DNP Reflective Journal                                                      

A reflective journal involves formal documentation of reflection experienced in a particular course, such as new learning experiences and new knowledge gained in the same duration. Besides, through a reflective journal, a learner can also document various difficulties or challenges encountered during the course as well as the strategies implemented to overcome the challenges and fulfill the course objectives. Therefore, the purpose of this assignment is to compose a reflection on the new learning, experiences, and difficulties encountered in undertaking and completing the Grand Canyon University DNP 835, which focuses on patient outcomes and sustainable change. As such, this reflection is evidence that the DNP learner accomplished the laid down course objectives as well as the AACN essentials for doctoral education (Ahmed et al., 2018). Throughout the course, the DNP learner managed to gain knowledge and skills on the formulation of various strategies important for patient care and quality health care promotion as well as a safe patient environment in the patient care settings.


This reflection focuses on various strategies, activities, and efforts that were applied by the DNP students to help achieve the DNP 835 set objectives and requirements. For example, weekly assignments, class participation, and class discussions entailed a bigger part of the journey toward course completion, which focuses on patient outcomes and sustainable change. Throughout the learning experience, the student managed to integrate competencies and various care suspects such as healthcare delivery, patient-centered care, sustainable change, and ethical principles connected to practice. The next section discusses the essentials met.

Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking

This DNP essential deals with quality improvement and system thinking through organizational and systems leadership. This essential is directly connected to this course. During the experience, the DNP learner studied various roles that a DNP-prepared nurse can engage in in the promotion of care delivery and sustainable change in the care environment. Various aspects explored include how theory is applied to practice, challenges to cost management as part of costs management, and various activities for care coordination (Younas & Quennell, 2019). As part of the course, the DNP student also discussed strategies that can be used to evaluate quality and safety issues related to patient care activities. Innovative approaches to sustainable change and change theories were also key in fulfilling this essential. This essential was also accomplished by exploring strategies that can be used to formulate a culture of safety and quality care in the patient care environment.

Online Nursing Essays

Struggling to Meet Your Deadline?

Get your assignment on DNP 835 TOPIC 8 REFLECTIVE JOURNAL done on time by medical experts. Don’t wait – ORDER NOW!

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Essential III, which focuses on clinical scholarship and analytical methods for evidence-based practice, was also achieved in this course. The DNP student focused on various activities which were key. For example, as part of the course, the DNP learner explored an evidence-based quality improvement program as well as some of the potential challenges or obstacles that can prevent the implementation of the proposed project. Coming up with such a proposal advanced the achievement of analytical methods and clinical scholarship. Improvement of patient outcomes and care delivery in the care environment has been shown to rely heavily on such evidence-based practice quality improvement projects and initiatives  (Ortiz, 2021). Aspects of evidence-based practices were also studied, including planning related to population health, evaluation, and development. In addition, the sustainability of a proposed project was explored as appropriate, as well as how change spreads through various theorists such as Lewin and Everett.

During the DNP 835 course, the student also managed to critically analyze evidence-based policy decisions concerning populations and how such policies are key to patient outcome improvements. In addition, the learner also explored how evidence-based policy decisions and population health are related by carefully analyzing the two to explore the aspects that can be used to improve patient care and ensure that change efforts are sustainable (Knepper et al., 2019). Another aspect that was explored is the culture of excellence and the strategies that can be used to promote such a culture, with a major focus on promoting patient safety. Various aspects were studied, for example, the use of quantitative and qualitative data in assessing organizational culture and applying the same data to promote the culture of safety.

Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health

Essential number seven was also accomplished by completing the Grand Canyon University DNP 835. This essential focus is on clinical prevention and population health for the improvement of a nation’s health. Various aspects were explored to help accomplish this essential. For example, the DNP students studied aspects such as vision and strategic planning and how they are related to healthcare. Again, the DNP learner also discussed healthcare outcome-related aspects such as healthcare disparity, for instance, the factors that lead to health disparity in the US (Brown et al.,2019). As part of health disparity, the student also explored various initiatives that can be used to help fight disparity and health iniquities in the US and some of the strategies and initiatives that can be applied to help fight healthcare iniquities and promote effective change.

Improving a nation’s health involves various strategies that need to be studied. In addition, various interventions need to be implemented to help improve a nation’s health. An example is the study of social determinants of health and how such determinants of health impact people’s health, and how they can also be changed to improve people’s health outcomes (Brown et al.,2019). As part of this discussion, health equity was also explored as to how it can be used to eliminate the healthcare disparities among people. Such discussions were achieved by exploring the IHA module. The module was mainly focusing on how to improve health equity among populations hence eliminating or reducing health disparities. By identifying a particularly underserved population and formulating various activities to improve their health, it is possible to impact the overall health of a population positively. Therefore, exploring aspects of dealing with health disparity and inequity was key in helping the DNP learner accomplish this essential.


This reflective journal has attested that the DNP learner has successfully accomplished the requirements for the Grand Canyon’s DNP 835A course by engaging in various activities throughout the duration of the course. The activities were mainly dealing with strategies for improving patient outcomes and sustainable change. Some of the activities undertaken include scholarly activities, class readings and assignments, and class discussions. In the process, three DNP essentials were achieved as appropriate.


Ahmed, D. N. P., Stephanie, W., WHNP, L. C., Davis, D. N. P., Sheila, M., & Fuller, Ph.D., D. N. P. (2018). DNP Education, Practice, and Policy. Springer Publishing.

Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., … & Trinh-Shevrin, C. (2019). Structural interventions to reduce and eliminate health disparities. American Journal of Public Health109(S1), S72-S78. Doi: 10.2105/AJPH.2018.304844

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory‐guided practice: an integrative review. Scandinavian Journal of Caring Sciences33(3), 540-555.

Knepper, H., Sonenberg, A., & Savage, P. (2019). Evidenced-based policy decisions and population health: Policies, disparities, and data integrity. Public Administration Quarterly, 43(1), 5-27.

Ortiz, M. R. (2021). Best practices in patient-centered care: Nursing theory reflections. Nursing Science Quarterly, 34(3). https://doi-org/10.1177/08943184211010432

Don’t wait until the last minute

Fill in your requirements and let our experts deliver your work asap.