Purdue University School of Nursing Doctor of Nursing Practice PRACTICE INQUIRY PROJECT GUIDELINES 1 Table of Contents Introduction………………………………………..…………….……………………….3 The DNP Practice Inquiry Project: Overview……………………………………………4 Development of the DNP Practice Inquiry Project………………………………….…...4 Disseminating the Results………………………………………………………………..7 Graduation Deadlines………………………………………………………………….....9 Appendix A: Institutional Review Board Approval……………………………………10 2 Introduction Doctor of Nursing Practice (DNP) Degree Plans of Study must include a Practice Inquiry Project. The Practice Inquiry Project is a faculty-guided scholarly experience that provides evidence of critical thinking and the ability to apply the principles of evidence-based practice through problem identification, project development, implementation, and evaluation of a clinical problem. The Purpose of the Practice Inquiry Project in the Doctor of Nursing Practice Curriculum The DNP graduate is expected to evaluate, implement and translate best research evidence into practice. As part of this process, DNP graduates are expected to disseminate and integrate new knowledge, participate as members of interprofessional research teams, and conduct evidencebased research projects that lead to improvement in direct and/or indirect practice. As an advanced practice nurse with a DNP degree, you will be able to: 1. Evaluate systems responses to health and illness as a basis for the promotion, restoration and maintenance of health and functional abilities and the prevention of illness 2. Integrate advanced knowledge of nursing theories, related sciences and humanities, and methods of inquiry in the care diverse populations 3. Design quality, cost effective nursing interventions based on the knowledge of interrelationships among person, environment, health and nursing 4. Measure outcomes to evaluate nursing and health systems in diverse settings 5. Demonstrate role competence as a Doctor of Nursing Practice in providing care to individuals and families including rural and vulnerable populations 6. Translate research to support evidenced-based practice for diverse populations 7. Initiate changes in the healthcare system through the implementation and evaluation of health policies that strengthen the healthcare delivery system 8. Apply systems concepts to prevent and solve complex healthcare delivery problems Students will be expected to follow the AACN Essentials for “Clinical Scholarship and Analytical Methods for Evidence-Based Practice” as outlined in the DNP Essentials, http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf. Each student will have a committee that guides his/her project. The committee will consist of a committee chairperson and two committee members. All members of the committee must have Graduate Appointment Status. One committee member may be external to the School of Nursing (SON), but must be an expert in an area of inquiry relevant to the project. Refer to the University graduate handbook, the SON graduate handbook, and the SON website for qualifications for committee membership. Due to the necessary synthesis that is required, a minimum of two semesters are required for completion of the Practice Inquiry Project. Many students find they need a third semester to complete the project. The DNP Practice Inquiry Project: Overview The Practice Inquiry Project evaluates healthcare practices and policies relevant to nursing practice. The final project consists of 5 components that provide evidence that the DNP student can critically synthesize relevant research findings to develop, implement and evaluate an aspect 3 of health care delivery. The student will conduct an oral presentation and discussion at the completion of his/her project. Project Components: 1: Overview of the problem, and significance 2: Review of significant literature to support the project 3: Methodology/intervention 4: Results, discussion, summary, conclusion and implications for healthcare systems, policy, and economics. 5: Data-based manuscript Students must complete the appropriate Collaborative Institutional Review Board (IRB) Training Initiative component (CITI) prior to data collection Go to Purdue Office of the Vice President for Research website, https://www.irb.purdue.edu/index.php, to learn about the human research protection program and go to this website, https://www.irb.purdue.edu/edu.php, to learn about CITI training. The scholarly manuscript must be submitted to a peer-reviewed journal. The student is encouraged to utilize previous DNP course work to build the manuscript. The manuscript must be data-based, involving analysis of new or existing data. It is not a requirement that the manuscript be accepted for publication. Manuscript submission occurs with help from the committee chair or members, who should be listed as co-authors. (See author guidelines) Prior to submission of a manuscript, the student must receive written approval from the chair of the committee, using the DNP Manuscript Submission form and the DNP Authorship Guidelines form. MANUSCRIPTS SUBMITTED WITHOUT CHAIR APPROVAL WILL NOT BE CONSIDERED PART OF THE DNP PRACTICE INQUIRY PROJECT. 4 Development of the DNP Practice Inquiry Project Review the Project timeline schedule (appropriate for your anticipated graduation date), located on the SON website under policies, concerning deadline dates to be met for graduation. These guidelines are consistent with the Guidelines set by the Graduate School. Identify an area of interest and work with a faculty mentor to identify a faculty member with expertise in this area who agrees to serve as the chair of your committee (consult the website for faculty who are able to serve as chair). It is advised that you select a chair early in your program. Your chair can assist you in directing your coursework activities, which can be useful in completing your project. a) Clarify the availability of your faculty chair over the period that you will be working on the project (whether available during the summer, etc.). b) Develop a timetable and identify the semesters that you will register for the cognate residency and DNP project hours. Identifying a Topic for the DNP Practice Inquiry Project The earlier you identify the topic of your Practice Inquiry Project, the easier it will be for you to complete your work in a timely manner. In addition, your work can build throughout the program leading to the synthesis of the project. You should identify a chair and committee members after you complete the Evidence-Based Practice course. There are many different ways to identify a project topic and committee chair: You may discuss project ideas with your faculty mentor and find whether your faculty mentor is willing to work with you on a project arising from your clinical interests. Your faculty mentor may recommend a particular faculty member who shares your interests. Your project topic should be closely aligned with the SON’s faculty expertise. You can review the lists of faculty research interests found on the School website, http://www.purdue.edu/hhs/nur/directory/faculty/index.html . The DNP Practice Inquiry Project Proposal The DNP proposal presents a written version of your project. The length of proposals can vary. Most students need to revise their proposal several times to achieve clarity, brevity, and completeness. Projects and formats may vary. In general, the format for the proposal includes: Component 1: Nature of Project and Problem Identification a. Introductory materials with an abbreviated literature review to substantiate the choice of area of inquiry. b. Identify significance of problem. Why is this an important area for a clinical project? c. Description of “the problem,” which is an expanded statement of the purpose. Component 2: Review of Literature (give more detail and cite more references than in the Introductory portion) and Theoretical Framework. Component 3: Describe the clinical research question(s) and methodology/intervention you plan to complete for this project. 5 Component 4: Identify what system you will be effecting and how you will evaluate the economic and health policy component. Basic writing guidelines: Proposals must be succinct, direct, and free of jargon. Proposals are written in the future tense using current approved standard guidelines as determined in collaboration with the chair (e.g., MLA, APA, etc.). Project idea and proposal are revised with input from your committee chair. In consultation with your committee chair, identify two other potential committee members. A request to serve on your committee, a brief summary of the project concept, and the proposal should be sent to the potential committee members. Obtaining Approval for Your DNP Project Proposal Once you have a committee chair and 2 committee members, you will need to schedule a meeting with the committee to review, discuss, and ultimately approve the project proposal. Provide committee members with several possible dates for the meeting and plan at least one hour for this first meeting. It is wise to schedule this meeting as early as possible. All students have the same deadline dates and committee members are usually on several committees. Each committee member should have the most recent copy of the proposal at least 2 weeks prior to the scheduled meeting. The graduate secretary can help you to reserve a room for the meeting. Remember to inform your committee members of the location. Prior to the meeting, you should prepare a 5-10 minute presentation of the proposal. This should include what you plan to do and why. Usually, the committee Chair begins the meeting by asking you to briefly describe your research question and plan. Topics of discussion will include the merits of your question; the strengths and weaknesses of your intervention; any realistic and feasible changes for improvement; and identified limitations of the proposal that cannot be reasonably overcome. Ethical and privacy concerns; the need for appropriate approvals; and clearances which include IRB and/or Health Insurance Portability Accountability Act (HIPAA) approvals are included in the discussion. The student is responsible for bringing the Graduate Advisory Committee Report Form that requires faculty signatures to the committee meeting. This form can be downloaded from the SON website. The following should be very clear at the end of the meeting: - Changes (if any) that are required - The process for approving the proposal if changes are needed - The plan for the development of forms required for IRB/HIPAA approval and the time frame for initiation of the project following IRB and/or HIPAA approval Writing the Practice Inquiry Project In developing the schedule for your project, allow adequate time for revisions. This is an iterative process, and it is likely that your Practice Inquiry Project will need multiple revisions. This entire process requires a tremendous amount of time on your part and from committee members. Therefore, committee members need a reasonable amount of time to review the draft before each committee meeting; a minimum of 2 weeks is recommended. 6 Remember that the timely completion of your project is YOUR responsibility. Stay in touch with your committee and be persistent in completing the project. The following strategies can help you in writing the project: Always review what you have written, incorporating recommendations from your chair or committee. To prevent being overwhelmed by the writing process, it is recommended that you divide your written project into smaller parts and focus on only one part at a time. For example, describing the demographic characteristics of your sample and making a summary table is a task you could complete in a day. Some students find the discussion a challenging portion of the project. A strategy help in writing the discussion is to consider what you found, why it is important, what it means in terms of existing research, and what are the implications for clinical practice and other similar implementations. Finally, the limitations of your findings should be addressed. Consultation with your chair is especially helpful during this phase of the project. You may also wish to discuss this section with your peers. The final report section describes the findings and the conclusions. The tense found in the proposal is changed from future (what is the plan) to past (what was done). Any deviation from the proposal should be noted and explained in this section. In consultation with your committee chair, submit completed sections for review to your committee and schedule a meeting to discuss it. Hold the committee meeting; make any requested revisions; meet again if necessary. The refinement of the project and the written components is iterative, and it is expected that multiple meetings, recommendations, re-writes are part of the process. Before submitting your manuscript for publication, review the preferred journals for style and format requirements. It takes a minimum of three semesters to complete all of the components of your project. Please remember to have your committee members complete and sign the Graduate Advisory Committee Report Form after each committee meeting. Plan of Study: Prior to starting your final DNP Practice Inquiry Residency, your Plan of Study should be submitted for approved by your committee chair and the Graduate School. The absolute latest time for this approval is prior to the beginning of the semester that you intend to graduate. Be sure to submit a Plan of Study before the deadline. Work closely with the graduate secretary to ensure that this form is completed correctly. Identify the date that the final project needs to be submitted in order to meet graduation deadlines. To access Purdue deadlines, see: http://www.gradschool.purdue.edu/calendar/calendar.cfm?type=Deadlines. 7 Dissemination of your DNP Practice Inquiry Project In collaboration with your project committee chair, examine opportunities to disseminate project findings via a poster or podium presentation at a local, regional, or national meeting. The Midwest Nursing Research Society annual meeting is one venue for consideration. Professional nursing organizations may also sponsor an opportunity for presentations and/or poster sessions. Attending professional meetings is a good way to disseminate findings with clinical relevance. It is also a good way to network with others who have similar interests and to establish yourself in the field of nursing as an individual with an area of expertise. You should also share your results with the clinical site and/or subjects who are interested, if this is relevant for your project. For some projects, it is appropriate to share results with participants, and if you have offered to do this, it is important to do so promptly. It is required that your completed manuscript be of publishable quality. It is important to plan with your committee chair and committee members to target appropriate journals. Look in the journal you are targeting for the Guidelines for Authors to get specific requirements as to citation formatting, length and format. You improve your chances of successful publication by having your manuscripts reviewed by others. Reviewers can be clinical experts on your topic. You may also choose to have the manuscript reviewed for clarity by someone who is not an expert in the topic. The process of peer review is an important part of scholarship and one you will want to use whether you are preparing reports at your work site or writing for publication. You will also work with your chair to review your manuscripts, abstracts, and publications. It is expected that the manuscript will be submitted to a peer-reviewed journal for publication. However, it is not a requirement for your degree that the manuscript be accepted for publication. Manuscript submission occurs with additional help from the committee chair or members, who should be listed as co-authors (see DNP Authorship Guidelines). Prior to submission of a manuscript, the chair of the committee must give written approval, using the DNP Manuscript Submission Form. MANUSCRIPTS SUBMITTED WITHOUT CHAIR APPROVAL WILL NOT BE CONSIDERED PART OF THE DNP PRACTICE INQUIRY PROJECT. Presentation of the DNP Practice Inquiry Project/ Oral Summary You must have written approval from your committee that you are ready to schedule a date and time for the presentation of the DNP Practice Inquiry Project. Complete the form titled “Request for DNP Final Proposal Presentation” and have your committee chair sign. This form is submitted to the graduate secretary. Once you establish a 2 hour time slot that works for the entire committee, please contact the graduate secretary to place the presentation on the School of Nursing Calendar and schedule a room. Send a draft of your PowerPoint slides for the presentation to your committee two weeks prior to the presentation for feedback. Make the suggested changes and send your committee the slides for final approval. It is suggested that you prepare no more than 1 slide per minute for your presentation of about 45-60 minutes. 8 You will begin with an oral summary of your project. Handouts, overhead transparencies, or PowerPoint presentations may be appropriate (you can discuss this with your chair before the meeting). Following your presentation, committee members will offer their comments. They may also ask you questions regarding the purpose and overall implications and limitations of your project. You may also discuss publication and dissemination of your findings. Following your presentation, the committee members will privately discuss the project and a consensus vote will be taken. The committee has three options: they can accept the project as is; they can request minor revisions and proceed with approval of the project pending these changes; or they may request specific changes and a review of these changes before the project is officially approved. Generally, the second option is used only for minor or straightforward changes such as table formatting, grammatical corrections, and the like. If substantive changes are necessary, the committee will determine whether these changes are extensive enough to require another meeting. If not, each member may request to see the revised version but not meet, or they may delegate one person, usually the chair, to oversee the revisions. When all the requested changes have been made, the members will sign the approval form. Final Process When the final project is complete and your committee members have signed the GS Form 20 found on the SON website under the Forms tab, the Graduate Secretary will take the completed project along with the GS Form 20 to the Head of the School of Nursing for signature. Submit your completed project electronically, one copy to each of your committee members, one copy to the School of Nursing, where it will be kept in the Center for Nursing History, Ethics, Human Rights, and Innovations. You should also keep a copy for yourself. Graduation Deadlines There are two deadlines that you must consider when preparing for graduation: the deadline for submitting your “GS Form 20” and the deadline for submitting your completed, approved project. For specific graduation deadline information, see https://www.purdue.edu/gradschool/about/calendar/deadlines.cfm To officially graduate in a particular semester, you must let the Graduate Secretary know prior to the beginning of the semester in order to declare candidacy for degree. The absolute deadline for submitting your completed, approved project is posted on the Graduate School website. 9 Appendix A: Institutional Review Board Approval Statement of Purdue University Policy: Human Subjects and Ethical Considerations: “To ensure the safe and ethical conduct of research involving human subjects at Purdue University, all Purdue faculty, staff, and students who wish to participate in the conduct of research involving human subjects must be familiar with and understand the underlying ethical principles, federal and state laws and regulations, and policies and procedures that compose Purdue University’s Human Research Participants Protection Program (HRPPP). To document the necessary familiarity and understanding, all Purdue faculty, staff, and students who wish to conduct research involving human subjects must be certified as having completed appropriate formal training and education before an application and protocol in which they are named will be approved or determined exempt by one of Purdue University’s Institutional Review Boards, or one of their designated subcommittees.” This education policy applies to all Purdue University principal investigators, extension educator investigators, and key project personnel, including graduate students, as well as undergraduate students, non-Purdue research personnel, and consultants who interact with subjects who participate in research involving human subjects that is reviewed by a Purdue University Institutional Review Board or one of its designated subcommittees or by another institution’s IRB under an inter-institutional cooperative agreement with Purdue University regardless of the location where the research is to be conducted and regardless of the source of funds supporting the research.” The IRB office is located in YONG, Room 1032. The IRB forms are found at the website of http://www.purdue.edu/research/vpr/rschadmin/rschoversight/humans/forms.php The procedure for submitting IRB forms is: Discuss your study, the type of review it requires, and any special ethical considerations with your chair Fill out the forms and have your chair approve and sign them Take the signed forms to the IRB office When you submit forms to the IRB, we recommend that you hand-carry them to the office. You cannot proceed with your data collection until you have written notification of IRB approval. A photocopy of your IRB approval letter and the approved consent form should be kept by both the student and the committee chair. If IRB approval is needed, complete the appropriate IRB forms and submit to your project committee chair. o NOTE: THE COMMITTEE CHAIR MUST BE THE PRINCIPAL INVESTIGATOR FOR ALL RESEARCH CONDUCTED THROUGH THE UNIVERSITY. Your committee chair will work with you to ensure that the forms are correct and submitted to the IRB. Do not proceed with any type of recruitment, data collection, or analysis until you receive written approval from the Human Subjects committee/IRB. You may also need to obtain IRB approval from the healthcare facility where you are conducting research. 10 After you have received IRB approval, you may begin to implement your project. You must work with your committee and healthcare facility throughout all stages of the implementation. While implementing your project you should be revising the first two components of your written project. You can also be drafting your manuscript and incorporating the methods that you are using. Submit the completed sections for review by your committee chair according to an agreed upon schedule. 11