Student Name

School of Nursing and Health Sciences, Capella University

NURS-FPX9010 Doctor of Nursing Practice 2

Professor Name

Submission Date

VCI Summary 9010

This virtual check-in (VCI) was geared towards the development of a capstone project proposal and any institutional review board (IRB) revision or practicum needs. A quality improvement project for improving adherence to the follow-up of telehealth and patient adherence in an outpatient psychiatric clinic was highlighted. Advice was given on how to prepare the VCI summary professionally, alongside incorporating the review feedback in the process of preparing the proposal and IRB submission. Demographic data were excluded, and the number of patients was confirmed (40-60).

Meeting Details

The virtual check-in session took place during the practicum project phase on May 01 and was approximately 25 minutes. The actors were the DNP student, the site preceptor in a psychiatric outpatient site, and the faculty mentor. This meeting discussed the need for IRB approval, the implementation of the project, and documentation, such as how to collect data and how to track compliance. Faculty gave extensive directions about how to make revisions and work through approval processes (ex. Qualtrics/IRB). The recommendations were to finalize minor amendments to the IRB and to keep on planning the implementation of the project. Clarification provided with regard to the sizes of the populations and the inclusion of data.

Summary of Key Points

Key advice was to make sure the project is quality-based and evidence-driven. The target for an increase in follow-up rates is 20% over the course of 12 weeks, resulting in a 35.3% to 50.7% increase in compliance, which will lead to fewer no-shows, emergency visits, and psychiatric relapses. As part of the implementation, staff training is conducted, reminders are scheduled (72 hours before, 48 hours before, and 24 hours before), and ongoing monitoring is done through EHR data. It also taught about compliance monitoring and documentation that can be accomplished with the use of EHR systems. Faculty indicated that minor IRB changes would not greatly impede the progress of projects.

Reflect on Project Progress

The project exhibited good planning, clear objectives, and structured implementation strategies. The results provided feedback that the project is feasible and has been clinically needs-oriented. Faculty and preceptor involvement is conducive to program milestones and timely program completion. Additionally, the role of technology and the need for human interaction were emphasized. The developments are prepared to go once IRB approval is given.

Area of Uncertainty

There are still details to be tweaked and IRB approval to be given. The submission timelines and confirmation of approvals need to be clarified. Issues are also raised in relation to long-term scaling up and the generalizability of the data. These uncertainties need to be discussed prior to the final submission and in the full project execution phase.