DNP project

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My Proposed DNP Practice Change Project PICOT Question

In Black American adults (P), how does implementing cultural competency training for healthcare providers (I) compared to no training (C) affect health outcomes related to diabetes management, such as HgbA1c levels (O) over 6 months (T)?

How the PICOT Question Addresses the Identified Practice Problem

This PICOT question directly addresses the practice problem of racial disparities in health outcomes between Black Americans and White Americans. Specifically, it focuses on improving diabetes management through enhanced cultural competency of healthcare providers (Amuta et al.,2020). As noted in the literature, Black Americans suffer worse diabetes control and higher rates of complications compared to other racial groups (Assari, 2018). It aims to improve the quality of care and reduce gaps by equipping providers with a better understanding of the cultural factors influencing health behaviours and outcomes in this population.

Alignment of PICOT Outcome with Evidence-Based Intervention

The outcome identified in the PICOT question involves measuring diabetes management via HgbA1c levels. This ties directly to the chosen intervention of cultural competency training for providers. Research shows that such training can improve communication, trust, and treatment adherence for minority patients (Copeland, 2005). In turn, these impacts would reflect in the biomarker HgbA1c, showing better diabetes control. So, the PICOT outcome aligns well with expectations from the evidence base on this type of intervention.

References

Amuta-Jimenez, A. O., Jacobs, W., & Smith, G. (2020). Health disparities and the heterogeneity of Blacks/African Americans in the United States: why should we care? Health promotion practice, 21(4), 492-495.

Assari, S. (2018). Health disparities due to diminished return among black Americans: Public policy solutions. Social Issues and Policy Review, 12(1), 112-145.

Copeland, V. C. (2005). African Americans: Disparities in health care access and utilization. Health & Social Work, 30(3), 265-270.


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1. Project Title
2. Select if your project is using a translational science model or a theoretical framework
and change model. Identify the model used. (translational science model or a theoretical
framework)
3. Provide a problem statement (no less than 5-6 fully structured sentences) to explain the
issue/problem you are addressing. Please describe current practice/process leading to
the issue. Provide any reports or currently available data to document the need
identified by primary decision maker(s) at practicum site. NOTE: in this section, you must
include in-text citations with your evidence-based intervention.
4. Provide a brief description, using in-text citations/references, to support the need for
change from both a global and practicum site perspective.
5. What is the purpose of your proposed project? Begin your formal purpose statement by
stating: The purpose of the proposed DNP project is to…”
6. Provide your one-sentence PICOT question below. Be clear and concise. Note: your
population cannot be students or faculty; your intervention cannot be educational and
your time frame must be 8-12 weeks .
7. Fully describe the population (keep in mind students and /or faculty are not allowed) of
your proposed project. What is your anticipated participant size? What inclusion and
exclusion criteria will be used to identify your population?
8. You are required to have a minimum of 5 contemporary research articles s (
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