Chamberlain NR451 Capstone Project PaperNR451 Capstone ProjectDirections: Please choose ONE topic an

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Chamberlain NR451 Capstone Project Paper

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 Chamberlain NR451 Capstone Project Paper. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Promoting breastfeeding

Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., … Bhandari, N. (2015). Interventions to improve breastfeeding outcomes: A systematic review and meta-analysis. Acta Paediatrica, 104, 114-134.

Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140.

Increasing health insurance coverage for vulnerable populations

Jia, L., Yuan, B., Huang, F., Lu, Y., Garner, P., & Meng, Q. (2014). Strategies for expanding health insurance coverage in vulnerable populations. Cochrane Database of Systematic Reviews, (11), 1-41. CD008194. doi:10.1002/14651858.CD008194.pub3.

Chamberlain Library Permalink: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=25425010&site=eds-live&scope=site

Preventing teen pregnancy and sexually-transmitted disease

Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. Cochrane Database of Systematic Reviews, (11), CD006417. doi:10.1002/14651858.CD006417.pub3.

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Reducing hospital readmissions

Mistiaen, P., & Poot, E. (2006). Telephone follow-up, initiated by a hospital-based health professional, for post discharge problems in patients discharged from hospital to home. Cochrane Consumers and Communication Group. (4), CD004510. doi:10.1002/14651858.CD004510.pub3.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.proxy.chamberlain.edu:8080/doi/10.1002/14651858.CD004510.pub3/full

Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets

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.
5. Chamberlain NR451 Capstone Project Paper

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:

Chamberlain NR451 Capstone Project Paper

Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article.

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

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

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

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

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

iCARE Paper

Assignment

Purpose

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes Chamberlain NR451 Capstone Project Paper. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.

Course Outcomes

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

• CO 1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO 1)
• CO 6: Plans clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association (ANA) standards of practice. (PO 6)

Due Date

Submit your completed assignment by Sunday end of Week 5 by 11:59 p.m. MT.

Total Points Possible

The assignment is worth 200 points.

Preparing the Assignment

1. 1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity.
   2. View a short tutorial with tips for completing this assignment: iCARE Paper Tutorial

1. 1. Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
      • For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
      • Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
      • Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
      • iCARE components are:
        1. C ompassion
        2. A dvocacy
        3. R esilience
        4. E vidence-Based Practice (EBP)
      • How could you contribute to the interprofessional team, the culture of your practice setting, and positive patient outcomes through nursing actions demonstrating compassion, advocacy, resilience, and evidence-based practice?
   2. Select one scholarly nursing article from CINAHL as a resource for your paper.
      1. Additional scholarly sources can be used but are optional.
      2. When searching in the CINAHL database, please limit your search word to one component of the paper you wish to emphasize, such as ‘Resilience’.  Searching for the term iCARE will not produce the results you need.
   3. Elements of iCARE paper
      • Title page
      • Below are the headings to be used for this assignment.
        • Title of your paper as the heading for the introduction (Do not use the word Introduction, just the paper title from your title page. See page 61 of the APA Manual, 7th edition for an example). Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.
        • Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
          • Compassion
          • Advocacy
          • Resilience
          • Evidence-Based Practice
        • Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
        • References: List any references used in APA format.

Templates

The prepared paper template is RECOMMENDED for this assignment.

iCare Assignment Template. – APA 7th edition

Only the APA 7th edition is to be used in this assignment.

Best Practices

• Please use your browser’s File setting to save or print this page.
• The template provided is recommended.
• Spell check for spelling and grammar errors prior to final submission.
• Use the rubric as a final check prior to submission to ensure all content is clearly addressed.
• Chamberlain NR451 Capstone Project Paper

Scholarly Sources and Citations

• Use APA format for citations and references.
• Please paraphrase throughout. One short quote is permitted.
• Chamberlain NR451 Capstone Project Paper

**Academic Integrity**

As detailed in the Simple Syllabus, all required Chamberlain papers, discussions or other written learning activities are subject to submission for detection of plagiarism to Turnitin ® or other anti-plagiarism software. Remember, Chamberlain’s philosophy is Integrity Matters so please use all resources within your course and your instructor if you have any questions or need assistance with this assignment.

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 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.

iCARE Paper Example

The care management specialty pays attention to the coordination of care and effective and efficient utilization of resources to offer patients with chronic illnesses the highest quality of care during their stay in the hospital. Educating the patients, advocating for their wellness, and communicating clearly are vital to ensure their health outcomes are enhanced in the long run. It necessitates employing an interdisciplinary team with workers from other fields to ensure patients receive holistic care that suits their needs.

To ensure that this existing interdisciplinary team offers better healthcare, it is essential to employ open communication and availing of information to the team members on time. The application of resilience and compassion skills when dealing with these patients is essential to implementing practice based on scientific evidence. Despite these valuable interventions in place to ensure that patients receive the highest quality of care, the healthcare sector still faces challenges that hinder progress, requiring novel solutions.

Compassion

Compassion helps healthcare workers show kindness and understanding of patients and their loved ones, which is essential in achieving high-quality health outcomes. Forging supportive relationships based on trust has helped increase satisfaction and boost the best customer experience and entails a good show of compassion from the healthcare workers (Straughair & Machin, 2020). Compassion ensures clients receive social, psychological, physical, and emotional needs, thus promoting holistic care. To encourage compassion, an interprofessional team should ensure that the patient and family are involved in the client’s care.

The team can provide essential information about the client’s health status and involve them in decision-making about any procedures the patient will likely undergo. The team must seek informed consent from the patient or their family members if they cannot make sound decisions independently. The patient and the family will ultimately increase their trust in the interdisciplinary team and heed the interventions formulated by the team. A safety culture is forged when patients and families are involved in their care, which can increase the organization’s reputation (Son?ur et al., 2018).

Advocacy

Healthcare workers can enhance advocacy by understanding patients’ unique needs, values, and beliefs. Advocacy involves the healthcare workers standing by what the patients believe is right for them in their absence and ensuring their voice is heard during decision-making. Through advocacy, the patient’s autonomy is respected through a third party, the nurse overseeing the care of the patients. The nurse can communicate openly with the client and present them with facts so that they can apply them in making decisions, which the nurse ensures are considered by other interdisciplinary teams when tailoring interventions (Abbasinia et al., 2019).

Nurses can aid in fostering a culture of patient-centered care by making the advocacy of patients a top priority and promoting teamwork among healthcare professionals. Better patient experience and clinical outcomes may result from this shift in attitude on the healthcare team. Evidence suggests that a patient-centered culture helps to decrease the number of hospitalizations and a general improvement in the quality of care of all patients.

Resilience

Promoting effective collaboration and open communication channels among the different interdisciplinary teams in the hospital can promote resilience. Resilient healthcare personnel can deal with the stresses of their jobs without letting them affect their health or performance. Resilience is the capacity to deal with hardship while providing excellent patient care. Heavy workloads, extended shift hours, psychological demands, and experiencing traumatic events entail pressures that healthcare employees experience (Odom-Forren, 2020). Because of their resilience, they can overcome these challenges and continue providing excellent patient treatment.

Resilient healthcare providers are better equipped to deal with difficult situations, keep a positive attitude, and communicate effectively with patients and their families (Odom-Forren, 2020). They are not likely to suffer from burnout, which is associated with dissatisfaction with one’s work and an increased likelihood of making mistakes in patient care. Resilience can help keep workers motivated to provide high-quality healthcare to their patients, devoid of errors, which can help achieve the organization’s mission and vision.

Evidence-Based Practice

Carrying out regular interdepartmental sessions to enlighten the healthcare workers about relevant changes in guidelines in managing healthcare conditions and new evidence that supports those changes can help foster evidence-based practice. Along with other medical experts, nurses can learn from one another at these conferences and improve their ability to give patients evidence-based care. Encouraging an approach based on scientific evidence, applied by interprofessional teams, the organization’s culture can value the inception of interventions based on the current evidence and research in informing patient care (Son?ur et al., 2018).

The healthcare outcomes are likely to improve since interventions backed up with credible scientific findings can help enhance the overall quality of care and complications experienced by patients and promote increased patient satisfaction. The organization’s reputation improves, and reimbursements are likely to increase. When workers apply evidence-based interventions and see improved patient outcomes, they can become highly motivated and will likely work for longer in the organization, decreasing employee turnover.

Summary

Employment of the iCARE components can help increase patient satisfaction, enhance patient outcomes, and promote collaboration through interdisciplinary teams. These components can help promote a patient-centered culture that ensures patients are involved in their care and that they make their own decisions. They are also empowered to partake in self-care, which has been shown to increase the overall quality of care and satisfaction. Ensuring that the patient’s beliefs, values, and attitudes are considered in decision-making ensures that they accept the interventions employed by the healthcare teams. Nurses can influence the adoption of interdisciplinary teams in the organization by advocating for the adoption of iCARE and providing evidence on how they can be essential in improving the achievement of organizational goals.

References

Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2019). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141–151. https://doi.org/10.1177/0969733019832950

Odom-Forren, J. (2020). Nursing resilience in the world of COVID-19. Journal of PeriAnesthesia Nursing, 35(6), 555–556. https://doi.org/10.1016/j.jopan.2020.10.005

Son?ur, C., Özer, Gün, Ç., & Top, M. (2018). Patient safety culture, evidence-based practice and performance in nursing. Systemic Practice & Action Research, 31(4), 359–374. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1007/s11213-017-9430-y

Straughair, C., & Machin, A. (2021). Compassion in nursing: exploring the perceptions of students and academics. Nursing standard (Royal College of Nursing (Great Britain): 1987), 36(7), 45–50. https://doi.org/10.7748/ns.2021.e11720

Chamberlain NR451 Capstone Project Paper Rubric

Week 5 iCARE Paper Grading RubricWeek 5 iCARE Paper Grading RubricCriteriaRatingsPts

This criterion is linked to a Learning Outcome Introduction

The type of work setting and interprofessional team features are described (improvement or type of team).

25 pts

Introduction thoroughly describes the work setting and features of the interprofessional team.

22 pts

Introduction describes the work setting and features of the interprofessional team.

20 pts

One element from the first column is missing or lacks detail.

10 pts

Two elements from the first column are missing and lack detail.

0 pts

The introduction is missing.Chamberlain NR451 Capstone Project Paper25 pts

This criterion is linked to a Learning Outcome Compassion

Nursing action related to compassion is described in support of the interprofessional team, the culture of the unit, and patient outcomes.

25 pts

The nursing action related to compassion was clearly identified and support of the interprofessional team, the culture of the unit, and patient outcomes were thoroughly explained.

22 pts

The nursing action related to compassion was identified and satisfactorily supported the interprofessional team, the culture of the unit, and patient outcomes.

20 pts

The nursing action related to compassion was identified and one of the elements of support from the first column were missing or lacked detail.

10 pts

The nursing action related to compassion lacked more than two elements of support or lacked detail.

0 pts

No Marks25 pts

This criterion is linked to a Learning Outcome Advocacy

Nursing action related to advocacy is described in support of the interprofessional team, the culture of the unit, and patient outcomes.

25 pts

The nursing action related to advocacy was identified and support of the interprofessional team, the culture of the unit, and patient outcomes were thoroughly explained.

22 pts

The nursing action related to advocacy was identified and satisfactorily supported the interprofessional team, the culture of the unit, and patient outcomes.

20 pts

The nursing related to advocacy was identified and one of the elements of support from the first column were missing or lacked detail.

10 pts

The nursing action related to advocacy lacked more than two elements of support or lacked detail.

0 pts

The nursing action and support elements were missing.25 pts

This criterion is linked to a Learning Outcome Resilience

Nursing action related to resilience is described in support of the interprofessional team, the culture of the unit, and patient outcomes.

25 pts

The nursing action related to resilience was identified and support of the interprofessional team, the culture of the unit, and patient outcomes were thoroughly explained.

22 pts

The nursing action related to resilience was identified and satisfactorily supported the interprofessional team, the culture of the unit, and patient outcomes.

20 pts

The nursing action related to resilience was identified and one of the elements of support from the first column were missing or lacked detail.

10 pts

The nursing action related to resiliency lacked more than two elements of support or lacked detail.

0 pts

The nursing action and support elements were missing.25 pts

This criterion is linked to a Learning Outcome Evidence-Based Practice

Nursing action related to EBP is described in support of the interprofessional team, the culture of the unit, and patient outcomes.

25 pts

The nursing action related to EBP was identified and support of the interprofessional team, the culture of the unit, and patient outcomes were thoroughly explained.

22 pts

The nursing action related to EBP was identified and satisfactorily supported the interprofessional team, the culture of the unit, and patient outcomes.

20 pts

The nursing action related to EBP was identified and one of the elements of support from the first column were missing or lacked detail.

10 pts

The nursing action related to EBP was not sufficiently identified or one of the elements of support from the first column were missing or lacked detail.

0 pts

The nursing action and support elements were missing.25 pts

This criterion is linked to a Learning Outcome Summary

Explain how nursing actions of the iCARE components can support interprofessional teams and patient outcomes. Address how you can influence support for interprofessional teams on your unit or area of practice.

35 pts

Key points regarding nursing actions and support for interprofessional teams and patient outcomes; and, nursing supportive influence are thoroughly described.

31 pts

Most key points regarding nursing actions and support for interprofessional teams and patient outcomes; and, nursing supportive influence are described.

28 pts

Some key points regarding nursing actions and support for interprofessional teams and patient outcomes; and, nursing supportive influence are described

13 pts

Summary lacks details of key points.

0 pts

Summary is missing.35 pts

This criterion is linked to a Learning Outcome Mechanics and Organization

The discussion is well organized and logical. The structure is clear and compelling to the reader. Paragraphs are linked together logically, and main ideas stand out

20 pts

Excellent mechanics and organization with minimal errors of the following: Well organized and logical, correct grammar, punctuation, and spelling, professional wording is used, uses complete sentences, paragraphs are linked together logically, and main ideas expressed clearly.

18 pts

Good mechanics and organization considering the elements listed in the column A. Few errors noted.

16 pts

Fair mechanics and organization considering the elements listed in the column A. Some errors noted.

8 pts

Poor mechanics and organization considering the elements listed in the column A. Many errors noted.

0 pts

Very poor mechanics and organization considering the elements listed in the column A such that it is difficult to follow or understand.20 pts

This criterion is linked to a Learning Outcome APA

APA format is used throughout.Chamberlain NR451 Capstone Project Paper

20 pts

Excellent APA formatting with minimal errors of the following: All sources cited in the text -all references listed on the reference page using basics of APA format -title page in general APA format -headings present and follow APA format -12-point font, double spaced, 1 inch margins, paragraphs indented -used only one short quote and body of the paper is approximately 3 pages

18 pts

Good formatting considering the elements listed in column A.

16 pts

Fair formatting considering the elements listed in column A. Some APA errors noted.

8 pts

Poor formatting considering the elements listed in column A. Many APA errors noted.

0 pts

Very poor formatting such that paper is difficult to read. Numerous APA errors noted.20 pts

This criterion is linked to a Learning Outcome Use of CINAHL article as Required Source from CCN Library

0 pts

0 points deductedUsed CINAHL article from CCN Library

0 pts

20 points (10%) deductedRequired article source of CINAHL not used resulting in point deduction0 pts

This criterion is linked to a Learning Outcome Late Deduction

0 pts

0 points deductedSubmitted on time

0 pts

Not submitted on time – Points deducted1 day late = 10 deduction; 2 days late = 20 deduction; 3 days late = 30 deduction; 4 days late = 40 deduction; 5 days late = 50 deduction; 6 days late = 60 deduction; 7 days late = 70 deduction; Score of 0 if more than 7 days late0 ptsTotal Points: 200

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Solution: