Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Embargo Period
4-20-2022
Degree Program
Doctor of Nursing Practice
Degree Track
Adult Gerontological Primary Care Nurse Practitioner (AGPCNP)
Year Degree Awarded
2022
Month Degree Awarded
May
Keywords
implementation science, independent living, Eight Dimensions of Wellness, COVID-19
Advisor
Cynthia Jacelon
DNP Project Chair
Cynthia Jacelon
DNP Project Outside Member Name
Maureen O’Toole
Abstract
Background: An independent living community in New England is transforming their philosophical approach to wellness by implementing a new wellness initiative based on the Eight Dimensions of Wellness framework. Purpose: Using implementation science, we evaluated the process of implementing the Eight Dimensions of Wellness. Methods: A Pre-Implementation Survey was given to residents prior to the implementation and Post-Intervention Interviews of residents and staff was planned post-implementation. The post-intervention phase was not completed due to the delay in implementation at the site related to COVID-19. The data analysis of the of the Pre-Implementation Surveys included Kendall’s tau and Kruskal-Wallis tests. The results were intended to guide the implementation at the project site. The results of the Post-Intervention Interviews were meant to provide feedback regarding the success of the implementation. Results: Program participation was significantly related to age (p=.033) and living situation (p=.048). A significant relationship was found between program satisfaction and program participation (p<.001) and living situation (p=.016).Barriers to participation included time conflicts or participation in activities outside the Community; physical limitations; and lack of interest. The social dimension of wellness was a common theme that emerged, particularly in the context of the COVID-19 pandemic. Conclusions: Applying implementation science provided a critical view of the process and success of the implementation of the philosophical shift to Wellness thinking at one independent living community.
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