NR451 CAPSTONE PROJECT MILESTONE 1: PRACTICE ISSUE AND EVIDENCE SUMMARY

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary

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Capstone Project Milestone 1:

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Practice Issue and Evidence Summary Worksheets

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary 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:

NR451 Capstone Project Milestone 1: Practice Issue and 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 relate to your practice issue:

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

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

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

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

Capstone Project: Practice Issue and Evidence Summary – NR451

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 Capstone Project: Practice Issue and Evidence Summary – NR451 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. (PO4)
  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets called the.courselearn.net/lms/content/1500/50031/NR451/NR451_W3_Milestone1_Evidence_Worksheet2.docx”>Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site.Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3. Capstone Project: Practice Issue and Evidence Summary – NR451

Points

Milestone 1 is worth175 points(75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

  1. A tutorial with tips for completing this Capstone Project: Practice Issue and Evidence Summary – NR451 assignment may be viewed at.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a”>https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site..webex.com/mw3200/mywebex/nbrshared.do”> (Links to an external site.)Links to an external site.
  2. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the.courselearn.net/lms/content/1510/51067/NR451/NR451_List_Systermatic_Reviews_Capstone_Project6.docx”>List of Approved Systematic Reviews (Links to an external site.)Links to an external site..
  3. Follow the grading criteria below to formulate your practice issue,which must be based on the topic of the systematic review you have selected.
  4. Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
  5. Your practice issue will be the same for all three Milestone assignments in this course.
  6. 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.
  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.

Academic Integrity Reminder

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this Capstone Project: Practice Issue and Evidence Summary – NR451 assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

List of Approved Systematic Reviews

NR451 Capstone Project

Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Obstetrics/Delivery

Gupta, J. K., Sood, A., Hofmeyr, G. J., & Vogel, J. P. (2017). Position in the second stage of labour for women without epidural anaesthesia. Cochrane Database of Systematic Reviews,Issue 5, Art. No.: CD002006. doi:10.1002/14651858.CD002006.pub4.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD002006.pub4/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD002006.pub4/full

Strobel, N. A., Arabena, K., East, C. E., Schultz, E.M., Kelaher, M., Edmond, K. M., … Chamberlain, C. (2017). Care co-ordination interventions to improve outcomes during pregnancy and early childhood (up to 5 years) (Protocol). Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD012761. doi:10.1002/14651858.CD012761.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD012761/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD012761/full

Health-Associated Infections (HAI)

Verbeek, J. H., Ijaz, S., Mischke, C., Ruotsalainen, J. H., Mäkelä, E., Neuvonen, K., … Mihalache, R. C. (2016). Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD011621. doi:10.1002/14651858.CD011621.pub2.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD011621.pub2/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD011621.pub2/full

Dumville, J. C., Gray, T. A., Walter, C. J., Sharp, C. A., Page, T., Macefield, R., … Blazeby, J. (2016). Dressings for the prevention of surgical site infection. Cochrane Database of Systematic Reviews, Issue 12. Art. No.: CD003091. DOI: 10.1002/14651858.CD003091.pub4.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD003091.pub4/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD003091.pub4/full

Wound Care

Walker, R. M., Gillespie, B. M., Thalib, L., Higgins, N. S., & Whitty, J. A. (2017). Foam dressings for treating pressure ulcers. Cochrane Database of Systematic Reviews, Issue 10. Art. No.: CD011332. DOI: 10.1002/14651858.CD011332.pub2.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD011332.pub2/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD011332.pub2/full

Childhood/School Health

Hodder, R. K, Stacey, F. G., Wyse, R. J., O’Brien, K. M., Clinton-McHarg, T., Tzelepis, F., … Wolfenden, L. (2017). Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database of Systematic Reviews, Issue 9. Art. No.: CD008552. DOI: 10.1002/14651858.CD008552.pub3.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD008552.pub3/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD008552.pub3/full

Parab, C. S, Cooper, C., Woolfenden, S., & Piper, S. M. (2013). Specialist home-based nursing services for children with acute and chronic illnesses. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD004383. DOI: 10.1002/14651858.CD004383.pub3.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD004383.pub3/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD004383.pub3/full

Hospital Readmissions

Hall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol). Cochrane Database of Systematic Reviews, Issue 8. Art. No.: CD012315. DOI: 10.1002/14651858.CD012315.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD012315/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD012315/full

NR451 Milestone 2: Design for Change Proposal

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Project worksheet (PDF uploaded). 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.

Rubric (PDF also uploaded)

Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site..

Points

Milestone 2 is worth 225 points.

Directions

  1. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e(Links to an external site.)Links to an external site.
  2. Review the feedback you received from your instructor for worksheet, and use it to develop this milestone.
  3. Create a proposal for your Design for Change Capstone Project. Open the Milestone 2 Design Proposal Template(Links to an external site.)Links to an external site.(PDF also uploaded)Use this to write 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.
  4. The format for this proposal will be a paper following the Publication manual of APA6th
  5. The paper is to be five pages.
  6. As you organize your information and evidence, include the following topics.
    1. 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.
    2. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
    3. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
    4. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
    5. 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.
  7. Citations and Referencesmust 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.
  8. 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.

NR 451 Week 6: Capstone Project: Milestone 3 Rubric

NR451_Milestone3
NR451_Milestone3
Criteria Ratings Pts

The Problem

Summary of change model discussed. Practice Issue is stated. Scope of the problem includes statistics as it relates to your work area and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen is discussed as is logical.

30.0 pts

Summary of change model and Practice issued addressed Statistical information as it relates to work area, scope of problem to healthcare as a whole, discussed. Team, stakeholders and role/reason chosen is discussed and is logical.

26.0 pts

Summary of change model and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed. Team, stakeholders and their role/reason chosen is discussed and is logical.

24.0 pts

Summary of change model discussed and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed minimally. Team, stakeholders and their role/reason chosen discussed and is logical.

11.0 pts

Summary of change model is not discussed however, Practice issued is addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed Team and stakeholders stated but role/reason chosen is not discussed.

0.0 pts

None of the elements were present.
30.0 pts

The Evidence

Discussion of the evidence is done in terms of themes of the multiple views given in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

35.0 pts

Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

31.0 pts

Discussion of the evidence is done in terms of themes. Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

28.0 pts

Discussion of the evidence is done in terms of individual authors within the article. Pertinent information is not summarized. Sources listed individually but as an Evidence Summary synthesized into concepts discovered.

13.0 pts

Discussion of the evidence is done in terms individual authors. Pertinent information is not summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.

0.0 pts

There is no discussion of the evidence.
35.0 pts

The Plan

Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate.

35.0 pts

Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate.

31.0 pts

Plan of action described but not all important elements included. OR Timeline is present but doesn’t contain all elements.

28.0 pts

Plan of action described but not all important elements included AND Timeline is present but doesn’t contain all elements.

13.0 pts

Plan of action is present but not logical and is incomplete. The timeline is not appropriate or logical.

0.0 pts

Plan of action is not present. The timeline is not present.
35.0 pts

The Nurse’s Role

The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise.

25.0 pts

The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise.

22.0 pts

The nurses’ role is described but not clear. OR Procedures are discussed but not clear.

20.0 pts

The nurses’ role is described but not clear. AND Procedures are discussed but not clear.

10.0 pts

The nurse’s roles are not appropriate. Procedures are not clearly written and are incomplete.

0.0 pts

Nurses’ roles are absent. Procedures are absent.
25.0 pts

Resources

Form for tracking the outcomes during pilot plan is included. Resources the nurses will need to help implement the plan are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included.

20.0 pts

Form for tracking outcomes during pilot study is included. Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included.

18.0 pts

Form for tracking outcomes included. At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project.

16.0 pts

Form for tracking outcomes included but was not well-developed. At least two resources are included but are not included for the duration of the project.

8.0 pts

Form for tracking outcomes is poorly developed. Only one resource is listed.

0.0 pts

Form for tracking outcomes is absent No appropriate resources are listed.
20.0 pts

Summary

Summary slide reiterates the problem and purpose of the plan along with the measurable goals in terms of success.

10.0 pts

Summary slide reiterates the problem and purpose of the plan along with the measurable goals.

9.0 pts

Summary slide reiterates the problem AND purpose. Goals are stated but are not referenced in terms of success.

8.0 pts

Summary slide reiterates the problem OR the purpose, but not both. Goals are stated.

4.0 pts

Summary slide reiterates the problem OR the purpose, but not both. Goals are not mentioned.

0.0 pts

Summary slide is not shown
10.0 pts

Overall Presentation

Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Speaker notes are present.

20.0 pts

Presentation is presented in a clear and logical manner. PowerPoint is appealing and includes creativity. Font is easy to read.
NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary

18.0 pts

Presentation is accurate and covers most elements.

16.0 pts

Presentation content is accurate and can be followed, but it lacks flow and creativity.

8.0 pts

Presentation lacks organization. Creativity is difficult to follow.

0.0 pts

Presentation lacks any attempt at organization and comes across as chaotic.
20.0 pts

Mechanics

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.

25.0 pts

Includes title slide. Grammar, punctuation, and sentence structure are correct. References properly cited within the presentation. Reference slide includes all citations within the PowerPoint presentation. Evidence of spell and grammar check.

22.0 pts

Title slide is incomplete. Minimal errors in grammar, punctuation, and/or sentence structure noted. References are present, with minimal errors in format within the PowerPoint presentation. Citations are present but not correct format.

20.0 pts

Missing title slide Multiple grammar and punctuation errors noted. References do not include all citations within the PowerPoint presentation.

10.0 pts

The title slide is missing. The references are improperly formatted and are incomplete within the PowerPoint presentation. Errors in spelling and grammar are evident.

0.0 pts

Title slide and citations are missing. References are missing. No evidence of proof-reading prior to submitting assignment.
25.0 pts
Total Points: 200

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