The DNP Project Implementation

The DNP Project Implementation: Get Help

PICOT: “In adult patients with diabetes in a primary care outpatient setting, will implementation of the DSMES program, compared to current practice, impact fasting blood sugar within 8-10 weeks?”

1- How you are going to ensure achievement of these milestones?

 The change project will comply with the Plan-Do-Study-Act (PDSA) cycle model. These steps require nurses to plan their change, implement it, assess its impact, and sustain it. The implementation schedule will take nine weeks, which should involve educating diabetic patients using the DSMES program before the evaluation in the last week. The change process has four milestones, and the educational intervention has ten milestones. The change process milestones will be achieved systematically, beginning with the planning stage to the action stage. According to Coury et al. (2017), the planning stage usually involves preparing for change by having necessary stakeholders, creating the project’s aim, and having the needed resources. Therefore, all the stakeholders and resources, such as nurses, diabetic patients, and educational materials, including the objectives to be addressed, should be drafted before proceeding to the implementation stage.

The implementation stage should be feasible if the resources in the planning stage are availed. The analysis is always done based on the results of the actions (Coury et al., 2017). Thus, it can be convenient if the ‘Do’ stage is well done. Finally, an action is taken based on the outcomes of the study stage (Coury et al., 2017). In this case, it will be done when the action stage is complete. As for the implementation, preparatory analysis of the DSMES topics before each week can facilitate the completion of the educational intervention. Overall, the change process and implementation milestones can only be achieved well when adequate preparation is done during the planning stage, including ensuring that patients, nurses, and educational materials are available before the project.

The DNP Project Implementation Assignment

2-How has your plan for implementation changed, if at all?

The implementation plan changed to ensure that each subtopic of the DSMES program is taught each day. For instance, the program has various topics, including drug adherence, healthy nutrition, diabetes management, and physical activity (Goff et al., 2021). Each topic will be tackled each day to ensure that patients understand everything by the end of the educational program.

3-Why were these changes necessary?

These changes were necessary since patients would forget the information and fail to comply. According to Naylor and Torres (2019), learning objectives are significant as they help students learn what they should do and can assist in designing more effective instruction. In this project, designing more effective instruction using the general DSMES program would be unfeasible. For this reason, each topic was selected to create a more practical learning program. For instance, when learning about nutrition, patients will understand different foods and their significance in controlling blood sugar. When learning about physical activity, they will be taught moderate exercises and instances where they may need vigorous physical activity. Overall, changes were necessary to make the educational process convenient.

4-Have you started implementation?

I am yet to start the implementation since I have just finished organizing the stakeholders. The DSMES program is effective when implemented by nurses (Kashani et al., 2020). Thus, I have worked on getting nurses who will educate patients. I am set to begin the implementation process the next week. With the availability of the stakeholders, the process will be completed well.

Successes, Challenges, or Barriers

 The implementation process is currently in the first stage of reorganizing resources. I have identified all the resources needed to be utilized in the project. The success was getting nurses willing to educate patients since nurses efficiently deliver patient education (Fereidouni et al., 2019). The only challenge was getting all patients to agree since some withdrew from the project, and I had to replace them. The language barrier was the only barrier witnessed while engaging patients. Overall, the project is set to begin since all the resources are available.



Coury, J., Schneider, J. L., Rivelli, J. S., Petrik, A. F., Seibel, E., D’Agostini, B., Taplin, S. H., Green, B. B., & Coronado, G. D. (2017). Applying the plan-do-study-act (PDSA) approach to a large pragmatic study involving safety net clinics. BMC Health Services Research, 17(1), 411. (Links to an external site.)

Fereidouni, Z., Sabet Sarvestani, R., Hariri, G., Kuhpaye, S. A., Amirkhani, M., & Kalyani, M. N. (2019). Moving into action: The master key to patient education. The Journal of Nursing Research: JNR, 27(1), 1–8. (Links to an external site.)

Goff, L. M., Rivas, C., Moore, A., Beckley-Hoelscher, N., Reid, F., & Harding, S. (2021). Healthy eating and active lifestyles for diabetes (HEAL-D), a culturally tailored self-management education and support program for type 2 diabetes in black-British adults: A randomized controlled feasibility trial. BMJ Open Diabetes Research & Care, 9(1), e002438. (Links to an external site.)

Kashani, F., Abazari, P., & Haghani, F. (2020). Challenges and strategies of needs assessment implementing in diabetes self-management education in Iran: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 25(5), 437–443. (Links to an external site.)

Naylor, K. A., & Torres, K. C. (2019). Translation of learning objectives in medical education using high-and low-fidelity simulation: Learners’ perspectives. Journal of Taibah University Medical Sciences, 14(6), 481–487. (Links to an external site.)

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the american diabetes association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clinical Diabetes, 34(2), 70–80.

Can you share your experience with your stakeholders? How did this kick off go?

Place an Order Now



Quality Assignments Help Website

Cost of your order


Why Choose Us

Top Quality and Well-Researched Papers

We ensure that all your instructions are followed to the letter. You are able to choose the level of interest; professional, college, or high school. We will assign a writer who will cover all your specifications.

Professional and Experienced Academic Writers

We have a team of well trained and experiences assignment writers who are PhD and master’s holders. Our writers are can handle more than 91 disciplines.

Free Unlimited Revisions

If your assignment is not covered to your expectation, you can send your order for revision. The order should be submitted before 10 days elapses for review You can contact our support team or login to your personal account to submit your request.

100% Money-Back-Guarantee

We ensure on-time delivery of your papers. For clarification purpose, we may contact you regarding deadline extension. In case you cannot provide us with more time, we guarantee a 100% refund.

Originality & Confidentiality

We use professional tools to ensure all assignment help documents you receive are free of plagiarism. Our editors ensure optimum review of all quotations in the text. We also ensure confidentiality in our service delivery.

24/7 Customer Support

Our team of experts is available 24/7 to ensure that you are provided with the top customer experience. Any time you need assignment help, you can reach us and get the best experience with ours services.

Our Services

You don’t have to struggle with your papers. You need ample sleep; our writers will cover you. We provide writing services in all disciplines.


Essay Writing Services

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.


Admission and Business Papers

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.


Editing and Proofreading

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.


Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.