DNP Preliminary Project Plan Proposal

This DNP project plan proposal aims to increase early therapeutic alliance to reduce length of stay for patients aged 18 years and above in psychiatric inpatient hospitals. The proposal is based on the need to improve the quality of care within a specific practice setting using sound research evidence. The project is guided by the Peplau interpersonal therapeutic relationship model and the Plan-Do-Study-Act quality improvement model. The proposed intervention includes implementing a 10-minute hurdle before every shift to talk about therapeutic alliance, using the STAR-C and STAR-P therapeutic alliance tool to measure the impact of the hurdles, and conducting pre- and post-test surveys to measure the effectiveness of early therapeutic alliance in reducing length of stay. The project is aligned with the organization's mission and values, and the PICO question developed is: Will the increase in early therapeutic alliance reduce length of stay in patients aged 18 years and above in an evaluation and treatment hospital to improve better patient outcome and cost?

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DNP Preliminary Project Plan Proposal
The Doctor of Nursing Practice Project serves to improve the quality of care within a specific
practice setting (system) using sound research evidence.
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Reading assignment: Please read the information shown below prior to completing this
assignment. The assignment is NOT a formal paper; use the template provided. Do not
include an APA title page.
Hall, H. R. and Roussel, L. A. (2017). Evidence-based practice: An integrative approach to
research, administration, and practice (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.
(Chapter 16 & 17-helpful examples of projects)
Harris, J. L., Roussel, L., Dearman, C., Thomas, P. L. (2018). Project planning and
management: A guide for nurses and interprofessional teams (3rd ed.). Burlington, MA: Jones
and Bartlett Learning. (Chapter 6 & 7-needs assessment)
Moran K., Burson, R., & Conrad, D. (2017). 2nd edition. The doctor of nursing practice
scholarly project. Burlington, MA: Jones & Bartlett Learning. (Chapter 9 & 11)
DNP Preliminary Project Plan Proposal Grading Rubric/Template Points
Introduction of Problem
Include population
• Using no more than one (1) sentence, state the topic or problem selected for
the DNP project plan. Use the “P” in PICO as a guide.
ages Over 50 percent of patients aged 18 years and above in a psychiatric inpatient
treatment and evaluation /10
hospital in the Northwest have longer length of stay than those aged less than 18years
of stay as a result of the lack of early compared to what?
therapeutic alliance.
Background of Project Need
• Using one (1) sentence, state why this topic or problem is important to
address in the identified clinical area. It is important to build a case for the
need for the project. Convince the reader that the identified topic or problem /10
is worth exploring and is significant.
Studies have shown that therapeutic alliance and age of a patient plays a major role in how long a patient stays in the
hospital or how well Grammar issues.
their recovery process is. when health care providers are unable to connect or build rapport with their patients in order
What are the statistics onto come up with a diagnosis, affects their recovery process and therefore leading to a longer time spent in the
treatment and evaluation hospital. This impels them to incur extra unnecessary costs this happening?
consequencesProject Purpose Statement What are the
of a longer stay?• Describe the purpose of the project. Using one (1) sentence, explain why
this issue is important to nursing practice (within the realm of the student’s /5
specialty focus and advanced nursing role specialization).
The purpose of this project is increase the early use of proper therapeutic alliance in order
to reduce the length of stay especially for the adults. Early management of therapeutic alliance
can not only reduce Why is this important to the
length of stay but also increase a patients quality of life as well as reduce healthcare cost. It psych NP?

will augment the effectiveness of nursing practices

2
/5
Give specific goal of
reduction: reduce from
what to what?
How will this be measured?
/6
what is it they will actually
be applying? How will you
measure this?
/10
You need to do a grammar
and spell check.
/10
Families? insurance
companies? etc.
/10
According to the administer at orsand the QI manager, patient stay longer than the
expected length of stay which is 14 days. The organization finds that owing to the lack of
early therapeutic alliance patient tend to exceed the average length of time.
• In no more than one (1) sentence, identify key stakeholders who may
affect or be affected by the project outcomes.
The most important stake holder is the patient,healthcareproviders,directors.
• Describe in no more than one (1) sentence how the identified need is
strategically aligned with the system’s mission and overall goals. Are the
values of the organization consistent with the project’s overarching aim?
The value of is to treat everyone with respect and dignity as well as providing quality
are regardless of race and ethnicity. Therapeutic alliance will increase patients’ quality
of life as well as increase respect and dignity regardless race, ethnicity and disability.
Continued below
• In no more than one (1) sentence, describe the need for the project in
the organization chosen for implementation and how this information
was obtained. (i.e. personal communication from an administrator, QI officer,
clinical educator, or key stakeholder, etc.) How much longer than the 14 days?
Pre-Needs Assessment
At least 100% of healthcare staff will be aware of the importance of early
therapeutic alliance. This will be determined using personal responses.
At least 100% health care staff will begin to apply early therapeutic
alliance for the elderly in less than 4.5 days
Length of stay will reduce from the normal 14 to 7daysGive % of reduction
of length of stay and
how this will
be measured.
Project Aim and Objectives
• State one (1) overarching aim that identifies the expected final outcome
of the project.
To reduce length of stay for the aged by improving the therapeutic alliance in the evaluation
and treatment hospitals from the approximated 14 days to at least 7 days
• List three (3) objectives (specific goals) that support the overarching aim.
SMART (specific, measurable, attainable, realistic, and timely) objectives
should be evident. Are the objectives appropriate to meet the identified need
and realistic to accomplish within the project’s short implementation
phase?

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Interventions need to be reworked completely.
Intervention
• List at least three (3) but no more than five (5) activities/strategies (i.e.
best practices, evidence-based guidelines, national organization
recommendations, etc.) that are being considered for implementation.
????
I. Implementing a 10 minute hurdle before every shift starts to talk about therapeutic alliance. /10
building rapport with the patient and have care agreement signed between patients and healthcare
staff. You have not identified
2. using the STAR-C and STAR -P therapeutic alliance tool to conduct a pretest survey to evidence based guidelines
measure how well the hurdles are impacting patient care by using the early therapeutic alliance or best practice
3. Will do a post test survey to see how early therapeutic alliance has reduced the length of stay recommendations for any
Significantly.
Data on how long the patients have stayed in hospital will be frequently retrieved.
Patients will be asked to review the services offered to determine whether they have been exposed
to a therapeutic alliance
of this.
How will you track length of
stay?
Literature Review How will you know if
• Synthesize the current literature that supports the proposed project plan. patients have been exposes
Identify each of the following in no more than three (3) sentences: to a therapeutic alliance?
Significance of the problem /15
Proposed Project
Proposed Intervention
In the state of Washington, According to Washington State Institute for Public Policy,
the number of patient care served in 2015 was 5106 with an average length of stay of 14.4
days resulting in a total of 73,526.4 patient care days. For every 1 day reduction in length
of stay with proposed effect of improved therapeutic alliance (TA) 5106 more days would
be available for more patient care.
You have not provided aThe proposed project is to improve measurable therapeutic alliance to determine if
length of stay is reduced.
STAR-C and STAR -P therapeutic alliance tool will be used to measure the therapeutic alliance way to measure therapeutic
The proposed intervention is to increase therapeutic alliance between the healthcare staff alliance or length of stay.
and patient to reduce length of stay as well as improve better patient out come. An
intervention program will be established for this matter. What is the exact
Theoretical Models (List) intervention to accomplish
this?
• List one (1) theoretical/conceptual nursing and one (1) quality improvement
models that will guide and underpin the DNP project.
Nursing Model
/2Peplau- interpersonal therapeutic relationship
Quality Improvement
plan do study act (PDSA) /2
PICO Question
• Using the components in this assignment, develop a well-constructed PICO
question.

P- 18 years and older Inpatient psychiatric evaluation and
treatment hospital
/5
I- increase in early therapeutic alliance to reduce lenth of
stay.
C- not increasing therapeutic alliace to reduce length of
stay
o- to reduce length of stay in other to improve patients
outcome Your project time frame will
T- Within 6-8 weeks.
question: will the increase in early therapeutic alliance
reduce length of stay in patient 18 years and older in an
evaluation and treatment hospital to improve better
patient
only be from 6 to 8 weeks.
outcome and cost?

4
Scholarly writing/APA Format/File Naming (up to 20% deduction)
Demonstrate organized flow, logical progression of ideas, and clarity in thought; use
primary sources no older than five (5) years unless the resource is a classic study.
Use template provided.
Total Points 0 /100