NR 730 Week 5 Assignment; DNP Practicum Readiness Form
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SECTION I: 5700204338619___________________ ___________________ 5705017266966Please type your responses to all questions. Note: scanned or handwritten submissions will not be accepted. 1223683105085________________________________________________________ ________________________________________________________ 5204180428935_____________________________ _____________________________ 1225296306255198135402138Student Name: Latanya M Pope Student ID (D#): D40x85xx9 81790568362_____________________________________________________________ _____________________________________________________________ 79357431787Email: mxlxtoxyax5@yahoo.comAddress: 115 Plaxxxtion Drive Swxnsxoro NC 2x5x4 Phone: 9x0-5x4-17x9 450595-12679❑ ❑ 423951-36655✔I fully understand I cannot collect any data and/or implement my project at the practicum site until my proposal is approved and I have received all required permission(s) from Chamberlain's Institutional Review Board (IRB) as well as the practicum site's IRB (if applicable) 1640789142286_______________________________________________________________________________ _______________________________________________________________________________ 161378362657Working Project Title: 1The impacts of Telephonic Health Coaching Intervention (THC) toolkit on obesity patients Practicum Site/Organization Name: Crossroads Treatment Center Practicum Site Contact Person: Name, email address, phone Preceptor Contact Information: Name, credentials, email address, phone Mentor Contact Information: Name, credentials, email address, phone Practicum Site Key Decision Maker(s) Contact Information: Name, credentials, email address, phone Dawn xenxinsxJenkins@cxrolixaeastxealxh.com 2x2-6x3-8x62 Daniella Thomas PMHNP, DNP, MSN-ED, RN, CMSRN, dannimxxxx8@gmail.com 9x0-5x5-75x5 N/A Dawn Jenkins DJenkins@caxolxnaexsthxalth.com 2x2-6x3-8x62 Date(s) you spoke to Practicum Site Key Decision Maker(s): 12/14/2023 463689481331___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 457200299518How to integrate Intensive Behavioral Therapy (IBT) programs on obesity patients for weight management. 2 _ _ How to integrate Intensive Behavioral Therapy (IBT) programs on obesity patients for weight management. 2 _ _ After you communicated with the practicum site decision maker(s), what issue/problem did they state they want you to work on as part of your DNP practicum? Do you have a letter of support for your proposed project? Note: this must be obtained before starting NR-702 and be communicated via the practicum site's letterhead, as well as signed by the decision-maker. Please refer to the Resources section within your course for a 45523916891610121931689165400400138873569258937360sample letter3 Yes ✔ NoComments Select if your project is using a translational science model or a theoretical framework and change model. Identify the model used. 45246697978452466352904✔ Translation Science Model: Framework/Change model: Knowledge to Action (KTA) 12-190115.2©2019 Chamberlain University LLC. All rights reserved.0322CMG 1 Summary of Comments on Edited PopeDNP Practicum Readiness form-1.pdf 45720078457 Page: 1 457200-169396Number: 1 Author: mclay2Subject: Comment on TextDate: 2/14/2024 8:58:45 AM Number: 1 Author: mclay2Subject: Comment on TextDate: 2/14/2024 8:58:45 AM This does not match your project 457200-105953Number: 2 Author: mclay2Subject: Sticky Note Date: 2/14/2024 8:59:11 AM Number: 2 Author: mclay2Subject: Sticky Note Date: 2/14/2024 8:59:11 AM This needs to describe the conversation had with stakeholders 457200-105376Number: 3 Author: mclay2Subject: Sticky Note Date: 2/14/2024 8:59:33 AM Number: 3 Author: mclay2Subject: Sticky Note Date: 2/14/2024 8:59:33 AM Must state will receive prior to NR 702 SECTION II Work with your assigned DNP Project Course Faculty to answer all questions under this section in preparation for your upcoming practicum experience. Provide a problem statement (no less than 5-6 fully structured sentences) to explain the issue/problem you are addressing. Please describe current practice/process leading to the issue. Provide any reports or currently available data to document the need identified by primary decision maker(s) at practicum site. 458863164219____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________
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