topic is  Violence in the Emergency Department

The issue or topic is  Violence in the Emergency Department. 

APA format with references

1-3 paragraph answering each section. Opinion acceptable. 

A1 – The Issue 

In simple terms, what is your issue? Briefly, how does it relate to a practice, policy, population or education need? 

A1A – Explanation of the Issue 

After having a clear sense for what the issue is, the reader of a proposal will need some context; consider writing a general description of your workplace and then offering a fuller, more detailed explanation as to why you need to address the problem or issue. What do you know about the problem? Why do you think it is an important issue and why it is a concern in your workplace?

A2 – Investigation

Your investigation is focused on how you investigated the issue and/or learned it was a problem, including details about whom you talked with, what information they provided you, as well as your own experiences and observations in the place where you work (this may feel a little redundant with the Stakeholder sections, this is OK). Did you review any documents from your workplace? Did you consult the nursing literature or other national source materials, information or data? 

A2A – Evidence of Problem or Issue

In follow up to your investigation think about the information you found that substantiates that your topic is indeed a problem. Ideally provide thoughts/info here from at least one internal (organizational) and one external source (nursing literature, national source doc like the ANA, CDC or NIH) to justify that your issue is valid and needs to be addressed. APA will be required here. A conversation with a Stakeholder is considered evidence, you can cite this as Personal Communication (you may need to consult the Writing Center or the OWL at Purdue …) 

A3 – Analysis 

For the Analysis section, examine what you’ve learned from your investigation consider/discuss/analyze the implications of the internal/external data you’ve gathered. What is the current state of things in your workplace vis-à-vis the evidence? Provide an analysis as to generally what might be contributing or causing the issue you are addressing (discussed in more detail in A3A). Are there problems with the process? A policy that needs to be created or revised? Or is it perhaps just that people are not being compliant? Don’t worry if things seem a little redundant, just compose well-reasoned and well-written responses and stay “lock-step” with the Competent language in each Rubric category/prompt. A3A – Contributing Factors For this section think about, in greater detail, what you think is contributing to or is the root cause(s) of your problem. Why is the problem occurring? Who or what is causing it or what may be occurring that is not preventing it from happening? What barriers might there be?

A4 – Proposed Solution or Innovation 

Consider again, in fairly simple terms, what your proposed solution is. What is your solution? How it should take care of the problem?

A4A – Justification of Proposed Solution or Innovation

Why is your proposed solution important? How does it relate to your investigation and analysis? Would your justification be more powerful if it included data to support it? 

A5 – Cost-Benefit Analysis 

Every proposal should have a budget. As the proposal change-agent you would want to list an “accounting” of all of the possible resources you will need to develop and implement your planned solution. You can write things out narratively, provide as a bulleted list, or you can create a table for the Cost-Benefit Analysis with three columns. The first column would be the list of resources, the second column would be the cost of each resource, and the third column would be the benefit. Include every resource, even if it will be provided for you and the cost is $0.00. Remember, these costs/benefits can be equated addressed both quantitatively and qualitatively – as dollars or timeliness, efficiency, safety, saved revenue, improved patient and/or staff satisfaction, health of population – the list goes on and on! You can describe it in any/all of those terms. You may have to do a little research that may involve averaging of salaries/hourly wages, etc.

A6 – Timeline

What is your general estimation for your proposed plan? A week (probably not), a month? 3 months? Plan to write about your overall timeframe, saving most of the discrete details for A8. 

A7 – Stakeholders’ Importance 

Who are your Stakeholders and why are they important to your proposal? What are their roles? How are they important and how might they be impacted? Also, think about how they might contribute to the success of your plan? Stakeholders might include nurses, physicians, patients, ancillary departments, board of directors, etc. 

A7A – Stakeholder Engagement

Consider your meetings/conversations with the key Stakeholders think about how you engaged them. Also consider questions like these: What feedback did those individuals give to you about the problem? Did they agree with you? Why or why not? 

A7B – Stakeholder Success 

Now that you have considered who your key Stakeholders are and how you engaged with them, next think about how you would proceed to partner with them to implement your plan. What will their roles be and how you would you work with them to make sure your plan would be a success (if you were to implement it)? 

A8 – Implementation 

If you were to rollout your proposal, you’d need to have a detailed step-by-step outline – in days, weeks, months – whatever you foresee needing to happen. A table might work well in this section. Whatever you decide to do, march out each of the steps so the projected timeframes are clearly demonstrated for your plan throughout its implementation. So, how/when would you implement each step? How would you evaluate your plan once it is implemented, so that you would know whether it was successful?

B1 – Role of the Scientist 

How did you fulfill the role of Scientist as you worked through your proposal?

B2 – Role of the Detective 

How did you fulfill the role of Detective?

B3 – Role of Manager of the Healing Environment 

How did you fulfill the role of Manager of the Healing Environment? 

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