Model for Doctor of Nursing Practice Projects Based on Cross-Fertilization Between Improvement and Implementation...

Area of Science:

• Nursing Science
• Implementation Science
• Quality Improvement

Background:

• Doctor of Nursing Practice (DNP) graduates are leaders in knowledge implementation for healthcare improvement.
• DNP projects face challenges in methodology, rigor, and outcomes due to varied models.
• Traditional quality improvement (QI) methods show limitations in complex healthcare systems.

Purpose of the Study:

• To develop, implement, and evaluate a hybrid model for QI and program evaluation in DNP scholarship.
• To guide DNP students in leading knowledge implementation projects effectively.
• To address faculty and student dissatisfaction with DNP project outcomes.

Main Methods:

• A hybrid model was created by integrating improvement and implementation sciences.
• Adapted Getting to Outcome (GTO) and Knowledge to Action (KTA) models for knowledge implementation.
• Incorporated Consolidated Framework for Implementation Research (CFIR) for barriers/facilitators and evidence-based strategies/QI tools.

Main Results:

• The hybrid model fostered systematic thinking, provided essential implementation tools, and emphasized adaptability.
• It maintained rigor in QI and guided the sustainability of change initiatives.
• Student challenges included finding valid measures, securing buy-in, and managing competing priorities.

Conclusions:

• Integrating improvement and implementation sciences offers a roadmap for successful DNP QI projects.
• The hybrid model, using CFIR, GTO/KTA, and QI tools, addresses healthcare complexity and adaptability needs.
• This approach enhances the scientific rigor and effectiveness of DNP scholarly work.