The data management plan is a vitally important component of the DNP project implementation and allows for the dissemination of accurate project outcomes. The DNP student consulted a statistician for the following practice question that will serve as the basis for the proposed "For adolescents diagnosed with depression in a primary care clinic, will the implementation of AAP Computerized Cognitive Behavioral Therapy, compared to current practice, impact depression scores on the PHQ-A over 8-10 weeks?"
For this DNP project, the Doctor of Nursing Practice (DNP) student will collect PHQ-A scores from each participating adolescent before and after implementing the computerized cognitive behavioral therapy intervention. The PHQ-A is a Likert scale tool and scored on an ordinal level of data for depression in adolescents. Participants' PHQ-A scores will be matched on pre and post-data analysis, making them dependent groups. With dependent groups and an ordinal variable, a non-parametric test can be used to determine whether there is a statistically significant difference between paired or matched observations based on median scores.
The statistical test for this DNP project will be the Wilcoxon sign-rank test. The Wilcoxon sign-rank test will evaluate the median difference in matched PHQ-A scores pre and post-intervention (Hollander & Wolfe, 1999; Wilcoxon, 1945). The median difference between the related groups will be tested using a z-test. Data analysis will be presented using tables and graphs to illustrate the median differences. The significant level for the DNP project is α=0.05.
The planned analysis of the evaluation data begins with the DNP project student comparing the PHQ-A score from the participants that were collected in week one to the data collected post-project in week nine. The PHQ-A will be collected by the advanced practice registered nurse at the practicum site. The data will be entered into an Excel spreadsheet for analysis and comparison.Project Management Plan and Gantt Chart
The DNP project intervention plan will be conducted over a ten-week period. The detailed project proposal, planning, data management and analysis, and dissemination plan can be found in the 32-week Gantt chart in Appendix B. The formative and summative evaluations will occur within ten weeks.
Pre-Implementation Phase
During the pre-implementation phase, the DNP student will assess and review the intake screening process and treatment delivery process at the practicum site. The DNP student will meet with the primary care clinic stakeholders and clinic staff to ensure buy-in for implementing CCBT. During the pre-implementation phase, the DNP student will prepare content and material for CCBT educational offering and the implementation phase.
Week one of Implementation
Educational offerings (Appendix D) will be held with staff and include instruction on access and instruction of use for the Computerized Cognitive Behavioral Therapy (CCBT) program and mechanisms for re-education each week will be planned. Support for the educational offering will be provided by a child psychiatrist from the behavioral health outpatient clinic where CCBT is currently utilized. Additional training will be provided to the APRN CCBT champions.Sample Solution
