Name
Chamberlain University
NR-702: DNP Project & Practicum I
Prof. Name
Date
The purpose of this discussion is to create a comprehensive plan for conducting a formative evaluation of the proposed project. Formative evaluation plays a critical role in determining whether the intervention is implemented according to its original design. As emphasized in the Week 6 Intervention Fidelity lesson, fidelity to the intervention is essential because successful outcomes depend on the consistent and accurate application of planned strategies.
As the project manager, it is necessary to develop a structured monitoring approach that verifies alignment between the intervention design and its implementation. Formative evaluation enables ongoing observation, identifies gaps in fidelity, and allows adjustments before these gaps compromise outcomes. High intervention fidelity demonstrates adherence to the proposed strategies, whereas low fidelity indicates deviations that may undermine the project’s effectiveness. Consistent monitoring ensures corrective actions can be taken early, thus enhancing the chances of positive results.
Students are required to engage with the assigned readings and respond to the discussion within a limit of 150 words. The response should directly address the following prompts:
State your practice question in PICOT format.
Describe the formative evaluation plan for your project design, including the tools, steps, and monitoring techniques you will apply weekly to assess progress.
Explain your feedback plan if the evaluation shows low fidelity in intervention implementation.
All submissions must follow current APA guidelines and reflect scholarly writing. Students should also use tools such as Grammarly to refine their responses for clarity and professionalism. In addition, they are encouraged to provide respectful and constructive peer feedback by asking clarifying questions, encouraging critical thinking, and sharing helpful insights.
For further support, students should review the DNP Discussion Guidelines available on the Student Resource Center program page.
P: In adult patients diagnosed with hypertension in primary care settings
I: does implementing a structured lifestyle modification program (dietary counseling and physical activity monitoring)
C: compared to standard care alone
O: improve blood pressure control and medication adherence
T: over a 12-week period?
To ensure fidelity, a structured evaluation plan will be applied weekly. This includes:
Tools: Patient self-monitoring logs, provider adherence checklists, and electronic health record (EHR) data reports.
Steps: Weekly reviews of patient logs, provider documentation audits, and scheduled team meetings.
Monitoring Techniques: Real-time tracking through EHR dashboards, feedback sessions with providers, and anonymous patient surveys to verify intervention consistency.
Weekly Monitoring Components for Formative Evaluation
| Evaluation Element | Tools/Strategies | Frequency | Responsible Party |
|---|---|---|---|
| Patient adherence | Self-monitoring blood pressure logs | Weekly | Patient & Nurse |
| Provider fidelity | Checklist of intervention steps | Weekly | Project Manager |
| System-level monitoring | EHR dashboard review | Weekly | Data Analyst |
| Feedback collection | Surveys and team meeting discussions | Weekly | Project Team & Manager |
This approach ensures early detection of challenges, provides accountability, and supports timely improvements in delivery.
If evaluation reveals low intervention fidelity, the following feedback strategy will be implemented:
Immediate Feedback: Provide prompt, constructive feedback to providers using private discussions to highlight deviations.
Corrective Training: Offer refresher workshops and hands-on demonstrations to reinforce proper intervention techniques.
Collaborative Problem-Solving: Engage team members in identifying barriers (e.g., time constraints, lack of resources) and co-develop solutions.
Reinforcement of Accountability: Use performance dashboards to track improvement trends and recognize individuals or teams achieving high fidelity.
This feedback plan not only addresses challenges but also motivates continuous improvement, ensuring the intervention achieves intended outcomes.
This discussion aligns with the following program competencies and performance outcomes (POs):
| Program Competencies (PCs) | Performance Outcomes (POs) |
|---|---|
| Integrates scientific foundations into daily practice | POs 3, 5 |
| Applies leadership and organizational skills for systemic change | PO 6 |
| Uses analytic strategies to translate evidence into practice | POs 3, 5 |
| Evaluates information systems and technology in healthcare | POs 6, 7 |
| Analyzes health policies for equitable access and justice | POs 2, 9 |
| Fosters collaboration, prevention, and population health | PO 8 |
| Synthesizes research and data to improve preventative care | PO 1 |
| Demonstrates advanced judgment, resilience, and accountability | POs 1, 4 |
This discussion also supports the following course outcomes:
| Course Outcomes | Associated Competencies & POs |
|---|---|
| Design an evidence-based translational science project to resolve a practice issue | PCs 1–8; POs 1–9 |
| Apply project design strategies at micro, meso, and macro levels to address practice challenges | PCs 1–8; POs 1–9 |
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. AACN.
Centers for Disease Control and Prevention. (2022). Program performance and evaluation office (PPEO). https://www.cdc.gov/eval
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
