Reflection on Learning 02/07/2022

2

Week 3: Political Advocacy

Leonard Einstein

Mary Register

Health Policy NR 708

01/16/2022

You've visited with the practicum site's decision-makers to discover the issue they're facing and how your project may help. How did the meeting go?

Richard Hall community mental health facility is where I will be doing my practicum in January, so I met with the director of the center's program. Dropping attendance and how to cope with "no show, no call" were two of his top concerns. As a result, he'd want to know how to cut down on the amount of "NO SHOW NO CALL" appointments so that the existing appointment time may be improved. Diabetes is another issue that has to be addressed in the field of psychopharmacology. The manager wants to know whether it has anything to do with drugs.

They are blaming it on corvid 19 and delta virus, which are causing health care to be in turmoil right now. As a result of the Delta Virus, he said, the fear of patients has risen. Initially, he found the telehealth experience to be OK, and the center was able to handle it. eHealth, in accordance with the state rule prohibiting phone contact for medicine, counselling, and group management, took the role of Zoom in June 2021.

It was a successful meeting. A few weeks later, he agreed to examine the issue, and he promised to come back to me at that time.

Please submit your PICOT question as a question. Will this PICOT question ever change?

"Do type 2 diabetics (P) get better glycemic control (O) with exercise as the primary treatment (I) than those who get drug therapy as a primary treatment (C)?"

Depending on my observations and the demands of my practicum location, the PICOT question may need to be revised.

Describe the translation science model you want to use in your project.

In light of the many models for translational science, it might be difficult to pick a model that is appropriate for a particular research project. While this may seem obvious, Sun and Cherry (2019) emphasized the importance of selecting an acceptable translational model based on the model's capacity to be used, validated, applied, and accepted. The IOWA Model is the model I want to employ for my project.

Evidence-based practice may be implemented using the Iowa Model. The IOWA model provides a clear and simple language that is simple to comprehend and follow. There are several reasons why I utilize the IOWA model. Multiple evidence-based translation initiatives have utilized it for a long time. Also, the Iowa model was highlighted as an evidence-based approach that may be used in many contexts by Buckwalter et al. (2017).

Aside from this, the IOWA model offers a high level of reliability. It's simple and convenient for everyone to use. I will be able to better understand the goal of my study and other critical research topics by using the Iowa model. Also, I will be able to identify the steps of implementation and what to expect at each stage of my project by using the Iowa model. 

What is your current project priority, and do you think the practicum site decision-makers support your initiative?

Finding or creating an evidence-based project that is compatible with the needs of the outpatient clinic where my practicum will take place is the current challenge. For now, I have no idea what to look for. As of this writing, they don't have a preceptor in place for me to work with. I'm also concerned about picking the correct project and putting together the right PICOT.

Yes. The facility is open to accepting me, and the medical director has given his approval. Only one DNP graduate works at this institution, according to my chat with the medical doctor.

References

Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12223 (Links to an external site.)

Sun, G. H., & Cherry, B. (2019). Using the logic model framework to standardize quality and rigor in the DNP project. Nurse educator, 44(4), 183-186.

Sebastian, J. G., Breslin, E. T., Trautman, D. E., Cary, A. H., Rosseter, R. J., & Vlahov, D. (2018). Leadership by collaboration: Nursing's bold new vision for academic-practice partnerships. Journal of Professional Nursing, 34(2), 110-116.