NR451 All Weeks Capstone Project Milestone 1 – 3

NR451 All Weeks Capstone Project Milestone 1 – 3

NR451 All Weeks Capstone Project Milestone 1 – 3

Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

· CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)

· CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)

Due Dates

Milestone #1 consists of the completion of two worksheets (Practice Issue Worksheet) and (Evidence Summary Worksheet). Submit the completed worksheets to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

Milestone #1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).

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Practice Issue Worksheet Directions

Practice Issue Worksheet:

Read the guidelines including the grading rubrics below. You will use this worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

i. Your practice issue will be the same for all three Milestone assignments in this course.

Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Evidence Summary Worksheet:

Read the guidelines including the grading rubrics below. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

b. Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must be peer-reviewed and include a narrative summary.

i. Go to the Chamberlain Library, click on RNBSN; NR451 Capstone course. You can find systematic reviews from many databases within the library, or by searching from the library homepage main search bar.

ii. To search, combine the phrase ‘systematic review’ with your topic using the Boolean search operator AND. For example, if you are looking for a systematic review on fall prevention, you would use this Boolean search phrase: systematic review AND fall prevention.

c. Type in your practice issue in the search tab; choose a systematic review article with a narrative summary to complete your worksheet.

Please type your answers directly into the worksheet.

Student Name: Date:

Directions

1. Refer to the guidelines for specific details on how to complete this assignment.

2. Type your answers directly into the worksheets below.

3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response. NR451 All Weeks Capstone Project Milestone 1 – 3

Practice Issue Worksheet

What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other (list)_________________________________

How was the practice issue identified? (check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

__ Other:

Describe the rationale for your checked selections:
What evidence must be gathered? (check all that apply)
___ Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

Describe the rationale for your checked selections:

Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article.

Provide a statement of the questions being addressed in the work and how they relate to your practice issue:

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper.

Outline evidence-based solutions that you will consider for your project.

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project. NR451 All Weeks Capstone Project Milestone 1 – 3

Week 4 Capstone Project Milestone 2:

Design for Change Proposal Guidelines

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

· CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)

· CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)

Due Date

Milestone 2 consists of the proposal for your Design for Change Capstone Project. Submit this assignment to the Dropbox by the end of Week 4.

Points

Milestone 2 is worth 225 points.

Directions

1. Create a proposal for your Design for Change Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course Resources to create your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.

3. The paper is to be four- to six-pages excluding the Title page and Reference page.

4. As you organize your information and evidence, include the following topics.

a. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association(2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

b. Change Model Overview:Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.

c. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.

d. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

e. Conclusion:Provide a clear and concise summary, inclusive of the problem issue,the five points of the ACE Star change model; and ways to maintain the change plan.

5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.

6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change. NR451 All Weeks Capstone Project Milestone 1 – 3

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Week 6 Capstone Project Milestone 3:

Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

· CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)

· CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)

· CO7:Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)

Due Date

Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

Milestone 3 is worth 200 points.

Directions

1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.

2. The format for this proposal will be a PowerPoint presentation.

3. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful.http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.

4. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

5. Below are the topics for the slides:

a. Title slide

b. Description of the change model used

c. Practice Issue

d. Scope of the problem—use statistics from what you know of the problem in your work area.

e. Your team/stakeholders

f. Evidence to support your need for change—from your Evidence Summary

g. Action Plan

h. Timeline for the plan

i. The nurse’s role and responsibility in the pilot program

j. Procedure

k. Forms that will be used (if applicable)

l. Resources available to the staff—including yourself

m. Summary

n. References

6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites. NR451 All Weeks Capstone Project Milestone 1 – 3

Guidelines

· Application: Use Microsoft PowerPoint 2010.

· Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).

· Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.

· Late Submission: See the course policy on late submissions.

· Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.

1. Be creative.

2. Incorporate graphics, clip art, or photographs to increase interest.

3. Make easy to read with short bullet points and large font.

4. Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience.

5. Review directions thoroughly.

6. Cite all sources within the slides with (author, year) as well as on the Reference slide.

7. Proofread prior to final submission.

8. Spell check for spelling and grammar errors prior to final submission.

9. Abide by the Chamberlain academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change