Peer Response

Peer Response

Peer Response

Peer Response

Peer Response

Peer Response

Peer Response

Peer Response

Peer Response

Practice Question: In adult patients aged 18 years and older with a diagnosis of depression, will implementing the National Institute for Health and Care Excellence (NICE) Guidelines for exercising impact depression scores over 8-10 weeks?

Which DNP Essentials could be demonstrated in your scholarly project?

The DNP essential I demonstrate in my scholarly project is essential V1, interpersonal collaboration for improving patient outcomes.

The aim of my project is to decrease symptoms of depression in patients with the diagnosis of mild to moderate depression using routine physical exercise such as walking.  Numerous studies have demonstrated the effectiveness of exercise in reducing depression and depression symptoms (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009).  In some studies, the effects of exercise in reducing depression symptoms were comparable to the effects of antidepressant medications on depression (Blumenthal et al., 2007). In others, exercise was used as an intervention or treatment ally for the management of depression and depressive symptoms (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009).

Exercise or physical activity is evidence-based, non-pharmacologic, affordable, cost-effective, highly tolerable, and easy to perform without significant adverse effects (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009). The DNP student cannot successfully single-handedly implement the project rather its success requires a team-based approach. The successful implementation of my project requires great interpersonal collaboration between the DNP student, practicum site leadership, staff, therapists, nurses, and providers. The DNP student collaborates with the rest of the mentioned team members to help recruit participants, educate, collect data, implement, evaluate, and sustain the change. Together, the team implements the change so patients’ outcomes can be improved.

Does your project idea consist of breadth and depth of knowledge within a defined area? Is there the potential for innovation and creativity to affect an outcome?

Yes, my project idea consists of breadth and depth of knowledge within a defined area of mental health. Walking exercise is implemented to help patients with the diagnosis of mild to moderate depression improve their quality of life, improve mood, and live a well-fulfilled life worthy of celebrating. Patients are equipped with creative and innovative ways to help improve their lives. Participants are encouraged to use applications such as MyFitnessPal which they already have in-built unto their phones to help them track and record their walks.

What areas of expertise and passion do you bring that you can build on? What skill sets do you need to develop to successfully implement your DNP project?

As a Certified Registered Nurse Anesthetist, I must successfully collaborate with other members of the team daily as I provide anesthesia so patients will have positive outcomes. I must communicate and collaborate with my anesthesiologist, the surgeon, nursing staff, and the patients to deliver safe and effective anesthesia. These are great skills I must bring on for the successful implementation of my project.

What skill sets do you need to develop to successfully implement your DNP project?

The ability to delegate and let go is an area I’m continuing to develop. For the successful implementation and sustenance of my project, I must educate and delegate the project to the practicum site staff so they can join in the implementation of the project. I am not at the site daily and must leave the site at the end of my DNP program. I must therefore educate and delegate the project tasks to the staff so they can successfully carry out the project with or without me.

Please provide your instructor and student colleagues with an update on the implementation phase of your DNP Project. Share any successes, challenges, or barriers you experienced this week.

This week I revised and completed the final draft of my literature synthesis and the evidence-based portion of my DNP proposal. I look forward to successful advancement into the final week of this course.

References

Bigarella, L. G., Ballotin, V. R., Mazurkiewicz, L. F., Ballardin, A. C., Rech, D. L., Bigarella, R. L., & Selistre, L. d. S. (2021). Exercise for depression and depressive symptoms in older adults: An umbrella review of systematic reviews and meta-analyses. Aging & Mental Health, 1-11. https://doi.org/10.1080/13607863.2021.1951660 (Links to an external site.)

Hu, M. X., Turner, D., Generaal, E., Bos, D., Ikram, M. K., Ikram, M. A., Cuijpers, P., & Penninx, B. (2020). Exercise interventions for the prevention of depression: A systematic review of meta-analyses. BMC public health20(1), 1255. https://doi.org/10.1186/s12889-020-09323-y (Links to an external site.)

Lok, N., Lok, S., & Canbaz, M. (2017). The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial. Archives of gerontology and geriatrics70, 92–98. https://doi.org/10.1016/j.archger.2017.01.008 (Links to an external site.)

National Institute for Health and Care Excellence. (2009). Depression in adults: Recognition and management. Clinical guideline [CG90]. Retrieved March 13, 2021, from

https://www.nice.org.uk/guidance/CG90 (Links to an external site.)

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We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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