Every healthcare quality improvement project requires well-formulated expected outcomes to inform the specific activities. These expected outcomes are the basis for project control, monitoring, and evaluation. This essay explores the expected outcomes for the capstone project and their rationales. Expected outcomes for the diabetes education program are:
Educating the patients will sensitize them on the importance of self-care and medication adherence. Increased knowledge leads to ethical responsibility to care. Patients efficiently carry out activities such as self-injection, exercises, and dieting after education (Lee et al., 2019)
Diabetes follow-up visits help determine the patients’ prognosis, make clinical decisions such as therapy changes, and manage complications as they arise (Lee et al., 2019). The follow-up visits also help in modality changes. The education program will increase the patient’s desire for a healthy life and will thus evoke initiative and responsibility.
Diabetes management is determined by the blood glucose levels tests, blood sugar variations, and diabetic examinations results. Education decreases patients’ negligence. They take their medications on time (the blood glucose levels remain relatively stable), eat balanced diets (avoids hypoglycemia and hyperglycemia), and adhere to their follow-up visits (thus, effective treatment changes and complications are diagnosed and treated early) (Zheng et al., 2019). Therefore, the therapeutic targets are thus relatively achieved by these individuals compared to individuals who do not receive the education.
Hypoglycemia and hyperglycemia are both consequences of poor medications adherence and self-care negligence. Poor eating habits principally cause hypoglycemia with or without medication adherence. Hyperglycemia majorly results from non-adherence to medications. These two complications are the most common yet most preventable complications in pregnancy. These expected outcomes will inform the controlling, monitoring, and evaluation processes.
Lee, S. K., Shin, D. H., Kim, Y. H., & Lee, K. S. (2019). Effect of diabetes education through pattern management on self-care and self-efficacy in patients with type 2 diabetes. International Journal Of Environmental Research And Public Health, 16(18), 3323. https://doi.org/10.3390/ijerph16183323
Zheng, F., Liu, S., Liu, Y., & Deng, L. (2019). Effects of an outpatient diabetes self-management education on patients with type 2 diabetes in China: a randomized controlled trial. Journal of Diabetes Research, 2019. https://doi.org/10.1155/2019/1073131
After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.
The assignment will be used to develop a written implementation plan.
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Students are required to initiate a mid-conference that will occur during Topic 5, using the “Practice Experience Conference Form (Mid-Conference)” resource. This conference is intended for the student, preceptor, and faculty to discuss progress toward meeting the learning goals and course objectives contained in the Individual Success Plan (ISP). NRS 493 Topic 4 Capstone Change Project Outcomes Paper progress toward completing the written capstone project will also be discussed, including faculty recommendations for project development.
Student progress will be documented on the Clinical Evaluation Tool (CET), which is submitted in LoudCloud prior to the conference. The CET will be discussed during the mid-conference and graded in LoudCloud by the faculty after the mid-conference. If the student receives an “Unacceptable” or “Below Expectations” in any category, the student will remediate for that category of the CET.
The preceptor will perform a midterm evaluation with the faculty. The faculty will input the evaluation content into the Lopes Activity Tracker. The student will upload the evaluation into LoudCloud after meeting with the preceptor to discuss the midterm evaluation.
Students must meet all clinical expectations of the course, earn a passing grade on all benchmark assignments, and successfully complete remediation (if necessary) in order to receive a passing grade in the NRS 493 Topic 4 Capstone Change Project Outcomes Paper.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Students who are not making appropriate progress on their capstone project and receive an “Unacceptable” or “Below Expectations” on the CET will be required to complete remediation activities. Required remediation activities are listed on the “NRS-493: Clinical Experience Remediation” document. The required activities must be submitted in LoudCloud upon their completion by the end of Topic 7. All required remediation activities will be reviewed and approved by the faculty.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.
Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
Various barriers may impair implementation when implementing a new change in an organization. These barriers can either be organizational or individual. Among the common barriers is resistance to change. Team members may opt to stick to their previous practice while resisting adapting to the new change. This may be attributed to a lack of knowledge about the proposed change, personal differences, poor communication strategy, or individuals perceiving change to have minimal effects.
Besides, a lack of resources and organizational support for change can impair implementation. For instance, my project, which advocates for the daily use of chlorohexidine to reduce ventilator-associated pneumonia, requires a continuous supply of chlorhexidine and wipes to achieve positive outcomes. Failure to access these resources may impinge implementation, resulting in ineffectiveness. However, an exemplary implementation plan would help overcome some of the challenges.
Likewise, I came up with an implementation plan for my project. Because nurses are the intervention group in this project, I will start by surveying them to evaluate their knowledge and attitude toward the proposed evidence-based (EBP) plan. This will help in identifying gaps as well as be used for comparison after implementation of the project. Then, I will conduct sessions to educate nurses about the importance of the EBP.
Demonstration of the EBP will occur concurrently with education. This aims at improving knowledge and skills about the EBP. Besides, I will encourage feedback that help in improving the proposed change. Launching and monitoring the progress of the change project would follow. Monitoring will help make any modifications that will improve the efficiency of the project. Finally, a resistance handling plan will be put in place to address any resistance that may arise during the implementation of the change project.
Strategic planning in healthcare is vital. The planned intervention for the capstone project is diabetes healthcare education using a diabetes education checklist. Once the education is delivered, the checklist will be filled in the healthcare information system. Educating older Hispanic women will require time considerations due to their decreased ability to understand. Education is best delivered before all interventions when the client is still concentrating. Educating the patients on all aspects of care also enhances their collaboration in the activities later performed.
Healthcare education accommodates ethnic, racial, intellectual, and other reasonable and community diversities. In this capstone project, the interest population is elderly Hispanic women. As mentioned earlier, this population is financially and intellectually disadvantaged. Their intellectual capacity limits communication because most of them have poor understanding and poorly communicate in English. There is a need for mutual understanding to ensure the education delivered is effective (Squires, 2018).
The language barrier is a significant potential problem for the capstone project implementation hence the need for a Hispanic interpreter to ensure effective delivery of information to and from the patient. The interpreter or interpretation system will serve the essential purpose of ensuring effective education and cultural sensitivity (Schouten et al., 2020). In addition, getting an interpreter will enhance patient morale and boost their sense of importance when they see that their needs are considered in care delivery.
Schouten, B. C., Cox, A., Duran, G., Kerremans, K., Banning, L. K., Lahdidioui, A., … & Krystallidou, D. (2020). Mitigating language and cultural barriers in healthcare communication: Toward a holistic approach. Patient Education and Counseling, 103(12), 2604-2608. https://doi.org/10.1016/j.pec.2020.05.001
Squires, A. (2018). Strategies for overcoming language barriers in healthcare. Nursing Management, 49(4), 20. https://dx.doi.org/10.1097/01.NUMA.0000531166.24481.15
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.
The assignment will be used to develop a written implementation plan.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to LopesWrite.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.
The assignment will be used to develop a written implementation plan.
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
NRS 493 Topic 4 Capstone Change Project Outcomes Paper uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.1: Exemplify professionalism in diverse health care settings.
2.2: Comprehend nursing concepts and health theories.
3.2: Implement patient care decisions based on evidence-based practice.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
NRS 493 Topic 4 Capstone Change Project Outcomes Paper uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to LopesWrite.
Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
NRS 493 Topic 4 Capstone Change Project Outcomes Paper uses a rubric. Please review the rubric prior to beginning the assignment to become fami
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