1. Describe the evidence-based change/improvement or innovation you propose. Dis

1. Describe the evidence-based change/improvement or innovation you propose. Discuss the research evidence and/or organizational characteristics that support this change. Identify how this plan addresses the opportunities for improvement identified in Chapter 2 (SmartAIM) and in your process flow diagram.
2. Identify any additional strategies planned to address significant root causes of the quality gap. Discuss the evidence supporting these strategies and consider the benefit: risk ratio.
3. Identify alternative strategies and approaches that you considered but rejected as part of your DNP project plan due to challenges with evidence, cost, feasibility, risk or other reasons. Explain why these are not being included in your proposed approach.
4. Create a cost-benefit analysis table and write a paragraph describing the cost-benefit analysis. The paragraph should identify the cost of continuing with the “current state” related to the problem compared to the cost of the desired “future state.” What is the cost of all components of the proposed intervention? This includes both financial, human and system costs. (Note: See the NUR610 video and refresh your memory re: cost-benefit analysis). Use the published literature (including gray literature) to estimate financial costs – exact figures are not expected.
5. Identify a published change model (e.g. Lewin, Lippitt, Kotter, etc.) and describe the detailed steps you would take, using that model. Be very clear about the role of the DNP student in the proposed implementation. If you will be using small cycles of change (plan-do-study-act) then be clear about the timing of each cycle and how you will know whether it worked.
6. Describe likely barriers to change implementation and plan to address these barriers.
7. Describe a plan for sustainability of the proposed change.
8. If staff education is a part of the proposed approach, attach a content outline and learning objectives to the proposal using the form provided in the folder “guidelines for creating an educational session”. Provide a rationale for education materials planned for use. If the educational materials will be made by student, explain how they will be vetted by experts and how such materials will be sustainable for use by an organization after the initial implementation. Also, describe who is expected to attend the education sessions, how often the sessions will be offered to reach the intended expected audience, and who will teach the sessions.
8. Write a concluding paragraph summarizing the content of the proposal (e.g. “This proposal has identified a clinically meaningful quality gap related to… analysis of the health system and care process demonstrated…and a review of the research evidence showed…)