The Role of the DNP-Prepared Nurse Ensuring Intervention Fidelity

Discussion

Purpose

This discussion aims to explore the role of the DNP-prepared nurse ensuring intervention fidelity for DNP practice change project success. The intervention implementation is the focus, and the DNP student is checking the process to ensure the intervention is implemented exactly as planned to provide maximum impact on the project outcome. Variations in intervention compliance can negatively affect the outcomes and project.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Instructions

All students respond to Part 1 and Part 2 every week. Students who are implementing respond to Part 1 and Part 2— Implementing. Students who are conducting a case study respond to Part 1 and Part 2—Case Study.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Part 1: All Students

Reflect upon your readings and professional experience and address the following in 150 words or less:

1. Create a brief definition for intervention fidelity that you will provide for stakeholders.
2. Explain intervention fidelity in the context of your practice change project and your evidence-based intervention specifically.

Part 2: Students Implementing at the Practicum Site

For this week’s implementation update, address the following:

1. State your practice question in PICOT format and include what week number you are currently in for your implementation.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)
2. Elaborate in detail about your formative evaluation plan to check the intervention fidelity.
   1. Include details such as the method and frequency for formative evaluation and the person responsible.
   2. Describe the type of feedback you will provide to support keeping the intervention fidelity high.
   3. Add the frequency of stakeholder communication (e.g., staff, organizational leadership, other department managers, or units) about intervention fidelity.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)
3. Include an example(s) of your practice change project implementation successes, challenges, barriers, or any concerns.

 resources that may be necessary for a successful implementation.

Note: Robust responses are required to fulfill the Case Study requirements. Use the numbered points provided as headings.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:

1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)(Role of DNP Prepared Nurse Ensuring Fidelity Essay)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)(Role of DNP Prepared Nurse Ensuring Fidelity Essay)
6. Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)
7. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

1. Demonstrate effective project management strategies. (PCs 1, 2, 3, 4, 5; POs 2, 3, 6)
2. Use project management processes to implement the DNP project. (PCs 6, 8; POs 4, 8)

Due Dates

• Initial Post: By 11:59 p.m. MT on Wednesday
• Follow-Up Posts: By 11:59 p.m. MT on Sunday(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Role of DNP Prepared Nurse Ensuring Fidelity Essay

Part 2: Students Implementing at the Practicum Site

For an adult, Schizophrenia patients (P) in the hospital inpatient setting, does the implementation of technology-based motivational interview (I), compared with conventional practice and approaches (C), influence medication non-adherence (O) in eight to ten weeks (T)?

Current week: week 2

Formative evaluation is fundamental in checking intervention integrity through frequently evaluating procedures and individuals involved. According to Elwy et al. (2020), formative evaluation involves gathering required information during implementation and providing required feedback. The formative evaluation plan starts with an expert review by the project design expert in the second week, targeting different goals and objectives using interview questions and a survey of the participants. Furthermore, the second phase would involve one-to-one evaluation to identify content, direction clarity, and quality, leading to determining the data type required for an effective and accurate implementation process. Students perform the one to one evaluation by utilizing course material and assessments using observation forms and interview questions. The last part of the formative evaluation plan conducted by students involves small group evaluation of problematic areas during implementation by survey and interview questionnaires. Formative feedback would be provided to the participants on the success and failures of the intervention leading to making necessary changes due to respondents’ understanding of various concepts. Constant and transparent communication positively impacts the intervention, more so with the staff and organization. Communication with such essential parties would occur every week concerning the intervention infidelity, ensuring that everything is on track.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

The success factor comprises the support from relevant parties comprising nursing staff, patients, and family members. Such parties play a significant role in forming a patient-centered partnership to increase collaboration and success in implementing the intervention. Resistance from the care providers, including nursing staff, and inadequate or lack of patient interest could present various setbacks. Equally, few or more participants than expected lead to various challenges.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Formative Evaluation Plan

Phase of formative evaluation	Duration	Activity	Individual respinsible	Data collection
Expert review	Second week	Formulating and targeting different goals and objective (Role of DNP Prepared Nurse Ensuring Fidelity Essay)	Project deisgn expert	Interview questions and a survey of the participants
One to one reviews	One week	Identify content, direction clarity, and quality and data type identification (Role of DNP Prepared Nurse Ensuring Fidelity Essay)	Student	Observation forms and interview questions
Small group review	One week	Evaluation of problematic areas (Role of DNP Prepared Nurse Ensuring Fidelity Essay)	Student	Observation forms and interview questions

References

Elwy, A. R., Wasan, A. D., Gillman, A. G., Johnston, K. L., Dodds, N., McFarland, C., & Greco, C. M. (2020). Using formative evaluation methods to improve clinical implementation efforts: Description and an example. Psychiatry Research, 283, 112532. https://doi.org/10.1016/j.psychres.2019.112532

Frequently Asked Questions

What are the roles of DNP prepared nurses?

DNP (Doctor of Nursing Practice) prepared nurses typically assume advanced clinical and leadership roles in healthcare. They may work as advanced practice nurses, nurse practitioners, nurse executives, clinical educators, policy advocates, or researchers, focusing on improving patient outcomes, shaping healthcare policies, and advancing nursing practice.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

Which is the role of a DNP prepared nurse facing chaos complexity and changes in the work area?

A DNP-prepared nurse in the face of chaos, complexity, and changes in the work area assumes a leadership role by leveraging advanced clinical expertise and evidence-based practice to drive informed decision-making, promote patient-centered care, and facilitate interdisciplinary collaboration, thereby enhancing healthcare outcomes and system resilience.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

What is the role of fidelity in nursing?

The role of fidelity in nursing refers to the ethical commitment and responsibility of nurses to provide consistent and trustworthy care to their patients, while upholding the principles of honesty, loyalty, and maintaining the patient’s best interests as a top priority. It involves building and maintaining a trusting relationship between the nurse and the patient, ensuring that the patient’s needs and well-being are always prioritized.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)

What is the role of the DNP prepared nurse in the provision of population health services as they relate to epidemiology?

A DNP-prepared nurse with a focus on epidemiology plays a crucial role in population health services by utilizing advanced knowledge and skills to assess, analyze, and manage health trends and patterns within communities. They design and implement evidence-based interventions to improve public health outcomes, while also collaborating with interdisciplinary teams to develop strategies for disease prevention, health promotion, and policy development.(Role of DNP Prepared Nurse Ensuring Fidelity Essay)