Describe the evidence-based change/improvement or innovation you propose. Discuss the research evidence and/or organizational characteristics that support this change. Identify how this plan addresses the opportunities for improvement identified in the process flow diagram.
- Identify any additional strategies planned to address significant root causes of the quality gap. Discuss the evidence supporting these strategies and consider the benefit: risk ratio.
- Identify alternative strategies and approaches that you considered but rejected as part of your DNP project plan due to challenges with evidence, cost, feasibility, risk, or other reasons. Explain why these are not being included in your proposed approach.
- Create a cost-benefit analysis table and write a paragraph describing the cost-benefit analysis. The paragraph should identify the cost of continuing with the “current state” related to the problem compared to the cost of the desired “future state.” What is the cost of all components of the proposed intervention? This includes both financial, human and system costs. (Note: See the NUR610 video and refresh your memory re: cost-benefit analysis). Use the published literature (including gray literature) to estimate financial costs – exact figures are not expected.
- Identify a published change model (e.g. Lewin, Lippitt, Kotter, etc.) and describe the detailed steps you would take, using that model, if you were to implement this project in an actual healthcare setting. Please note that you are proposing these actions and not carrying them out. Be very clear about the role of the DNP student in the proposed implementation. If you will be using small cycles of change (plan-do-study-act) then be clear about the timing of each cycle and how you will know whether it worked.
- Describe likely barriers to change implementation and plan to address these barriers