NR702A week 2 Assignment DNP Project Manuscript Part 1: Title, Introduction, Practice Question, Purpose, Problem, and Problem Significance

NR702A week 2 Assignment DNP Project Manuscript Part 1: Title, Introduction, Practice Question, Purpose, Problem, and Problem Significance

NR702A week 2 Assignment DNP Project Manuscript Part 1: Title, Introduction, Practice Question, Purpose, Problem, and Problem Significance

DNP Project Manuscript Part 1: Title, Introduction, Practice Question, Purpose, Problem, and Problem Significance

Assignment 1

Purpose

The purpose of this assignment is to write the first parts of the DNP Project Manuscript. This assignment will allow you to present the project’s purpose with objectives and the problem statement with significance from a global, national, and local/site perspective. This section includes the prevalence of the problem, the healthcare costs, and a description of the organizational need and practice gap related to the problem.

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Instructions

Download the DNP Project Manuscript Template from the DNP Program Resources page.

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

The DNP Project Manuscript Part 1 will be graded on the quality of information, use of current statistics and research, Standard English usage and mechanics, APA format, and overall organization based on the required components as summarized in the guidelines and grading criteria/rubric.

Review the grading rubric carefully and consider how to incorporate each required criterion into Part 1 of the DNP Project Manuscript Template.

Review the tutorial on the use of the DNP Project Manuscript Template in this week’s lesson.

Follow the instructions on the template for the purpose, problem, and problem significance. Submit Part 1 of the DNP Project Manuscript.

Title

Bold the title.

The title should inform and engage the reader.

The title should include your intervention and anticipated outcome and may include your population.

The title should be concise and contain fully spelled out words with no abbreviations

Introduction and Background

Place the title of your project as the heading of this section. The title is bold and centered.

Start the introduction with a powerful statement or two to stimulate the interest of your reader.

Explicitly state that the DNP Project Manuscript concerns an evidence-based intervention to improve healthcare outcomes. Improving healthcare should include variables of quality, safety, effectiveness, patient-centeredness, timeliness, cost, efficiency, and/or equity, and it should include referenced statistics.

Explicitly state the practice problem and the purpose (aim) of the project.

Identify the sections of the entire DNP Project Manuscript Template to transition readers to the entire manuscript. (Students will continue writing in this manuscript in NR705 and NR709).

Problem

Articulate the issue clearly and succinctly and its significance (incidence, prevalence, and/or mortality data) from a global, national, and local perspective. Then, conclude by discussing the problem within the practicum site. (3 paragraphs)

Examine the global or worldwide prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

Examine the global, national and/or local impact on nurses, quality of care, healthcare organizations, and healthcare equity.

Describe the national prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

Explain the problem at the practicum site. (If available and applicable also examine the incidence, prevalence, and financial impact.)

Describe what the practicum site has done to address the problem, or state that there is no evidence that the problem has been addressed.

Project Aim and Supporting Objectives

Explain the specific overall aim of the project.

Identify 3-4 measurable objectives of the project that support the aim.

Place the objectives in a sequenced format (a)…, (b)…., (c)…., etc.

Practice Question

Begin this section with a lead-in sentence such as, “The following practice question will serve as the basis for the DNP project:”

After the Lead-in Sentence, include your one-sentence practice question as it is stated on your DNP Practicum Readiness Form- Except do not include the name of the practicum site in the manuscript.

References

Information in this manuscript must be substantiated by citations from current peer-reviewed journals (within the last 5 years).

For the statistical data about incidence, prevalence, and mortality, you may use research and non-research such as government websites and credible national and global organizations such as CDC, AHRQ, World Health Organization, Kaiser Family Foundation, and Robert Wood Johnson. (See resources in the Week 2 Student Lesson Plan.)

In-text citations should align with the reference page.

In-text citations and references must be in the current APA format.

Scholarly Writing Criteria

Submit the paper on the DNP Project Manuscript Template.

Use the headers in the template.

Use the current APA style and format throughout the manuscript.

Use the Chamberlain Guidelines for Writing a Professional Paper (located in Student Resources) to complete this assignment.

Turn on Grammarly to check the grammar, sentence structure, and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before construction of the assignment.)

Writing Requirements (APA format)

Length: 2-3 pages (not including title page or references page)

1-inch margins

Double-spaced pages

12-point Times New Roman font or 11-point Arial

Headings & subheadings

In-text citations

Title page

References page (without permalinks)

Standard English usage and mechanics

Organized presentation of ideas

Program Competencies

This assignment enables the student to meet the following program competencies:

Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)

Appraises current information systems and technologies to improve health care. (POs 6, 7)

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

Synthesize scientific knowledge, theory, and practice expertise to inform evidence-based practice and impact outcomes. (PCs 1, 2, 3, 4, 5, 7, 8; POs 1, 3, 4, 5, 6, 9)

Design an evidence-based translational science project to address a practice problem. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

Demonstrate project management and leadership skills in the design process for the evidence-based translational science project. (PCs 1, 2, 3, 4, 5, 6, 7, 8; POs 1, 2, 5, 6, 7, 8, 9)

Create collaborative relationships with interprofessional and intraprofessional groups to champion organizational improvements through project design. (PCs 2, 4, 5, 6, 8; POs 2, 4, 6, 8)

Rubric

Wk 2 Manuscript Part 1 Rubric

Wk 2 Manuscript Part 1 Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeTitle
Requirements:

1. Bold the title.

2. The title should inform and engage the reader.

3. The title can include your population, intervention, and/or anticipated outcome.

4. The title should be concise and contain fully spelled out words with no abbreviations.

5 pts
Includes all requirements and creates an excellent title page.

4 pts
Includes all requirements and creates a sufficient title page.

3 pts
Includes fewer than all requirements and/or creates a basic title page.

0 pts
Includes fewer than all requirements and/or provides an undeveloped title page.

5 pts

This criterion is linked to a Learning OutcomeIntroduction and Background
Requirements:

1. Place the title of your project as the heading of this section. The title is bold and centered.

2. Start the introduction with a powerful statement or two to stimulate the interest of your reader.

3. Explicitly state that the DNP Project Manuscript concerns an evidence-based intervention to improve healthcare outcomes. Improving healthcare should include variables of quality, safety, effectiveness, patient-centeredness, timeliness, cost, efficiency, and/or equity, and it should include referenced statistics.

4. Explicitly state the practice problem and the purpose (aim) of the project.

5. Identify the sections of the entire DNP Project Manuscript Template to transition readers to the entire manuscript. (Students will continue writing in this manuscript template in NR705 and NR709).

10 pts
Includes all requirements and provides an in-depth Introduction.

9 pts
Includes all requirements and provides a sufficient Introduction.

8 pts
Includes fewer than all requirements and/or provides a partial Introduction.

0 pts
Includes fewer than all requirements and/or provides an undeveloped Introduction.

10 pts

This criterion is linked to a Learning OutcomeProblem

Requirements:

1. Articulate the issue clearly and succinctly and its significance (incidence, prevalence, and/or mortality data) from a global, national, and local perspective. Then, conclude by discussing the problem within the practicum site. (3 paragraphs)

2. Examine the global or worldwide prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

3. Examine the global impact on nurses, quality of care, healthcare organizations, safety, society and/or social justice considerations as relevant to the project problem.

4. Describe the national prevalence, healthcare costs, and impact (mortality and/or other data) of the problem.

5. Analyze the national impact on nurses, quality of care, healthcare organizations, safety, society and/or social justice consideration as relevant to the project problem.

6. Explain the problem at the practicum site. (If available and applicable, examine the incidence, prevalence, and financial impact.)

7. Examine the practicum site impact on nurses, quality of care, safety, social justice, and the healthcare organization.

8. Describe what the practicum site has done to address the problem, or state that there is no evidence that the problem has been addressed.

30 pts
Includes all requirements and provides an in-depth discussion about the problem.

27 pts
Includes all requirements and provides a sufficient discussion about the problem.

24 pts
Includes fewer than all requirements and/or provides a partial discussion about the practice problem.

0 pts
Includes fewer than all requirements and/or provides an undeveloped discussion about the problem.

30 pts

This criterion is linked to a Learning OutcomeProject Aim and Supporting Objectives
Requirements:

1. Explain the specific overall aim of the project.

2. Identify 3-4 measurable objectives of the project that support the aim.

3. Place the objectives in a sequenced format (a)…, (b)…., (c)…., etc.

10 pts
Includes all requirements and provides an excellent discussion of the aim and supporting objectives.

9 pts
Includes all requirements and provides a very good discussion of the aim and supporting objectives.

8 pts
Includes fewer than all requirements and/or provides a basic discussion of the aim and supporting objectives.

0 pts
Includes fewer than all requirements and/or provides a poor discussion of the aim and supporting objectives.

10 pts

This criterion is linked to a Learning OutcomePractice Question
Requirements:

1. Begin this section with a lead-in sentence such as, “The following practice question will serve as the basis for the DNP project:”

2. After the Lead-in Sentence, include your one-sentence practice question as it is stated on your DNP Practicum Readiness Form- Except do not include the name of the practicum site in the manuscript.

5 pts

Includes all requirements and provides an excellent practice question.

4 pts
Includes all requirements and provides a sufficient practice question.

3 pts
Includes fewer than all requirements and/or provides a basic practice question.

0 pts

Includes fewer than all requirements and/or provides an undeveloped practice question.

5 pts

This criterion is linked to a Learning OutcomeReferences

Requirements:

1. Reference publication dates must be within the last 5 years.

2. References must be from peer-reviewed journals, government websites, and/or credible national and global organizations related to the problem.

3. In-text citations should align with the reference page.

4. In-text citations and references must be in the current APA format.

10 pts
Includes all requirements and provides an excellent reference section.

9 pts
Includes all requirements and provides a sufficient reference section.

8 pts
Includes fewer than all requirements and/or provides a partial reference section.

0 pts
Includes fewer than all requirements and/or provides an undeveloped reference section.

10 pts

This criterion is linked to a Learning OutcomeScholarly Writing Criteria

Requirements:

1. Submit the paper on the DNP Project Manuscript Template

2. Use the headers in the template.

3. Use the current APA style and format throughout the manuscript.

4. Paper length is 2-3 pages.

5 pts

Includes all requirements and provides in-depth scholarly writing.

4 pts

Includes all requirements and provides sufficient scholarly writing.

3 pts

Includes fewer than all requirements and/or provides a basic scholarly writing.

0 pts

Includes fewer than all requirements of APA style and standards and/or provides undeveloped scholarly writing.

5 pts

This criterion is linked to a Learning OutcomeClarity of Writing

Requirements:

1. Standard English usage and mechanics

2. No spelling or typographical errors

3. Organized presentation of ideas

5 pts

Includes all requirements and demonstrates excellent clarity of writing.

4 pts

Includes all requirements and demonstrates sufficient clarity of writing.

3 pts

Includes fewer than all requirements and/or demonstrates basic clarity of writing.

0 pts

Includes fewer than all requirements and/or demonstrates poor clarity of writing.

5 pts

Total Points: 80

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NR702A week 2 Assignment DNP Project Manuscript Part 1: Title, Introduction, Practice Question, Purpose, Problem, and Problem Significance Sample

 ERNEST TAKANG

Chamberlain College of Nursing

Abstract (NR 709)

Please use the following headings for the abstract. The abstract should be brief, 150-200 words. 

Background:

Problem: 

Methods:

Intervention: 

Results:

Conclusions:

 Keywords:  [Click here to add keywords.] Dedication (NR 709)

[Directions – In NR709- a dedication provides the author with the opportunity to thank people who may have special meaning in the author’s life. For example – you may want to thank your spouse or a specific family member for their support during your doctoral education. The dedication should be concise and convey your appreciation for these individuals while you were a Doctor of Nursing Practice student.

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Acknowledgment (NR 709)

[Directions –In NR709– the acknowledgment page is reserved for the author to acknowledge the important role specific professionals have made toward the successful completion of the project, for example, your course faculty, your preceptor, stakeholders, and members of your DNP

practicum course faculty. 

Table of Contents

Abstract……………………………………………………………………………………….1 Dedication…………………………………………………………………………………….3 Acknowledgment……………………………………………………………………………..4

Introduction…………………………………………………………………………………..6

Problem……………………………………………………………………………………….6

Project Aim and Supporting Objectives………………………………………………………7

Practice Question………………………………………………………………………………6

Evidence-Based Intervention with Research Synthesis………………………………………6

Methodology………………………………………………………………………………….8

Organizational Setting……………………………………………………………………..8

Population Description…………………………………………………………………….8

Theoretical Model and Project Management……………………………………………..8  

Plans for Sustainability……………………………………………………………………9

Barriers, Facilitators, Ethical Considerations (NR 705)…………………………………….10 Data Collection and Analysis  Plan (NR 705)………………………………………………10

Required Resources and Proposed Budget (NR 705)……………………………………….10

Results (NR 709……………………………………………………………………………..10

Conclusions (709)……………………………………………………………………………11

Clinical Relevance (709)…………………………………………………………………….11

References……………………………………………………………………………………12

Appendices, Tables, and Figures…………………………………………………………….13

Appendix A Johns Hopkins Individual Evidence Summary Table………………………….13

Appendix B………………………………………………………………………………….16

Appendix C………………………………………………………………………………….16

Appendix D………………………………………………………………………………….18

Appendix E………………………………………………………………………………….18

Tables………………………………………………………………………………………..19

Figures……………………………………………………………………………………….21

Efficacy of Mindfulness-Based Stress Reduction in Alleviating Anxiety Levels among Adult Psychiatric Patients: A Intervention Study.

The DNP Project focuses on an evidence-based intervention aimed at ameliorating healthcare outcomes by addressing the escalating anxiety levels prevalent among adult psychiatric patients. Anxiety disorders, affecting millions worldwide (Yang et al., 2021), significantly impact healthcare domains such as quality, safety, effectiveness, patient-centeredness, timeliness, cost-effectiveness, and equity (Kelley et al., 2022). These disorders contribute to a more intricate and costly treatment process, often intertwined with coexisting conditions. Moreover, anxiety plays a pivotal role in healthcare inequality, hindering individuals’ access to healthcare services and exacerbating disparities in utilization and outcomes.

To address this clinical problem, the DNP Project introduces a Mindfulness-Based Stress Reduction (MBSR) intervention. This evidence-based approach aligns with current research and offers a promising avenue for mitigating anxiety in psychiatric patients. By integrating mindfulness practices, the intervention aims to enhance the overall well-being of individuals grappling with anxiety, fostering improvements across multiple healthcare outcome domains. The holistic nature of MBSR provides a comprehensive strategy to address the complexities associated with anxiety disorders.

This DNP manuscript unfolds in distinct sections, each contributing to a thorough understanding of the intervention’s development, implementation, and evaluation. The subsequent sections will delve into the project’s organizational setting, population details, the theoretical framework guiding the intervention, project management, sustainability plans, and the comprehensive data collection and analysis strategy. As readers navigate through these sections, they will gain insights into the systematic approach employed to tackle the identified clinical problem and the potential impact of the MBSR intervention on healthcare outcomes.

Problem

Anxiety disorders, including generalized anxiety disorder, panic disorder, and social anxiety disorder, pose substantial challenges due to the significant distress and functional impairment they induce. The pervasive impact of these disorders transcends age cohorts, cultural backgrounds, and socioeconomic statuses, creating a widespread healthcare concern nationally and globally. In 2019, the global prevalence of anxiety disorders reached approximately 301.39 million cases, with 45.82 million new cases reported (World Health Organization, 2022). This places an immense burden on individuals and imposes a considerable strain on healthcare organizations.

The consequences of anxiety disorders extend beyond individual suffering, contributing to 28.68 million disability-adjusted life years in 2019 (Yang et al., 2021). The financial implications associated with anxiety disorders are noteworthy, involving both direct costs related to medical and mental health services and indirect costs arising from diminished productivity and economic strain on families and communities. While the global economic burden is significant, anxiety disorders also profoundly impact the United States, where they stand as one of the most prevalent mental health conditions.

Despite the evident societal and economic costs, there is a notable gap in addressing anxiety disorders comprehensively within healthcare systems. This project aims to fill this gap by introducing an evidence-based intervention, the Mindfulness-Based Stress Reduction program, to alleviate anxiety among adult psychiatric patients. By doing so, the project seeks to not only enhance individual well-being but also contribute to the overall resilience and effectiveness of healthcare organizations in managing and mitigating the impact of anxiety disorders.

The presence of anxiety disorders has implications for the quality of healthcare delivered by organizations. Patients with anxiety face complex healthcare requirements that may prove difficult to address within conventional care models. Anxiety can worsen physical health conditions, hinder treatment adherence, and result in frequent emergency department visits and hospital readmissions (Garakani et al., 2020). Consequently, healthcare organizations must navigate the challenge of managing both the mental and physical aspects of patient care, emphasizing the need for effective interventions.

The community-level challenges faced by the practicum site, mirror those experienced on a broader scale. Anxiety significantly influences both patient well-being and healthcare utilization. While specific statistics on anxiety prevalence within Desai Medical Group’s psychiatric patient population are not available at this point, anecdotal evidence suggests a concerning pattern. Many patients grapple with chronic and severe anxiety, leading to prolonged treatment periods, heightened reliance on medication, and, in some cases, necessitating readmission. This not only strains healthcare resources excessively but also poses potential risks to patient well-being. Recognizing this, there is an imperative to explore evidence-based non-pharmacological interventions that seamlessly integrate with the existing treatment approach. This project, through the implementation of the Mindfulness-Based Stress Reduction program, aims to address this urgent need and contribute to more effective and holistic anxiety management within the Desai Medical Group community.

At the practicum site, the predominant approach for managing anxiety in psychiatric patients is centered around pharmacological interventions. While these interventions demonstrate a certain level of effectiveness, they are accompanied by potential adverse effects and may not adequately address the comprehensive needs of patients. Moreover, it is widely recognized that certain anti-anxiety medications have acknowledged limitations and can cause adverse effects. The practicum site acknowledges the necessity for alternative or additional therapies to enhance patient care. In their pursuit of comprehensive and potentially side-effect-free approaches, they are actively exploring evidence-based interventions to address anxiety symptoms. By introducing a mindfulness-based stress reduction program, we can bridge this gap in practice and fulfil our mission of promoting the overall well-being of psychiatric patients.

Project Aim and Supporting Objectives 

Aim

To assess the effectiveness of a mindfulness-based stress reduction program in alleviating anxiety among adult psychiatric patients at The practicum site over an 8-10-week timeframe.

Objectives

1. To implement a program at The practicum site that focuses on reducing stress through mindfulness techniques, taking into account the specific requirements of each patient.
2. To evaluate the levels of anxiety in participants before and following an intervention lasting 8-10 weeks.
3. To provide training and education for nursing and therapeutic staff members on the principles and approaches of mindfulness practices to ensure program consistency and quality throughout its duration.

Practice Question 

The following practice question will serve as the basis for the DNP project: For adult psychiatric patients, does the implementation of a mindfulness-based stress reduction program, compared to current practice, impact anxiety levels in 8-10 weeks?

Research Synthesis and Evidence-Based Intervention (NR 702)

Evidence-Based Intervention

State the name and brief description of the evidence-based intervention and identify the national organization or government agency that endorses the intervention, if applicable.

Evidence Synthesis

            Start the synthesis section telling readers this is an evidence synthesis of the research supporting the intervention (state the intervention and cite the research articles). State the number of articles in the synthesis that support the intervention (10 peer-reviewed research articles published in the last 5 years are required). In a brief summary statement, provide the numbers of research articles that are level I, II, and III and give a summary of the quality of the research articles (cite the research articles for each category).

Main Themes in the Research  

 [An example of themes would be if the researchers discuss an important aspect of the intervention in the research results for diet and exercise in reducing obesity in age children. In the results or discussion section of the articles, the researchers talk about school and family support being integral to the success of the intervention. Some other research articles about the same intervention might mention culturally accepted foods boosted the success of diet behavior changes. These are two themes in this example.]

Name of First Theme to Discuss. Begin this paragraph right after the and discuss the first theme here and cite the articles where this theme is found. State how this teme is related to

the success of the intervention.

Name of Second Theme to Discuss. Begin this paragraph right after the and discuss the second theme here and cite the articles where this theme is found. State how this teme is related

to the success of the intervention.

Name of Third Theme to Discuss.Begin this paragraph right after the and discuss the third theme here and cite the articles where this theme is found. State how this teme is related to the success of the intervention.

Contrasting Elements in the Research 

Explain the differences in the research articles. Contrasting points in the research can be different inclusion and exclusion criteria, different populations, different study timeframes, and different aspects or elements considered or controlled.

Research Support for the Evidence-Based Intervention

Present an objective summary statement supporting the evidence-based intervention. In this section, summarize your research support for your intervention. Summarize the number of articles and levels of evidence in which the research results demonstrate the intervention is effective in changing your outcome and/or the practice problem. Think of this section as similar to the closing arguments in a trial. In the closing arguments, the lawyers summarize the main points they want the jurors to remember. In this section, discuss the strong and compelling

evidence supporting your intervention!

Methodology (NR 702)

            Please write an introductory statement that includes the parts of this section that will be reviewed. Refer to the assignment guidelines and rubric for the exact content required in

this section.

Organizational Setting

Refer to the assignment guidelines and rubric for the exact content required in this section. 

Population

Refer to the assignment guidelines and rubric for the exact content required in this section. 

Translation Science (or QI Model + Nursing Theory) and Project Management

Theoretical Framework:

Refer to the assignment guidelines and rubric for the exact content required in this section. According to the APA manual section 4.16, students can use the first-person pronoun, “I,” to refer to yourself “To avoid ambiguity in attribution, use the first person rather than the third person when describing the work you did [or will do] as part of your research [or project] and when expressing your views.” Identify the theory or model that will serve as the framework for the project; translational science models are recommended. Identify the primary concepts or steps of the model.  

Project Implementation Plan

Create the steps in your DNP practice change project that coincide with the theoretical concepts. Create your project implementation plan that includes the timeline of weeks for the project (usual projects are 8-12 weeks, keeping in mind the requirement to implement the intervention for at least eight weeks). Use the research articles to guide your intervention implementation plan. Create a detailed description of each step in the intervention implementation. Describe in detail how each participant will engage with the intervention from the beginning to the end of the intervention. Discuss who will implement the intervention, who will receive the intervention, when, where, and how. Describe in detail how each participant will engage with the intervention from beginning to the end of the intervention. The evidencebased intervention implementation is the foundation for your project and will drive improved

outcomes. Please be specific here and be clear on the details. 

The intervention implementation must be a full eight weeks while the project implementation might be 8 to 12 weeks.Include the plan for the pre-and post- summative data collection. Include the weekly plan for the formative evaluation to ensure high intervention fidelity. Develop a week-to-week formative evaluation plan utilizing observation, 1:1 discussions, huddles, leadership meetings, or other processes to describe your project management oversight during implementation. 

Plans for Sustainability

Refer to the assignment guidelines and rubric for the exact content required in this section. 

Barriers, Facilitators, Ethical Considerations (NR 705)

Refer to the assignment guidelines and rubric for the exact content required in this section. 

Data Collection and Analysis  Plan (NR 705)

Refer to the assignment guidelines and rubric for the exact content required in this section. According to the APA manual section 4.16, students can use the first-person pronoun, “I” in this section when discussing what you plan to do: “To avoid ambiguity in attribution, use the first person rather than the third person when describing the work you did [or will do] as part of your research [or project] and when expressing your views.”

Required Resources and Proposed Budget (NR 705)

Refer to the assignment guidelines and rubric for the exact content required in this section. Explain the resources needed for successful project implementation (conference room, supplies, project information, handouts, etc.). Refer your reader(s) to your budget table in the Appendices and ensure that the budget table is completed and is balanced. If there is an expense, there must be an associated revenue source. For example, if staff training is required, the staff training hours will be paid by the practicum site. The proposed budget for the project should

be balanced.

Results (NR 709)

Refer to the assignment guidelines and rubric for the exact content required in this section. Present the results of your project. Represent the data from statistical results in tables or figures. Explain the results and what the results mean in the context of the purpose of the project and your stated outcome in your practice question. 

Conclusions (NR 709)

Refer to the assignment guidelines and rubric for the exact content required in this section. Conclusions indicate what is known regarding nursing practice when your results and results from prior literature are considered together. Conclusions should relate directly to your purpose and practice question. You can discuss your thoughts on what may have affected the results. If your results are similar to those found in previous studies, you may state that. However, if your results are completely different and/or contradict previous studies, you should

let the reader know that these results cannot be used beyond the project population and setting.

Clinical Relevance (NR 709)

Refer to the assignment guidelines and rubric for the exact content required to be in this section. Conclusions  should relate directly to your purpose and project question. They are generalizations that loop back to the existing literature on your topic. For each conclusion you make, cite the sources that support or contradict your findings. The conclusion should represent the contribution your practice project has made to the body of scientific knowledge on this topic and relate this to the significance of the project, which is always, in some way, to improve nursing practice. Conclusions indicate what is now known regarding nursing practice when your results and results from prior literature are considered together.

Implications for nursing or clinical relevance should answer: What do the findings mean to nurse leaders, and would society care about the results? Recommendations based on the findings should be for the nursing profession and to specific nursing leaders. Be sure to make specific recommendations for leaders in the nursing field and/or policy makers. 

 References

Fumero, A., Peñate, W., Oyanadel, C., & Porter, B. (2020). The effectiveness of mindfulness-based interventions on anxiety disorders. A systematic meta-review. European Journal of Investigation in Health Psychology and Education, 10(3), 704–719. https://doi.org/10.3390/ejihpe10030052

Garakani, A., Murrough, J. W., Freire, R. C., Thom, R. P., Larkin, K., Buono, F. D., & Iosifescu, D. V. (2020). Pharmacotherapy of anxiety disorders: Current and emerging treatment options. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.595584

Goldberg, S. B., Riordan, K. M., Sun, S., Kearney, D. J., & Simpson, T. L. (2020). Efficacy and acceptability of mindfulness-based interventions for military veterans: A systematic review and meta-analysis. Journal of Psychosomatic Research, 138(110232), 110232. https://doi.org/10.1016/j.jpsychores.2020.110232

Lake, S., & Machale, R. (2021). Mindfulness Matters”: A pilot study of a Mindfulness- Based Stress Reduction group for adults with intellectual disabilities. 1. https://doi.org/10.1111/bld.12435

Liu, X., Yi, P., Ma, L., Liu, W., Deng, W., Yang, X., Liang, M., Luo, J., Li, N., & Li, X. (2021). Mindfulness-based interventions for social anxiety disorder: A systematic review and meta-analysis. Psychiatry Research, 300(113935), 113935. https://doi.org/10.1016/j.psychres.2021.113935

Maddock, A., & Blair, C. (2023). How do mindfulness-based programmes improve anxiety, depression and psychological distress? A systematic review. Current Psychology (New Brunswick, N.J.), 42(12), 10200–10222. https://doi.org/10.1007/s12144-021-02082-y

Norouzi, E., Gerber, M., Masrour, F. F., Vaezmosavi, M., Pühse, U., & Brand, S. (2020). Implementation of a mindfulness-based stress reduction (MBSR) program to reduce stress, anxiety, and depression and to improve psychological well-being among retired Iranian football players. Psychology of Sport and Exercise, 47(101636), 101636. https://doi.org/10.1016/j.psychsport.2019.101636

Penninx, B. W., Pine, D. S., Holmes, E. A., & Reif, A. (2021). Anxiety disorders. Lancet, 397(10277), 914–927. https://doi.org/10.1016/s0140-6736(21)00359-7

Sundquist, J., Palmér, K., Memon, A. A., Wang, X., Johansson, L. M., & Sundquist, K. (2019). Long-term improvements after mindfulness-based group therapy of depression, anxiety and stress and adjustment disorders: A randomized controlled trial. Early Intervention in Psychiatry, 13(4), 943–952. https://doi.org/10.1111/eip.1271

Tüccar, E., & Şar, A. (2022). The effects of psychoeducational interventions based on mindfulness on depression, anxiety, and stress outcomes of older adults. Sakarya University Journal of Education, 12(2), 481–491. https://doi.org/10.19126/suje.1140450

Yang, X., Fang, Y., Chen, H., Zhang, T., Yin, X., Man, J., Yang, L., & Lu, M. (2021). Global, regional and national burden of anxiety disorders from 1990 to 2019: Results from the global burden of disease study 2019. Epidemiology and Psychiatric Sciences, 30(36). https://doi.org/10.1017/s204579602100027

Appendices, Tables, and Figures

Appendix A

 Johns Hopkins Nursing Evidence-Based Practice

Individual Evidence Summary Tool

© The Johns Hopkins Hospital/The Johns Hopkins University       Practice Question:    Date:

Article Number	Author  and Date	Evidence Type	Sample, Sample Size,  Setting	Findings That Help Answer the EBP Question	Observable Measures	Limitations	Evidence Level, Quality
1	(Lake & Machale, 2021)	pilot study	Adults with intellectual disabilities, N=20, Community-based     ❑ N/A	MBSR group had reduced anxiety levels in adults with intellectual disabilities.	Pre and post-intervention anxiety scores	Small sample size, lack of control group	Level III, Moderate Quality
2	(Maddock & Blair, 2023)	S Systematic Review	Various studies on mindfulness-based programs, N/A, Various settings   ❑ N/A	Mindfulness-based programs show improvement in anxiety, depression, and psychological distress across studies	Review of self-report and clinical measures	Heterogeneity in study designs and populations	Level I, High Quality
3	(Norouzi et al., 2020)	Intervention Study	Retired Iranian football players, N=60, Sport setting     ❑ N/A	MBSR program reduced stress, anxiety, and depression and improved psychological well-being in retired football players.	Pre and post-intervention psychological assessments	Limited to a specific population, no long-term follow-up	Level II, High Quality
Article Number	Author  and Date	Evidence Type	Sample, Sample Size,  Setting	Findings That Help Answer the EBP Question	Observable Measures	Limitations	Evidence Level, Quality

 

4	(Sundquist et al., 2019)	Randomized Controlled Trial	Participants with depression, anxiety, and stress, N=100, Clinical setting     ❑ N/A	Mindfulness-based group therapy showed long-term improvements in depression, anxiety, and stress.	Pre and post-intervention clinical assessments	Potential selection bias, single-center study	Level II, High Quality
5	(Tüccar & Şar, 2022)	Intervention Study	Older adults, N=80, Educational setting	Psychoeducational interventions based on mindfulness reduced depression, anxiety, and stress in older adults.	Pre and post-intervention psychological assessments	Limited to older adults, no follow-upS	Level II, High Quality
Article Number	Author  and Date	Evidence Type	Sample, Sample Size,  Setting	Findings That Help Answer the EBP Question	Observable Measures	Limitations	Evidence Level, Quality
			❑ N/A

 Attach a reference list with full citations of articles reviewed for this Practice question.       © The Johns Hopkins Hospital/ The Johns Hopkins University

© The Johns Hopkins Hospital/ The Johns Hopkins University

Appendix B

(Except for Appendix A- the rest of the Appendix should be arranged in the order that you refer

to the Appendix in your written narrative in the manuscript above) Plan for Educational Offering

OBJECTIVES

CONTEN (Topics)

T

TEACHI METHO

NG DS

TIMEFR

AME

EVALUATION METHOD

Learner-oriented

Outline of the

will eet es

Describe the

nd r ve.

Identify how

in voted ntent

Describe how each

with one measurable behavioral verb per objective.

content to be covered that enable the learners to m their objectiv

teaching methods, strategies, materials, a resources fo each objecti

much time ( minutes) de to each objective/co area

objective will be evaluated; identify question number that evaluates this objective if using a test, teach-back for patient education, or other methods of evaluating learning

 Appendix C

Appendix E

Tables

Table 1

Budget

EXPENSES		REVENUE
Direct		Billing
Salary and benefits		Grants
Supplies		Institutional budget support
Services
Statistician
Indirect
Overhead
Total Expenses		Total Revenue
Net Balance

Table 2

[Table Title]

Column Head	Column Head	Column Head	Column Head	Column Head
Row Head	123	123	123	123
Row Head	456	456	456	456
Row Head	789	789	789	789
Row Head	123	123	123	123
Row Head	456	456	456	456
Row Head	789	789	789	789

Note:  

Figures 

Figures Title

Figure 1. 

For more information about all elements of APA formatting, please consult the APA Style

Manual, 7th Edition.