Category: NURS-FPX8045

NURS FPX 8045 Assessment 7 Literature Review Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date Conceptualizing a Potential Project-Signature Assessment A gap exists in the communication and collaboration between nursing staff and outpatient care providers during patient discharge at We Level Up Treatment Lawrenceville. Inconsistency in communication leads to negative outcomes such as increased hospital readmission rates for patients with Substance Use Disorders (SUD) (Sinclair et al., 2024). Implementing the Agency for Healthcare Research and Quality’s (AHRQ) Re-Engineered Discharge (RED) Toolkit can enhance discharge protocols by fostering improved communication and care coordination among healthcare providers, aiming to reduce readmissions (AHRQ, 2023). Addressing the communication and collaboration gap can lead to more consistent discharge practices at We Level Up Treatment Lawrenceville. PICOT question guiding DNP project is: In nurses working in a drug and alcohol treatment facility (P), how does the implementation of the AHRQ’s RED Toolkit (I), compared to current discharge practices (C), affect hospital readmissions (O) over twelve weeks (T)? Part 2: Analysis and Synthesis of Research Literature on the practice gap at We Level Up Treatment Lawrenceville underscores the need for improved communication and collaboration between nursing staff and outpatient care providers, particularly during patient discharge. Identifying the practice gap has implications, as inconsistencies in discharge planning and follow-up care increase relapse risks and hospital readmissions among patients with SUDs. Synthesis of research on interdisciplinary collaboration, cultural responsiveness, leadership, and tailored collaborative care models provides moderate-quality evidence (SORT B) that supports the implementation of structured protocols and recovery-supportive interventions to bridge identified gap and enhance patient outcomes. Sinclair et al. (2024), gave compelling evidence that underscores the value of recovery-oriented discharge planning in SUD, addressing the inconsistent communication and collaboration. Analyzing 25 studies reveals that post-discharge services, such as peer support, housing stability, and interagency collaboration, enhance long-term recovery outcomes by promoting trust and continuity of care. Findings strongly align with the needs at We Level Up Treatment, where fragmented follow-up care impedes recovery. NURS FPX 8045 Assessment 7 Literature Review A comprehensive review by Sinclair et al. (2024), supported a recovery paradigm, emphasizing the critical role of communication between providers and structured discharge processes. Moderate-quality evidence from the review substantiates the practice gap by showing that collaborative discharge planning can mitigate relapse risks and reduce hospital readmissions. While the review emphasizes effective discharge strategies, it lacks specific implementation methods tailored to different settings, particularly those with limited resources. Absence of resources creates a knowledge gap regarding how to adapt and apply communication strategies effectively in varied healthcare environments. Osilla et al. (2022), offered insights into addressing co-occurring disorders such as Opioid Use Disorder (OUD) and mental health issues like PTSD and depression, which complicate discharge planning due to improper collaboration and communication. Osilla et al. (2022), adopted a collaborative care model in New Mexico that includes community health workers and measurement-based care to coordinate services more effectively for complex cases. Research is highly relevant to the practice gap at We Level Up Treatment, where nursing staff often encounter challenges related to co-occurring disorders among SUD patients. Adaptation of the collaborative care model, titled CLARO, reveals that engaging community health workers in care coordination fosters patient acceptability and improves care accessibility, especially in low-resource settings. According to the SORT model, the moderate-quality evidence presented by Osilla et al. (2022), supported the use of tailored approaches to manage dual diagnoses and highlights the need for integrated care coordination. However, study’s reliance on a limited sample in a specific geographic area of Mexico limits generalizability, raising questions about the model’s applicability in more diverse settings and indicating a need for further research to evaluate the model’s adaptability across different patient populations. NURS FPX 8045 Assessment 7 Literature Review Interdisciplinary collaboration, as explored by Kools et al. (2022), provided another foundational approach for addressing the improper communication practice gap. Using a mixed-methods approach, they examined structured protocols in AUD treatment to improve outcomes through enhanced interdisciplinary communication. Social network analysis conducted within a hospital setting reveals that stronger relationships among network partners improve AUD treatment quality and reduce barriers to patient engagement. Findings underscore the role of structured protocols and interdisciplinary teamwork, aligning with the need for standardized discharge protocols at We Level Up Treatment. Moderate-quality evidence from Kools et al. (2022),, suggested that establishing consistent proper communication channels among healthcare providers can strengthen team cohesion, promote seamless care transitions, and reduce fragmentation. The study does not fully address the way to practically implement the above-mentioned findings, especially in outpatient settings with limited resources and staffing constraints, indicating a need for further research. NURS FPX 8045 Assessment 7 Literature Review Hirchak et al. (2020) emphasized culturally responsive interventions as critical for effective communication and collaboration in SUD treatment, particularly within culturally diverse patient populations. Mixed-methods study by Hirchak et al. (2020), on culturally adapted SUD treatments for American Indian communities reveals that community engagement and cultural re-centering foster meaningful patient-provider interactions. Authors employ the Interactive Systems Framework to evaluate culturally relevant approaches, facilitate recovery and improve treatment efficacy. Findings indicate that culturally adapted practices strengthen relationships between patients and providers, an aspect directly relevant to We Level Up Treatment, where multicultural considerations are essential in bridging the communication gap during patient discharge. Hirchak et al. (2020), provided moderate-quality evidence (SORT B) supporting the integration of cultural adaptations into discharge planning to foster better patient engagement and continuity of care. However, their findings highlight an area of uncertainty regarding the long-term sustainability of culturally adapted interventions, particularly in settings where cultural resources and personnel are limited. Further research is needed to evaluate the culturally responsive communication adaptations that can sustained and expanded across diverse SUD treatment settings. Guerrero and Khachikian (2020), examined transformational leadership’s impact on communication and collaboration within SUD treatment programs. Applying case analysis methods grounded in transformational leadership theory, their study demonstrates that leadership styles emphasizing evidence-based practices and clear communication foster an organizational climate conducive to staff engagement and patient-centered care. Transformational

NURS FPX 8045 Assessment 6 Synthesis of the Evidence: Substantiating an Intervention for Obesity Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date   Synthesis of Evidence Substantiating an Intervention A gap in practice exists at We Level Up Treatment Lawrenceville regarding communication and collaboration between nursing staff and patient care workers during patient discharge. Lack of effective discharge processes has resulted in fragmented follow-up care, increasing the likelihood of patient relapses and hospital readmissions, particularly for individuals with Substance Use Disorder (SUD). Fragmented care transitions, inconsistent discharge protocols, and inadequate follow-up communication have been identified as key factors contributing to poor patient outcomes (Mitchell et al., 2022). Strengthening communication and ensuring consistent collaboration between nurses and outpatient providers are crucial for improving care continuity and reducing readmissions. Agency for Healthcare Research and Quality (AHRQ)’s Re-Engineered Discharge (RED) Toolkit was selected as the intervention to address this gap. Evidence-based RED toolkit provides a structured framework for discharge, patient teaching, and post-discharge follow-up (AHRQ, 2023). By using the RED Toolkit, nurses can deliver clearer communication to patients and ensure follow-up care is coordinated with outpatient providers, reducing the risk of relapse and hospital readmissions (Paolini et al., 2022). Here is the revised PICOT question:  In nurses working in a drug and alcohol treatment facility (P), how does the implementation of the AHRQ’s RED Toolkit (I), compared to current discharge practices (C), affect hospital readmissions (O) over twelve weeks (T)?  Chosen Scholarly Articles Addressing the gap in communication and collaboration during patient discharge at We Level Up Treatment Lawrenceville, RED Toolkit will be implemented. A review of 40 charts has provided insights into the current discharge processes and identified areas for improvement. Du et al. (2021), focused on the adaptation of the RED Toolkit for surgery, demonstrating that “95% of participants reported positive or satisfactory care transitions” following the implementation of structured discharge protocols and follow-up care plans. According to Mitchell et al. (2022), “implementation of care transition support through the RED intervention can impact collaboration between care teams, especially for patients with depressive symptoms, highlighting the potential for tailored discharge strategies to enhance patient outcomes.” According to Popejoy et al. (2021), “RED program has shown promise in improving communication among healthcare providers in skilled nursing facilities, emphasizing that effective implementation is crucial for achieving optimal outcomes”, which aligns with the goals of applying the RED toolkit at We Level Up Treatment Lawrenceville to enhance care transitions and improve collaborative practices. NURS FPX 8045 Assessment 6 Synthesis of the Evidence: Substantiating an Intervention for Obesity According to Paolini et al. (2022), “restructured discharge protocol not only reduced 30-day hospital readmission rates but also fostered effective communication between healthcare professionals and patients,” highlighting the possible benefits of applying the RED Toolkit at We Level Up Treatment Lawrenceville to enhance care coordination and improve communication. According to Arredondo et al. (2024), “nursing leadership plays a crucial role in implementing the RED, leading to enhancements in discharge processes and communication among healthcare teams,” which aligns with the goals of our intervention at We Level Up Treatment Lawrenceville to improve care transitions and reduce inconsistencies in communication. Findings suggest that the effective application of the RED Toolkit can improve communication and collaboration, thereby addressing the practice gap and reducing the relapse at We Level Up Treatment Lawrenceville. Critical Review of Chosen Studies In order to improve care transitions and decrease readmissions at We Level Up Treatment Lawrenceville, the RED Toolkit will be implemented. Five peer-reviewed articles have been reviewed to support RED Toolkit intervention. For the assessment of the articles below, the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model will be adopted, which will provide a structured approach to the evaluation of the research methodologies and findings.  Study by Du et al. (2021), adapted the RED Toolkit to address gaps in communication and collaboration during discharge in colorectal surgery patients. Research intended to assess the implementation and feasibility of the adapted intervention within a regional Veterans Affairs tertiary care center. A patient survey was used to assess healthcare experiences post-discharge. Theoretical basis was the RED Toolkit framework, focusing on improving communication and collaboration through structured discharge processes. According to the JHNEBP model, this study could be rated as Level III due to its quasi-experimental design. Findings showed an improvement in care transitions, with 95% of patients reporting satisfactory outcomes. Du et al., (2021)’s study is applicable to my project by supporting the feasibility of RED interventions in improving communication and collaboration, which aligns with addressing the practice gap at We Level Up Treatment Lawrenceville by enhancing discharge protocols for SUD patients. NURS FPX 8045 Assessment 6 Synthesis of the Evidence: Substantiating an Intervention for Obesity Mitchell et al. (2022), investigated whether post-discharge depression treatment coupled with care transition support can improve communication between care teams and reduce errors in discharge plans among patients exhibiting depressive symptoms. A randomized controlled trial methodology involving 709 hospitalized patients with a Patient Health Questionnaire-9 score of 10 or higher is utilized. Primary aim focuses on comparing the outcomes of patients receiving the RED intervention alone versus those receiving the RED intervention combined with additional depression treatment (RED-D). JHNEBP is applied for critical appraisal, revealing strengths such as a robust sample size and a well-defined intervention protocol. Findings suggest that while care transition support can improve collaboration between teams managing depressive symptoms, improvements in communication were only observed in participants who engaged with the RED-D intervention extensively. Insights from Mitchell et al., (2022)’s study could inform future adaptations of the RED toolkit to enhance outcomes for patients with recurring SUDs and mental health issues at We Level Up Treatment Lawrenceville, reducing readmissions.Popejoy et al. (2021), explored the implementation of the RED program in Skilled Nursing Facilities (SNFs) and its impact on improving communication and collaboration during discharge. Study aimed to compare two implementation strategies—Enhanced and Standard—using a pretest-posttest design to analyze utilization outcomes across four Midwestern SNFs. NURS FPX 8045 Assessment 6 Synthesis of the Evidence:

NURS FPX 8045 Assessment 5 Nursing Project Proposal & Communication Assessment Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date   Synthesis of Evidence Substantiating a Practice Gap A practice gap refers to the discrepancies between established best practices and the actual practices implemented in healthcare settings. At We Level Up Treatment Lawrenceville, there is a significant practice gap in the effective communication and collaboration between nursing staff and outpatient care providers during patient discharge. Inconsistent communication and collaboration gap leads to fragmented follow-up care and increases the risk of relapse and hospital readmissions (Louie et al., 2021). Primary goal of this paper is to analyze relevant literature to substantiate the identified practice gap and explore potential interventions that can improve communication and collaboration, ultimately increasing patient outcomes in Substance Use Disorder (SUD) treatment. Identified Scholarly Articles Identified practice gap is the inconsistent communication and collaboration between nursing staff and outpatient care providers during patient discharge from substance abuse treatment facilities. Communication and collaboration inconsistency often leads to gaps in follow-up care, which increases the risk of relapse and hospital readmissions. According to Sinclair et al. (2024), “Effective communication between providers is crucial for successful patient outcomes,” underscoring the need to enhance coordination between nursing staff and outpatient providers at our facility. Osilla et al. (2022) found that “Collaborative care models, especially with community health workers, improve communication,” which addresses our practice gap by improving coordination for patients with co-occurring opioid use and mental health disorders. Kools et al. (2022) concluded that “Interdisciplinary collaboration fosters better care delivery,” which aligns with the need for structured communication in alcohol use disorder treatment at our facility. Hirchak et al. (2020) stated that “Culturally responsive interventions improve communication and coordination in diverse settings,” suggesting strategies to address gaps in communication for our multicultural patient population. Guerrero and Khachikian (2020) asserted that “Leadership plays a pivotal role in enhancing communication and collaboration within substance abuse treatment facilities,” providing insights into how leadership can address our practice gap. Findings from these studies collectively highlight the importance of proper communication to reduce relapse at the drug and alcohol facility. Critical Review of the Chosen Article A significant practice gap exists at We Level Up Treatment Lawrenceville, where inconsistent collaboration and communication between nursing staff and outpatient care have led to fragmented protocols in the treatment of drug and alcohol use disorders. Improving patient outcomes and minimizing hospital readmissions are key objectives in addressing the identified issue. Five carefully selected research articles have been reviewed, each offering valuable insights into leadership strategies, cultural responsiveness, interdisciplinary teamwork, and the implementation of evidence-based practices within SUD treatment systems. SORT model, which rates the strength of evidence, will be applied to evaluate the studies reviewed. Effective discharge planning and recovery-supportive interventions are critical in ensuring continuity of care for individuals with substance use disorders. A well-coordinated discharge process can significantly reduce the risk of relapse by fostering supportive networks and addressing key recovery challenges like housing and employment. An article by Sinclair et al. (2024) supported an effective discharge planning view through a comprehensive scoping review, highlighting the importance of recovery-oriented services. Analysis of 25 studies demonstrated that peer support networks, interagency collaboration, and housing stability are vital in sustaining recovery post-discharge. NURS FPX 8045 Assessment 5 Nursing Project Proposal & Communication Assessment Research employed a systematic methodology to examine how recovery-oriented policies and services improve outcomes by promoting trust between service providers and users. Above given article was selected because it aligns with the identified practice gap, offering evidence that enhanced communication and structured discharge planning between inpatient facilities and outpatient services are crucial to maintaining sobriety and preventing hospital readmissions. According to the SORT model, the strength of evidence in Sinclair et al. (2024) is graded as B, reflecting moderate-quality evidence from a comprehensive scoping review that supports the importance of structured discharge planning and communication in improving recovery outcomes. Co-occurring Opioid Use Disorder (OUD) and mental health conditions like depression and PTSD present significant challenges in treatment due to the complexity of symptoms and the lack of effective care strategies. Osilla et al. (2022) conducted a study in New Mexico, focusing on adapting a collaborative care model named Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO) to address these intertwined disorders. Utilizing a stakeholder-informed process, the researchers identified 12 fidelity-consistent adaptations to collaborative care aimed at improving treatment accessibility and quality. NURS FPX 8045 Assessment 5 Nursing Project Proposal & Communication Assessment Study revealed that integrating community health workers as care coordinators and incorporating measurement-based care enhanced the intervention’s acceptability among patients. Findings from the study underscore the necessity of tailored approaches in addressing treatment gaps, aligning with the need for consistent nursing protocols in managing patients with dual diagnoses, thus supporting evidence-based practices in clinical settings. According to the SORT model, the evidence in Osilla et al. (2022) is graded as B, reflecting moderate-quality evidence supporting tailored collaborative care models for improving treatment outcomes in patients with co-occurring OUD and mental health conditions. Kools et al. (2022) provided valuable insights into the dynamics of interdisciplinary collaboration in the treatment of Alcohol Use Disorders (AUD) within a hospital setting. Utilizing a mixed-methods approach, they effectively explored the structure and quality of collaboration among healthcare professionals through social network analysis and semi-structured interviews. Grounding the research in the ‘structuration model of collaboration’ provides a robust theoretical framework for understanding communication and collaboration among network partners. Findings indicated that a project leader plays a crucial role in fostering collaboration, with participants emphasizing the need for structured protocols to enhance care delivery. Selection of this article for review stems from its focus on addressing the clinical practice gap of inconsistent nursing protocols in AUD treatment. By highlighting the importance of collaboration, the research underscored potential strategies for improving patient outcomes and reducing hospital readmissions, aligning with ongoing efforts to communication and collaboration. According to the SORT model, the evidence in Kools et

NURS FPX 8045 Assessment 4 Interpretation and Synthesis of Scholarly Sources Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date Interprofessional Communication and Practice Gap Inconsistent infection control practices, exacerbated by the ongoing nursing shortage, have contributed to an increase in Central Line-Associated Bloodstream Infections (CLABSIs), challenging patient care and healthcare quality in acute care settings. The rising incidence of these infections highlights the critical need for implementing effective and standardized infection control strategies (Badparva et al., 2022). Project focuses on implementing evidence-based interventions, such as standardized infection control protocols, including daily Chlorhexidine Gluconate (CHG) bathing at Lima Memorial Hospital (LMH). By engaging stakeholders in the development and execution of these strategies, the project aims to foster a collaborative environment that prioritizes patient safety and enhances care quality. The initiative not only seeks to reduce CLABSI rates but also aims to strengthen team dynamics and improve infection control practices within the organization. Identification of Practice Gap The identified practice gap for the DNP project is the inconsistent adherence to central line care protocols, exacerbated by the ongoing nursing shortage, which increases the risk of CLABSIs. The shortage of nursing staff often leads to increased workloads and time constraints, making it difficult for nurses to consistently follow central line care protocols (Kim & Choi, 2023). Evidence shows that inadequate staffing can contribute to lapses in infection control practices, resulting in higher CLABSI rates (Karapanou et al., 2020). For instance, nurses working longer shifts can experience fatigue, reducing their ability to maintain sterile techniques (Xia et al., 2020). Aiming to address the gap of inconsistent infection control measures, the project implements a standardized central line care protocol, incorporating strategies to optimize workflow despite staffing challenges. Regular monitoring and staff education will help ensure compliance, ultimately reducing infection rates. The scope of this DNP project is appropriate as it focuses on improving central line care processes in a specific clinical setting over 8 to 12 weeks, addressing both procedural adherence and workload factors related to the nursing shortage. However, broader issues like long-term staffing solutions and central line care practices in other facilities are beyond the scope of this project, which will concentrate on immediate, site-specific improvements at LMH. Evidence of Problem in Project Site Inconsistent adherence to central line care protocols, exacerbated by the ongoing nursing shortage, continues to contribute to the significant challenge of CLABSIs in acute care settings, including at LMH. In the USA, only 66% of nurses adhere to recommended central line care protocols (CDC, 2021). Nationally, CLABSIs affect approximately 41,000 patients annually, with mortality rates ranging from 10-30% and treatment costs between $25,000 to $56,000 per case (AHRQ, 2021; Johns Hopkins, 2022). The national benchmark for CLABSI rates in acute care hospitals is 0.8 infections per 1,000 central line days (CDC, 2022). However, the nursing shortage has resulted in inconsistent adherence to these protocols, hindering infection control efforts. While states like North Dakota and Vermont have lower CLABSI rates, demonstrating the effectiveness of rigorous infection control (Joint Commission, 2024). LMH has seen a 43% reduction in CLABSI rates over five years through targeted infection control initiatives (Leapfrog, 2022). LMH Hospital has a CLABSI rate of 0.458, which is lower than the national benchmark, highlighting the need for consistent adherence to central line care protocols to maintain and further improve these outcomes (Medicare, 2024).  This highlights the critical need for standardized protocols that can withstand the pressures of staffing shortages to maintain safety and quality care. However, challenges persist due to the ongoing nursing shortage, leading to increased workloads and inconsistent adherence to central-line care protocols. Hyte et al. (2023), indicate that the shortage of staff and the lack of consistent training and education have resulted in elevated infection rates. These statistics highlight the urgent need for further improvements and the implementation of a standardized central line care protocol, which will be the focus of the proposed DNP project aimed at reducing infection rates at LMH. Formulating PICOT Question In adults with central lines (P), how does the implementation of daily CHG bathing (I), compared to current central line care (C), reduce CLABSI rates (O) within twelve weeks (T)? Inconsistent adherence to infection control protocols due to nursing shortages contributes significantly to the high rate of CLABSIs at LMH. CLABSIs not only increase patient morbidity and mortality but also lead to considerable healthcare costs, ranging from $25,000 to $56,000 per case (AHRQ, 2021). The nursing shortage exacerbates this issue, making it challenging to consistently implement necessary infection control measures. Evidence suggests that daily CHG bathing can reduce CLABSI rates and improve patient outcomes (Reynolds et al., 2021). Implementing CHG bathing is a key action of this project to lower infection rates, which could, in turn, reduce costs and enhance patient safety. This approach aligns with the goal of reducing CLABSIs by addressing the practice gap while improving adherence to protocols despite staffing shortages. Addressing the practice gap of inconsistent protocol adherence, the project aims to improve outcomes despite the challenges posed by the ongoing nursing shortage. Facilitating Discussions with Stakeholders Facilitating discussions among stakeholders at LMH regarding the reduction of CLABSIs required effective communication strategies tailored to the hospital’s unique challenges. Engaging the nursing staff, who were dealing with staffing shortages, was crucial, and face-to-face meetings proved to be the most effective communication method. This approach allowed for real-time interaction, immediate feedback, and collaborative problem-solving on evidence-based interventions like daily CHG bathing (Reynolds et al., 2021). Studies indicate that direct engagement in decision-making fosters accountability and better adherence to infection control measures (Krauss et al., 2022). In contrast, email-based communication was less effective, often resulting in delays and miscommunication, which hindered progress (Lord et al., 2020). By organizing more in-person discussions and workshops, we ensured that stakeholders, especially nursing staff, felt heard and involved in the solution process. This tailored communication strategy helped mitigate the challenges of the nursing shortage and strengthened the team’s dedication to reducing CLABSI rates. Linking back and emphasizing real-time,

NURS FPX 8045 Assessment 3 Craft a PICOT question and a Search Research Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date Differentiating QI/PI Projects from Research Studies Quality Improvement (QI) and Performance Improvement (PI) projects, along with research studies, play critical roles in addressing challenges within healthcare environments. The primary objective of the QI/PI project at Lima Memorial Hospital (LMH) is to minimize re-hospitalization rates in patients with Chronic Obstructive Pulmonary Disease (COPD) by enhancing discharge protocols. While both QI/PI projects and research studies aim to solve healthcare issues, they differ significantly in their goals and methodologies. QI/PI projects focus on enhancing existing processes within a specific setting by implementing practical changes and assessing their outcomes, leading to immediate improvements. These projects employ structured strategies and data evaluation to identify areas needing enhancement (Faiman, 2021). At LMH, a QI/PI initiative might emphasize improving discharge protocols, given the evidence that effective discharge strategies reduce hospital readmissions and associated risks (Miravitlles et al., 2023). These projects emphasize practical, locally relevant solutions designed for immediate application to existing operations. They require an understanding of the underlying factors influencing current practices (Mohan, 2023). Conversely, research involves a systematic and structured investigation focused on gathering, analyzing, and interpreting data to answer a specific question. Research studies aim to generate broadly applicable knowledge that contributes to the larger body of evidence through comprehensive analysis and systematic observation (Hays & McKibben, 2021; Renjith et al., 2021). Table: Comparing QI/PI Projects and Research Studies Aspect QI/PI Projects Research Studies Purpose Enhance existing processes for immediate improvements. Generate generalizable knowledge for broader application. Methodology Systematic evaluation of current practices and data. Structured data collection, evaluation, and interpretation. Focus Local, practical solutions for specific organizational needs. Extensive evidence to inform policy and practice at larger scales. Application in Healthcare Improvement Both QI/PI projects and research contribute significantly to healthcare improvement but differ in scope and application. For example, research on COPD patient readmissions would examine factors contributing to the problem using methods such as longitudinal studies or randomized controlled trials. Such studies analyze data to uncover trends and publish findings that influence policies and practices broadly. Meanwhile, a QI/PI initiative at LMH would address immediate patient safety concerns by optimizing discharge protocols. By doing so, it could reduce re-hospitalizations and improve patient outcomes. While research offers critical insights into systemic causes and broader medical issues, QI/PI projects provide actionable solutions tailored to current operational needs. References Faiman, B. (2021). Quality improvement projects and clinical research studies. Journal of the Advanced Practitioner in Oncology, 12(4), 360–361. https://doi.org/10.6004/jadpro.2021.12.4.1 Hays, D. G., & McKibben, W. B. (2021). Promoting rigorous research: Generalizability and qualitative research. Journal of Counseling & Development, 99(2), 178-188. https://doi.org/10.1002/jcad.12365 Miravitlles, M., Bhutani, M., Hurst, J. R., Franssen, F. M., van Boven, J. F., Khoo, E. M., & Scullion, J. E. (2023). Implementing an evidence-based COPD hospital discharge protocol: A narrative review and expert recommendations. Advances in Therapy, 40(10), 4236-4263. https://doi.org/10.1007%2Fs12325-023-02609-8 NURS FPX 8045 Assessment 3 Craft a PICOT question and a Search Research Mohan, S. (2023). Widely adopted surgical quality improvement initiatives. Journal of Vascular Surgery-Vascular Insights, 1, 100009–100009. https://doi.org/10.1016/j.jvsvi.2023.100009 Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E., & George, A. (2021). Qualitative methods in health care research. International Journal of Preventive Medicine, 12(1), 20. https://doi.org/10.4103%2Fijpvm.IJPVM_321_19

NURS FPX 8045 Assessment 2 Summarize a Passage Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date Summarize a Passage Overview of Pulmonary Hypertension Pulmonary hypertension is a medical condition marked by elevated blood pressure in the veins that connect the heart to the lungs. This abnormal pressure causes narrowing of the arteries and reduced blood flow, which may lead to complications such as heart failure and dysfunction in vital organs like the lungs and kidneys. The diminished oxygen supply to the lungs further exacerbates the condition, contributing to its severity (Brown et al., 2011). Causes and Risk Factors The causes of pulmonary hypertension are multifaceted, ranging from congenital issues to associations with underlying conditions like connective tissue disorders, coronary artery diseases, and liver cirrhosis. Certain groups, such as females, individuals over the age of 75, and Black populations, are at a higher risk of developing this condition. Symptoms like chest pain, shortness of breath, and dizziness not only affect the individual’s physical health but also significantly impact their quality of life (Brown et al., 2011). Prevention and Management Strategies While pulmonary hypertension cannot always be prevented, risk mitigation strategies focus on controlling blood pressure and avoiding harmful habits, such as tobacco use. Despite the lack of a definitive cure, available treatments can help manage the condition and alleviate symptoms. Additionally, proactive measures, including lifestyle modifications, play a vital role in reducing the prevalence and severity of pulmonary hypertension among at-risk populations (Brown et al., 2011). NURS FPX 8045 Assessment 2 Summarize a Passage Heading Details Overview of Pulmonary Hypertension Pulmonary hypertension involves elevated blood pressure in the veins connecting the heart and lungs, causing arterial constriction and reduced oxygen delivery (Brown et al., 2011). Causes and Risk Factors Causes include congenital conditions and diseases such as connective tissue disorders and liver cirrhosis. Females, older adults, and Black populations are more at risk (Brown et al., 2011). Prevention and Management Strategies Risk reduction involves controlling blood pressure and avoiding harmful substances like tobacco. While there is no cure, treatments and lifestyle changes help manage symptoms (Brown et al., 2011). References Brown, L. M., Chen, H., Halpern, S., Taichman, D., McGoon, M. D., Farber, H. W., … Elliott, C. G. (2011). Delay in recognition of pulmonary arterial hypertension: Factors identified from the REVEAL registry. Chest, 140(1), 19–26. https://doi.org/10.1378/chest.10-1166 NURS FPX 8045 Assessment 2 Summarize a Passage

NURS FPX 8045 Assessment 1 Name Capella university NURS-FPX 8045 Doctoral Writing and Professional Practice Prof. Name Date