The Role of the DNP-Prepared Nurse as Project Manager

Dear Writer,
Please write one page paper addressing the highlighted questions below.
Please use 3 separate scholarly resources within 5 years to support the paper.
Purpose
This discussion aims to explore the role of the DNP-prepared nurse ensuring intervention fidelity for DNP practice change project success. The intervention implementation is the focus, and the DNP student is checking the process to ensure the intervention is implemented exactly as planned to provide maximum impact on the project outcome. Variations in intervention compliance can negatively affect the outcomes and project.

Instructions
Reflect upon your readings and professional experience and address the following.

1. Create a brief definition for intervention fidelity that you will provide for stakeholders.
2. Explain intervention fidelity in the context of your practice change project and your evidence-based intervention specifically.
   Elaborate in detail about your formative evaluation plan to check the intervention fidelity.
   a. Include details such as the method and frequency for formative evaluation and the person responsible.
   b. Describe the type of feedback you will provide to support keeping the intervention fidelity high.
   c. Add the frequency of stakeholder communication (e.g., staff, organizational leadership, other department managers, or units) about intervention fidelity.

Notes from my manuscript
PICOT: In adult patients with mild to moderate depression at an outpatient mental health clinic, does implementation of MBSR compared to current practice improve depression symptoms in 8-10 weeks?
My plan for intervention fidelity includes training sessions, an implementation manual, weekly check-ins, and participant feedback. The primary objective of a plan for intervention fidelity is to maintain scientific rigor yet be pragmatic in implementation (Chlan et al., 2021). Similarly, each component in my plan serves this purpose. For instance, training sessions will ensure that mindfulness instructors and project staff fully understand the intricacies of the intervention, including its goals, protocols, and expected participant outcomes. As the project manager, I will do data collection tools for this week-to-week assessment process. I will rely on weekly logs, PHQ-9 scores, and Zoom meeting observations for data collection. I will conduct the assessment process during the second phase through three steps, including data collection, data analysis, and improvement, from weeks two to nine. Weekly check-in meetings will provide a regular platform for communication, addressing questions, concerns, and challenges related to intervention fidelity. I will maintain records of participants’ attendance in Zoom meetings and mindfulness sessions and track their daily activities on meditation, mindfulness, and other self-care activities on the MPS app. Collecting feedback directly from participants will contribute to a holistic understanding of the intervention’s impact and adherence to the planned protocol.
My plan for relevant and timely feedback will primarily focus on identifying and addressing low fidelity. I will identify low intervention fidelity through observations and participant feedback. Low fidelity will trigger a comprehensive review of the specific areas of deviation from the plan (An et al., 2020). Addressing it will require providing immediate feedback, reinforcing the intervention protocol, continuous monitoring and documentation. The main recipients of feedback will include mindfulness instructors, project staff, and the nurse practitioner. Mindfulness instructors will receive direct and specific feedback regarding their sessions and adherence to the intervention plan, while project staff involved in various aspects of the intervention will receive feedback related to their roles and responsibilities. The nurse practitioner will receive feedback related to their involvement in the intervention, including any adjustments needed in the clinical oversight of the project. I will conduct mid-intervention interviews and surveys with participants and facilitators to gather feedback on their experiences, challenges, and suggestions for improvement. I will reinforce the importance of adherence to the intervention protocol and clarify any areas of confusion or deviation (Valentine et al., 2021). I will track improvements over time through continuous monitoring for areas of low fidelity. Based on the nature of the root cause, improving fidelity might require tailored support, facilitator training, and continuous communication. Documenting instances of low fidelity, actions taken, and outcomes of the feedback process will contribute to ongoing quality improvement efforts and inform future interventions.