he DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI Project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes. In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI Project. General Requirements: Use the following information to ensure successful completion of the assignment: Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use. Directions: To complete Part Two of the DNP comprehensive assessment: Use the information collected in the competency matrix that you created for Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Outcome 1: A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches. In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI Project? Cite specific evidence from your coursework and practice immersion hours in your response. Outcome 2: A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations. In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How have you used leadership skills to lead intraprofessional and interprofessional teams in the analysis and resolution of complex issues? How have you used principles of leadership, influence, advocacy, business, finance, economics, and health policy to develop and implement effective plans for practice-level or systemwide practice initiatives that will improve the quality of health care delivery? How will you apply what you have learned to your DPI Project? Cite specific evidence from your coursework and practice immersion hours in your response. Outcome 3: A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes. In what ways have you successfully designed, selected, utilized, and evaluated applied data analysis programs and health care information systems during your course of study? How have you used your conceptual ability and technical skills to develop and execute an evaluation plan? How have you analyzed health information systems and patient care technology for use in improving outcomes? How will you apply what you have learned to your DPI Project? Cite specific evidence from your coursework and practice immersion hours in your response. Outcome 4: A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management. In what ways have you articulated, deployed, or advocated for the ethical and equitable deployment of care delivery models for improvement in your coursework and practice immersion hours? In what ways have you analyzed individual, aggregate, and public health data? In what ways have you advocated for social justice, equity, and ethical policies within all health care arenas? How will you apply what you have learned to your DPI Project? Cite specific evidence from your coursework and practice immersion hours in your response. Outcome 5: A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care. In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How have you used strategies to design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care? How will you apply what you have learned to your DPI Project? Cite specific evidence from your coursework and practice immersion hours in your response. Self-Reflection: Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI Project. How has what you have learned in your coursework, practice immersion hours, and application of learning in your practice informed your approach to your DPI Project? What do you need to revise in your 10 Strategic Points document or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB). Benchmark Information This benchmark assignment assesses the following programmatic competencies: DNP 1.2: Apply science-based theories and concepts to determine the nature and significance of health and health care delivery phenomena. 1.3: Employ science-based theories and concepts to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate. 2.1: Employ principles of business, finance, economics, and health policy to develop and implement effective plans for practice-level or systemwide practice initiatives that will improve the quality of health care delivery. 2.2: Demonstrate leadership, influence, and advocacy in the development and implementation of institutional, local, state, federal, or international health policy. 2.3: Employ consultative and leadership skills to lead intraprofessional and interprofessional teams in the analysis and resolution of complex practice and organizational issues to create change in health care and complex health care delivery systems. 2.4: Provide leadership in the evaluation and resolution of policy, ethical, and legal issues within health care systems. 3.1: Demonstrate the conceptual ability and technical skills to develop and execute an evaluation plan involving data extraction from practice information systems and databases. 3.2: Evaluate current consumer health information sources for accuracy, timeliness, and appropriateness. 3.3: Analyze and communicate critical elements necessary to the selection, use, and evaluation of health information systems and patient care technology. 3.4: Design, select, use, and evaluate programs that monitor outcomes of care, care systems, and quality improvement, including consumer use of health care information systems. 4.1: Analyze epidemiological, biostatistical, environmental, and other appropriate scientific data related to individual, aggregate, and population health. 4.4: Advocate for social justice, equity, and ethical policies within all health care arenas. 5.2: Design and implement processes/strategies that evaluate outcomes of practice, practice patterns, and systems of care for individual, aggregate, and populations against national benchmarks. 5.3: Design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Rubric Criteria Application of Nursing and Science-Based Theories (B) 7.5 points Use of Nursing and Science-Based Theories and Concepts in the DPI Project (B) 7.5 points Use of Principles of Business, Finance, Economics, and Health Policy (B) (B) 6 points Leadership, Influence, and Advocacy for Policy Change (B) (B) 6 points Leadership of Intraprofessional and Interprofessional Teams (B) 6 points Leadership in Evaluation and Resolution of Issues (B) (B) 6 points Conceptual Ability and Technical Skills (B) 6 points Evaluation of Current Consumer Health Information Sources (B) (B) 6 points Analysis and Communication of Critical Elements of Health Information Systems and Technology (B) (B) 6 points Programs and Health Care Information Systems (B) (B) 6 points Analysis of Appropriate Scientific Data (B) 7.5 points Advocacy Within Health Care Arenas (B) 7.5 points Design and Implementation of Processes/Strategies to Evaluate Outcomes (B) 6 points Design, Direction, and Evaluation of Quality Improvement Methodologies (B) 6 points Assessment of Readiness 15 points Thesis, Position, or Purpose 10.5 points Development, Structure, and Conclusion 12 points Mechanics of Writing (includes spelling, punctuation, grammar, language use) 7.5 points Format/Documentation 15 points Total 150 points
PICOT-D Question:
In adult patients with type 2 diabetes in primary care, will the implementation of the American Diabetes Associations Standards of Care in Diabetes 2025, Standard 5: Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes, Physical Activity 5.35, compared to current practice, impact hemoglobin A1c over an 12-week period?