DPI Project Milestone
The Direct Practice Improvement (DPI) Project incorporates 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable, valuable, and credible. These points, which provide a guide or vision for the project, are present in almost any research. These 10 points are defined and instructions for completion of the “DPI Project Milestone: Outline of 10 Strategic Points” assignment are provided in “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project,” resource located in the DC Network.
Directions:
Download The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project. (The 10 strategic point included below)
Complete the table in the 10 strategic points DPI.
DPI PICOT Question:
Do postpartum mothers who participate in early and direct skin-to-skin contact, compared to mothers who do not participate in early and direct skin-to-skin contact report increased breastfeeding initiation rate, within first 24-hours after birth?
OR
In postpartum mothers and newborns, how does direct skin-to-skin contact, compared to no skin-to-skin contact, affect breastfeeding initiation as measured by infant’s ability to latch-on and effective suckling, when practiced within the first 24-hours after birth?
The 10 Strategic Points for the Prospectus, Proposal,and Direct Practice Improvement Project
Introduction
In theProspectus, Proposal, and Direct Practice Improvement Project, there are 10 key or strategic points that need to be clear, simple, correct, and aligned to ensure the project is doable,valuable, and credible. These points, which provide a guideor vision for the project, are present in almost any project. The 10 Strategic Points are defined within this document and a template provided. The ten strategic points are developed in a table format, as noted below.
The Process for Defining the 10 Strategic Points
The order of the 10 Strategic points listed below reflects the order in which the learner completes the work product. The first five strategic points focus primarily on defining the purpose or focus for the project based on a clearly defined need or gap from the literature as well as the learner’s passion and specialty area focus. First, learners identify a broad topic area to investigate for their Direct Practice Improvement (DPI) Project. Second, learners complete a review of the literature to define the need or gap to be addressed, the theories and models that will provide a foundation for the project, related themes that are needed to demonstrate the learner’s expertise in the field and to define the key strategic points behind the learner’s proposed project. Third, the learners develop a clear, simple, one-sentence problem statement that defines the problem or gap that will be addressed by the DPI project. Fourth, learners identify a potential population from which sample data will be collected for the project. Fifth, learners develop the clinical/PICOT question(s) that will define the data needed to address the problem statement.
Based on the first five strategic points above, learners next define the key aspects of the project methodology through the last five strategic points. The sixth point describes the independent and dependent variables. Seventh, learners determine if the project will be a qualitative, quantitative, or mixed methodology. Due to the evidence-based natureand feasibility of the DPI project requirement, most DPI projects will be utilizing a quantitative method because learners are not creating new evidence like that determined through qualitative or mixed methods.
For the eighth strategic point, learners develop a purpose statement by integrating the problem statement, methodology, design, sample, and location. Ninth, learners identify the data they will need to collect to address the clinical questions or PICOT components.This includes the variables, level of measurement, and method used to collect the data (e.g., interviews, focus groups, observations, tested and validated instruments or surveys, databases, public media, etc.). Tenth and last, learners identify the appropriate data analysis, based on their project design and variables, which will be used to answer the clinical questions and address the problem statement.
Criteria for Evaluating the 10 Strategic Points: Clear, Simple, Correct, and Aligned
When developing a project, it is important to define the 10 Strategic points, so they are simple, clear, and correct in order to ensure that anyone who reviews them will easily understand them. It is important to align all of the 10 Strategic points to ensure it will be possible to conduct and complete the project. The problem statement must be derived from the literature or practice problem. The clinical questions must be used to specify the variables or data to be collected to answer the problem statement. The methodology and design must be appropriate for the problem statement, clinical,and PICOT question(s). The data collection and data analysis must provide the information to answer the PICOT questions.
Developing the 10 Strategic Points document begins in DNP-815 begins as a two-or three-page document that can help ensure clarity, simplicity, correctness, and alignment of each of these 10 key or Strategic points in the prospectus, proposal, and Direct Practice Improvement Project. Developing these 10 Strategic points using this easy-to-use use template ensures the 10 Strategic points will always be worded the same throughout the prospectus, proposal, and Direct Practice Improvement Project manuscript. Please see the table below regarding the development of the citation requirements expected per course.
Value of the 10 Strategic Points Document
The 10 Strategic Points document can be used for communicating and aligning key stakeholders for the Direct Practice Improvement Project. This document can be used to obtain agreement between the learner and the chair regarding the initial focus and approach for the project. The document can be used to review the proposed project with the people or organizations from whom learners need to gain permission to conduct their project, a critical step required before learners can develop their proposal. The document also proves useful for communicating the Direct Practice Improvement Project focus when attracting a Content Expert, as well as for reviewing the proposal with the Direct Practice Improvement Project committee and the AQR reviewers. Learners may choose to consult methodologists, statisticians, and editors in the process of developing the final manuscript from the 10 Strategic points.
Examples of the 10 Strategic Points Document
It is important that the 10 Strategic points are clear, concise, doable, and aligned throughout the prospectus, proposal, and Direct Practice Improvement Project. Provided below is an example of a completed 10 Strategic Points document for a quantitative project. Following the example, a blank 10 Strategic PointsTable template is provided for learners to use when developingtheir own10 Strategic Point documents.
Example: 10 Strategic Points Document for a Quantitative Project
Ten Strategic Points
The 10 Strategic Points | |
Broad Topic Area |
Hint: What would I title my project? |
Literature Review | List primary points for four sections in the Literature Review: Background of the problem/gap, theoretical foundations (models and theories to be the foundation for the project); review of literature topics with the key theme for each one; and summary.
Rural Telehealth Services: (Theme example) Population Specific Telehealth Services:
Settings: Certifications: Network Systems: |
Problem Statement | Describe the variables/groups to project, in one sentence.
A well-written problem statement begins with the big picture of the issue (macro) and works to the small, narrower, and more specific problem (micro). It clearly communicates the significance, magnitude, and importance of the problem and transitions into the Purpose of the Project with a declarative statement such as: “It is not known if and to what degree/extent…” or “It is not known how/why and….” It was not known if or to what degree the implementation of __________________would impact ______________ when compared to _______________ among ___________ (population). While the literature indicates that telehealth is an important emerging technology for rural patient access, it is unknown if the implementation of telehealth impacts the rate of patient follow up for patients living in a rural area. |
Clinical or PICOT Questions |
(P) Among adult patients in a rural care setting, (I) how does the implementation of a telehealth program (C) compare to traditional commute-for-care (O) impact rate of follow-up with the primary care provider (T) over a period of four weeks?
To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state)? |
Sample | Identify sample, needed sample size, and location (project phenomena with small numbers and variables/groups with large numbers).
|
Define Variables |
|
Methodologyand Design | Name the selected methodology and specific design to address the problem statement and clinical questions:
This project will use a quantitative methodology with a quasi-experimental design. |
Purpose Statement | Provide one sentence statement of purpose including the problem statement, sample, methodology, and design:
The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population)in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) over _____ time. |
Data Collection Approach | Describe primary instruments that will be used to answer the clinical question. Think about your step by step data collection approach from start to finish. |
Data Analysis Approach | Descriptive statistics will describe the sample characteristics and variable results.
Explain the test used to obtain the statistical analysis and results of the measurable patient outcome. What method will be used to justify the sample size? |
10 Strategic Points Table
(Use this table to complete the 10 Strategic Points document for your project.)
Criterion | Learner Score (0, 1, 2, or 3) |
Chairperson Score (0, 1, 2, or 3) |
Comments or Feedback |
10 Strategic points | |||
Topic: Provides a broad project topic area/title. | |||
Literature Review: Lists primary points for four sections in the Literature Review: (a) Background of the problem/gap and the need for the project based on evidence from the literature; (b) Theoretical foundations (models and theories to be foundation for project); (c) Review of literature topics with at least two organizing themes and three sub-themes for each theme (d) Summary.
Minimum number of themes and sub-themes met per course requirement? |
|||
Problem Statement: Describes the problem in a single declarative sentence to address through the project based on defined gaps or needs from the literature. | |||
Sample and Location: Identifies sample, needed sample size,location, and inclusion and exclusion criteria. | |||
Clinical/PICOT Questions: Provides clinical/PICOT questions to all of the collected data needed to address the problem statement. | |||
Variables: Provides variables for each project PICOT question component. | |||
Methodology and Design: Describes the selected methodology and specific research design to address problem statements and clinical/PICOT questions. | |||
Purpose Statement: Provides a one-sentence statement of purpose including the problem statement, methodology, design, population sample, and location. | |||
Data Collection: Describes primary instruments and sources of data to answer research questions. Reliability and Validity of the instruments are addressed. | |||
Data Analysis: Describes the specific data analysis approaches to be used to address clinical/PICOT questions. The statistical test(s) that will be used must be identified and must be appropriate for the level of data and the clinical/PICOT question. |

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