Feasibility of implementing the approach in a typical health system

 

Identify all approaches, solutions, interventions and improvements that were tested in the studies synthesized in your literature review. List them. Next to each one, identify:
the strength of the evidence supporting each approach (evidence does not support this approach; limited evidence; lower levels of evidence or expert opinion only; moderate research-based support; strong support from high-quality studies
the cost of each intervention/approach (low/medium/high)
the potential benefits of each intervention/approach (small/moderate/high)
the potential risks of each intervention/approach (small/moderate/high)
the feasibility of implementing the approach in a typical health system, organization, or unit
Now that you have carefully considered each of these points, you are ready to begin writing.

Chapter 4:
1. 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 Chapter 2 and in your process flow diagram.
2. 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.
3. 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.
4. 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.
5. Identify a published change model (e.g. Lewin, Lippitt, Kotter, etc.) and describe the detailed steps you would take, using that model. 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.
6. Describe likely barriers to change implementation and plan to address these barriers.
7. Describe a plan for sustainability of the proposed change.
8. If staff education is a part of the proposed approach, attach a content outline and learning objectives to the proposal using the form provided in the folder “guidelines for creating an educational session”. Provide a rationale for education materials planned for use. If the educational materials will be made by student, explain how they will be vetted by experts and how such materials will be sustainable for use by an organization after the initial implementation. Also, describe who is expected to attend the education sessions, how often the sessions will be offered to reach the intended expected audience, and who will teach the sessions.
8. Write a concluding paragraph summarizing the content of the proposal (e.g. “This proposal has identified a clinically meaningful quality gap related to… analysis of the health system and care process demonstrated…and a review of the research evidence showed…)

 

Sample Solution

e situation will be one where the person to whom it relates can reasonably expect his privacy to be respected.”

If for any reason, a journalist decides to publish a photograph of Mr. Campbell, he would need to be able to prove that it was published with the pursuer’s consent, or was already in public domain or that there is a public interest reason in publishing it.

Another source, claims that Mr. Campbell was apparently known to be very friendly with a convicted sex offender. As written above, this claim needs to be verified by the journalist before publishing it. Assuming that this is true, a journalist might publish it as a matter of public interest. In the Editor’s Code of Practice of IPSO, public interest includes “raising or contributing to a matter of public debate, including serious cases of impropriety, unethical conduct or incompetence concerning the public. The regulator will consider the extent to which material is already in the public domain or will become so and editors invoking the public interest will need to demonstrate that they reasonably believed publication – or journalistic activity taken with a view to publication – would both serve, and be proportionate to, the public interest and explain how they reached that decision at the time.” (IPSO, 2018)

Public interest was a new defence introduced with the Defamation Act 2013 to substitute the Reynolds defence. It protects the media, which publishes issues of public interest in a responsible way even when what has been said turns out to be false. If the media was required to be able to prove, to court, that every allegation is true before publishing it, that would mean that important true stories would be suppressed from being published at all. Also, the media will only be protected if they have reported the allegations and conducted their research in a responsible way. Therefore checking the sources’ background and proofs are a must to protect yourself as a journalist and your newspaper credibility. In order to publish an impartial and balanced story, Mr. Jock Campbell side needs to be portrayed at least in general terms. The author of the news story cannot be disadvantaged if the pursuer refuses to give his side of the story. Likewise, paying a source for information might be seen by a court as bias thus not reliable, which means that a public interest defence would not stand a chance.

For instance in Bonnick v Morris, a story about a Jamaican company, JCTC, making business with another company, Prolacto was published in a newspaper. The pursuer used to be employed by JCTC but left just after the contracts were made with the other company. The article reported that the contracts were very advantageous to Prolacto and that Bonnick left the company after making the second contract. The pursuer sued for defamation because the article implied that he acted improperly in arranging the contracts, and that was the reason why he had to leave. The newspaper used public interest as a defence and argued that they had approached JCTC for comments, but they gave no statement. Additionally, the pursuer was approached as well, and he explained that there was nothing suspicious about the contracts and that they had nothing to do with him leaving the Jamaican company. The court found that the news story was defamatory, however, it was a matter of public interest and the newspaper acted responsibly in gathering the information.

Finally, Rosie Parker, who used to work at the coffee shop, says Campbell would spy on his female neighbours through his office window, but she has never reported this to the police. Publishing this information might result in Contempt of Court, which means prejudicing Mr. Campbell right to a fair trial and Fifi’s family right to justice. Contempt of Court was introduced to protect the system of justice because in a criminal case, the jury should reach a verdict solemnly based on the evidence which was heard in court. A n

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