DNP-835A Patient Outcomes and Sustainable Change

The DNP-835A Patient Outcomes and Sustainable Change course is designed to prepare doctoral nursing students to implement effective strategies that enhance patient safety and ensure quality health care outcomes. Learners critically evaluate the effectiveness of health care delivery models while exploring sustainable change practices that improve both individual patient care and population health. This course emphasizes patient-centered care, ethical principles, and the integration of advanced nursing practice competencies within the DNP Practice Immersion Workspace. Prerequisite: DNP-825A.

Why DNP-835A Patient Outcomes and Sustainable Change Matters

As health care continues to evolve, nursing leaders are called upon to balance evidence-based practice, innovation, and sustainable strategies. DNP-835A equips students with the ability to analyze outcomes, address system-level challenges, and develop long-term improvements that benefit both patients and organizations. By focusing on sustainability, this course ensures that interventions are not only effective but also adaptable to future health care demands.

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Key Learning Areas in DNP-835A Patient Outcomes and Sustainable Change

Patient-Centered Care – Understanding how to design care plans and interventions that prioritize the needs, values, and preferences of patients and their families.
Health Care Outcomes Evaluation – Using evidence-based tools to measure effectiveness, quality, and safety of care.
Sustainable Change Implementation – Building strategies that can be maintained over time to improve efficiency and reduce health care disparities.
Ethical Considerations – Navigating issues of equity, justice, and professional integrity in decision-making.
Integration of Core Competencies – Applying leadership, interprofessional collaboration, and policy knowledge into advanced nursing practice.

The Role of Sustainable Change in Nursing Practice

One of the most significant aspects of this course is its focus on sustainable change. In health care, improvements often fail to last because they are not built into the system. DNP-835A Patient Outcomes and Sustainable Change teaches students how to design and implement solutions that can withstand organizational, financial, and cultural challenges. By mastering this skill, future nursing leaders can ensure lasting improvements in patient safety, quality outcomes, and overall system performance.

DNP 835 Patient Outcomes and Sustainable Change Syllabus

The course is designed to equip students with the knowledge and skills needed to develop effective strategies that promote quality and safe healthcare for both patients and populations, while also focusing on the evaluation of outcomes. Learners will explore key areas such as ethical principles, sustainable change, patient-centered care, and models of care delivery within clinical practice. In addition, students will be expected to integrate core program competencies and specialty practice requirements, demonstrating their proficiency in Advanced Nursing Practice (ANP) during the DNP practice immersion experience.

Prerequisite: Successful completion of DNP-825A.

Topic 1: Strategies to Ensure Safety and Quality Health Care

Pre-Conference Evaluation: Individual Success Plan (ISP)
In this assignment, students will collaborate with course faculty to complete their practice immersion hours, meet program competency goals, and align their work with the Doctor of Nursing Practice (DPI) project.

Topic 1 DQ 1

For this discussion, students will reflect on the IHI Module PS 101: Introduction to Patient Safety. They will explain its significance in improving patient safety and connect the module to concepts from a course resource article. Learners are expected to describe the framework applied to enhance patient outcomes, identify outcome measures, and explain how these align with their improvement project. Finally, students will analyze lessons learned from medical errors and discuss how these lessons can be applied to strengthen patient safety practices.

Topic 2: Innovative Approaches to Health Care, Change Theories, and Sustainable Change

IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care

In this module, students will explore the importance of delivering cost-effective, high-value healthcare. The focus will be on strategies to overcome barriers in providing quality care, the role of nurses and advanced practitioners in cost management, and the relationship between cost, expenditure, and quality outcomes.

Quality and Sustainability Paper: Part 1

For this assignment, students are required to investigate a specific quality or safety issue within a healthcare setting. The paper should be between 1,500–1,750 words, written according to the rubric and APA guidelines. The goal is to demonstrate an understanding of sustainability in healthcare while integrating evidence-based strategies to improve safety and quality.

Topic 2 DQ 1

This discussion requires students to reflect on the “IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care.” Students should describe the DNP’s role in cost management, identify a common barrier to cost control and inappropriate resource utilization, and explain how a change theory can be applied in nursing practice to achieve sustainable care delivery.

Topic 3: Strategic Planning and Vision in Health Care

IHI Module TA 102: Improving Health Equity

This module emphasizes the importance of addressing health disparities. Students will examine root causes of inequities in care delivery and explore practical solutions for reducing them.

Topic 3 DQ 1

In this discussion, students will reflect on the “IHI Module TA 102: Improving Health Equity.” They are expected to identify two major causes of health disparities in their community and in the United States, as well as discuss ethical issues that hinder access to quality care. Additionally, students should propose an initiative that integrates their faith and moral principles into strategies aimed at reducing disparities and fostering sustainable change in healthcare.

Also Read:

DNP-835 Quality and Sustainability Paper: Part 1
DNP-835 Quality and Sustainability Paper: Part 2
DNP 835 Sustainability Worksheet
DNP 835 DPI Project: Outline of 10 Strategic Points Revision Review
DNP 835 Sustainability Plan Presentation
DNP-835 Summary of Current Course Content Knowledge
DNP 835 Topic 8 Reflective Journal
DNP 835 DNP Reflective Journal

Topic 4: State of Health Care Delivery and Health Care Economics

Quality and Sustainability Paper: Part 2

In this assignment, students will analyze the requirements necessary for promoting, implementing, and sustaining a safety or quality improvement program related to a previously selected healthcare issue. The paper should be 2,000–2,500 words and follow APA and rubric guidelines.

Topic 4 DQ 1

Students will reflect on IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems and explain how their DPI project supports clinical improvement. They will also discuss strategies to achieve widespread change, the potential impact if their project were implemented in a nation with universal healthcare, and how these changes would influence healthcare outcomes.

Topic 5: Program Planning, Development, and Evaluation for Population Health

Sustainability Worksheet
In this activity, students will identify the essential elements required to create a long-term sustainability plan that maintains improvement outcomes.

Topic 5 DQ 1

Drawing from IHI Module QI 201: Planning for Spread: From Local Improvements to System-Wide Change, students will describe how change spreads using Everett Rogers’ and Kurt Lewin’s theories. They will apply these frameworks to evaluate the current culture in their practice and assess the likelihood of successfully spreading new ideas.

Topic 6: Creating a Culture of Excellence and Employing Consultative Skills as a Practice Scholar

DPI Project: Outline of 10 Strategic Points Revision Review

Students will revise and refine the 10 Strategic Points for their DPI project, originally submitted in DNP-815A, incorporating faculty feedback and required revisions.

Topic 6 DQ 1

Reflecting on IHI Module PS 203: Pursuing Professional Accountability and a Just Culture, students will prepare a paper describing qualitative or quantitative data that could be used to evaluate their practice culture. They will also discuss strategies to create, shape, and sustain a culture of safety across six domains, while explaining how they can motivate and guide their organizations toward achieving zero harm.

Topic 7: Patient-Centered Care Models and Health Care Literacy

Sustainability Plan Presentation

Students will design and present a 10–15 slide presentation outlining a sustainability plan that demonstrates strategies to maintain long-term improvement.

Topic 7 DQ 1

Based on IHI Module PFC 102: Key Dimensions of Patient and Family-Centered Care, students will explain how the four dimensions of patient- and family-centered care can be integrated within their organization. They will also discuss collaborative strategies between healthcare providers, patients, and families in redesigning care processes.

Topic 8: Evaluation of Health Outcomes

Reflective Journal

Students will complete a self-reflective journal using the provided template. The journal requires critical reflection and inquiry into the learning process throughout the DNP course and must follow APA guidelines and rubric requirements.

Professionalism Assignment

Before beginning the practice immersion experience, students will review professionalism expectations. They will undergo formative evaluations from both faculty and preceptors to assess progress throughout the program.

Topic 8 DQ 1

Students will reflect on IHI Module PS 202: Achieving Total Systems of Safety and summarize the eight recommendations proposed in the IHI report to enhance patient safety and reduce harm. They will identify three specific recommendations they plan to adopt as DNP leaders to improve workforce safety and advance health outcomes within their organizations.

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