#NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheets
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NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheets
Follow Below Link to Download File
https://homeworklance.com/downloads/nr451-capstone-project-milestone-1-practice-issue-evidence-summary-worksheets/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
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Topic For Assignment Topic: ( Hospital Readmission” )
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummaryWorksheets
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.
Practice Issue Worksheet
List the topic and include the citation for the systematic review you have selected:
What is the practice issue you have identified related to the topic you have chosen?
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:
Type the complete APA reference for the systematic review article you chose from the list provided, It must be relevant to the practice issue you described above.
Identify the objectives of the article.
Provide a statement of the questions being addressed in the work and how they relateto 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.
0 notes
Text
NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheets
Follow Below Link to Download File
https://homeworklance.com/downloads/nr451-capstone-project-milestone-1-practice-issue-evidence-summary-worksheets/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
Email us for original and Plagiarism Free Work At ( [email protected] ) or order us at (https://homeworklance.com/custom-order/ )
Topic For Assignment Topic: ( Hospital Readmission” )
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummaryWorksheets
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.
Practice Issue Worksheet
List the topic and include the citation for the systematic review you have selected:
What is the practice issue you have identified related to the topic you have chosen?
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:
Type the complete APA reference for the systematic review article you chose from the list provided, It must be relevant to the practice issue you described above.
Identify the objectives of the article.
Provide a statement of the questions being addressed in the work and how they relateto 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.
0 notes
Text
NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheets
Follow Below Link to Download File
https://homeworklance.com/downloads/nr451-capstone-project-milestone-1-practice-issue-evidence-summary-worksheets/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
Email us for original and Plagiarism Free Work At ( [email protected] ) or order us at (https://homeworklance.com/custom-order/ )
Topic For Assignment Topic: ( Hospital Readmission” )
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummaryWorksheets
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.
Practice Issue Worksheet
List the topic and include the citation for the systematic review you have selected:
What is the practice issue you have identified related to the topic you have chosen?
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:
Type the complete APA reference for the systematic review article you chose from the list provided, It must be relevant to the practice issue you described above.
Identify the objectives of the article.
Provide a statement of the questions being addressed in the work and how they relateto 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.
0 notes
Text
NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Worksheets
Follow Below Link to Download File
https://homeworklance.com/downloads/nr451-capstone-project-milestone-1-practice-issue-evidence-summary-worksheets/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
Email us for original and Plagiarism Free Work At ( [email protected] ) or order us at (https://homeworklance.com/custom-order/ )
Topic For Assignment Topic: ( Hospital Readmission” )
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummaryWorksheets
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.
Practice Issue Worksheet
List the topic and include the citation for the systematic review you have selected:
What is the practice issue you have identified related to the topic you have chosen?
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:
Type the complete APA reference for the systematic review article you chose from the list provided, It must be relevant to the practice issue you described above.
Identify the objectives of the article.
Provide a statement of the questions being addressed in the work and how they relateto 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.
0 notes
Text
Chamberlain NR-451 RN Capstone Course – Full Course
Follow Below Link to Download File
https://homeworklance.com/downloads/chamberlain-nr-451-rn-capstone-course-full-course/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
Email us for original and Plagiarism Free Work At ( [email protected] ) or order us at (https://homeworklance.com/custom-order/ )
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
NR451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummary 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; the 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).
Practice Issue Worksheet Directions
1. Locate the list of systematic reviews in Course Resources. Choose the ONE systematic topic that of most interest to you, or most relevant to your practice situation.
2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
3. Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
4. Your practice issue will be the same for all three Milestone assignments in this course.
5. Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
1. Develop an evidence summary by following the grading criteria below.
2. Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.
3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
4. Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in the course.
Describes the scope of practice issues.
Example: The number of falls in your facility has been increasing, especially during shift change.What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenor eliminatethe falls?Thisis where you begin your initial searchinto the problem or practice issue identified.
Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
Identifies and documents types of evidence that must be gathered for review of the Practice Issue.
Describes rationale for each type of evidence that is selected.
Total
75 points
100%
Grading Rubric: Practice Issue
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice issue statement, scope of practice, practice area
20 points
Practice issueis identified based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☐
Practice issue is identified but is not clear, however it is based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen.
Practice issue isnot an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice issue is unclear.
Practice issue is not based on the systematic review topic.
Practice Issueis not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice issueisnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points ☐
Documents how the practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issuewas identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Types of evidence to gather, rationale for selections
20 points
Identifies and documents what types of evidence is needed for review.
Thoroughlydescribes rationale for all checked types of evidence selected.
20 points ☐
Identifies and documents what types of evidence is needed for review.
Briefly describes rationale for all checked types of evidence selected.
18 points ☐
Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.
16 points ☐
Does not document more than one type of evidence that is neededfor reviewand does not include rationale for selected type of evidence.
8 points ☐
Does not document types of evidenceor rationale.
0 points ☐
Total Points Possible = 75 points
Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
10
10%
States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.
Describes practice setting in measureable terms.
Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?
Source of evidence
20
20%
Identifies a source of evidencethat is a nursing topic that is the subject of a systematic review article.
Provides a complete reference for the systematic review article that was chosen from the list provided.
Objectives of the article/Statement of questions
20
20%
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to the chosen practice issue.
Interventions/Main findingssummary
30
30%
Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.
Summarizes main findings of the author/s including strength of evidence for each main outcome.
Describes the relevance to the Milestone 2 paper.
Evidence-based solutions and limitations
20
20%
Outlines evidence-based solutions to consider for the capstone project.
Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project.
Total
100 points
100%
0 notes
Text
Chamberlain NR-451 RN Capstone Course – Full Course
Follow Below Link to Download File
https://homeworklance.com/downloads/chamberlain-nr-451-rn-capstone-course-full-course/
We also Do 100% Original and Plagiarism Free Assignment / Homework and Essay
Email us for original and Plagiarism Free Work At ( [email protected] ) or order us at (https://homeworklance.com/custom-order/ )
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
NR451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines
CapstoneProject Milestone 1:
Practice Issue and EvidenceSummary 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; the 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).
Practice Issue Worksheet Directions
1. Locate the list of systematic reviews in Course Resources. Choose the ONE systematic topic that of most interest to you, or most relevant to your practice situation.
2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
3. Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
4. Your practice issue will be the same for all three Milestone assignments in this course.
5. Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
1. Develop an evidence summary by following the grading criteria below.
2. Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.
3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
4. Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in the course.
Describes the scope of practice issues.
Example: The number of falls in your facility has been increasing, especially during shift change.What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenor eliminatethe falls?Thisis where you begin your initial searchinto the problem or practice issue identified.
Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
Identifies and documents types of evidence that must be gathered for review of the Practice Issue.
Describes rationale for each type of evidence that is selected.
Total
75 points
100%
Grading Rubric: Practice Issue
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice issue statement, scope of practice, practice area
20 points
Practice issueis identified based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☐
Practice issue is identified but is not clear, however it is based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen.
Practice issue isnot an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice issue is unclear.
Practice issue is not based on the systematic review topic.
Practice Issueis not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice issueisnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points ☐
Documents how the practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issuewas identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Types of evidence to gather, rationale for selections
20 points
Identifies and documents what types of evidence is needed for review.
Thoroughlydescribes rationale for all checked types of evidence selected.
20 points ☐
Identifies and documents what types of evidence is needed for review.
Briefly describes rationale for all checked types of evidence selected.
18 points ☐
Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.
16 points ☐
Does not document more than one type of evidence that is neededfor reviewand does not include rationale for selected type of evidence.
8 points ☐
Does not document types of evidenceor rationale.
0 points ☐
Total Points Possible = 75 points
0 notes
Text
Devry NR451 All Weeks Discussion and Milestone Entire Course
Follow Below Link to Download Tutorial
https://homeworklance.com/downloads/devry-nr451-all-weeks-discussion-and-milestone-entire-course/
For More Information Visit Our Website ( https://homeworklance.com/ )
Email us At: [email protected] or [email protected]
Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☒
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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Devry NR451 All Weeks Discussion and Milestone Entire Course
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Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☒
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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Devry NR451 All Weeks Discussion and Milestone Entire Course
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Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☒
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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Devry NR451 All Weeks Discussion and Milestone Entire Course
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Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ��
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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Devry NR451 All Weeks Discussion and Milestone Entire Course
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Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☒
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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Devry NR451 All Weeks Discussion and Milestone Entire Course
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Devry NR451 All Weeks Discussion and Milestone Entire Course
Devry NR451 Week 1 Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for Change (graded)
Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP (graded)
Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?
Devry NR451 Week 2 Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO Question (graded)
Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?
DQ 2
Appraisal of Evidence (graded)
When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?
Devry NR451 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your Capstone Project (graded)
Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?
DQ 2
Communication Errors (graded)
Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?
Devry NR451 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Patterns of Nursing Care (graded)
Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.
DQ 2
Discussion of Articles (graded)
Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1: Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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.
Practice Issue Worksheet
What is the Practice Issue?
Define the scope of the Practice Issue:
What is the practice area?
___ ___
___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
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.
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.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Issue Worksheet
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☒
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Practice issue identification, rationale for selections
20 points
Documents how the practice issue was identified.
Rationale for responses is logical and described thoroughly.
35 points ☒
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Evidence Summary Worksheet
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☒
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4 objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☒
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☒
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☒
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points ☒
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Comments:
You did great job on this assignment.
Total Points Possible = 175 points
Points earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____
Total points earned for this assignment = _175___
Capstone Project Milestone #2:
Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 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. GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan Practice Question (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year
Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Change Model Overview In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y .our identified topic to the John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources. Step 10: Develop Recommendations for Change Based on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Steps 11, 12, and 13, 14: Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Steps 17: Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.
References
Capstone Project: Milestone #3: Educating the Staff (graded) Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing. Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions. See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
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 225 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. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses 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 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. 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. 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 project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included.OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included.AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International.
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NR451 Full Course Latest
NR451 Week 1 Discussion Latest 2017 March Types of Nursing Models and Frameworks of EBP (graded)
What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse’s responsibility when EBP and patient and family practice do not match?
NR451 Week 2 Discussion Latest 2017 March
The Clinical Question (graded)
Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes.
Formulate a significant clinical question that will be the basis for your capstone change project.
Relate how you developed the question.
Describe the importance of this question to your clinical practice.
Define meta-analysis,and explain how this relates to evidence -based practice (EBP).
Describe what a research-practice gap is.
NR451 Week 3 Discussion Latest 2017 March
Feasibility of Your Design Proposal and Importance of Communication (graded)
Now that you have identified your capstone change project, it is time to look its feasibility.
What tangible and intangible resources will be needed to implement your project?
What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?
How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?
NR451 Week 4 Discussion Latest 2017 March
Evaluating Quality Patient Outcomes (graded)
How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?
NR451 Week 5 Discussion Latest 2017 March
Core Competencies for Nurses (graded)
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www.qsen.org. How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.
NR451 Week 6 Discussion Latest 2017 March
Implementing Change Despite Resistance (graded)
Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.
NR451 Week 7 Discussion Latest 2017 March
Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House.
Respond to the questions below.
What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?
Why is it important to be aware of changes in healthcare policy?
Why do you believe we spend more on healthcare than any other country but have the worst outcomes?
NR451 Week 8 Discussion Latest 2017 March
The Future of Affordable, Safe, and Quality Healthcare (graded)
What does the following statement mean to you?
In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.
NR451 Week 3 Capstone Project Milestone 1 Latest 2017 March
CapstoneProject Milestone 1: Practice Issue and EvidenceSummary 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). Practice Issue Worksheet Directions 1. Practice Issue Worksheet: 1. 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. 1. Please type your answers directly into the worksheet. Evidence Summary Worksheet Directions 1. Evidence Summary Worksheet: 1. 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-reviewedand 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 summaryto complete your worksheet. 1. Please type your answers directly into the worksheet. CapstoneProject Milestone 1: Practice Issue and EvidenceSummaryWorksheets 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. 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 relateto 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 Week 4 Capstone Project Milestone 2 Latest 2017 March
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 APA6thedition. 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 Referencesmust be includedto 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 addedas 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. Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper. Change Model Overview In this first paragraph, provide an overview of the ACE Star model Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the ACE Star model EBP Process. Define the Scope of the EBP Restate your practice issue. Why is this a problem? Give statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale? Stakeholders You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse, etc.). Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Conduct internal/external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines? Briefly discuss the strength of this research. This is notwhere you describe the results of your studies. This is done in the following steps. Summarize the Evidence In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph. Develop Recommendations for ChangeBased on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Process, Outcomes Evaluation and Reporting What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the five points of the ACE Star change model EBP process and ways to maintain the change plan. References
NR451 Week 6 Capstone Project Milestone 3 Latest 2017 March
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 ofWeek 6. POINTS Milestone3 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 statisticsfrom 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. 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.
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