The DNP Project: Education Plan and Appendices
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NR702 Project and Practicum I
Guided Worksheet: DNP Project Proposal Development
Week 6: Appendices
Appendix A
Johns Hopkins Nursing Evidence-Based Practice
Appendix G: Individual Evidence Summary Tool
Practice Question:
Date:
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Article Number |
Author and Date |
Evidence Type |
Sample, Sample Size, Setting |
Findings That Help Answer the EBP Question |
Observable Measures |
Limitations |
Evidence Level, Quality |
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1. |
Jamal, Siti Noraida; Moy, Foong Ming; Azmi Mohamed, Mohd Nahar ; Mukhtar, Firdaus; Ali, Raghib 2016 Permalink: |
Randomized trial |
This study aimed to compare the effectiveness of a group-based lifestyle modification program amongst obese individuals with an existing dietary counseling program at the workplace. One hundred and ninety-four overweight and obese (BMI>27.5 kg/m2) employees from a local university were participated in the study. They were randomly allocated to either Group Support Lifestyle Modification (GSLiM) (intervention) (n = 97) or dietary counseling (comparison) (n = 97). The GSLIM activities included self-monitoring, cognitive-behavior sessions, exercise as well as dietary change advocacy, which were conducted through seminars and group sessions over 24 weeks. The comparison group was given dietary counselling once in 12 weeks. Both groups were followed up for an additional 12 weeks to check for intervention effect sustenance. Anthropometric and biochemical parameters were measured at baseline, 12, 24 and 36 weeks; while dietary intake, physical activities, psychological measures, and quality of life measured at baseline, 24 and 36 weeks. Data analysis was conducted using ANOVA repeated measures with intention to treat principle |
GSLiM participants also achieved significant improvement in total weight self-efficacy score, negative emotions, and physical discomfort subscales, MDPSS friend subscale and all domains in quality of life. |
A total of 19.6% of the participants in GSLiM achieved 6% weight loss compared to 4.1% in the comparison group |
Focused on work group. Not focused on the general population. Self-monitoring of diet log may not be reliable. |
High Quality Level I |
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Article Number |
Author and Date |
Evidence Type |
Sample, Sample Size, Setting |
Findings That Help Answer the EBP Question |
Observable Measures |
Limitations |
Evidence Level, Quality |
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2. |
Meenan RT, Stumbo SP, Yarborough MT, Leo MC, Yarborough BJ, Green CA. C Adm Policy Ment Health. (2016) Permalink: |
Randomized controlled trial |
200 participants STRIDE is a weight loss and lifestyle intervention. The intervention goal was to reduce weight and obesity related risks through improved diet, moderate restriction of calories and increased moderate physical activity. · N/A |
Significant reduction in hospitalizations Reduction in fasting glucose and weight |
12-month randomized controlled trial that reduced weight, fasting glucose, and medical hospitalizations in intervention participants. Costs per participant ranged from $4365 to $5687. Costs to reduce weight by one kilogram ranged from $1623 to $2114; costs to reduce fasting glucose by 1 mg/dL ranged from $467 to $608. Medical hospitalization costs were reduced by $137,500. Significant reduction in hospitalizations |
Unable to calculate the cost effectiveness for analyses, intervention, and recruitment costs |
High Quality Level I |
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Article Number |
Author and Date |
Evidence Type |
Sample, Sample Size, Setting |
Findings That Help Answer the EBP Question |
Observable Measures |
Limitations |
Evidence Level, Quality |
|
3. |
Pedley, R., Lovell, K., Bee, P., Bradshaw, T., Gellatly, J., Ward, K., Woodham, A., & Wearden, A. (2018). Permalink: |
Qualitative study using a data-driven approach. Semi-structured interview |
Sample size-25 People recovering from first-episode psychosis recruited from UK early intervention services and taking part in the active arm of a randomized controlled trial of a lifestyle intervention were interviewed using a semi-structured interview schedule. |
Benefits of the intervention, including increased levels of exercise; improved diet and physical health; increased psychological wellbeing (e.g., confidence, self-esteem); and improved social relationships, were identified by participants, independent of actual weight loss. |
Weight loss Increased levels of exercise; improved diet and physical health; increased psychological wellbeing; and improved social relationships |
Small group |
Level III High Quality |
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· N/A |
Appendix B
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Appendix C
Department of Memorandum
Veterans Affairs
To Whom It May Concern:
Letter of Support
Agnes Jacobs and I have discussed her proposed DNP project focusing on the implementation of an evidence-based monitor the impact of lifestyle modification intervention (MOVE program) on weight in patients admitted to domiciliary program. Note I am providing full authorization for Agnes Jacob to implement her project at Bedford VA Healthcare System MHSL. Additionally, Agnes Jacob is authorized to access electronic/physical medical records in order to collect primary and secondary data relevant to her DNP project.
Bedford VA Healthcare System does not require internal IRB approval prior for this project implementation.
Please let me know if you have any questions and contact me at 781-687-2462.
Sincerely,
Kenneth J Link, LICSW CADC
Mental health Service Line Manager
Appendix D
INFORMED CONSENT FOR PARTICIPATION IN A DNP PROJECT
Project Title: The Impact of Lifestyle Modification Intervention on Weight and Body Mass Index on Domiciliary Residential and Rehabilitation Treatment Program Veterans. Project Manager: Agnes Jacob Name: Agnes Jacob, RN, NP-C, DNP student Phone: ***-***-**** Email: *********@va.gov Location: 7ADRRTP (domiciliary)
What is the purpose of this project? The purpose of the Doctor of Nursing Practice (DNP) project is to better manage weight and body mass index and improve health by empowering the DRRTP veterans through lifestyle modification intervention.
What will I be asked to do if I choose to be in this project?
You will be asked to attend one educational information session on lifestyle modification intervention. If you choose to participate, you will be asked to sign this informed consent.
If you choose to participate in this project, you will be asked to participate in
lifestyle modification intervention weight & BMI will be monitored in the first week. Interested participants will be referred to VA’s weight management program MOVE! You will be asked to do at least 45 minutes of exercise for 5 days a week and to eat healthy diet. You will be asked to record the diet and time spend on exercise daily.
How much time will I be asked to devote to this project? You will have a group session during week one to introduce the project (one hour). You will be informed about the project in detail. You will be provided with a journal to document exercise time and diet daily. In-person communication/telephone communication for weeks two through 9. Each week for eight (8) weeks, you will be contacted by a project team member via phone/ direct communication. During each weekly communication with team members, you will be asked about compliance with the program. Compliance will include eating healthy foods, exercising at least 45 minutes for 5 days a week You will also be provided with time to ask any questions related to lifestyle modification interventions. You will be asked to maintain a log These visits will take approximately 15 minutes.
In week 10, weight and BMI will be monitored again. In addition, you will be allotted time to ask questions. This visit will take approximately 15 minutes. The total time for the 10-week project is about 4-5 hours. In addition, you will be asked to exercise 45 minutes for at least 5 days a week
What are the possible risks or discomforts that I might experience? There are no risks that are anticipated during the project. The project does involve a daily exercise and diet management
What are the possible benefits for me or others? Possible benefits include increased knowledge about how to better manage your weight through self-management and self-monitoring of diet and exercise. You will learn about how diet and exercise affect your body, the importance of taking your daily blood glucose level, and the importance of taking your medication as prescribed.
What alternatives are available? There are no alternatives available at this time; however, you will continue to receive routine care from your provider if you choose not to participate.
Do I have to participate? No, you do not have to participate in this project. Routine care will be provided if you do not participate. What will happen if I do not participate? If you choose not to participate in the project, routine care will be provided. This project is designed to provide extra support to patients to improve health and better manage their weight.
What will happen if I leave the project? If you choose to leave the project, there will be no repercussions. The provider will offer you the next steps in your treatment plan and manage your care.
Will it cost me anything to participate? There is no cost to participate in the project.
Will I get paid anything if I participate? There is no compensation for participating in the project; however, you will receive education about how to better control your weight and improve your health.
How will my confidentiality and privacy rights be protected? Your confidential information will be always protected. All staff involved in the project will be employed at the clinic. All data collected will be de-identified, and your name will not be used on any documents. The data will be stored on a password-protected computer in an encrypted file on the project manager’s computer for seven (7) years and then destroyed. In this project:
• Identifiable private information or specimens (private information or specimens that can be traced back to you) will be collected:
No • Identifiable private information or specimens will not be used for future quality improvement projects: No Who do I contact for any questions about this project? Name: Agnes Jacob, DNP Student, NP-C, RN Phone: xxx-xxx-xxxx Email: AgnesJacob @my.chamberlain.edu
Is there anything else I need to know? This program will involve a 10-week commitment. If there is any problem, please contact the project manager with any concerns as they come.
What are my rights? • If you choose to be in this project, you have the right to be treated with respect, including respect for your decision to stop being in the study. • You are free to stop being in the project at any time. • Choosing not to be in this project or to stop being in this project will not result in any penalty to you or loss of benefits to which you are otherwise entitled. • You will be given any information that either the project manager or the IRB reasonably believes is important to your choice about whether or not to be in this project. • If you want to speak with someone who is not directly involved in this project, or if you have questions about your rights as a participant, contact the DNP Program Dean [email protected] . The following project has been reviewed by the Chamberlain College of Nursing and prescreened as a practice-change/ quality improvement project in collaboration with the Chamberlain University Institutional Review Board. (If Applicable) I give permission for photographs or videotapes of me to be used in this project: __________ (initials) I DO NOT give permission for photographs or videotapes of me to be used in this project: ___________ (initials) I have read this form and the project has been explained to me. I have been given the opportunity to ask questions and my questions have been answered. If I have additional questions, I have been told whom to contact. I agree to participate in the project described above and will receive a copy of this consent form after I sign it. ______________________ ___________________________ Signature of Participant Date
Appendix E
Plan for Educational Offering
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OBJECTIVES |
CONTENT (Topics) |
TEACHING METHODS |
TIMEFRAME |
EVALUATION METHOD |
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Staffs/ providers will be able to describe lifestyle intervention and its components. Staff /providers will be able to verbalize the steps of the project
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General introduction. Practice problem-overweight & obesity Significance and complications associated with overweight & obesity General nutrition and physical activity principles Project steps-Pre implementation, implementation & post implementation phase |
Power point slides |
10 minutes 10 minutes 10 minutes |
Discussion Teach back |
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Participants will verbalize understanding of the steps of lifestyle modification intervention project Participants will verbalize lifestyle modification and its components
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Project steps-Pre implementation, implementation & post implementation phase General nutrition and physical activity principles |
PP slides Demonstration of healthy foods Discussion- Challenges and struggles Evaluate what is going on well. Ways of meeting goals Food-related behaviors |
20 minutes 20minutes |
General discussion Feed back Teach back |
