Evidence-Based Intervention: Rationale 

Discussion

Purpose

The purpose of the discussion this week is to create a plan for the formative evaluation. The formative evaluation is an assessment process to determine if the intervention is implemented as planned(Formative Intervention Comprehensive Nursing Essay). The intervention must be implemented as planned to achieve outcome success. You will create the process to check if the intervention is being implemented as planned. This process is called the formative evaluation. The formative evaluation measures compliance with the intervention implementation plan. Intervention fidelity is a term used when describing if the intervention is implemented exactly as planned. Intervention fidelity is high when the intervention is implemented as planned. Low intervention fidelity occurs when there is variation in the intervention implementation or when a portion of the intervention is not implemented as planned.  (Please refer to the Week 4 Intervention Fidelity Lesson 2.)(Formative Intervention Comprehensive Nursing Essay)

Instructions

Review this week’s readings and provide your response in 150 words or less: 

1.  State your practice question in PICOT format.   

2.  Describe the formative evaluation plan for your project design, outlining the steps and/or tools you will utilize to conduct this frequent assessment process checking compliance with the intervention implementation plan.(Formative Intervention Comprehensive Nursing Essay)

3.  Discuss who will conduct the formative evaluation, how, the frequency, and where.

4.  Detail your plan for feedback if the formative evaluation results demonstrate low intervention fidelity.

Use Grammarly and current APA format for the posts. Do not repeat the prompts in the post. Provide respectful and thought-provoking feedback to your student colleagues. Ask for clarification and elaboration if needed.(Formative Intervention Comprehensive Nursing Essay)

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.

Course Outcomes

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

1.  Synthesize scientific knowledge, theory, and practice expertise to inform evidence-based practice and impact outcomes. (POs 1, 3, 4, 5, 6, 9)(Formative Intervention Comprehensive Nursing Essay)

2.  Design an evidence-based translational science project to address a practice problem. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

3.  Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)(Formative Intervention Comprehensive Nursing Essay)

Formative Intervention Comprehensive Nursing Essay

Intervention Fidelity

Practice Question

For adults with a history of schizophrenia in the outpatient setting (P), does the implementation of technology with motivational interviewing (I), compared with current practice (C), impact medication nonadherence (O) in 8-10 weeks (T)?(Formative Intervention Comprehensive Nursing Essay)

Formative Evaluation Plan

Several steps and tools will be involved to assess compliance with the intervention implementation plan. First, the DNP project aims to determine the impact of technology with MI on medication adherence among inpatient Schizophrenia patients. The project’s objectives include; evaluating the role of technology on medication adherence among inpatient schizophrenia patients, assessing the impact of motivational interviews on medication adherence among inpatient schizophrenia patients, and comparing the impact of technology with motivational interviewing on medication adherence and motivational interviewing and technology independently among inpatient schizophrenia patients. Data describing medication adherence will be collected using the Brief Medication Questionnaire (BMQ), a self-report questionnaire (Nassar et al., 2022), pre and post-intervention, i.e., at weeks 1 and 11/12.(Formative Intervention Comprehensive Nursing Essay)

Formative Evaluation.

The DNP project manager will carry out the formative evaluation of the implementation progress bi-weekly. In addition, a checklist of the DNP project phases and activities will be used to monitor the implementation progress at the project site. The DNP project manager will be responsible for the implementation and monitoring of the progress of the DNP project progress phases and activities, including the selection of project participants and provision of informed consent, on-boarding the participants (explain to the participants the nature of the project and contact the IT personnel to help participants install reminder app and input relevant data); provide weekly motivational interviewing; meet participants weekly to discuss barriers to medication.(Formative Intervention Comprehensive Nursing Essay)

Plan for Feedback

If the formative evaluation outcomes show low intervention fidelity, the DNP project manager will pursue the following step to improve fidelity. The first step will be identifying the phases or activities with low fidelity and the reasons for such outcomes. Next, the DNP project manager will address the identified issues by making changes to the intervention plan or meeting with the staff to re-strategize the intervention. Finally, the effectiveness of the changes will be evaluated through follow-up evaluations to assess the improvement of intervention fidelity. Low fidelity at this point will necessitate revising the intervention protocol.(Formative Intervention Comprehensive Nursing Essay)

Reference

Nassar, R. I., Basheti, I. A., & Saini, B. (2022). Exploring Validated Self-Reported Instruments to Assess Adherence to Medications Used: A Review Comparing Existing Instruments. Patient preference and adherence, 503-513. https://doi.org/10.2147/ppa.s352161(Formative Intervention Comprehensive Nursing Essay)