PICOT In adult oncology patients at an infusion Center.docx
1. PICOT Question: In adult oncology patients at an infusion Center
PICOT Question:In adult oncology patients at an infusion Center at Queens Hospital Center,
does the implementation of a music therapy program compared to current practice impact
pain scores during chemotherapy over 8-10 weeks?Please discuss your leadership skills
with both interprofessional and inter-professional teams to support changes in nursing, and
healthcare, at your place of employment. How have you used those skills as the leader and
change agent for your DNP Project? In the era of healthcare reform, there is high demand
for system redesign by implementing QI projects to improve health outcomes (Hoyle &
Johnson, 2015). The DNP curriculum prepares the nursing scholar in system leadership,
scientific underpinning, advanced clinical practice, analytical methods, and
interprofessional collaboration. This intense education and training prepare the nurse
leader to serve as a change agent and fill the gap between evidence and practice ( Lackey, S.,
2017). As innovation in healthcare is inevitable, nurse leaders must take the initiative and
active engagement and are responsible for creating a changing culture. So nurse leaders
should develop special innovation leadership skills in addition to the essential
competencies of a leader. Innovation leaders should acquire an array of unique
competencies in communication, creating a positive work culture in favor of change
projects, trust development, and interdisciplinary collaboration ( Weatherford et al.,
2018). I believe I possess an open attitude to change, willing to think differently about how
to improve outcomes for patients. I also value my perseverance in getting into details and
reaching out to many potential resources to obtain expert advice. I developed
communication and networking skills and taught how to keep the enthusiasm and
momentum among the stakeholders. This helped me to get the needed support at the
practicum site. I also realized how important it is to involve the perspectives of
stakeholders and staff before finalizing the plans. I experienced episodes of immense
happiness and excitement and felt discouraged and confused during the initial stages of
project planning. But I consistently worked to remove the barriers and maintained
optimism. Through close communication and collaboration with the involved stakeholders,
I developed a sense of trust and created a supportive work environment at the site.What
leadership skills do you need to develop? Share your professional identity formation/role
development plan to attain these skills.I felt the need to develop skills and confidence in
public speaking. Another important skill I am attempting to establish is advocacy skills and
the ability to make risky decisions. I plan to attend seminars or training sessions for public
speaking and advocacy. Accepting a challenging leadership position will be an excellent
2. example of making risky decisions!Provide your instructor and student colleagues with an
update on your implementation plans for your DNP Project. Share any successes, challenges,
or barriers you experienced this week. My preceptor was always available to respond to my
questions, concerns, and clarifications. The preceptor is a role model to me by conducting
many meetings, advocating for nurse practitioners during board meetings, arranging
empowering sessions for NPs, and acting as a liaison between nurse practitioners and union
delegates. The preceptor suggested ways to manage the workload and use resources
effectively. The project implementation plan is actively progressing, regularly
communicating with the stakeholders and staff and preparing the tools and other
documents needed for the project. I foresee some personal barriers that may bring
tremendous stress to the coursework. I am so grateful for our professor’s immense support
and kind understanding. ReferencesHoyle, & Johnson, G. (2015). Building skills in
organizational and systems changes: A DNP-FNP clinical curriculum. The Nurse
Practitioner, 40(4), 14–23. https://doi.org/10.1097/01.NPR.0000461948.38539.fc (Links
to an external site.)Lackey.S., (2017). DNP Preparation in Supporting Critical Skills for
Magnet® Program Directors. The Journal of Nursing Administration, 47(6), 303–
304. https://doi.org/10.1097/NNA.0000000000000484 (Links to an external
site.)Weatherford, B., Bower, K., & Vitello-Cicciu, J. (2018). The CNO and leading Innovation:
Competencies for the future. Nursing administration quarterly, 42(1), 76–82.
https://doi.org/10.1097/NAQ.0000000000000263I NEED A COMMENT FOR THIS
DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER
THAN 5 YEARS.