DNP Change Project Example on Obesity for Nursing Students

DNP Change Project Example on Obesity for Nursing Students

CLASSMATE 1

Hi Dr. Clay and class

Participants

My study population will comprise adults aged ≥18 years presenting with obesity or overweight in one primary care office in Philadelphia’s inner city. Gender and other socioeconomic factors will not affect individuals’ participation since they are not demographic variables of interest in this project. However, all participating patients must meet the predefined inclusion criteria.(DNP Change Project Example on Obesity for Nursing Students)

Benefits and Risks

Benefits

The proposed doctor of nursing practice (DNP) change project will benefit participants in multiple ways. Firstly, partaking in this study will likely improve subjects’ physical health. Current research demonstrates that receiving the proposed intervention can result in clinically meaningful weight loss (Viglione et al., 2019). Secondly, taking part in this project will offer participants the chance to contribute toward knowledge about adult obesity, especially by informing the development of effective treatment approaches. In effect, it may be extremely rewarding and fulfilling for participants to know that their input has helped the scientific community and other patients who grapple with the condition. Thirdly, participants may derive particular psychological benefits from their involvement in this project. The rationale for this assertion is that the proposed intervention will draw on behavior change counseling. Participants will work with clinicians at the practicum site to set and adhere to positive behavioral changes. Hence, several direct and indirect benefits will accrue to participants who take part in the proposed DNP project.(DNP Change Project Example on Obesity for Nursing Students)

Risks

            Despite the anticipated benefits, the proposed DNP practice change project may present particular risks to participants. Firstly, some of the subjects may experience emotional distress or embarrassment during the study. In practice, obesity exerts a severe emotional and psychological burden on patients because of the associated self-stigma, body dissatisfaction, and perceived weight discrimination (Puhl et al., 2020). Therefore, participants may experience ongoing emotional and psychological distress during the research. Secondly, the project may pose challenges to patient privacy and confidentiality. The project will necessitate access to electronic medical records to identify patients who meet the inclusion criteria. Failure of the DNP project team to handle this data properly may result in a breach of privacy and confidentiality if the data is lost. Thus, emotional distress and privacy and confidentiality breaches are some of the possible risks for participants who take part in the proposed project.(DNP Change Project Example on Obesity for Nursing Students)

Measures to Protect Human Rights

 There are specific measures that will help protect human rights. One strategy that I will use is to ensure voluntary consent. Eligible participants will sign informed consent forms before the study commences. These forms will disclose participant roles, expected benefits, and foreseeable risks. According to White (2020), ensuring voluntary informed consent is an essential aspect of protecting human rights because it treats participants as autonomous research subjects, which is in keeping with the principle of respect for persons. Besides ensuring voluntary consent, I will store all records on a password-protected hard drive. This strategy will prevent potential privacy and confidentiality breaches. I will ensure participant anonymity by using pseudonyms and refrain from collecting direct identifiers such as names. Finally, I will obtain approval from the Chamberlain institutional review board (IRB) before commencing the project. IRBs facilitate the protection of human subjects by providing the necessary oversight (White, 2020). These are all measures that I will take to help protect human rights in the proposed study.(DNP Change Project Example on Obesity for Nursing Students)

Overall, the involvement of human subjects in my proposed DNP practice change project may raise legal and ethical issues that necessitate stringent protection of human rights. Therefore, upholding human rights to the highest standards will be at the forefront of my mind while designing the study protocol for this project.(DNP Change Project Example on Obesity for Nursing Students)

References

Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020). Weight stigma as a psychosocial contributor to obesity. American Psychologist75(2), 274-289. https://doi.org/10.1037/amp0000538Links to an external site.(DNP Change Project Example on Obesity for Nursing Students)

Viglione, C., Bouwman, D., Rahman, N., Fang, Y., Beasley, J. M., Sherman, S., Pi-Sunyer, X., Wylie-Rosett, J., Tenner, C., & Jay, M. (2019). A technology-assisted health coaching intervention vs. enhanced usual care for primary care-based obesity treatment: A randomized controlled trial. BMC Obesity6(1), 1-11. https://doi.org/10.1186/s40608-018-0226-0(DNP Change Project Example on Obesity for Nursing Students)

White, M. G. (2020). Why human subjects research protection is important. Ochsner Journal20(1), 16-33. https://doi.org/10.31486/toj.20.5012(DNP Change Project Example on Obesity for Nursing Students)

CLASSMATE 2

Dr. Clay and Class

The participants of the proposed DNP programs are patients with uncontrolled type 2 diabetes.  Mellitus (T2DM). The benefits for the participants of the DNP practice change project are numerous. First, the participants will benefit from a pool of experts that will be offering Shared Medical Appointments (SMAs), for instance, the patient who could not secure an appointment for one-on-one appointment due to a long queue and lack of resources by the facility will have the opportunity to receive care from the physicians.  The SMAs approach enables healthcare providers to provide the same level of care to multiple patients at the same time, thereby maximizing available resources (Menon et al., 2017).  The participants will also have increased knowledge of the management of T2DM as a result of participating in the project which will help them improve their blood sugar levels and improve their quality of life.  The patients will also be playing an active role in their health and they will feel empowered by the effects of the SMAs. The only expected risk of participating in this program is the medical appointment for the group session may inconvenience the participants because it might take longer and they will need to travel to the facility where SMA will be offered.(DNP Change Project Example on Obesity for Nursing Students)

To protect human rights, I will ensure informed consent is obtained from the study participants.  This will ensure that they are not coerced into the study which would negatively impact the findings. Secondly, I will ensure that I assure the study participants that their personal information will be protected.  This means protecting the participant’s privacy and confidentiality by assuring them that none of the personal details that can identify the patients will be collected (Flanagin et al., 2020).  The participants will also be assured that the data collected will not be accessed by a third party without their authorization.(DNP Change Project Example on Obesity for Nursing Students)

References

Flanagin, A., Bauchner, H., & Fontanarosa, P. B. (2020). Patient and study participant rights to privacy in journal publication. JAMA323(21), 2147-2150. https://doi.org/10.1001/jama.2020.3590(DNP Change Project Example on Obesity for Nursing Students)

Menon, K., Mousa, A., de Courten, M. P., Soldatos, G., Egger, G., & de Courten, B. (2017). Shared Medical Appointments May Be Effective for Improving Clinical and Behavioral Outcomes in Type 2 Diabetes: A Narrative Review. Frontiers in Endocrinology8, 263. https://doi.org/10.3389/fendo.2017.00263(DNP Change Project Example on Obesity for Nursing Students)

DNP Change Project Example on Obesity for Nursing Students-Responses

DNP Change Project Example on Obesity for Nursing Students

Response to Classmate 1

Hello,

Thank you for sharing details about your project because it is always a pleasure to learn from others and gain insights from other people’s ideas in the learning process. A study on obesity and overweight addresses the current issue of the increasing prevalence of overweight and obese individuals in the US (Mkuu et al., 2021). Gender and other socioeconomic factors can be mediators or moderators of the relationship between overweight/obesity and the selected intervention. I agree that your project will be handy to providers and patients alike. Providers and patients can learn weight management techniques or strategies to attain clinically meaningful weight loss. Weight loss requires behavioral and lifestyle changes. I agree that by participating in this project, participants will gain tremendous knowledge to address lifestyles and behavior influencing their weight gain. However, incidences of body shaming, stigma, and self-esteem can be linked to participants feeling distressed or embarrassed participating in the project. It is vital to obtain consent and guarantee participants’ privacy and confidentiality as measures to protect human rights.(DNP Change Project Example on Obesity for Nursing Students)

References

Mkuu, R., Barry, A., Yonga, G., Nafukho, F., Wernz, C., Gilreath, T., Chowdhury, M., & Shevon Harvey, I. (2021). Prevalence and factors associated with overweight and obesity in Kenya. Preventive medicine reports22, 101340. https://doi.org/10.1016/j.pmedr.2021.101340(DNP Change Project Example on Obesity for Nursing Students)

Response to Classmate 2

Hello,

Thank you for a great, informative post. Uncontrolled type 2 diabetes exposes the patient to multiple complications blindness, heart disease, stroke, and numbness of hands and feet (Goyal et al., 2021). I believe patients will benefit massively from participating in your project as it addresses a disease burden that seems to be getting worse as the general US population tends to get heavier by the day. Indeed access to experts is a benefit, especially for patients experiencing disparities in access to healthcare. Also, participants will gain valuable insights into managing type 2 diabetes by participating in the project and enhancing their quality of life. Travelling is indeed a challenge participants might face that can affect active and consistent participation. Regarding protecting human rights, researchers must obtain informed consent, ensure no harm to the patients, treat everyone fairly, avoid deception, and ensure participants’ information privacy and confidentiality.(DNP Change Project Example on Obesity for Nursing Students)

References

Goyal, R., Jialal, I., & Castano, M. (2021). Diabetes Mellitus Type 2 (Nursing). In StatPearls [Internet]. StatPearls Publishing. 

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