Response 2

Describe return on investmentReturn on investment (ROI) is a performance metric used to assess an investment’s effectiveness or profitability or to compare the effectiveness of several investments. ROI aims to quantify the amount of return on a specific investment in relation to the cost of the investment (Masters et al, 2017).Costs associated with VTE treatment can be leveraged in demonstrating the potential economic benefit of prevention efforts. Titi et al. (2021) state that approximately 548,000 adult hospital patients per year are diagnosed with VTE per year. VTE is identified as an economic burden of $1.5 billion – $10 billion in direct cost and combining direct and indirect costs in the United States range from $9.8 – $52 billion annually (Mahan et al., as cited in Casciano et al., 2015). Casciano et al. (2015) state that the total economic burden, considering cost due to VTE complication, maybe at a much greater level than recorded. Approximately 18% of patients who had a VTE are readmitted within 30 days of discharge at a cost of $10,000 per patient, and between 10% to 30% of acute VTE survivors develop recurrent VTE within 5 years, with a peak after discontinuing treatment (Henke et al, 2020). Patients developing VTE tend to have multiple comorbidities that contribute to a variety of healthcare use. Furthermore, incremental costs of hospital-related VTE are significantly beyond those attributed to coexisting health conditions (Titi et al., 2021; Grosse, 2016). Cost estimates commonly exclude subsequent VTE-related morbidity. In the United States alone, the occurrence of VTE affects an average of 900,000 patients with an estimated 300,000 deaths per year. Additional evidence indicates the impact of VTE impacts 300,000 – 900,000 patients’ lives with mortality of 100,000 – 300,000 deaths annually if untreated (Maynard, 2016; Streiff et al., 2014). The frequency of deep vein thrombosis (DVT) and pulmonary embolism (PE) is greater with a longer inpatient hospital length of stay and an increased rate (10-15%) of fatality (Maynard, 2016). Identify and describe three resources that will be needed to implement the intervention in your DNP scholarly project?The design of the educational activity will be a one-hour classroom-based presentation. Practitioners will have the option to attend either a morning or an evening session. Brief Introduction – learning activity purpose, learning objectives. Brief Overview – current issues and trends, practice problems, supportive data, and existing research. Patient/Family Experience. The Gap in Clinical Practice – problem statement, relevance to practice. Evidence-based VTE Prevention – practice guidelines, impact on social change. Risk Assessment Models – introduction to the NICE VTE risk assessment model (assessment and suggested treatment including considerations for patients identified at risk for bleeding). A Closer Look at Pharmacological Prophylaxis for VTE Prevention. Open the Floor for Questions and Answers. Program Evaluation.Explain why your DNP project will be a good use of the three resources you identifiedThe DNP student will manage the cost of labor, which includes hours developing educational sessions, presenting the educational sessions, analyzing all data collections, and summarizing evaluation. The cost of materials for educational sessions such as printing costs will be taken care of by the Bon Secours Hospital Tralee. The cost to the facility consists of unit staff attendance at a 1 hour in-service on Evidence-based VTE Prevention and a risk assessment tool. In order to control time costs and maximize teaching time, senior leadership must consider and approve the time schedule for executing education sessions.The Quality Department provided access to VTE reports for a review of data. This will be used to provide evidence to support the implementation of a VTE prevention policy and risk assessment tool. Key stakeholders that can contribute to the success of the project include the Director of Nursing, Best Practice Manager, Clinical Director, registered nurses, and non-consultant hospital doctors and pharmacists. Together, these partners offered assistance to encourage employee participation in this initiative. Gaining the support of frontline employees requires effective leadership and communication abilities. To effectively implement tools into clinical practice, staff motivation and participation in VTE prevention are crucial. A paper handout containing important elements to be used as a staff guide and a PowerPoint presentation to be used to explain the program.This DNP project aims to improve staff knowledge to adopt measures to prevent potential VTE in inpatients by effectively utilizing the VTE prevention policy and risk assessment tool.