy stress remedies to patients. By week four from the initiation of the project, we intend to review the patient outcomes as well as satisfaction rate and compare it with the initial parameters to note the impact of improvement. The direct target recipients of this improvement effort are the patient with mental illness that seek outpatient services from our practice. This project includes all facets of the stress assessment process, from incorporating stress assessment in to overall patient assessment, to providing adequate psychotherapy to stressed out patients, and ensuring the best quality of care for our patient panels (Halford, & Frost, 2021).

Project Overview

Please provide a summary of the proposed quality improvement or innovation project including the purpose, proposed strategy to be utilized, proposed project measures that will be utilized to evaluate outcomes, and the anticipated/desired outcomes.

Where is this portion?

Open this section by providing an overview of the identified problem( stress in mental health disorders) that is the basis for designingthe student dnp project. ( global problem of stress with citations)

Provide information that demonstrates the problem in your practice ( local problem related to stress in your practice with citation).

The purpose of the project is…..

The proposed strategy that will be utilized in the project is….

Next you will outline the evaluative measures that will be utilized to evaluate the project outcomes.

https://www.ihi.org/resources/how-to-improve/model-for-improvement-establishing-measures

The desired outcome of the project is…..

Below is a list of references that provide support for the project design of…..

QI Framework

Please provide an overview of the framework that will be utilized in the proposed project (e.g. KTA, PDSA, ADKAR, Lean, Six Sigma, DMAIC, etc.).

The development of the suggested quality improvement plan is targeting the optimization of, and increasing patient satisfaction in an outpatient mental health private practice through the implementation of stress assessment via Depression, Anxiety, and Stress Scale 21. This is a comprehensive stress assessment project where the aim is to screen patient populations for specific stress levels and where respective psychotherapeutic stress reduction approaches will be used to minimize stress and enhance quality of life. In addressing this plan, an important approach is to incorporate the DASS21 scale into the basic assessment of patients as well as their follow-up visits to guarantee a systematic assessment of patients’ stress levels (D’Amico, et al., 2024). The shifts in the patient outcomes to be employed in the proposed project pertain to patients’ perceived stress levels, depression, and anxiety levels before and after the implementation of the stress assessment tool, in addition to patients’ satisfaction with the use of the stress assessment tool. The expected impact is expected to be the increased percentage of patients who will be relieved from stress, continued emotional well-being, and overall satisfaction with outpatient mental health services offered at the organization.

Please watch the videos while filling out the application.

The PDSA framework will be used for this project…..

Here is the worksheet to help with this section

https://www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf

Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval

Sources

Halford, W. K., & Frost, A. D. (2021). Depression anxiety stress scale-10: A brief measure for routine psychotherapy outcome and progress assessment.  Behaviour Change,  38(4), 221-234. – make sure to have the doi here. https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70

Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2022). The Depression Anxiety Stress Scale 8-items expresses robust psychometric properties as an ideal shorter version of the Depression Anxiety Stress Scale 21 among healthy respondents from three continents.  Frontiers in psychology,  13, 799769. https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full

D’Amico, F., Navarrete, J., Montero-Marín, J., Cardeñosa-Valera, E., Navarro-Gil, M., Pérez-Aranda, A., ... & Luciano, J. V. (2024). Cost-utility of attachment-based compassion therapy (ABCT) and mindfulness-based stress reduction (MBSR) in the management of depressive, anxious, and adjustment disorders in mental health settings: Economic evaluation alongside a randomized controlled trial.  Mindfulness,  15(3), 559-569. https://link.springer.com/article/10.1007/s12671-024-02319-4

You need references that support your project ( stress in mental health)

Data Security-You deleted all the prompts these must be returned as stated in the instructions.

Regarding data protection, the necessary precautions shall be observed relating to paper documents that contain protected or identifying personal information as well as electronic records. Paper-based records will be secured in a locked cabinet or file, and digital records will be saved in password-protected computers only those persons have access who are concerned with it. This system will not be open to the public; access to all the departments will be allowed based on the access code and privileges granted to users. Secured updates or patches will be offered after each period to help in the protection of the system (Fizur, 2020). Any accompanying physical documents will be secured in locked cabinets in an office only to be accessed by authorized personnel. Use of these cabinets will be limited and the keys shall be kept safely under lock and key by the authorized personnel.

As for the data retention period, the company will meet legal and industry standards concerning the data retention period with a concrete retention period defined in the data retention policy. The last point entails data disposal where the data is no longer useful or has aged out of the retention period set for it; it shall be deleted using standard methods of data disposal. Hard copy documents will be expelled using a cross-cut shredder for the destruction of any sensitive information. Digital data will be erased from the program by employing careful measures such as digital shredding and overwriting.

Additional daily, weekly, monthly, and annual checks are proposed to perform verification of the adherence to the data security requirements and to investigate possible threats. Specific personnel in each center will be tasked with conducting these audits from time to time and any issues arising out of this process will be addressed to minimize risks to the integrity of data. Finally, training in data security measures and guidelines will be provided to all employees to guard against violations of rules as well as to reduce cases of data leakage or instances in which unauthorized individuals gain access to such data.

You do not need references in this section. Please see the example I sent you. No erroneous wording needs to be in this section only the facts.

Ex: The data collected as part of the project will not include any protected or identified personal information.

The DNP student will be responsible to developing a checklist to monitor and record the number of patients that received the DASS21 scale and required psychotherapy intervention.

Etc.