Nursing 4 pages – 2 years ago
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– 2 years ago
PLEASE SEE THE ATTACHED DOCUMENT FOR INSTRUCTIONS AND RUBRIC EACH INSTRUCTION MUST BE FOLLOWED AS INDICATED NO MORE THAN 10% PLAGIO ALLOWED CHECK YOUR SPELLING AND GRAMMAR IN THE SLIDES AND SPEAKER NOTES SLIDES MUST BE CONDENSED NEED HAVE PROPER INFORMATION , NOT ALLOWED WITH FEW SENTENCES 14 SLIDES…
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Order on TutorsGallery →PLEASE SEE THE ATTACHED DOCUMENT FOR INSTRUCTIONS AND RUBRIC
EACH INSTRUCTION MUST BE FOLLOWED AS INDICATED
NO MORE THAN 10% PLAGIO ALLOWED
CHECK YOUR SPELLING AND GRAMMAR IN THE SLIDES AND SPEAKER NOTES
SLIDES MUST BE CONDENSED NEED HAVE PROPER INFORMATION , NOT ALLOWED WITH FEW SENTENCES
14 SLIDES
DUE DATE JANUARY 29, 2025
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INSTRUCTIONSANDRUBRIC.docx](https://www.sweetstudy.com/files/instructionsandrubric-docx-10169937 "INSTRUCTIONSANDRUBRIC.docx")
– 2 years ago
– 2 years ago **files (1)** – ## DISCUSSION3Module3SweetPATHO.docx **## DISCUSSION3Module3SweetPATHO.docx**  
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– 2 years ago **files (1)** – ## NUR691week4.docx **## NUR691week4.docx** This section of your change project paper should include: 1. A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has o…
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**files (1)**
– ## NUR691week4.docx
**## NUR691week4.docx**
This section of your change project paper should include:
1. A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.
2. Goals and objectives that are measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
3. What variables need to be considered and and whether or not you have control over them.
· For example, if you were to implement a clinic-wide practice change, would budget be an issue and how would you address that variable?
· If you were to implement your study, consider how would you gather data. Would you choose the qualitative or quantitative method?
4. An explanation of what your research will provide to the community, or to social change.
5. A description of the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments.
· While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.
· Establish a timeline for accomplishing your project goal(s).
This section should be 3–4 pages in length, not including the cover or reference page, and should address the intended outcomes of your project. You must reference a minimum of 3 scholarly articles.
Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.
**## NUR691week4.docx**
This section of your change project paper should include:
1. A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.
2. Goals and objectives that are measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
3. What variables need to be considered and and whether or not you have control over them.
· For example, if you were to implement a clinic-wide practice change, would budget be an issue and how would you address that variable?
· If you were to implement your study, consider how would you gather data. Would you choose the qualitative or quantitative method?
4. An explanation of what your research will provide to the community, or to social change.
5. A description of the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments.
· While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.
· Establish a timeline for accomplishing your project goal(s).
This section should be 3–4 pages in length, not including the cover or reference page, and should address the intended outcomes of your project. You must reference a minimum of 3 scholarly articles.
Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.
Submit a Problem-Focused SOAP note here for grading. You must use an actual patient from your clinical practicum. Review the rubric for more information on how your assignment will be graded. Be sure to use the SOAP note template for your program and view the rubric associated with your program for …
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Order on TutorsGallery →Submit a Problem-Focused SOAP note here for grading. You must use an actual patient from your clinical practicum. Review the rubric for more information on how your assignment will be graded. Be sure to use the SOAP note template for your program and view the rubric associated with your program for details on how your assignment will be graded.
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NURS682L-APMHNPSOAPNoteTemplate-1-1.docx](https://www.sweetstudy.com/files/nurs682l-apmhnpsoapnotetemplate-1-1-docx "NURS682L-APMHNPSOAPNoteTemplate-1-1.docx")
– 2 years ago
– 2 years ago **files (1)** – ## NUR514Case3-2.docx **## NUR514Case3-2.docx** Case #2 R.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful. Only positive gynecologic history for R.T. has been th…
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**files (1)**
– ## NUR514Case3-2.docx
**## NUR514Case3-2.docx**
Case #2
R.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful.
Only positive gynecologic history for R.T. has been three episodes of pelvic inflammatory disease in the last five years.
· Discuss a diagnostic plan for R.T. and the rationale.
· Discuss your presumptive diagnoses and ICD 10 number.
· Develop the management plan (pharmacological and nonpharmacological).
· Name some of the complications of PID
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
1.
**An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.**
2.
**Name the different family developmental stages and give examples of each one.**
3.
**Describe family structure and function and the relationship with health care.**
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
**## NUR514Case3-2.docx**
Case #2
R.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful.
Only positive gynecologic history for R.T. has been three episodes of pelvic inflammatory disease in the last five years.
· Discuss a diagnostic plan for R.T. and the rationale.
· Discuss your presumptive diagnoses and ICD 10 number.
· Develop the management plan (pharmacological and nonpharmacological).
· Name some of the complications of PID
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
1.
**An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.**
2.
**Name the different family developmental stages and give examples of each one.**
3.
**Describe family structure and function and the relationship with health care.**
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. – Mention the …
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Order on TutorsGallery →Describe your clinical experience for this week.
– Did you face any challenges, any success? If so, what were they?
– Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
– Mention the health promotion intervention for this patient.
– What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
– Support your plan of care with the current peer-reviewed research guideline.
**Submission Instructions:**
– Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
– 2 years ago
I need help with my assignments – 2 years ago **files (1)** – ## NUR501AssignWk3.pdf **## NUR501AssignWk3.pdf** 501 Assignment Week3 Middle Range Theory Utilization & Application Paper Goal: Analyze and evaluate a middle range theory. You will select a middle range theory and identify application of…
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– 2 years ago
**files (1)**
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**## NUR501AssignWk3.pdf**
501 Assignment Week3
Middle Range Theory Utilization & Application Paper
Goal:
Analyze and evaluate a middle range theory. You will select a middle range theory and
identify application of nursing theories into clinical practice.
Content Requirements:
1. Components of the theory
◦ Discuss the major concepts of the theory
◦ Philosophical basis or worldview change, advancing health
2. Structural aspects of the theory
◦ Discuss the framework of the theory.
3. Identify an area of your practice where this theory could be applicable
◦ What question does the theory help to answer?
◦ Describe the area of interest in relationship to the theory/theoretical
model.
◦ Is it appropriate for the practice setting and is it applicable?
◦ Discuss the strength and weakness of the theory. If there is weakness,
discuss what makes it difficult to be used in practice.
4. Use of theory in clinical practice.
◦ Performing a literature review is essential to completing this section. If
there is no literature available about the application of this theory in
practice, address reason(s) why based on your findings.
5. Evaluation of theory
◦ Is this theory used to understand and apply into practice?
◦ What difficulties did you encounter or would anticipate encountering in
using this theory?
◦ What would make this theory more usable or applicable to practice?
Submission Instructions:
• The paper is to be clear and concise and students will lose points for improper
grammar, punctuation and misspelling.
• The paper should be formatted per current APA and references should be
current (published within last five years) scholarly journal articles or primary legal
sources (statutes, court opinions.)
• The paper is to be 3 – 5 pages in length, excluding the title, abstract and
references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly
journal articles or primary legal sources (statutes, court opinions) within your
work. Journal articles and books should be referenced according to current APA
style.
**## NUR501AssignWk3.pdf**
501 Assignment Week3
Middle Range Theory Utilization & Application Paper
Goal:
Analyze and evaluate a middle range theory. You will select a middle range theory and
identify application of nursing theories into clinical practice.
Content Requirements:
1. Components of the theory
◦ Discuss the major concepts of the theory
◦ Philosophical basis or worldview change, advancing health
2. Structural aspects of the theory
◦ Discuss the framework of the theory.
3. Identify an area of your practice where this theory could be applicable
◦ What question does the theory help to answer?
◦ Describe the area of interest in relationship to the theory/theoretical
model.
◦ Is it appropriate for the practice setting and is it applicable?
◦ Discuss the strength and weakness of the theory. If there is weakness,
discuss what makes it difficult to be used in practice.
4. Use of theory in clinical practice.
◦ Performing a literature review is essential to completing this section. If
there is no literature available about the application of this theory in
practice, address reason(s) why based on your findings.
5. Evaluation of theory
◦ Is this theory used to understand and apply into practice?
◦ What difficulties did you encounter or would anticipate encountering in
using this theory?
◦ What would make this theory more usable or applicable to practice?
Submission Instructions:
• The paper is to be clear and concise and students will lose points for improper
grammar, punctuation and misspelling.
• The paper should be formatted per current APA and references should be
current (published within last five years) scholarly journal articles or primary legal
sources (statutes, court opinions.)
• The paper is to be 3 – 5 pages in length, excluding the title, abstract and
references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly
journal articles or primary legal sources (statutes, court opinions) within your
work. Journal articles and books should be referenced according to current APA
style.
Rwh blank answer continuation 38 pages – 2 years ago **files (3)** – ## FinalIRB.docx – FinalWrittenDeliverableTemplate3.2412.docx – Wilkerson1.23.25markup.docx **## FinalIRB.docx**  **HLC** **Ac** **c** **redi** **t** **ation** **E** **v** **i** **…
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– 2 years ago
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**## FinalIRB.docx**
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**Title: Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice**
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
Herzing University’s Institutional Review Board (IRB) reviews all student quality improvement or innovation project protocol requests to determine if it is human subject research that meets definitions in The Common Rule and therefore requires review and oversight by the IRB. It is the investigator’s responsibility to give complete information regarding the planned quality improvement processes. After submitting the application, the IRB will notify the applicant, in writing, of its decision or if additional information is needed.
**Checklist**
Please make sure to submit the following items along with this application for your submission:
☐ This application with signatures from you and your DNP Project Faculty
☐ A copy of all questionnaires and surveys, if used
☐ A copy of your CITI Certification (free certification for Herzing affiliates through Canvas)
☐ A copy of the application and approval letter from any external IRB (
_if applicable_)
☐ Letter of approval from the Program Chair of the affiliated institution (
_if applicable_)
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
**Step 1: Your Information**
| | |
| — | — |
| Project Title: | **Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice** |
| Doctorate Student Name: | Ramona Wilkerson |
| Check One: | X Herzing University Student<br>☐ Student not affiliated with Herzing University – list institution this project is affiliated with: |
| Email: | [rawilkerson@herzing.edu](mailto:rawilkerson@herzing.edu) |
| Primary Phone Number: | 201-706-1511 |
**Step 2: Location, Faculty, and Date Information**
| | |
| — | — |
| Location/Sponsor: | Hudson Regional Hospital |
| Faculty Information: | Faculty Name: Colleen Bartlett |
| | Faculty Email:cbartlett@herzing.edu |
| | Faculty Phone:<br>352-428-7472 |
| Anticipated Start Date: | 2-1-24 |
| Anticipated Completion Date: | 5-1-24 |
**Step 3: Aim Statement Overview**
**Aim Statement**
| |
| — |
| Aim Statement<br>Key elements of the aim statement needed to be included:<br>1. What? What’s the problem or opportunity? 2. How much? By how much will you improve? Or<br>“how good” do you want to get? 3. By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish? 4. For whom? Who is the customer or population who will benefit from the improvement? 5. Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end? |
| Over the course of 8 weeks, this project will help to fill the gap which currently exists in the assessment of stress in outpatients in our clinic. Through administering the Depression, Anxiety, and Stress Scale (DASS21), we aim at conducting a more organized approach to evaluating stress prevalence in our patients (Ali, et al., 2022). Therefore, the aim will be to revolutionize patient care and satisfaction in routine practice through stress assessment, which, in turn, will enable proffering of appropriate psychotherapy stress remedies to patients. By week eight from the initiation of the project, we intend to review the patient outcomes as well as satisfaction rate and compare it with the initial parameters to note the impact of improvement. The direct target recipients of this improvement effort are the patient with mental illness that seek outpatient services from our practice. This project includes all facets of the stress assessment process, from incorporating stress assessment in to overall patient assessment, to providing adequate psychotherapy to stressed out patients, and ensuring the best quality of care for our patient panels (Halford, & Frost, 2021). |
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**Instituti**
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| **Project Overview**<br>Please provide a summary of the proposed quality improvement or innovation project including the purpose, proposed strategy to be utilized, proposed project measures that will be utilized to evaluate outcomes, and the anticipated/desired outcomes.<br>Overview of the problem <br>Stress as a concept is widely discussed and known to be the major factor affecting mental health globally. They are detrimental to the individual’s overall well-being and can lead to certain mental disorders like depression and anxiety disorders (WHO, 2022). Chronic stress worsens a patient’s symptoms in case of having some diagnosed psychiatric disorder, and acute stress may result in the creation of a new disorder if not addressed (American Psychiatry Association [APA], 2022).<br>Local Problem in Practice<br>Stress is an issue that is often present in the lives of many of the patients in our outpatient mental clinic, an independent Psychiatric practice. It has been seen that the patients used to complain and the doctors and other health care professionals who attended them also noticed that the various patients seemed highly stressed and anxious. Based on patient input records kept at the internal clinic, it is established that about 60% of patients show their stress levels ranging from moderate to severe during clinical evaluation and they have higher chances of being diagnosed with depression or anxiety disorders (Smith, 2023).<br>Purpose of the Project<br>The aim of this project is to pilot the use of the Depression, Anxiety, and Stress Scale (DASS21) and manage patient stress in a private practice outpatient mental health clinic. When implemented into practice, the project involves the identification and management of stress-illness, with the intention of optimizing the patient’s overall health outcomes about their mental health diagnoses.<br>Proposed Strategy<br>· Implementation of DASS21: Implement the DASS21 tool for the initial patient assessment and subsequent follow-up to quantify stress, anxiety, and depression scores.<br>· Training Staff: Trials and methods: Educate healthcare providers in the practice using the DASS21 in the administration and comprehension of results.<br>· Integration into Routine Care: Extend the use of DASS21 assessment to incorporate it into standard patient evaluations by using it at various patient encounters.<br>· Data Collection and Analysis: Quantitative patient data related to stress should be gathered before and after the use of DASS21. Age and other characteristics of the patients should also be described and compared between the two groups to determine if the intervention improved the outcomes of the patients.<br>Evaluative Measures<br>Pre- and Post-Implementation Stress Levels: Analyze the stress patient’s self-assessment using the scale before and after the application of the DASS21 tool.<br>Patient Satisfaction: Patient satisfaction can also be assessed through using surveys and feedback forms with the DASS21 patient’s tool (Beaufort, et al., 2017).<br>Clinical Outcomes: This will look at the degree of clinical improvement compared to baseline using medical documentation of patients’ status and follow-up surveys where the patients’ levels of depression and anxiety have presumably dropped.<br>Desired Outcomes<br>· Reduction in Stress Levels: Reduce the inhabitants’ reported tension points for patients to a very low level.<br>· Improved Mental Health: Improve general concern regarding possible depression and anxiety from stress management.<br>· Increased Patient Satisfaction: Improve the number of patients who are satisfied with the mental health services delivered by the organization.<br>· Enhanced Clinical Practice: Enhance patient care by adopting a validated instrument for stress evaluation as well as monitoring the effectiveness of clinical interventions for handling stress.<br>References <br>World Health Organization. (2022). World mental health report: Transforming mental health for all.<br>American Psychological Association. (2022). Stress in America. <br>[https://archive.hshsl.umaryland.edu/handle/10713/20295](https://archive.hshsl.umaryland.edu/handle/10713/20295)<br>Beaufort, I. N., De Weert-Van Oene, G. H., Buwalda, V. A., De Leeuw, J. R. J., & Goudriaan, A. E. (2017). The depression, anxiety and stress scale (DASS-21) as a screener for depression in substance use disorder inpatients: a pilot study. <br>_European addiction research_, <br>_23_(5), 260-268. <br>[https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as](https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as)<br>. |
| **QI Framework**<br>Please provide an overview of the framework that will be utilized in the proposed project (e.g. KTA, PDSA, ADKAR, Lean, Six Sigma, DMAIC, etc.). |
| The development of the suggested quality improvement plan is targeting the optimization of, and increasing patient satisfaction in an outpatient mental health private practice through the implementation of stress assessment via Depression, Anxiety, and Stress Scale 21. This is a comprehensive stress assessment project where the aim is to screen patient populations for specific stress levels and where respective psychotherapeutic stress reduction approaches will be used to minimize stress and enhance quality of life. In addressing this plan, an important approach is to incorporate the DASS21 scale into the basic assessment of patients as well as their follow-up visits to guarantee a systematic assessment of patients’ stress levels (D’Amico, et al., 2024). The shifts in the patient outcomes to be employed in the proposed project pertain to patients’ perceived stress levels, depression, and anxiety levels before and after the implementation of the stress assessment tool, in addition to patients’ satisfaction with the use of the stress assessment tool. The expected impact is expected to be the increased percentage of patients who will be relieved from stress, continued emotional well-being, and overall satisfaction with outpatient mental health services offered at the organization. |
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| **Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**<br>Sources<br>Halford, W. K., & Frost, A. D. (2021). Depression anxiety stress scale-10: A brief measure for routine psychotherapy outcome and progress assessment. <br>_Behaviour Change_, <br>_38_(4), 221-234.<br>[https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70](https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70)<br>Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2022). The Depression Anxiety Stress Scale 8-items expresses robust psychometric properties as an ideal shorter version of the Depression Anxiety Stress Scale 21 among healthy respondents from three continents. <br>_Frontiers in psychology_, <br>_13_, 799769. <br>[https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full](https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full)<br>D’Amico, F., Navarrete, J., Montero-Marín, J., Cardeñosa-Valera, E., Navarro-Gil, M., Pérez-Aranda, A., … & Luciano, J. V. (2024). Cost-utility of attachment-based compassion therapy (ABCT) and mindfulness-based stress reduction (MBSR) in the management of depressive, anxious, and adjustment disorders in mental health settings: Economic evaluation alongside a randomized controlled trial. <br>_Mindfulness_, <br>_15_(3), 559-569. <br>[https://link.springer.com/article/10.1007/s12671-024-02319-4](https://link.springer.com/article/10.1007/s12671-024-02319-4) |
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| **Data Security**<br>**Please provide a description of your data security plan for both physical and electronic data that**<br>**includes protected or identifying personal information. Include where the data will be stored, the**<br>**security of the location or computer system, the length of retention of the data, and the method**<br>**of disposition of old data.**<br>Regarding data protection, the necessary precautions shall be observed relating to paper documents that contain protected or identifying personal information as well as electronic records. Paper-based records will be secured in a locked cabinet or file, and digital records will be saved in password-protected computers only those persons have access who are concerned with it. This system will not be open to the public; access to all the departments will be allowed based on the access code and privileges granted to users. Secured updates or patches will be offered after each period to help in the protection of the system. Any accompanying physical documents will be secured in locked cabinets in an office only to be accessed by authorized personnel. Use of these cabinets will be limited and the keys shall be kept safely under lock and key by the authorized personnel.<br>As for the data retention period, the company will meet legal and industry standards concerning the data retention period with a concrete retention period defined in the data retention policy. The last point entails data disposal where the data is no longer useful or has aged out of the retention period set for it; it shall be deleted using standard methods of data disposal. Hard copy documents will be expelled using a cross-cut shredder for the destruction of any sensitive information. Digital data will be erased from the program by employing careful measures such as digital shredding and overwriting.<br>Additional daily, weekly, monthly, and annual checks are proposed to perform verification of the adherence to the data security requirements and to investigate possible threats. Specific personnel in each center will be tasked with conducting these audits from time to time and any issues arising out of this process will be addressed to minimize risks to the integrity of data. Finally, training in data security measures and guidelines will be provided to all employees to guard against violations of rules as well as to reduce cases of data leakage or instances in which unauthorized individuals gain access to such data. |
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**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project ApprovalStep 4: Acknowledgement of Responsibilities and Signatures**
Please note that:
· Any data collected from Herzing University students, alumni, faculty and/or staff and/or any other constituents for purposes of this project is proprietary. Any publication of findings may not identify or implicate Herzing University. Any external report produced on findings generated by this study, including any presentation or publication, may not identify, reference or implicate Herzing University in any way.
· Upon completion of the project, a copy of the final deliverable will be submitted to Herzing University.
· Any additional publications or presentations produced based upon this project will be submitted to Herzing University.
I certify to the best of my knowledge the information presented is an accurate reflection of the proposed research project.
Date: 6-9-24
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**## FinalIRB.docx**
**HLC**
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**Title: Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice**
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
Herzing University’s Institutional Review Board (IRB) reviews all student quality improvement or innovation project protocol requests to determine if it is human subject research that meets definitions in The Common Rule and therefore requires review and oversight by the IRB. It is the investigator’s responsibility to give complete information regarding the planned quality improvement processes. After submitting the application, the IRB will notify the applicant, in writing, of its decision or if additional information is needed.
**Checklist**
Please make sure to submit the following items along with this application for your submission:
☐ This application with signatures from you and your DNP Project Faculty
☐ A copy of all questionnaires and surveys, if used
☐ A copy of your CITI Certification (free certification for Herzing affiliates through Canvas)
☐ A copy of the application and approval letter from any external IRB (
_if applicable_)
☐ Letter of approval from the Program Chair of the affiliated institution (
_if applicable_)
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
**Step 1: Your Information**
| | |
| — | — |
| Project Title: | **Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice** |
| Doctorate Student Name: | Ramona Wilkerson |
| Check One: | X Herzing University Student<br>☐ Student not affiliated with Herzing University – list institution this project is affiliated with: |
| Email: | [rawilkerson@herzing.edu](mailto:rawilkerson@herzing.edu) |
| Primary Phone Number: | 201-706-1511 |
**Step 2: Location, Faculty, and Date Information**
| | |
| — | — |
| Location/Sponsor: | Hudson Regional Hospital |
| Faculty Information: | Faculty Name: Colleen Bartlett |
| | Faculty Email:cbartlett@herzing.edu |
| | Faculty Phone:<br>352-428-7472 |
| Anticipated Start Date: | 2-1-24 |
| Anticipated Completion Date: | 5-1-24 |
**Step 3: Aim Statement Overview**
**Aim Statement**
| |
| — |
| Aim Statement<br>Key elements of the aim statement needed to be included:<br>1. What? What’s the problem or opportunity? 2. How much? By how much will you improve? Or<br>“how good” do you want to get? 3. By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish? 4. For whom? Who is the customer or population who will benefit from the improvement? 5. Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end? |
| Over the course of 8 weeks, this project will help to fill the gap which currently exists in the assessment of stress in outpatients in our clinic. Through administering the Depression, Anxiety, and Stress Scale (DASS21), we aim at conducting a more organized approach to evaluating stress prevalence in our patients (Ali, et al., 2022). Therefore, the aim will be to revolutionize patient care and satisfaction in routine practice through stress assessment, which, in turn, will enable proffering of appropriate psychotherapy stress remedies to patients. By week eight from the initiation of the project, we intend to review the patient outcomes as well as satisfaction rate and compare it with the initial parameters to note the impact of improvement. The direct target recipients of this improvement effort are the patient with mental illness that seek outpatient services from our practice. This project includes all facets of the stress assessment process, from incorporating stress assessment in to overall patient assessment, to providing adequate psychotherapy to stressed out patients, and ensuring the best quality of care for our patient panels (Halford, & Frost, 2021). |
| |
| — |
| |
**Instituti**
| |
| — |
| **Project Overview**<br>Please provide a summary of the proposed quality improvement or innovation project including the purpose, proposed strategy to be utilized, proposed project measures that will be utilized to evaluate outcomes, and the anticipated/desired outcomes.<br>Overview of the problem <br>Stress as a concept is widely discussed and known to be the major factor affecting mental health globally. They are detrimental to the individual’s overall well-being and can lead to certain mental disorders like depression and anxiety disorders (WHO, 2022). Chronic stress worsens a patient’s symptoms in case of having some diagnosed psychiatric disorder, and acute stress may result in the creation of a new disorder if not addressed (American Psychiatry Association [APA], 2022).<br>Local Problem in Practice<br>Stress is an issue that is often present in the lives of many of the patients in our outpatient mental clinic, an independent Psychiatric practice. It has been seen that the patients used to complain and the doctors and other health care professionals who attended them also noticed that the various patients seemed highly stressed and anxious. Based on patient input records kept at the internal clinic, it is established that about 60% of patients show their stress levels ranging from moderate to severe during clinical evaluation and they have higher chances of being diagnosed with depression or anxiety disorders (Smith, 2023).<br>Purpose of the Project<br>The aim of this project is to pilot the use of the Depression, Anxiety, and Stress Scale (DASS21) and manage patient stress in a private practice outpatient mental health clinic. When implemented into practice, the project involves the identification and management of stress-illness, with the intention of optimizing the patient’s overall health outcomes about their mental health diagnoses.<br>Proposed Strategy<br>· Implementation of DASS21: Implement the DASS21 tool for the initial patient assessment and subsequent follow-up to quantify stress, anxiety, and depression scores.<br>· Training Staff: Trials and methods: Educate healthcare providers in the practice using the DASS21 in the administration and comprehension of results.<br>· Integration into Routine Care: Extend the use of DASS21 assessment to incorporate it into standard patient evaluations by using it at various patient encounters.<br>· Data Collection and Analysis: Quantitative patient data related to stress should be gathered before and after the use of DASS21. Age and other characteristics of the patients should also be described and compared between the two groups to determine if the intervention improved the outcomes of the patients.<br>Evaluative Measures<br>Pre- and Post-Implementation Stress Levels: Analyze the stress patient’s self-assessment using the scale before and after the application of the DASS21 tool.<br>Patient Satisfaction: Patient satisfaction can also be assessed through using surveys and feedback forms with the DASS21 patient’s tool (Beaufort, et al., 2017).<br>Clinical Outcomes: This will look at the degree of clinical improvement compared to baseline using medical documentation of patients’ status and follow-up surveys where the patients’ levels of depression and anxiety have presumably dropped.<br>Desired Outcomes<br>· Reduction in Stress Levels: Reduce the inhabitants’ reported tension points for patients to a very low level.<br>· Improved Mental Health: Improve general concern regarding possible depression and anxiety from stress management.<br>· Increased Patient Satisfaction: Improve the number of patients who are satisfied with the mental health services delivered by the organization.<br>· Enhanced Clinical Practice: Enhance patient care by adopting a validated instrument for stress evaluation as well as monitoring the effectiveness of clinical interventions for handling stress.<br>References <br>World Health Organization. (2022). World mental health report: Transforming mental health for all.<br>American Psychological Association. (2022). Stress in America. <br>[https://archive.hshsl.umaryland.edu/handle/10713/20295](https://archive.hshsl.umaryland.edu/handle/10713/20295)<br>Beaufort, I. N., De Weert-Van Oene, G. H., Buwalda, V. A., De Leeuw, J. R. J., & Goudriaan, A. E. (2017). The depression, anxiety and stress scale (DASS-21) as a screener for depression in substance use disorder inpatients: a pilot study. <br>_European addiction research_, <br>_23_(5), 260-268. <br>[https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as](https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as)<br>. |
| **QI Framework**<br>Please provide an overview of the framework that will be utilized in the proposed project (e.g. KTA, PDSA, ADKAR, Lean, Six Sigma, DMAIC, etc.). |
| The development of the suggested quality improvement plan is targeting the optimization of, and increasing patient satisfaction in an outpatient mental health private practice through the implementation of stress assessment via Depression, Anxiety, and Stress Scale 21. This is a comprehensive stress assessment project where the aim is to screen patient populations for specific stress levels and where respective psychotherapeutic stress reduction approaches will be used to minimize stress and enhance quality of life. In addressing this plan, an important approach is to incorporate the DASS21 scale into the basic assessment of patients as well as their follow-up visits to guarantee a systematic assessment of patients’ stress levels (D’Amico, et al., 2024). The shifts in the patient outcomes to be employed in the proposed project pertain to patients’ perceived stress levels, depression, and anxiety levels before and after the implementation of the stress assessment tool, in addition to patients’ satisfaction with the use of the stress assessment tool. The expected impact is expected to be the increased percentage of patients who will be relieved from stress, continued emotional well-being, and overall satisfaction with outpatient mental health services offered at the organization. |
| |
| — |
| **Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**<br>Sources<br>Halford, W. K., & Frost, A. D. (2021). Depression anxiety stress scale-10: A brief measure for routine psychotherapy outcome and progress assessment. <br>_Behaviour Change_, <br>_38_(4), 221-234.<br>[https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70](https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70)<br>Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2022). The Depression Anxiety Stress Scale 8-items expresses robust psychometric properties as an ideal shorter version of the Depression Anxiety Stress Scale 21 among healthy respondents from three continents. <br>_Frontiers in psychology_, <br>_13_, 799769. <br>[https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full](https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full)<br>D’Amico, F., Navarrete, J., Montero-Marín, J., Cardeñosa-Valera, E., Navarro-Gil, M., Pérez-Aranda, A., … & Luciano, J. V. (2024). Cost-utility of attachment-based compassion therapy (ABCT) and mindfulness-based stress reduction (MBSR) in the management of depressive, anxious, and adjustment disorders in mental health settings: Economic evaluation alongside a randomized controlled trial. <br>_Mindfulness_, <br>_15_(3), 559-569. <br>[https://link.springer.com/article/10.1007/s12671-024-02319-4](https://link.springer.com/article/10.1007/s12671-024-02319-4) |
| |
| — |
| **Data Security**<br>**Please provide a description of your data security plan for both physical and electronic data that**<br>**includes protected or identifying personal information. Include where the data will be stored, the**<br>**security of the location or computer system, the length of retention of the data, and the method**<br>**of disposition of old data.**<br>Regarding data protection, the necessary precautions shall be observed relating to paper documents that contain protected or identifying personal information as well as electronic records. Paper-based records will be secured in a locked cabinet or file, and digital records will be saved in password-protected computers only those persons have access who are concerned with it. This system will not be open to the public; access to all the departments will be allowed based on the access code and privileges granted to users. Secured updates or patches will be offered after each period to help in the protection of the system. Any accompanying physical documents will be secured in locked cabinets in an office only to be accessed by authorized personnel. Use of these cabinets will be limited and the keys shall be kept safely under lock and key by the authorized personnel.<br>As for the data retention period, the company will meet legal and industry standards concerning the data retention period with a concrete retention period defined in the data retention policy. The last point entails data disposal where the data is no longer useful or has aged out of the retention period set for it; it shall be deleted using standard methods of data disposal. Hard copy documents will be expelled using a cross-cut shredder for the destruction of any sensitive information. Digital data will be erased from the program by employing careful measures such as digital shredding and overwriting.<br>Additional daily, weekly, monthly, and annual checks are proposed to perform verification of the adherence to the data security requirements and to investigate possible threats. Specific personnel in each center will be tasked with conducting these audits from time to time and any issues arising out of this process will be addressed to minimize risks to the integrity of data. Finally, training in data security measures and guidelines will be provided to all employees to guard against violations of rules as well as to reduce cases of data leakage or instances in which unauthorized individuals gain access to such data. |
| |
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project ApprovalStep 4: Acknowledgement of Responsibilities and Signatures**
Please note that:
· Any data collected from Herzing University students, alumni, faculty and/or staff and/or any other constituents for purposes of this project is proprietary. Any publication of findings may not identify or implicate Herzing University. Any external report produced on findings generated by this study, including any presentation or publication, may not identify, reference or implicate Herzing University in any way.
· Upon completion of the project, a copy of the final deliverable will be submitted to Herzing University.
· Any additional publications or presentations produced based upon this project will be submitted to Herzing University.
I certify to the best of my knowledge the information presented is an accurate reflection of the proposed research project.
Date: 6-9-24
6
7
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**FinalWrittenDeliverableTemplate3.2412.docx**
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**Wilkerson1.23.25markup.docx**
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**## FinalIRB.docx**
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**Title: Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice**
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
Herzing University’s Institutional Review Board (IRB) reviews all student quality improvement or innovation project protocol requests to determine if it is human subject research that meets definitions in The Common Rule and therefore requires review and oversight by the IRB. It is the investigator’s responsibility to give complete information regarding the planned quality improvement processes. After submitting the application, the IRB will notify the applicant, in writing, of its decision or if additional information is needed.
**Checklist**
Please make sure to submit the following items along with this application for your submission:
☐ This application with signatures from you and your DNP Project Faculty
☐ A copy of all questionnaires and surveys, if used
☐ A copy of your CITI Certification (free certification for Herzing affiliates through Canvas)
☐ A copy of the application and approval letter from any external IRB (
_if applicable_)
☐ Letter of approval from the Program Chair of the affiliated institution (
_if applicable_)
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**
**Step 1: Your Information**
| | |
| — | — |
| Project Title: | **Implementing assessment tool which measures depression, anxiety and stress in a Outpatient Mental health Private Practice** |
| Doctorate Student Name: | Ramona Wilkerson |
| Check One: | X Herzing University Student<br>☐ Student not affiliated with Herzing University – list institution this project is affiliated with: |
| Email: | [rawilkerson@herzing.edu](mailto:rawilkerson@herzing.edu) |
| Primary Phone Number: | 201-706-1511 |
**Step 2: Location, Faculty, and Date Information**
| | |
| — | — |
| Location/Sponsor: | Hudson Regional Hospital |
| Faculty Information: | Faculty Name: Colleen Bartlett |
| | Faculty Email:cbartlett@herzing.edu |
| | Faculty Phone:<br>352-428-7472 |
| Anticipated Start Date: | 2-1-24 |
| Anticipated Completion Date: | 5-1-24 |
**Step 3: Aim Statement Overview**
**Aim Statement**
| |
| — |
| Aim Statement<br>Key elements of the aim statement needed to be included:<br>1. What? What’s the problem or opportunity? 2. How much? By how much will you improve? Or<br>“how good” do you want to get? 3. By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish? 4. For whom? Who is the customer or population who will benefit from the improvement? 5. Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end? |
| Over the course of 8 weeks, this project will help to fill the gap which currently exists in the assessment of stress in outpatients in our clinic. Through administering the Depression, Anxiety, and Stress Scale (DASS21), we aim at conducting a more organized approach to evaluating stress prevalence in our patients (Ali, et al., 2022). Therefore, the aim will be to revolutionize patient care and satisfaction in routine practice through stress assessment, which, in turn, will enable proffering of appropriate psychotherapy stress remedies to patients. By week eight from the initiation of the project, we intend to review the patient outcomes as well as satisfaction rate and compare it with the initial parameters to note the impact of improvement. The direct target recipients of this improvement effort are the patient with mental illness that seek outpatient services from our practice. This project includes all facets of the stress assessment process, from incorporating stress assessment in to overall patient assessment, to providing adequate psychotherapy to stressed out patients, and ensuring the best quality of care for our patient panels (Halford, & Frost, 2021). |
| |
| — |
| |
**Instituti**
| |
| — |
| **Project Overview**<br>Please provide a summary of the proposed quality improvement or innovation project including the purpose, proposed strategy to be utilized, proposed project measures that will be utilized to evaluate outcomes, and the anticipated/desired outcomes.<br>Overview of the problem <br>Stress as a concept is widely discussed and known to be the major factor affecting mental health globally. They are detrimental to the individual’s overall well-being and can lead to certain mental disorders like depression and anxiety disorders (WHO, 2022). Chronic stress worsens a patient’s symptoms in case of having some diagnosed psychiatric disorder, and acute stress may result in the creation of a new disorder if not addressed (American Psychiatry Association [APA], 2022).<br>Local Problem in Practice<br>Stress is an issue that is often present in the lives of many of the patients in our outpatient mental clinic, an independent Psychiatric practice. It has been seen that the patients used to complain and the doctors and other health care professionals who attended them also noticed that the various patients seemed highly stressed and anxious. Based on patient input records kept at the internal clinic, it is established that about 60% of patients show their stress levels ranging from moderate to severe during clinical evaluation and they have higher chances of being diagnosed with depression or anxiety disorders (Smith, 2023).<br>Purpose of the Project<br>The aim of this project is to pilot the use of the Depression, Anxiety, and Stress Scale (DASS21) and manage patient stress in a private practice outpatient mental health clinic. When implemented into practice, the project involves the identification and management of stress-illness, with the intention of optimizing the patient’s overall health outcomes about their mental health diagnoses.<br>Proposed Strategy<br>· Implementation of DASS21: Implement the DASS21 tool for the initial patient assessment and subsequent follow-up to quantify stress, anxiety, and depression scores.<br>· Training Staff: Trials and methods: Educate healthcare providers in the practice using the DASS21 in the administration and comprehension of results.<br>· Integration into Routine Care: Extend the use of DASS21 assessment to incorporate it into standard patient evaluations by using it at various patient encounters.<br>· Data Collection and Analysis: Quantitative patient data related to stress should be gathered before and after the use of DASS21. Age and other characteristics of the patients should also be described and compared between the two groups to determine if the intervention improved the outcomes of the patients.<br>Evaluative Measures<br>Pre- and Post-Implementation Stress Levels: Analyze the stress patient’s self-assessment using the scale before and after the application of the DASS21 tool.<br>Patient Satisfaction: Patient satisfaction can also be assessed through using surveys and feedback forms with the DASS21 patient’s tool (Beaufort, et al., 2017).<br>Clinical Outcomes: This will look at the degree of clinical improvement compared to baseline using medical documentation of patients’ status and follow-up surveys where the patients’ levels of depression and anxiety have presumably dropped.<br>Desired Outcomes<br>· Reduction in Stress Levels: Reduce the inhabitants’ reported tension points for patients to a very low level.<br>· Improved Mental Health: Improve general concern regarding possible depression and anxiety from stress management.<br>· Increased Patient Satisfaction: Improve the number of patients who are satisfied with the mental health services delivered by the organization.<br>· Enhanced Clinical Practice: Enhance patient care by adopting a validated instrument for stress evaluation as well as monitoring the effectiveness of clinical interventions for handling stress.<br>References <br>World Health Organization. (2022). World mental health report: Transforming mental health for all.<br>American Psychological Association. (2022). Stress in America. <br>[https://archive.hshsl.umaryland.edu/handle/10713/20295](https://archive.hshsl.umaryland.edu/handle/10713/20295)<br>Beaufort, I. N., De Weert-Van Oene, G. H., Buwalda, V. A., De Leeuw, J. R. J., & Goudriaan, A. E. (2017). The depression, anxiety and stress scale (DASS-21) as a screener for depression in substance use disorder inpatients: a pilot study. <br>_European addiction research_, <br>_23_(5), 260-268. <br>[https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as](https://karger.com/ear/article/23/5/260/119698/The-Depression-Anxiety-and-Stress-Scale-DASS-21-as)<br>. |
| **QI Framework**<br>Please provide an overview of the framework that will be utilized in the proposed project (e.g. KTA, PDSA, ADKAR, Lean, Six Sigma, DMAIC, etc.). |
| The development of the suggested quality improvement plan is targeting the optimization of, and increasing patient satisfaction in an outpatient mental health private practice through the implementation of stress assessment via Depression, Anxiety, and Stress Scale 21. This is a comprehensive stress assessment project where the aim is to screen patient populations for specific stress levels and where respective psychotherapeutic stress reduction approaches will be used to minimize stress and enhance quality of life. In addressing this plan, an important approach is to incorporate the DASS21 scale into the basic assessment of patients as well as their follow-up visits to guarantee a systematic assessment of patients’ stress levels (D’Amico, et al., 2024). The shifts in the patient outcomes to be employed in the proposed project pertain to patients’ perceived stress levels, depression, and anxiety levels before and after the implementation of the stress assessment tool, in addition to patients’ satisfaction with the use of the stress assessment tool. The expected impact is expected to be the increased percentage of patients who will be relieved from stress, continued emotional well-being, and overall satisfaction with outpatient mental health services offered at the organization. |
| |
| — |
| **Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project Approval**<br>Sources<br>Halford, W. K., & Frost, A. D. (2021). Depression anxiety stress scale-10: A brief measure for routine psychotherapy outcome and progress assessment. <br>_Behaviour Change_, <br>_38_(4), 221-234.<br>[https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70](https://www.cambridge.org/core/journals/behaviour-change/article/abs/depression-anxiety-stress-scale10-a-brief-measure-for-routine-psychotherapy-outcome-and-progress-assessment/2259B3A2EB360EE3BD007AAFCD73ED70)<br>Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2022). The Depression Anxiety Stress Scale 8-items expresses robust psychometric properties as an ideal shorter version of the Depression Anxiety Stress Scale 21 among healthy respondents from three continents. <br>_Frontiers in psychology_, <br>_13_, 799769. <br>[https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full](https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.799769/full)<br>D’Amico, F., Navarrete, J., Montero-Marín, J., Cardeñosa-Valera, E., Navarro-Gil, M., Pérez-Aranda, A., … & Luciano, J. V. (2024). Cost-utility of attachment-based compassion therapy (ABCT) and mindfulness-based stress reduction (MBSR) in the management of depressive, anxious, and adjustment disorders in mental health settings: Economic evaluation alongside a randomized controlled trial. <br>_Mindfulness_, <br>_15_(3), 559-569. <br>[https://link.springer.com/article/10.1007/s12671-024-02319-4](https://link.springer.com/article/10.1007/s12671-024-02319-4) |
| |
| — |
| **Data Security**<br>**Please provide a description of your data security plan for both physical and electronic data that**<br>**includes protected or identifying personal information. Include where the data will be stored, the**<br>**security of the location or computer system, the length of retention of the data, and the method**<br>**of disposition of old data.**<br>Regarding data protection, the necessary precautions shall be observed relating to paper documents that contain protected or identifying personal information as well as electronic records. Paper-based records will be secured in a locked cabinet or file, and digital records will be saved in password-protected computers only those persons have access who are concerned with it. This system will not be open to the public; access to all the departments will be allowed based on the access code and privileges granted to users. Secured updates or patches will be offered after each period to help in the protection of the system. Any accompanying physical documents will be secured in locked cabinets in an office only to be accessed by authorized personnel. Use of these cabinets will be limited and the keys shall be kept safely under lock and key by the authorized personnel.<br>As for the data retention period, the company will meet legal and industry standards concerning the data retention period with a concrete retention period defined in the data retention policy. The last point entails data disposal where the data is no longer useful or has aged out of the retention period set for it; it shall be deleted using standard methods of data disposal. Hard copy documents will be expelled using a cross-cut shredder for the destruction of any sensitive information. Digital data will be erased from the program by employing careful measures such as digital shredding and overwriting.<br>Additional daily, weekly, monthly, and annual checks are proposed to perform verification of the adherence to the data security requirements and to investigate possible threats. Specific personnel in each center will be tasked with conducting these audits from time to time and any issues arising out of this process will be addressed to minimize risks to the integrity of data. Finally, training in data security measures and guidelines will be provided to all employees to guard against violations of rules as well as to reduce cases of data leakage or instances in which unauthorized individuals gain access to such data. |
| |
**Institutional Review Board (IRB) Application for Quality Improvement or Innovation Project ApprovalStep 4: Acknowledgement of Responsibilities and Signatures**
Please note that:
· Any data collected from Herzing University students, alumni, faculty and/or staff and/or any other constituents for purposes of this project is proprietary. Any publication of findings may not identify or implicate Herzing University. Any external report produced on findings generated by this study, including any presentation or publication, may not identify, reference or implicate Herzing University in any way.
· Upon completion of the project, a copy of the final deliverable will be submitted to Herzing University.
· Any additional publications or presentations produced based upon this project will be submitted to Herzing University.
I certify to the best of my knowledge the information presented is an accurate reflection of the proposed research project.
Date: 6-9-24
6
7
## image3.jpg
## image4.png
## image1.jpg
## image2.jpeg
## image2.jpg
**FinalWrittenDeliverableTemplate3.2412.docx**
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