IMPLEMENTATION

Implementation - Nursing
PLACE ORDER
The DNP Project: Implementation The discussion for this week is focused on project implementation. Review the steps in your change process and your schedule for implementation, identify milestones, and discuss how you are going to ensure achievement of these milestones. How has your plan for implementation changed, if at all? Why were these changes necessary? Have you started implementation? (The project will be a case study, no implementation, unfortunately) Please provide your instructor and student colleagues with an update on the implementation phase of your DNP Project. Share any successes, challenges, or barriers you experienced this week. When posting, please first share your PICOT question in question format and then respond to the weekly question. This will help us all to be able to provide quality feedback in these weekly discussions. Your post will be checked in Turnitin for plagiarism. Responses should be a minimum of 350 words, scholarly written, APA formatted, and referenced.  A minimum of 3 references are required (other than your textbook).Evidence-Based Intervention The intervention for the DNP project includes the implementation of the American Heart Association (AHA, 2021) Diet and Lifestyle Recommendations, which focuses on a healthy diet, knowing how many calories the patient should be eating and drinking to reduce body weight, and aiming for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical exercise, or an equivalent combination of both (Arnett et al., 2019). Appendix (A) contains the complete (AHA, 2021) Diet and Lifestyle Recommendations as a guide for this DNP project. Week 1: Pre-Implementation: The DNP student will post flyers about the project in the clinic and answer questions of potential participants. The brochure is attached as an appendix (F). Recruitment will commence. The DNP student will then educate staff on American Heart Association Diet and Lifestyle Recommendations and project expectations with a PowerPoint presentation and handouts for easy access to the evidence-based guidelines. The DNP student will administer informed consent to patients who agree to participate. The informed consent is attached to (Appendix B). Once participants have consented, the DNP student will provide instruction on the free Fitbit smartphone app to track weekly food intake and activity. The DNP student will ask participants to use the free Fitbit smartphone app to track daily meals/calories and exercise. The goal for the participants will be to participate in calorie tracking through the app and at least 150 minutes of moderate physical activity also tracked through the tracker/app. The DNP student will also demonstrate the use of the smartphone app with a repeat demonstration from participants and collect pre-implementation body weight measurements of participants in a private setting using the same scale that is calibrated weekly. Weeks 2-9: Implementation: Project participants will follow the American Heart Association Diet and Lifestyle recommendations guidelines, that focus on knowing how many calories an individual should be eating and drinking to maintain body weight and aiming for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical exercise (or an equivalent combination of both) each week. As a formative evaluation, the DNP student will call participants weekly to reinforce them to follow the diet and lifestyle recommendations, audit the smartphone app and tracker usage, and answer any questions. The DNP student will meet with staff weekly to discuss questions and concerns with calorie and activity tracking and offer support for the program. The DNP student will collect participants compliance data with app and tracker usage during each phone call. Week 10: Post-Implementation: The DNP student will meet with each participant in a private exam room setting at the clinic to discuss progress and challenges during the project and collect post-implementation body weight measurements. Also, during this clin
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