Part I: All Students

Please answer all the following questions independently with a complete paragraph for each one (please include references to support each of your answers):

1. As you complete your project implementation (or case study simulation), please discuss how your practice change intervention will improve nursing practice and patient outcomes.

Implementing the American Heart Association Diet and Lifestyle Recommendations aims to Promote Healthy Behaviors and physical activity, reducing sedentarism and curbing obesity trends. A 1% reduction in the predicted obesity trend, according to the Centers for Disease Control and Prevention (CDC, 2021), would result in 2.9 million fewer obese persons by 2030, saving $4.7 billion annually…

2. Discuss your thoughts on your own project outcome and if other variables influenced your outcome. 

Part II: For Case Study Students

·       Practice Question in PICOT Format

In overweight adult patients in a primary care clinic, what is the impact of implementing the American Heart Association Diet and Lifestyle recommendations, compared to standard care, on body weight in 8-10 weeks?

Please use the following bullet points as headings, answer each bulleted point independently and remember to use references to support each of your answers.

·       Discuss best practices for implementing evidence-based guidelines with references to support best practices.

·       Discuss strategies for overcoming barriers in implementing evidence-based practice with references sufficient to support strategies.

·       Discuss your formative evaluations.  How are you addressing challenges and providing feedback?

Staff will call participants weekly to reinforce the use of the Fitbit app and answer questions or concerns about the intervention. Weekly chart audits with participants' calories and tracking of physical activity compliance will be used as a formative evaluation…

·       Describe your sustainability plan (answer each point independently using references to support your answer):

To sustain the use of the American Heart Association Diet and Lifestyle Recommendations is needed encouragement and proper patient education on the advantages of regular physical activity. Also, it will be helpful to reinforce nutritional knowledge, positive patient and provider attitudes, access to healthy food, and eating self-control, as these are significant factors in fighting overweight and obesity. Knowledge, attitudes, and dietary self-regulation are critical predictors of overweight and obesity to maintain long-term weight management (Balani et al., 2019)…

· Discuss how the stakeholders will maintain intervention fidelity moving forward.

· Are champions appointed to assure sustainability?

· Does the site plan to implement this project on other units?

· Are there required changes to the technology to sustain your project?  If so, how will your champions advocate for these changes?

· Describe how your project will become the new standard of care and include how the data may be used to inform health care policy for this unit.

· What changes do you believe would be needed at the micro, meso, and macro systems levels to ensure this project's continuation? (Micro – patient outcomes, Meso – nursing practice, Macro – healthcare facility, or organization).

· How will you plan to disseminate your project outcomes?

References

Balani, R., Herrington, H., Bryant, E., Lucas, C., & Kim, S. C. (2019). Nutrition knowledge, attitudes, and self-regulation as predictors of overweight and obesity. Journal of the American Association of Nurse Practitioners, 31(9), 505–510. https://doi.org/10.1097/JXX.0000000000000169

Centers for Disease Control and Prevention. (2021, February 11). Adult obesity facts. https://www.cdc.gov/obesity/data/adult.html

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