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Practicum Application and Activities: Johns Hopkins Appendix B

Practicum Application and Activities: Johns Hopkins Appendix B

As you clarify the problem revisit the PICOT question that you developed regarding this problem. Does the PICOT question seem appropriate? How might that PICOT question facilitate quality improvement at the microsystem level? How can you “move the needle” to improve quality through this planned change practicum project?

After defining the problem to be addressed through a planned change project, it is essential that you define the intended outcome. As you consider the scope of your practicum experience, you will want to identify an outcome that is measurable and feasible within the time available.

Review the Johns Hopkins Appendix B located in the MSN Toolbox area of the course. Proceed with the following activities. Document your practicum-related activities on the Practicum Log:

  • Prepare a plan with specific talking points to meet with faculty (and practicum mentor if available) regarding your definition of the problem and the project outcome.
  • Meet with mentor to discuss clarification of the problem and the project outcome.
  • Complete Johns Hopkins Appendix B.
  • Validate your work on Phase 2 with your faculty (and practicum mentor if available) as needed.
  • Revise your work as necessary.
  • Submit the Johns Hopkins Appendix B document with your time log, once Phase 2 is completed.

Defining the Outcome for the Planned Change Practicum Project

In order to effectively direct planned change, it is imperative that the problem or opportunity for improvement be clearly defined. Equally important is the development of a clear outcome statement to convey the desired end result of the planned change project.

Intended End Result

An outcome statement is a comprehensive statement that conveys the intended end result achieved through the work of the planned change initiative. This end result is most often a reflection of the improvement in health outcomes or improved healthcare delivery that will be realized through the planned change initiative.

Scope and Feasibility

In addition to accurately conveying the intended end-result, project outcomes must align with the time available for project planning, implementation, and evaluation. For example, if you have 8 weeks to plan, implement, and evaluate project outcomes, those outcomes must be do-able within that timeframe. To position the project for success, it is imperative that you establish project outcomes that are feasible to be achieved within the scope of time and resources available.

SMART Criteria

Effective outcome statements include SMART characteristics (Specific, Measureable, Action-oriented, Realistic, and Time-specific). A well-written outcome statement will also:

  • Define what you intend to accomplish through the planned change project. This clear statement of the desired result will keep the efforts focused on what you hope to achieve.
  • State the target date for the accomplishment to be successfully completed.
  • Identify who will be involved.
  • Clarify the indicator for successful achievement.

Think About It

Take a look at these examples, and consider – do they demonstrate SMART criteria? Can they be measured to determine successful achievement?

  • 20% increase in the number of patients receiving the flu vaccine at Mercy Clinic by 12/31/2020 (baseline = 160 patients accepting the vaccine)
  • 25% decrease in the number of patients readmitted with CHF at Fairfield Hospital by the end of the second quarter, 6/30/2020 (baseline = 16 patients readmitted during the first quarter)
  • 20% decrease in the number of teen pregnancies at Judson High School by 6/1/2020 (baseline = 15 pregnancies)

Helpful Reminders

As you learn about how to write a clear, effective, and accurate outcome statement, it is also important to note that an outcome is not:

  • A description of an activity or intervention which the nurse or other health care professional will implement
  • A product or output that will be developed by the nurse or other health care professional (such as a new policy, protocol, or staff development session).

Rather, the outcome statement is a description of the desired end-state which will be achieved through the planned change project.