NR705-WEEK7-Project Implementation Plan
NR705-WEEK7-Project Implementation Plan
(NR705-WEEK7-Project Implementation Plan)
Practice Question
The following practice question will serve as the basis of the DNP project: For adults with a history of Schizophrenia (P) in the inpatient setting, does the implementation of technology with motivational interviewing (I), compared with current practice (C), impact medication non-adherence (O) in 8-10 weeks (T)?
Project implementation Plan Summary
Across weeks 2-3, the project implementation activities included project identification, determining whether the problem was a priority to the organization, developing the team, gathering and analyzing evidence, critiquing and synthesizing the research articles, and assessing evidence for adequacy. Across weeks 4-9, the project team began implementing the intervention, which is motivational interviewing. The first step was assessing the fidelity of practice among the selected practitioners to ensure the intervention is delivered. The next step was gathering input from practitioners regarding the implementation plan and any viewpoints they would like to share before beginning MI. Practitioner training and education followed to ensure necessary learning and integration of MI. The project team assessed the leadership readiness to prioritize MI implantation and ensure consistent focus. After completing training, the project team prioritized practitioners showing the capacity to support integration. The team selected the right coaches, coding instruments, and competent internal coaches to evaluate the MI and offer feedback.
In the initial implementation, the project team ensured the data system was in place to ensure the routine gathering of data from identified measures. The selected practitioners and coaches engaged the patients in assessing their perceptions of risks and problems with their current behavior, weighing up the advantages and disadvantages of change, including exploring ambivalence and alternatives, identifying reasons for change, and enhancing the patient’s confidence in the capacity to change. The practitioners also engaged patients to develop realistic plans make changes towards the next steps, and identify and use strategies of MI to avoid relapse. Currently, we are implementing relapse strategies to help patients contemplate and take action without being demoralized or getting stuck.
In weeks 2 and 3, the project team evaluated project development activities and successes using problem tree analysis, priority matrix, and stakeholder analysis. Across weeks 4-9, the project evaluated project implementation activities using a literature review, solution tree analysis, focus groups and discussions, semi-structured interviews, ORID, and project diary. The project team also evaluated implementation activities through schedule tracking, budget tracking, dartboard, questionnaire, huddles, and questionnaire and fidelity and review feedback of MI implementation. The only changes made to the implementation plan were introducing internal coaches to regularly review MI practice and offer feedback on the implementation progress and success. This action was undertaken to ensure MI practice is delivered as intended through the implementation phase.
