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Design And Implementation Of The Project

Good Essays

Within the context of the proposed DNP project, several organizational barriers impact the design, implementation and the effectiveness of the project. By identifying and addressing each barrier the project can continue to positively impact the quality, safety and improved health of children with special healthcare needs. At the Duke Transition Clinic, the two main barriers to the design and implementation of the project are the diverse patient population combined with staff expectations and the culture and standards of clinic operations.
Clinic Standards of Operation An organizational issue that could potentially impact the implementation of the project is the structure of patient visits within the transition clinic. The transition program is funded by and conducted in partnership with a teaching hospital; therefore, the location of the clinic changes on an almost weekly basis and has only one staff member who is solely devoted to the program. As the program is in conjunction with a teaching hospital, the clinic is staffed primarily by residents supervised by two attending physicians. Consequentially, the flow and structure of the clinic varies by week as the residents staffing the clinic are rotated on a bi-weekly basis.
The variation in clinic location and physicians causes disorganized and inconstant transitional care delivery. Within the context of the proposed DNP project, this problem has the potential to make data collection and the creation of realistic

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