this assignment is referring the ABCDEF bundle - the template pages is attached - add info of the ABCDEF bundle in a long-term acute hospital. PICOT: will implementing the ABCDEF bundle decrease le

The introduction of Chapter 1 provides a brief overview of (a) the project focus or practice problem, (b) states why the project is worth conducting, and (c) describes how the project will be completed. The introduction develops the significance of the project by describing how the project translates existing knowledge into practice, is new or different from other works, and how it will benefit patients at your clinical site. This section should also briefly describe the basic nature of the project and provide an overview of the contents of Chapter 1. This section should be three or four paragraphs long. Do not use single-sentence paragraphs or paragraphs longer than one double-spaced page.

Keep in mind that you will write Chapters 1 through 3 as your direct practice improvement (DPI) project proposal and Chapters 1 through 5 for your final project manuscript. As you progress, changes will need to be made to the initial three chapters to enrich the content or to improve the readability of the final DPI project manuscript. In particular, after data analysis is complete, the first three chapters will need revisions to reflect a more in-depth understanding of the topic, to change the tense to past tense where appropriate, and to ensure consistency.

To ensure the quality of both your proposal and your final practice improvement project and reduce the time for Academic Quality Reviews (AQR), your writing needs to reflect standards of scholarly writing from your very first draft. Each section should be well-organized, uniform, and logically presented. Each paragraph should be short, clear, and focused. A paragraph should (a) be three to eight sentences in length and (b) focus on one point, topic, or argument. If you have difficulty writing, it is recommended that you outline your paragraphs prior to writing the first draft of each chapter. Outlines should include the topic of each paragraph, evidence you would use to support this topic, explanations that connect the evidence to the topic, and a link or transition to the next paragraph. Outlining your paragraphs saves time when you’re writing and ensures coherence in your writing. In the final drafts, there should be no grammatical, punctuation, sentence structure, or American Psychological Association (APA) formatting errors. Be sure to use the check document feature in the Microsoft Word Review Menu. This feature will check for spelling errors and grammatical issues. Taking the time to put quality into each draft will save you time in all the steps of the development and review phases of the practice improvement project process. It will pay to do it right the first time.

Verb tense is an important consideration throughout the manuscript drafting process. For the proposal, the learner (project manager) uses present tense (e.g., “The purpose of this project is to…”), whereas in the practice improvement final project, the chapters are revised into past tense (e.g., “The purpose of this project was to…”). However, when considering tense, you’ll want to pay attention to the conventions of grammar and APA style. For instance, when you signal the structure of a chapter, it should be written in the present or the future tense. Similarly, current or general problems should be written in the present tense. However, APA conventions stipulate referring to research studies in the past tense (i.e., “the research showed” vs. “the research shows).

As a doctoral scholar, it is your responsibility to ensure the clarity, quality, and correctness of your writing and APA formatting. The DC Network provides various resources to help you improve your writing. Neither your chairperson nor your committee members will edit your documents nor will the AQR reviewers edit your documents. If you do not have outstanding writing skills, you will need to identify a writing coach, editor, or other resources, such as GrammarlyTM or ThinkingstormTM (GCU service), to help you with your writing and to edit your documents. The most important outcome is a scholarly product. Prior to submitting a draft of your proposal or practice improvement project or a single chapter to your chairperson, it is recommended that you have met previously with your Chair.

The background section explains both (a) the history of and (b) the present state of the problem at the project site. This section should be two or three paragraphs in length. In this section, you should include your baseline data (see “Chapter 4: Using Data” in Clinical Analytics and Data Management). How many occurrences or current percentage of the problem compared to the industry have occurred over the 60 days prior to project implementation? Articulate how this “problem” has impacted or affected patient outcomes and nursing care (a) at the site, (b) the local level, (c) the national level, and (d) the global level. The section should close with a paragraph that ties these four concepts together, starting with the facility level and then adding the significance of the local, national, and global levels.

This section is one paragraph in length and should define what an organizational assessment is, why it is done, and that you did so utilizing a strengths, weakness, opportunities, and threats (SWOT) analysis. Explain why the SWOT analysis was appropriate for your quality improvement project. Present how you noted the gap between the current practice and the desired practice change that would improve patient outcomes at the project site. Use a transitional statement that takes you from describing the organization into the SWOT analysis.

Introduce this section in one paragraph by briefly outlining the objective of performing a strengths, weaknesses, opportunities, and threats (SWOT) analysis. The SWOT analysis was created in DNP-840A. Within the weaknesses and threat, you will have barriers that emerge, so you will need to address how you mitigate them. Your SWOT should focus on the organization and the unit on which the project will be implemented (see Appendix A; see Figure 1).

Concisely synthesize three to four strengths of the project site and unit that impact the successful implementation and ability to sustain this practice change. Do not implicate the site by name, be very general. Please refer to your scholarly readings and textbooks for examples.

Concisely synthesize three to four weaknesses, or challenges, of the project site that could negatively impact the successful implementation and ability to sustain this practice change. Again, do not implicate the site by name, be very general. Please refer to your scholarly readings and textbooks for examples. In addition, discuss the identified barriers and how you will mitigate them.

Concisely synthesize three to four potential opportunities for the organization and unit especially those to be gained from the implementation of this project. Do not implicate the site by name, be very general. Please refer to your scholarly readings and textbooks for examples.

Concisely synthesize three to four potential internal and external threats to the organization and unit that could impact the project’s implementation and sustainability. For instance, the COVID-19 pandemic may decrease staffing on the unit or lead to uneven patient populations seen at the project site. There may also be threats related to geographic location (urban vs. rural), patient population, or other facilities. Discuss the identified barriers and how you will mitigate them. Please refer to your scholarly readings and textbooks for examples.

This section should be two or three paragraphs long. It clearly states the problem or project focus, the problem statement, the patient population affected by the problem, the significance of the practice problem, and how the project will contribute to solving the problem. You will explain why you and your committee (project mentor/content expert) chose this problem. This section should be supported with literature and multiple examples that support why this problem was chosen and why it is both significant to the site and to current nursing practice. This section of Chapter 1 should be comprehensive, yet simple, providing the context for the practice project.

A well-written problem statement begins with the big picture of the issue (macro) and works to the narrower, more specific problem (micro). It clearly communicates the significance, magnitude, and importance of the problem that will transition into the “Purpose of the Project.” The problem should be written as a declarative statement, such as “It is not known if the implementation of the ABCDEF bundle would impact length of stay among adult patients in a long-term acute care hospital in a high observation unit in Virginia over a period of eight-weeks.

The “Definition of Terms” section provides an understanding of the project constructs and a common understanding of the technical terms, jargon, variables, concepts, and other terminology used within the scope of the project. Terms should be defined in lay terms and discussed according to the context that they are used within the project. Each definition may be a few sentences to a paragraph in length. This section includes any words that may be unknown to a lay-person and taken from the evidence or literature. This section is also a good place to operationally define unique phrases specific to the project.

Definitions must be supported with citations from scholarly sources. Do not use Wikipedia or general dictionaries (i.e., Merriam-Webster, Dictionary.com) to define terms. All definitions should be written in complete sentences. A lead-in paragraph is needed to introduce this section and should end with something like: "The following terms were used operationally in this project."

Project Manager

Please refer do not refer yourself at all in the manuscript. It should be written in 3rd person. This term is for your reference only. Please remove this term from the Definition of Terms when writing up the project.

Term

Write the definition of the word. Make sure the definition is properly cited (Author, 2010). Terms often use abbreviations.

According to APA (2019), abbreviations are best used only when they allow for clear communication with the audience. Standard abbreviations, such as units of measurement and names of states, do not need to be written out. Only certain units of time should be abbreviated. Abbreviate hr (hour), min (minute), ms (millisecond), ns (nanosecond), or s (second). However, do not abbreviate day, week, month, and year (APA, 2019). To form the plural of abbreviations, add “s” alone without apostrophe or italicization (e.g., vols., IQs, Eds.). The exception to this rule is not to add “s” to pluralize units of measurement (12 m not 12 ms) (APA, 2019). Besides abbreviations, the terms which may need to be defined include the outcome, the type of intervention, the sampling of data, special terminology, instruments, tool, and sources of data.

This section summarizes the key points of Chapter 1 and provides supporting citations for those key points. It then provides a transition discussion Chapter 2 followed by a description of the remaining chapters. This section should be two to three paragraphs.