NR451 Capstone Project Milestone 1 Practice Issue and Evidence SummaryNR451 CAPSTONE PROJECT MILESTO

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary

NR451 CAPSTONE PROJECT MILESTONE 1 PRACTICE ISSUE AND EVIDENCE SUMMARY

Capstone Project Milestone 1:

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.

NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary 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 – NR 451

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary 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.

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary Course Outcomes

This Capstone Project 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)

NR 451 Capstone Project Milestone 1 Practice Issue and Evidence Summary 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.

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
2. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from
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

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NR451 Capstone Project Milestone 1 Practice Issue and Evidence Summary 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.

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.

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.

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.

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.

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.

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.

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.

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.

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
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. (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 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.
8. 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.

NR 451 Week 6: Capstone Project: Milestone 3: Educating Staff (graded) Assignment

Capstone Project Milestone 3: Educating Staff: Implementing Change Guidelines

NR 451 Week 6: Capstone Project: Milestone 3 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. NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

NR 451 Week 6: Capstone Project: Milestone 3 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. (PO2)
• CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO3)
• 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. (PO7)

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

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

Points

Milestone 3 is worth 200 points.

NR 451 Week 6: Capstone Project: Milestone 3 Directions

1. A tutorial with tips on completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=8912a4b3268463312e115abf9e73efd6 (Links to an external site.)Links to an external site.
2. 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.
3. The format for this proposal will be a PowerPoint presentation.
4. 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 (SSPRNBSN) offers a module on Computer Literacy that contains a section on PowerPoint. You can access SSPRNBSN from  your Canvas course list.
5. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.
6. Below are the main topics or bullet points for your slides:

1. Title slide
2. Description of the Ace Star change model that you have used for this project.
3. Practice Issue
4. Scope of the problem—use basic statistics from what you know of the problem in your work area.
5. Your team/stakeholders
6. Evidence to support your need for change—from your Evidence Summary
7. Action Plan
8. Timeline for the plan
9. The nurse’s role and responsibility in the pilot program
10. Procedure (what steps are to be taken to complete this change process, from start to finish?)
11. Forms that will be used (if applicable)
12. Resources available to the staff—including yourself
13. Summary
14. 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.

NR 451 Week 6: Capstone Project: Milestone 3 Guidelines

• Application: Use Microsoft PowerPoint 2010 or later.
• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slides).
• Submission: Submit your by 11:59 p.m. Sunday by the end of Week 6.
• Late Submission: See the Policies on late submissions.
• 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 your course list in the student portal.

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 and they help faculty identify what you will speak to your audience about.
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.

**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 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.

Solution: