Quality Improvement Research

Complete a draft of Project prospectus according to the instructions and criteria provided in each section of the prospectus template. (as attached) The draft should include information taken from “The 10 Strategic Points Proposal”,(as attached). At least 1500 words. Please use journal references published in last 5 years.
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Direct Practice Improvement Project Prospectus
Introduction
The Introduction section broadly describes the research focus that will be addressed by
the Direct Practice Improvement Project and why that focus is worthy of further investigation.
The Introduction should clearly define how the project will extend prior research. Additionally, it
should identify examples of the studies on the topic that illustrate the current research. It is also
important to ensure the Prospectus is well written from the very first draft. Ensure paragraphs
are developed that (1) contain a topic sentence defining the focus of the paragraph, (2) discuss
only that single topic, (3) contain three to seven sentences, and (4) include a transition sentence
to the next paragraph or section. The sentences should also be structurally correct, short, and
focused. (1 paragraphs)
Background of the Problem
The Background of the Problem section of the Prospectus uses the literature to provide
the reader with a brief historical perspective of the problem or research gap the project will
address. A gap is defined as a need or opportunity that has been identified in the existing body of
research literature (empirical research articles or Direct Practice Improvement Projects). A gap is
not defined as research on a topic for which there is no related research in the existing
body of literature. A Direct Practice Improvement Project research topic must emerge from the
existing body of research literature and not from a personal agenda. From this section, the reader
should be able to discern how and when this problem originated and how it developed over time.
This section, then, defines the current problem, that needs to be studied based on the literature
and prior studies on the topic. This section must include citations from the past 5 years of the
literature that clearly present evidence defining the current problem or opportunity that needs to
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be further researched. The studies referenced should help to justify the need for your specific
practice project. (2-3 paragraphs)
Theoretical Foundations and Review of the Literature/Themes
The Theoretical Foundations section of the Prospectus provides a big picture of the
theory(ies) or conceptual models that will provide the foundation for the project and addressing
the problem statement. The preliminary Review of the Literature/Themes section defines and
describes the major topics or themes related to the Direct Practice Improvement Project topic.
The Theoretical Foundations, as well as, the problem statement help to define the Research
Clinical Questions. (2-3 paragraphs)
Theoretical foundations/conceptual framework. This section names and describes the
theory(s) or model(s) that will provide the Theoretical Foundation for the practice project.
Additionally, it describes their relevance to the proposed project topic and the stated problem
that came out of the Background section. Citations from seminal and/or other sources are
provided to justify the selected theory(s) or model(s). For a quantitative project, it should provide
the theory or model for each variable as well the rationale for projecting the relationship between
the variables. (2-3 paragraphs)
Review of the literature/themes. This section on the Review of the Literature/Themes
lists and describes the major themes or topics found in the literature related to the research topic
and problem statement for the Direct Practice Improvement Project. This list of themes or topics
is presented as a bulleted list of the major themes/topics related to the project topic. Each theme
or topic should have a three to four sentence summary that describes the theme and its relevance
to the Direct Practice Improvement Project topic. Include at least two empirical research citations
from the past 5 years for each topic or theme. (2-3 paragraphs)
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Problem Statement
This section of the Prospectus should begin with a one-sentence Problem Statement in
the format appropriate for the design. It should clearly state the problem or research focus. This
problem or research focus should evolve from the Background to the Problem section
discussed above. The problem statement should begin with a clear declarative statement. This
section describes the significance, magnitude, and importance of the problem that makes the
project worthwhile. This section should be supported with citations from the literature. (1
paragraphs)
Clinical Question(s) and Phenomenon or Clinical Questions, Hypotheses, and Variables
The Clinical Question(s) and Phenomenon or Clinical Questions section of the
Prospectus specifies the Clinical Questions to be answered by the project. For a quantitative
project, it defines the Clinical Questions and the Variables for which data will be collected. The
Clinical Questions should be derived from the Problem Statement, as well as, the model(s) or
theory(s) selected to provide the theoretical foundations for the research. If the project is
quantitative, state two or more clinical question(s). Additionally, identify and define the specific
variables in the questions for which data will be collected. The Clinical Questions are later used
to define the data collection and analysis. (2-3 paragraphs)
Significance of the Project
This section of the Prospectus describes the significance of the project. First it describes
the implications of the potential results. Second, it discusses how the research may extend or
contribute to the models or theories being used for the theoretical foundation. Third, it describes
professional and practical applications to the field. (1 paragraphs)
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Rationale for Methodology
This section of the Prospectus identifies and explains the rationale for selecting a
quantitative or qualitative methodology for the project. Develop a single paragraph to describe
and justify the methodology selected as being qualitative or quantitative (or mixed methods). The
methodology should be selected based on the best approach to address the problem statement and
collect the data to answer the clinical questions. As stated before, mixed methods are not
recommended because they take considerably more time to complete and may require taking
additional Direct Practice Improvement Project continuation courses. (1 paragraphs)
Nature of the Project Design
This section of the Prospectus discusses the specific Project Design. The design is
selected based on the selected project methodology (qualitative or quantitative). Quantitative and
qualitative methodologies each have a set of distinct designs. Explain the rationale for selecting
the specific design based on the variables and research questions/hypotheses (for a quantitative
project) or the clinical questions and phenomenon being studied (for a qualitative project).
Provide citations both to describe the design and to justify its use.
It is important to use resources in terms of scholarly articles, as well as, current books on
research that are written by experts in either qualitative designs or quantitative designs both for
describing and justifying the design. Various resources on design can be located in DC Network.
Please do not use secondary sources such as Creswell that primarily provide a summary of work
from others. (1 paragraphs)
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Purpose of the Project
The Purpose of the Project section of the Prospectus summarizes the project by
providing a reflection of the Problem Statement, methodology, design, target population, and
project location. For example:
The purpose of this quantitative ___________ (correlational, descriptive, etc.) project is
to ____________ (compare or see to what degree a relationship exists) between/among
______________________ (independent variable) to ___________________ (dependent
variable) for ________________ (participants) at ___________________ (project
site/geographical location). The independent variable ________ will be defined/measured as/by
_______ (provide a general definition). The dependent variable will be defined/measured as/by
______ (provide a general definition). (1 paragraphs)
Instrumentation or Sources of Data
This section of the Prospectus identifies and describes the types of data that will be
collected and how they will be collected (e.g. observations, standardized tests, surveys,
interviews, documents). Use the Instrumentation heading if the project uses a quantitative
methodology. (1 paragraphs)
Data Collection Procedures
This section of the Prospectus includes a description and size of the target population
and the expected sample to be realized from the target population. It also provides an overview
of the step-by-step process that will be used to collect the data using the tools described in the
previous section. (2 paragraphs)
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Data Analysis Procedures
This section of the Prospectus provides an overview of the procedures that will be used
to analyze the data. For each of the stated hypotheses (quantitative), it describes the types of
statistical analyses (descriptive statistics and inferential statistics) to be used to do data analysis.
(1 paragraphs)
Ethical Considerations
This section of the Prospectus discusses the anticipated ethical issues surrounding the
research including how human subjects and data will be protected. (1 paragraphs)
References
Bernard, H. Russell, and Ryan, Gery W. (2010). Analyzing qualitative data: Systematic
approaches. Thousand Oaks, CA: SAGE Publications.
Creswell, J.W. (2009). Research design: Qualitative, quantitative, and mixed methods
Approaches. Thousand Oaks: Sage Publications.
Prospectus Template v1.0 3.20.14
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Appendix A
The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project
Introduction
In the Prospectus, 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 research is
doable, valuable, and credible. These points, which provide a guide or vision for the research,
are present in almost any research. They are defined within this 10 Strategic Points document.
The 10 Strategic Points
The 10 strategy points emerge from researching literature on a topic that is based on, or
aligned with, the defined need in the literature as well as the learnerâ??s personal passion, future
career purpose, and degree area. The 10 Strategic Points document includes the following 10 key
or strategic points that define the research focus and approach:
1. Topicâ??Provides a board research topic area/title.
2. Literature reviewâ??Lists primary points for four sections in the Literature Review: (a)
Background of the problem/gap and the need for the project based on citations from the
literature; (b) Theoretical foundations (models and theories to be foundation for project);
(c) Review of literature topics with key theme for each one; (d) Summary.
3. Problem statementâ??Describes the problem to address through the project based on
defined needs or gaps from the literature.
4. Sample and locationâ??Identifies sample, needed sample size, and location (project
phenomena with small numbers and variables/groups with large numbers).
5. Clinical questionsâ??Provides clinical questions to collect data to address the problem
statement.
6. Hypothesis/variables or Phenomenaâ??Provides hypotheses with variables for each
clinical question (quantitative) or describes the phenomena to be better understood
(qualitative).
7. Methodology and designâ??Describes the selected methodology and specific project
design to address problem statement and research questions.
8. Purpose statementâ??Provides a one-sentence statement of purpose including the problem
statement, methodology, design, population sample, and location.
Prospectus Template v1.0 3.20.14
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9. Data collectionâ??Describes primary instruments and sources of data to answer clinical
questions.
10. Data analysisâ??Describes the specific data analysis approaches to be used to address
clinical questions.
The Process for Defining the Ten Strategic Points
The order of the 10 strategic points listed above reflects the order in which the work is
done by the learner. The first five strategic points focus primarily on defining the focus for the
project based on a clearly defined need or gap from the literature as well as the learnerâ??s passion,
purpose and specialty area focus. First, a learner identifies a broad topic area to research for their
Direct Practice Improvement Project based on a clearly defined need or gap from the literatureâ??
that they are interested in because it is based on their personal passion, future career purpose, and
degree being pursued. Second, the learner completes a review of the literature to define the need
or gap they will address, the theories and models that will provide a foundation for their project,
related topics that are needed to demonstrate their expertise in their field, and define the key
strategic points behind their proposed project. Third, the learner develops a clear, simple, onesentence problem statement that defines the problem, or gap, that will be addressed by the
project. Fourth, the learner identifies some potential population samples they would have access
to in order to collect the data for the project, considering the fact the quantitative project sample
sizes need to be much larger than those for qualitative studies. Fifth, the learner develops a set of
clinical questions that will define the data needed to address the problem statement.
Based on the above five strategic points the learner now defines the key aspects of the
project methodology through the last five strategic points. Sixth, the learner either describes the
phenomena to be studied (if it is a qualitative project), or develops a set of hypotheses (matching
the clinical questions) that defines the variables that will be the focus for the project (if it is a
quantitative project). Seventh, the learner determines if the project will be qualitative,
quantitative or mixed research based on (a) the best approach for the project, (b) the size of the
sample they can get permission to access, (c) availability of data collection tools and sources,
and (d) time and resources to conduct the project. Additionally, they select the best design
approach considering these same factors. Eighth, the learner develops a purpose statement by
integrating the problem statement, methodology, design, sample and location. Ninth, the learner
identifies the data they will need to collect to address the clinical questions or hypotheses and
how they will collect the data (e.g., interviews, focus groups, observations, tested and validated
instruments or surveys, data bases, public media, etc.) Tenth, they identify the appropriate data
analysis, based on their design, to be used to answer their clinical questions and address their
problem statement.
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Criteria for Evaluating the Ten Strategic Points: Clear, Simple, Correct and Aligned
When developing research, it is important to define the 10 strategic points so they are
simple, clear and correct in order to ensure 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 research. The problem statement must come out of the literature. The clinical
questions must collect the data needed to answer the problem statement. The methodology and
design must be appropriate for the problem statement and clinical questions. The data collection
and data analysis must provide the information to answer the clinical questions (qualitative) or
test the hypotheses (quantitative). Developing the 10 Strategic Points as a two to three-page
document can help ensure clarity, simplicity, correctness, and alignment of each of these ten key
or strategic points in the prospectus, proposal, and Direct Practice Improvement Project.
Developing these 10 strategic points on a two to three page document also provides an easy-touse use template to ensure the 10 strategic points are always worded the same throughout the
prospectus, proposal, and Direct Practice Improvement Project.
Prospectus Template v1.0 3.20.14
10
Appendix B
Variables/Groups, Phenomena, and Data Analysis
Instructions: Complete the applicable table to assist with your project design. Use Table 1 for
quantitative studies. Use Table 2 for qualitative studies. Use both tables for mixed method
studies. This table is intended to define how you will collect and analyze the specific data for
each clinical questions (qualitative) and each variable (quantitative). Add additional rows to your
table if needed.
Table 1
Quantitative Studies
Clinical Questions:
State the clinical
uestions
1.
1.
2.
2.
Hypotheses:
State the hypotheses
to match each
clinical question
List of
Variables/Groups
to Collect Data
For:
Independent and
Dependent
Variable(s)
Instrument(s)
To collect data for
each variable
Analysis Plan
Data analysis
approach to (1)
describe data and (2)
test the hypothesis
3.
Table 2
Qualitative Studies
Clinical Questions: State
the clinical questions that
will be used to collect data
to understand the
Phenomenon being studied
2.
Phenomenon:
Describe the overall
phenomenon being studied
by the clinical questions
1.
Prospectus Template v1.0 3.20.14
Sources of Data:
Identify the specific
approach (e.g., interview,
observation, artifacts,
documents, database, etc.)
to be used to collect the
data to answer each clinical
question
Analysis Plan: Describe
the specific approach
that will be used to (1)
summarize the data and
(2) analyze the data.
11
Clinical Questions: State
the clinical questions that
will be used to collect data
to understand the
Phenomenon being studied
3.
Phenomenon:
Describe the overall
phenomenon being studied
by the clinical questions
2.
3.
Prospectus Template v1.0 3.20.14
Sources of Data:
Identify the specific
approach (e.g., interview,
observation, artifacts,
documents, database, etc.)
to be used to collect the
data to answer each clinical
question
Analysis Plan: Describe
the specific approach
that will be used to (1)
summarize the data and
(2) analyze the data.
Running head: PROJECT MILESTONE
DPI Project Milestone: 10 Strategic Points Project Proposal
1
2
PROJECT MILESTONE
10 Strategic Points Project Proposal
10 Strategic Points
Broad Topic Area
New Fall Preventive Approach for Stroke
Population in Rehabilitation Facility
Literature Review
a. Background of the Problem/Gap:
â?¢
â?¢
â?¢
â?¢
Hospital falls are among the most
commonly reported adverse hospital
events with more than one million
occurring annually (Leone & Adams,
2016).
Stroke patients were the largest
diagnostic group accounting for all
unassisted falls (Leone & Adams,
2016).
Most of these incidents were related to
stroke patients attempting to toilet
themselves when they fell.
There are some challenges for stroke
patients to have awareness of their
surroundings and ability effect by
stroke.
b. Theoretical Foundations (models and
theories to be foundation for study):
â?¢
The RE-AIM model (Reach, Efficacy,
Adoption, Implementation,
Maintenance) was used to identify
strategies for an effective program (Day
et al., 2011).
c. Review of Literature Topics With Key
Organizing Concepts or Topics for Each
One
â?¢
Research study found bladder training
and prompted voiding share the two
characteristics of cognitive behavioral
modification and active client
participation (Roe, Milne,
Comments/Feedback
PROJECT MILESTONE
3
â?¢
Ostaszkiewicz & Wallace, 2007).
Timed voiding program has proved
successful in decreasing unassisted
bathroom-related falls in the stroke
population (Mehdi, Birms & Bhalla,
2013).
d. Summary
â?¢
Gap/Problem: There is a need to
implement evidence-based methods of
improving hos …
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