The DNP capstone project provides Doctor of Nursing Practice students the opportunity to design and implement an evidence-based project aimed at improving healthcare outcomes. These projects allow DNP graduates to fulfill their role as clinical scholars and change agents in the healthcare system. Some examples of impactful DNP capstone projects include:

One project implemented an evidence-based practice guideline for managing hypertension in primary care. Hypertension is a major risk factor for cardiovascular disease but rates of control have been suboptimal. The student created an intervention that included staff education, appointment reminders, home blood pressure monitoring, and pharmacist medication management for patients not at goal. After implementation, blood pressure control rates increased from 45% to 75% which is significant for reducing heart attacks, strokes, and deaths. Improving rates of hypertension control through practice changes achieved in a DNP project can have lasting benefits to patient and population health.

Another project focused on reducing 30-day hospital readmissions among patients with heart failure. Heart failure readmissions are costly to the healthcare system and disruptive for patients. The DNP student implemented a transitional care model including post-discharge home visits by advanced practice nurses, daily weight and symptom monitoring, and follow up with cardiac providers and pharmacists. Readmission rates dropped from 28% pre-intervention to only 12% post-intervention. Fewer readmissions directly translates to improved outcomes, better quality of life, and substantial cost savings that validate the project’s clinical significance and impact.

A third example involved implementing an evidence-based depression screening and treatment guideline in primary care. Untreated depression is associated with poor quality of life, worse medical outcomes, higher healthcare costs, and even increased mortality. The student provided staff training, instituted routine screening of all patients using the PHQ-9 tool, and developed a protocol for prompt treatment and longitudinal management of depression if identified. After one year, the percentage of patients achieving remission of their depressive symptoms increased from 34% to nearly 70%. Reducing the physical and mental health burden of depression through early identification and treatment demonstrates how DNP projects can powerfully affect patient wellbeing.

Another notable project focused on reducing 30-day hospital readmissions in patients with chronic obstructive pulmonary disease (COPD) through an intensive home-based self-management program. Features included individualized education on medications, action plans for exacerbations, respiratory therapy, smoking cessation counseling and pulmonary rehabilitation referrals as needed. Readmission rates decreased from 25% pre-intervention to only 10% after program implementation. Such sustainable improvements in lung health greatly enhance quality of life and activities of daily living among vulnerable COPD patients through greater independence and less dependence on urgent healthcare services.

A final outstanding example involved developing and piloting a cervical cancer screening decision support tool and individualized patient education materials to boost participation in underserved populations. Cervical cancer disproportionately impacts low-income, uninsured, and minority women due to lower screening rates despite the availability of highly effective primary prevention through Pap tests. After implementing validated educational interventions aimed at addressing cultural beliefs and barriers, screening rates jumped from 54% to over 90% in the target population. Reducing cancer disparities and improving access to lifesaving preventive services strongly aligns with nursing’s goals of promoting health equity and has profoundly meaningful consequences.

DNP capstone projects offer tangible opportunities to design and test care delivery innovations with proven capacity to significantly better population health outcomes. The highlighted examples demonstrate how evidence-based practice changes implemented even on a local scale have successfully decreased rates of uncontrolled chronic diseases, reduced preventable hospital readmissions, increased screening and treatment of mental illness, and boosted access to important cancer prevention strategies among underserved groups. Such impact-driven projects exemplify the DNP graduate’s clinical scholarship role in driving healthcare transformation and quality improvement through practice.