course material

1. [From 10$/Pg] Utilizing Appropriate Interventions Per
[From 10$/Pg] Utilizing Appropriate Interventions Per Part I: · What is the impact of the
DNP-prepared healthcare systems leader on healthcare systems of today?DNP-prepared
healthcare systems leader has shown to positively impact the healthcare systems of today.
DNP-prepared scholars has proven to affect health outcomes by improved patient quality of
care, innovation, and influence (Boswell & Batcheller, 2021). DNP-prepared scholars have
the competencies for communication, leadership, and ability to promote change in multiple
areas (Boswell & Batcheller, 2021). The DNP scholars were prepared for the faster
transition of evidence-based findings into actual clinical practice, which improves overall
provision of updated scientific findings for better patient outcomes and staff
processes.· How do you anticipate integrating this role into your current or future
career?I am a newly graduated Family Nurse Practitioner in California. As a DNP-prepared
scholar, I am planning to utilized my knowledge and skills to update patients’ treatment
plans and clinic processes based on the best evidence-based findings related to outpatient
services. I can use such knowledge and skills to advocate for the patients in the clinic and
community that hopefully provide quality care at affordable healthcare costs. · In your
opinion, what is needed for successful professional identity formation in DNP students to
achieve healthcare systems leadership roles after graduation?In my opinion, DNP students
will need further support to achieve healthcare system leadership roles after graduation.
One step to achieve such exposure is to apply for DNP residency programs that support
further exposure to situations and resources thus promoting healthcare leadership
competencies. Another step is to finder a mentor that provides support and guidance for
both personal and professional growth.Part II: For Case Study · Please state your practice
question in PICOT formatFor patients 18 years of age and above in an acute care unit, will
the 4AT rapid clinical screening tool to detect delirium, as compared to current practice,
impact the use of restraints within 8-10 weeks. · Discuss best practices for implementing
evidence-based practice guidelines with citations and matching references sufficient to
support your discussion.It is essential to utilized best practices for the implementation of
evidence-based practice guidelines. The first step is identifying current issue at the
identified site and creating an answerable and clinically relevant questions based on the
clinical practice (Esteban-Sepulveda et al., 2021). Additional processes involves: the search
for and retrieval of the best available evidence to answer the clinical questions; appraisal of
the evidence for relevance and validity; application of the appraised evidence in clinical
practice; implementation and integration of evidence with clinical experience; and

2. evaluation of the impacts of the intervention on individuals (Esteban-Sepulveda et al.,
2021). These steps are necessary to support best practices and effectiveness in
implementing evidence-based practice guidelines. · Discuss strategies for overcoming
barriers in implementing evidence-based practice with citations and references to support
strategies.There are various strategies that the DNP student can utilized for overcoming
barriers in implementing evidence-based practice. Strategies can include effective training
and support systems, clear allocation of roles to implementation team, provision of
evidence to stakeholders related to its cost-effectiveness, and ease of use, and providing a
transparency and flexibility to all individuals involved in the implementation process
(Mathieson, Grande, & Luker, 2018). Effective planning, communication, and collaboration
are additional strategies that can aid the implementation process of evidence-based
practice.· Discuss your formative evaluation plan to check intervention fidelity.It is
essential to create a formative evaluation plan to check for intervention fidelity. The DNP
student can utilize the manager’s checklist to monitor the progression of the intervention,
while the nursing champions can utilize the nursing champion checklist to check if the
nurses are utilizing appropriate interventions per patient daily. Improvement in
intervention fidelity should focus on utilization of frameworks, clarification on defined
interventions, and clear definition on the various formative evaluation for involved
individuals (Hardeman et al., 2020). In addition, the DNP student can use one-to-one
discussions and weekly follow-ups in the formative evaluation plan.· In Week 2, your
formative evaluation plan reveals a few staff did not implement the evidence-based
intervention as intended. What is your next step?The formative evaluation plan revealed
that a few staff did not implement the interventions. As a project lead, it is essential to
investigate the varying reasons related to the staff not able to implement the interventions.
The first step is to identify the next scheduled work of the staff and perform a one-to-one
discussion on the revelation of the evaluation plan. Provide additional support and
resources for staff that are unable to perform interventions due to lack of time or unclear on
the required steps.· In your simulated Case Study, some staff state, “I am too busy” or “I
do not see a need for change since the ‘way we have always done it’ works fine.” How will
you address this?There will always be a resistance to change and it is essential to provide
information on the reasons and benefits of changing current processes. For the staff that
were too busy, the DNP student or the nursing champions can assist in filling out the 4AT
forms per patient daily or report the intervention to the next shift. For the staff the are
resistant to change, it is important to emphasized that the facility has a growing concern for
increased physical restraint usage, thus promoting the creation of an initiative to help
decrease restraint use. It is also important to detect patients that are at risk or positive for
delirium so that we can provide early interventions that can prevent worse outcomes, thus
leading to more work for the staff.· You identify that stakeholders were not included in
the project planning meetings and are resisting change. How will you work with these
stakeholders to turn their resistance into support?The DNP student had identified that
some stakeholders are resistant to change. Additional resources and support are necessary
to start the process of changing the resistant behaviors of some stakeholders. It is essential
to include stakeholders in every step of the implementation process to increase

3. involvement, rapport, and lower resistance to change. In addition, it is essential to follow-up
on the stakeholders that are resistant to change and provide additional information on the
importance of the project and how it will impact staff and patient care.· Thinking about a
live implementation, are there additional resources that may be necessary for a successful
implementation? If so, what are those resources?Additional resources are required to have
a successful implementation. The project implementation will require a weekly meeting
room, laminated cards for nursing staff, printers and office supplies, and gift cards for staff
involvement. In addition, a budget for provision of snacks during meetings and educational
sessions is another resource during the planning to implementation
transition. ReferencesBoswell, C., & Batcheller, J. (2021). Capturing the impact of the Doctor
of Nursing Practice degree on West Texas health care.
https://journals.healio.com/doi/10.3928/00220124-20210315-08 (Links to an external
site.)Esteban-Sepulvedam, S., Sese-abad, A., Lacueva-Perez, L., Domingo-Pozo, M., Alosno-
Fernandez, S., Aquilue-Ballarin, M., Barcelo-Martinez, A., Cristobal-Dominguez, E., &
Fernandez-Dominguez, J. (2021). Impact of the implementation of best practice guidelines
on nurse’s evidence-based practice and on nurses’ work environment: Research protocol.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756465/Hardeman, E., Hankonen, N.,
Byrne, M., McSharry, J., Matvienko-Sikar, K., & Lorencatto, F. (2020). Focusing on fidelity:
narrative review and recommendations for improving itnervention fidelity within trials of
health behaviour change interventions. https://implementationscience-gacd.org/wp-
content/uploads/2020/11/Focusing-on-fidelity.pdf (Links to an external site.)Mathieson,
A., Grande, G., & Luker, K. (2018). Strategies, facilitators and barriers to implementation of
evidence-based practice in community nursing: a systematic mixed-studies review and
qualitative synthesis. https://www.cambridge.org/core/journals/primary-health-care-
research-and-development/article/strategies-facilitators-and-barriers-to-implementation-
of-evidencebased-practice-in-community-nursing-a-systematic-mixedstudies-review-and-
qualitative-synthesis/74D8FB3E7561129C8CBBF01207837BCCI NEED A COMMENT FOR
THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER
THAN 5 YEARS