• Read the initial and secondary comments posted by your classmates and reflect upon them.
• Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.
• Thank you for getting us started. You provided good information surrounding ancillary services and noted some struggles related to receiving services in rural areas. One development that has been incepted to close the gap in care is telemedicine. According to Durupt et al., (2016), “Telemedicine is a form of remote medical practice using information and communication technologies.” After interviewing several doctors telemedicine was found to be advantageous for the patient by providing faster access, eliminates the need for travel, and closes the gap in access for patients in need to see doctors where there is a shortage  (Durupt et al., (2016). While telemedicine has its benefits, physicians expressed concerns of losing the face-to-face contact or strained doctor-patient relationship, how will they be paid, and compromising the stages of consultation procedures i.e. visualizing the patients behavior and having a direct view, voicing that it will reduce the quality of diagnosis (Durupt et al., 2016). Have you used telemedicine? If so, what was your experience or your thoughts?

Dr. Sewell 

• Durupt, M., Bouchy, O., Christophe, S., Kivits, J., & Boivin, J. (2016). Telemedicine in rural areas: General practitioners’ representations and experiences. Santé Publique (Vandoeuvre-Lès-Nancy, France), 28(4), 487-497.

Refer to the PICOT you developed for your evidence-based practice project proposal. Write a 750-1,000-word paper that describes your PICOT.

1.  Describe the population’s demographics and health concerns.

2.  Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

3.  Compare your intervention to previous practice or research.

4.  Explain what the expected outcome is for the intervention.

5.  Describe the time for implementing the intervention and evaluating the outcome.

6.  Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.

7.  Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

8.  Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite at least four to six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. 

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

NOTE:::::

Write a response from the managers point of view about the proposal… see instructions below…

These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.

This activity is intended to foster demonstration of skills related to leadership and management.   

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

1. Do you believe the proposal would be approved if formally proposed?

2. What are some strengths and weaknesses of the proposal?