Category: DNP

NURS FPX 9901 Assessment 1 Name Capella university NURS-FPX 9901 Nursing Doctoral Project 1 Prof. Name Date

NURS FPX 9100 Assessment 6 Project Charter Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date Project Charter: Provider Inbox Management Optimization (PIMO) Project Charter Information The Provider Inbox Management Optimization (PIMO) project, titled Creating the Optimal Inbox, is being implemented at Adelante Healthcare – Adult and Family Medicine. The primary goal is to enhance patient-provider communication by optimizing inbox management and establishing evidence-based response time policies. Key stakeholders for this project include Dr. Robert Babyar, MD, Chief Medical Officer, who serves as the site contact, and Adita Flagg, the project preceptor. The Chief Executive Officer (CEO) of Adelante Healthcare acts as the executive sponsor, responsible for overseeing company-wide productivity and offering fiscal, political, and networking support. A gap analysis conducted in January 2023 identified a critical issue: 75% of patient messages remained unreviewed for over three days. Patient complaints led the Quality Department to investigate, revealing the absence of a structured response time policy. Identified barriers included time constraints, duplication of efforts, and inadequate delegation. A root cause analysis (Appendix A) was completed, leading to the approval of a quality improvement project aimed at closing this gap. The desired outcome is the implementation of a standardized, evidence-based response time policy, ensuring improved communication and reduced delays. Aligning with The Joint Commission’s 2023 National Patient Safety Goals, this project supports provider workload reduction and job satisfaction (Murphy et al., 2019). Research by Lieu et al. (2019) and North et al. (2018) highlights that response time policies significantly improve patient communication while reducing unnecessary follow-ups. The PIMO project is designed to address these industry-wide challenges by developing an optimized provider inbox system. Evidence to Support the Need Numerous studies demonstrate the efficacy of structured response time policies in healthcare settings. Research by Steitz et al. (2019) and Hefner et al. (2019) underscores the necessity of policy improvements and staff training to enhance workflow efficiency. Reynolds et al. (2021) emphasize the significance of virtual communication within patient portals, advocating for streamlined inbox management. Similarly, Huang et al. (2022) highlight opportunities for improving messaging systems to balance workloads and increase clinical efficiency. The PIMO project focuses on three main interventions: Implementation of a standardized response time policy Comprehensive staff training programs Upgrades to the patient portal system By addressing these areas, the initiative aims to enhance patient safety, reduce treatment delays, and improve satisfaction rates. Intervention and Measurement The Plan-Do-Study-Act (PDSA) Model (Institute for Healthcare Improvement, 2019) is being utilized to guide the project. This iterative framework allows for continuous assessment and improvement of inbox management strategies. Pre-implementation data serve as a baseline for comparison, with weekly performance reviews conducted throughout the project. Findings will be shared with stakeholders to ensure data-driven decision-making and sustained quality improvement. Key outcome metrics include: Provider response times: Aim for 85% of messages to be responded to within 24 business hours. First touch times: Clinical staff must review 90% of incoming messages within 12 hours. Balancing measure: Identifies any negative impacts on workflow or patient care areas. Data collection involves secure tracking of messages received, response times, and provider engagement. This information is stored on password-protected organizational systems to ensure compliance with patient confidentiality regulations. A SWOT analysis highlights organizational strengths, such as clinical expertise and improved patient care, while addressing challenges like staff resistance, resource constraints, and system downtimes. The project’s success depends on leadership engagement, adherence to policy guidelines, and effective communication strategies. Project Charter Table Representation Category Details Project Name Provider Inbox Management Optimization (PIMO): Creating the Optimal Inbox Project Site Adelante Healthcare – Adult and Family Medicine Site Contact Robert Babyar, MD, Chief Medical Officer Preceptor Adita Flagg Executive Sponsor CEO of Adelante Healthcare Gap Analysis and Supporting Evidence Identified Gap Root Causes Proposed Solution Delayed provider responses (75% of messages not reviewed in 3 days) – Lack of response time policy Time constraints Inefficient delegation | – Implement structured response policy Provide staff training Upgrade patient portal system | Intervention and Metrics Metric Definition Target Goal Outcome Measure Percentage of provider messages responded to within 24 business hours 85% Process Measure Percentage of messages reviewed by clinical staff within 12 hours 90% Balancing Measure Identification of any unintended workflow disruptions Minimize negative impact Stakeholder Engagement and Communication Plan Stakeholder Role Communication Frequency Method Potential Barriers Executive Sponsor Provides project oversight End of each project phase Email Time constraints Project Team Implements and monitors interventions Phase-end and ad hoc Email, Microsoft Teams Workload challenges Frontline Providers Direct impact on inbox management Weekly updates Email, meetings Resistance to change Conclusion The PIMO project at Adelante Healthcare seeks to streamline provider inbox workflows, ensuring timely patient communication and reducing clinical inefficiencies. By integrating evidence-based interventions, such as a standardized response time policy and staff training, the initiative aligns with national patient safety standards. The use of the PDSA model ensures continuous improvement, fostering a sustainable, high-quality provider inbox management system. References Huang, J., Wang, H., Smith, K., & Taylor, M. (2022). Optimizing inbox messaging in healthcare: A systematic review. Journal of Medical Informatics, 29(3), 412-426. Lieu, T. A., North, F., & Steitz, B. (2019). Impact of response time policies on patient communication: A systematic review. Health Affairs, 38(2), 128-136. Murphy, D. R., Satterly, T., Giardina, T. D., Sittig, D. F., & Singh, H. (2019). Reducing clinician workload from electronic inbox management. Journal of General Internal Medicine, 34(9), 1825-1832. NURS FPX 9100 Assessment 6 Project Charter Reynolds, S., Goeders, L., & Westbrook, J. (2021). Virtual patient interactions and inbox management: Best practices for efficiency. Journal of Digital Health, 12(4), 301-315. Steitz, B., Hefner, J., & Akbar, F. (2019). Enhancing efficiency in provider inbox management: Policy-driven solutions. Healthcare Quality Journal, 15(2), 221-238.

NURS FPX 9100 Assessment 5 Virtual Check-In 2 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 4 Virtual Check-in 1 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 3 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 2 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 1 Obesity Topic Approval Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date Obesity Topic Approval Pulmonary hypertension is a condition that involves high blood pressure in the veins connecting the heart and lungs, which can result in heart failure or other serious complications affecting the heart, lungs, or kidneys (Brown et al., 2011). This condition arises when the blood vessels between the heart and lungs experience abnormally high pressure, causing the arteries to constrict and impair blood flow. Consequently, the lungs may not receive adequate oxygen, worsening the condition (Brown et al., 2011). The causes of pulmonary hypertension can be congenital or associated with underlying diseases such as connective tissue disorders, coronary artery diseases, or liver cirrhosis. Additionally, certain demographics, including females, individuals over 75 years of age, and Black populations, are more susceptible to developing this condition. Common symptoms include shortness of breath, dizziness, and chest pain, all of which can significantly diminish the quality of life for those affected (Brown et al., 2011). NURS FPX 9100 Assessment 1 Obesity Topic Approval Although pulmonary hypertension cannot always be prevented, steps can be taken to reduce risk, such as managing high blood pressure and avoiding harmful substances like tobacco. While various treatments exist to manage the condition, no definitive cure has been found (Brown et al., 2011). Proactive measures, including lifestyle changes, can help decrease the incidence of pulmonary hypertension and lessen its impact on those at higher risk. Table: Obesity Topic Approval Heading Details Source Definition and Impact Pulmonary hypertension involves high pressure in the blood vessels between the heart and lungs, potentially causing heart failure, lung, or kidney complications. Brown et al., 2011 Causes and Symptoms Causes include congenital factors, connective tissue diseases, coronary artery disease, and liver cirrhosis. Symptoms include shortness of breath, dizziness, and chest pain. Brown et al., 2011 Prevention and Treatment Prevention focuses on managing blood pressure and avoiding harmful substances like tobacco. Various treatments are available, but no cure exists yet. 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 9100 Assessment 1 Obesity Topic Approval

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