course material

1. [From 10$/Pg] Dissemination May Occur Via
[From 10$/Pg] Dissemination May Occur Via Part I: All Students The National Nurse
Practitioner Symposium will hold its 12th annual conference in Keystone, Colorado, on July
21-24, 2022. This meeting is geared to the primary and acute care nurse practitioners, and
the invitation to present states a preference for clinical, innovative, research, and future-
oriented topics (NPsymposium, 2022). The planned DNP project to facilitate behavioral
change by implementing the 2021 ADA Guideline 5 to improve outcomes for adults with
type two diabetes fits this audience. The call for abstracts closed on April 1, 2022; however,
criteria are posted to view. The abstract guidelines request approximately 500 words that
state a needs assessment, three learning objectives, and a summary. Research projects
should include a discussion of the background, methods, results, conclusions, and
references. At the same time, clinical or practice abstracts are requested to discuss
evidence-based practice and references. The organization requires submitting an electronic
file of the content within one month of notification of acceptance for accreditation purposes
(NPsymposium, 2022).Poster Abstract: Facilitating Behavioral Change to Improve
Outcomes in Type Two Diabetes Using SmartphonesLearning Objectives: Increase provider
awareness and usage of diabetes self-management education and support (DSMES) in
clinical practice, empower adults with type two diabetes and obesity to align behaviors with
health goals and decrease the burdens of diabetes and obesity on stakeholders and
populations.Needs Assessment: Global, National, LocalBackground: Diabetes is the ninth
leading cause of death globally, responsible for over one million deaths in 2017 (Khan et al.,
2020). More than 37 million Americans have been diagnosed with diabetes, and nearly
triple that number have prediabetes (CDC, 2022). The United States spent about $327
billion on diabetes in 2017, approximately one of every four health care dollars, and costs
are rising (ADA, 2018). Diabetes Mellitus (DM) has tripled in prevalence since 2000,
affecting over 466 million people worldwide (Kim et al., 2021).Local Problem: The Diabetes
Atlas mapped the age-adjusted prevalence of DM for adults in Illinois at nine percent, while
estimates for Winnebago County, the clinic location, was 8.6% of adults (CDC, 2019). The
practice manager and providers viewed dashboard data showing that 55% of the patients
with DM are overweight or obese and have poorly controlled blood sugars.MethodsThe
project team recruited a convenience sample of 20 adults aged 45-75 from existing provider
panels with comorbid type two diabetes mellitus and obesity. The DNP student led a
multidisciplinary team to apply the 2021 American Diabetes Association Guideline 5 to
improve participants’ weight and fasting blood sugar in eight to ten weeks using the

2. Knowledge To Action translation model and an educational plan (Graham et al., 2006). The
statistical analysis plan used paired t-tests for summative evaluation after eight weeks of
implementation in week ten.InterventionThe 2021 American Diabetes Association (ADA)
Guideline 5 emphasizes patient-centered diabetes self-management education and support
(DSMES) and medical nutrition therapy (MNT) to promote healthy eating, regular physical
activity, weight management, medication and treatment adherence, psychosocial support,
and smoking cessation (ADA, 2021). The project team used smartphone technology to
deliver DSMES calls and texts to empower participants to control health behaviors. The
participants used food and activity logs to enhance cognitive associations between
behaviors and outcomes.Results: To be determined.Summary with Implications for Nursing
Practice Motivating adults with type two diabetes and obesity to engage in consistent
self-care behaviors daily requires ongoing provider feedback and support (ADA, 2021). This
project provides evidence that implementing DSMES per the 2021 ADA Guideline 5 using
smartphone technology can decrease the burdens of diabetes at local, national, and global
levels. Empowering adults with type two diabetes to be active and choose foods wisely
translates to financial and social gains. This DNP project presents a scalable, feasible option
as smartphone usage nears saturation in most markets (Statista, 2021).Hello Class,
in the fourth week, we will explore various ways of disseminating scholarship, including
posters and professional presentations. The DNP Essentials describe the expectation
of continued scholarship for all DNP-prepared nurses in Essential III (AACN, 2006). Not only
must the DNP-scholar translate research to practice, but nursing leaders encourage each
other to share implementation findings with colleagues to aid the replication of evidence-
based practice and strengthen the scientific underpinnings of the profession (Becker et al.,
2018; Milner et al., 2019). Dissemination may occur via formal manuscripts, executive
summaries, conference presentations, posters with or without abstracts, online venues, or
submissions to professional journals (Becker et al., 2018; Kissack, 2018; Milner et al., 2019;
Shafer-Astroth & Hain, 2019). Peer-reviewed publications offer scholars opportunities
to disseminate written works to a target audience of professionals (Becker et al., 2018;
Gennaro, 2019). Becker et al. (2018) remind DNP-students to acknowledge substantial
faculty advisors as co-authors and found more publication success among students who
received purposeful faculty guidance on scholarly writing and sequential preparation for
eventual publishing of the final manuscript. Aspiring authors improve their chances of
being published by matching the journal’s requested topic and content in their abstract and
manuscript submissions (Becker et al., 2018; Gennaro, 2019). Gennaro (2019) recommends
authors negotiate with one focused journal at a time, even as Becker et al. (2018) urge
patience because manuscript reviews take months and many wait years to be
published. Gennaro (2019) warns writers against predatory journals that charge fees
and seize copyrighted control of works. Gennaro (2019) urges authors to check the
journal’s impact factor, which reveals how often other sources cite a journal as a clue of
potential legitimacy. Clarke (2019) advises digging deeper to validate journal integrity and
fact-check offers, especially if promises of rapid approval, publication, or reimbursement
emerge. Posters may be digitally formatted or hard copies, and the author may stand
by, or the poster may stand alone (Kissack, 2018; Shafer-Astroth & Hain, 2019). Authors

3. must adhere to the poster guidelines issued in the conference’s call for abstracts that govern
content, format, legal disclosures, copyrights, and source credits. Conference sponsors guide
authors on venue arrangements and schedules for setting up and dissembling posters.
Sponsors suggest that those who travel should carry flash drives or other backup files and
supplies in case of technical mishaps (Kissack, 2018; Shafer-Astroth & Hain, 2019). The NP
symposium used in the abstract exemplar has a vendor who prepares posters from digital
files when submitted in advance with payment.Part II: For Case Study StudentsPractice
Question in PICOT FormatMy PICOT question is: In adults with type 2 diabetes and obesity
at a primary care clinic, will implementation of the 2021 ADA Guideline 5, compared to
current practice, impact fasting blood glucose and weight within 8-10 weeks? The planned
project is a case study.You are continuing to conduct your formative evaluation for
intervention fidelity and provide feedback. What are you learning about project
implementation? Project manager observations and chart audits reveal some team
members are losing zeal for calling members and chart “no answer” without repeat
attempts. This practice creates rework for the team and builds vocal frustration. The project
manager will seek feedback from the disenchanted teammate on palatable ways to fulfill
responsibilities without burdening others or compromising intervention integrity. The
conversation will include praise for contributing to better health for our clients and
acknowledgment of hard work to date. The project manager will emphasize the
population’s needs and end rewards while accepting personal accountability for team
success.How is the COVID-19 pandemic or other factors affecting the implementation of
your practice change project? The pandemic has not altered implementation since the
project is in week four, and most activities are remote. The team sends weekly educational
and motivational texts and calls to clients using smartphones while clients complete daily
food and activity logs to review weekly by phone. The project manager is in the clinic on
weekdays and is accessible by phone or text when not present.What alternate approaches
could be implemented to facilitate the success of your project implementation and
evaluation project phases? Alternate approaches exist that may aid project implementation
and evaluation. Gaming or introducing an element of harmless competition with a small
prize is a fun way to increase engagement. Perhaps the project manager can acknowledge
winners in weekly huddles with group praise for participation. Project champions can boost
the productivity of low-achievers by inspiring the motivation to excel. Improvements noted
in these formative evaluations will improve summative results. What type of course
correction may be needed? Do you need to modify your project plan? If so, what
modifications would you make? The project is proceeding according to plans, so no course
correction is needed. Team members are encouraged to complete calls Monday through
Wednesday when possible. Subsequent phone appointments are set at each weekly call, and
a reminder text is sent. This allows two days for the project team to recoup missed contacts.
Project champions have accepted accountability to send weekly motivational texts.What
type of communication and with whom is needed for project success now? How are you
engaging the stakeholders and the participants of your project? During daily and weekly
huddles, the project manager continues project updates and feedback to clinic staff and
leaders. Keeping the lines of communication open requires being accessible and

4. approachable, so the project manager demonstrates a receptive attitude. Staying informed
and shared decision-making support stakeholder engagement in project
implementation.What additional support might you need from nursing, organizational
leadership, course faculty, and / your preceptor to successfully implement the evidence-
based intervention? What does that support look like to you? Project activities are unfolding
nicely despite brief lulls in motivation. The project manager and champions have bolstered
the team to overcome dips in enthusiasm. Data collection from all 20 participants is on
target, and staff continues to coach clients’ completion of daily food-activity logs.
Leadership could help by reiterating the project’s alignment with the organization’s
mission, vision, and goals in huddles (Kesten & El-Banna, 2021; Milner et al.,
2019).ReferencesAmerican Association of Colleges of Nursing (AACN). (2006). The
Essentials of Doctoral Education for Advanced Nursing Practice.
https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdfLinks to an
external site.American Diabetes Association. (2018). Economic Costs of Diabetes in the U.S.
in 2017. Diabetes Care, 41(5), 917-928. https://doi.org/10.2337/dci18-0007Links to an
external site. American Diabetes Association (Ed.). (2021). 5. Facilitating behavior change
and well-being to improve health outcomes: Standards of Medical Care in Diabetes–
2021 [Special section]. Diabetes Care, 44(S1), 553–572. https://doi.org/10.2337/dc21-
S005Links to an external site.Becker, K.D., Johnson, S., Rucker, D., Finnell, D.S.
(2018). Dissemination of scholarship across eight cohorts of doctor of nursing practice
graduates. Journal of Clinical Nursing, 27, e1395– e1401. https://doi-
org.chamberlainuniversity.idm.oclc.org/10.1111/jocn.14237Links to an external
site.Centers for Disease Control and Prevention. (2022). National Diabetes Statistics Report
website. https://www.cdc.gov/diabetes/data/statistics-report/index.htmlLinks to an
external site.Centers for Disease Control and Prevention. (2019). Diagnosed Diabetes. US
Diabetes Surveillance System (cdc.gov)Links to an external site. Clarke, P. N. (2019). Open
or conventional access: Integrity in the process. Nursing Science Quarterly, 32(3), 198–200.
https://doi.org/10.1177/0894318419845398Links to an external site. Gennaro, S. (2019).
Choosing the right journal for your manuscript. Journal of Nursing Scholarship, 51(2), 127–
128. https://doi.org/10.1111/jnu.12476Links to an external site.Graham, I. D., Logan, J.,
Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W. & Robinson, N. (2006). Lost in knowledge
translation: Time for a Map? Journal of Continuing Education in the Health
Professions, 26 (1), 13-24. https://doi.org/10.1002/chp.47Links to an external site. Kesten,
K., & El-Banna, M. (2021). Strategies to reenvision Doctor of Nursing Practice projects to
meet organization goals during a pandemic. The Journal of Continuing Education in Nursing,
52(2), 61-63. https://doi.org/10.3928/00220124-20210114-03Links to an external
site.Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Kaabi, J.
A. (2020). Epidemiology of type 2 diabetes–Global burden of disease and forecasted
trends. Journal of Epidemiology and Global Health, 10(1), 107-
111. https://doi.org/10.2991/jegh.k.191028.001 Links to an external site.Kim, Y., Lee, H., &
Seo, J.M. (2021). Integrated diabetes self-management program using smartphone
application: A randomized controlled trial. Western Journal of Nursing
Research. https://doi.org/10.1177/0193945921994912 Links to an external site.Kissack, A.

5. (2018). I have the abstract: How do I make it into a poster? AMWA Journal: American
Medical Writers Association Journal, 33(1),
17.https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/log
in.aspx?direct=true&db=a9h&AN=128525935&site=ehost-live&scope=siteLinks to an
external site.Milner, K., Zonsius, M., Alexander, C., & Zellefrow, C. (2019). Doctor of Nursing
Practice project advisement: A roadmap for faculty and student success. Journal of Nursing
Education, 58(12), 728-732. https://doi.org/10.3928/01484834-20191120-09Links to an
external site.NP symposium. (2022). Call for Abstracts. Call for Abstracts | National Nurse
Practitioner Symposium (npsymposium.com)Links to an external site.Links to an external
site. Schafer Astroth, K. & Hain, D. (2019). Disseminating scholarly work through nursing
presentations. Nephrology Nursing Journal, 46(5), 545-549.Statista. (2021). Smartphone
ownership in the U.S. 2011-2021 [Fact sheet].
https://www.statista.com/statistics/219865/percentage-of-us-adults-who-own-a-
smartphone/Links to an external site.I NEED A COMMENT FOR THIS DISCUSSION BOARD
WITH 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS.