NURS FPX 9000 Assessment 2: Developing the DNP Project Proposal

Introduction

A successful Croaker of Nursing Practice (DNP) design requires a clear and comprehensive offer outlining the problem, substantiation-grounded frame, methodology, and anticipated issues. The offer serves as a design for rephrasing exploration into practice to ameliorate healthcare issues and organizational performance. 

This paper presents a DNP design offer aimed at perfecting drug adherence among hypertensive cases in a primary care setting through a substantiation-grounded, nanny-led intervention using digital health tools and patient education.

NURS FPX 9000 Assessment 2:Background of the Problem

Hypertension affects nearly 47% of grown-ups in the United States, yet only about half achieve acceptable blood pressure control (Centers for Disease Control and Prevention (CDC), 2023). Non-adherence to antihypertensive drugs is a leading contributor to unbridled hypertension, resulting in preventable complications similar to stroke, myocardial infarction, and organ failure. 

The practice point—a large primary care clinic—reports that 40% of hypertensive cases fail to refill prescriptions or miss drug boluses. Addressing this gap aligns with the association’s population health and habitual complaint operation enterprise.

Purpose Statement

The purpose of this DNP design is to ameliorate drug adherence among grown-ups with hypertension in a primary care setting through the perpetration of a digital memorial system and nanny-led adherence education program.

Project Objectives (SMART Format)

1. Specific utensil: a digital drug memorial system integrated with the case gate. 
2. Measurable Increase drug adherence rates by 25 within six months. 
3. Attainable: Give nanny-led education to all hypertensive cases enrolled in the clinic’s habitual care operation program. 
4. Applicable Align with organizational pretensions to reduce unbridled hypertension rates. 
5. Time-bound Evaluate issues within six months of design inauguration.

Evidence-Based Framework

The DNP design is guided by Pender’s Health Promotion Model (HPM) and Kotter’s 8-Step Change Model. 

• Pender’s HPM emphasizes the significance of patient provocation, perceived walls, and tone efficacy in espousing healthy actions similar to drug adherence. 
• Kotter’s Change Model provides a structured approach to enforcing organizational change by establishing urgency, creating a vision, erecting a guiding coalition, and sustaining enhancement. 
• These fabrics support the integration of behavioral and system-position strategies to ameliorate adherence and ensure sustainable change. 

Literature Review

Research explosively supports multimodal, nanny-led interventions to ameliorate drug adherence. 

• Digital monuments and telehealth studies by Chen et al. (2022) and Bosworth et al. (2021) set up that mobile-grounded monuments bettered adherence by 20–30. 
• Motivational canvassing Ogedegbe et al. (2021) demonstrated that motivational canvassing led to better long-term adherence among hypertensive cases. 
• Case education Brown et al. (2020) emphasized the significance of nanny-driven education to ameliorate tone-operation chops. 
• These findings justify using a combined approach—digital technology plus substantiated nursing interventions—to promote adherence.

Project Design and Methods

Design

A quasi-experimental retest-posttest design will be used to assess the effectiveness of the intervention on drug adherence and blood pressure control. 

Setting

A primary care clinic serving roughly 5,000 adult cases, with a devoted habitual complaint operation program. 

Population and Sample

• Additional Criteria Grown-ups aged 30–75 diagnosed with hypertension for at least 6 months. 
• Rejection Criteria Cases with cognitive impairments, terminal illness, or lack of access to a smartphone or case gate.
• Sample Size: roughly 50–60 actors.

Intervention

• perpetration of a digital memorial system integrated with the electronic health record (EHR). 
• nanny-led education sessions (30 twinkles each) on drug operation and life variations. 
• Follow-up phone calls every two weeks to support adherence and address walls.

Data Collection and Analysis

Data Collection Tools

1. Morisky Medication Adherence Scale (MMAS-8)—tomeasure adherence. 
2. EHR data—to track traditional cache rates and blood pressure readings. 

Data Analysis

• Descriptive statistics for demographic data. 
• Paired t-tests to compare pre- and post-intervention adherence scores. 
• Retrogression analysis to identify predictors of adherence enhancement. 
• All data will be anatomized using SPSS software, with a significance position set at p < 0.05.

Ethical Considerations

• Institutional Review Board (IRB) blessing will be attained before data collection. 
• Actors will give informed concurrence and be assured of confidentiality under HIPAA guidelines. 
• Data will be stored securely on translated, word-defended systems. 
• The study adheres to ethical principles outlined in the Belmont Report (1979)—respect for persons, beneficence, and justice.

Expected Outcomes

• Increased drug adherence by at least 25. 
• Advanced mean systolic blood pressure by ≥ 10 mmHg. 
• Enhanced patient engagement and satisfaction with care. 
• Sustainable integration of digital tools in habitual complaint operation workflows.

Implications for Nursing Practice

This design supports DNP capabilities by 

• Enhancing substantiation-grounded leadership in habitual complaint operation. 
• Promoting interprofessional collaboration between nurses, croakers, and druggists. 
• using health informatics to ameliorate patient issues. 

The findings can inform organizational programs and contribute to system-wide relinquishment of nanny-led adherence programs. 

Conclusion

This DNP design offer outlines a practical, substantiation-grounded approach to perfecting drug adherence among hypertensive cases. By integrating digital monuments, nanny-led education, and motivational support, the design aims to ameliorate health issues and advance nursing leadership in habitual complaint operation.