Question
Week 1 discussion

Types of Nursing Models and Frameworks of EBP

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?

Week 2 discussion

The Clinical Question and Systematic Reviews

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a list provided to you in Course Resources.

Choose a systematic review from the list of approved reviews based on your interests or your practice situation.

Formulate a significant clinical question related to the topic of the systematic review 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 previously, currently, or in the future.

Describe what a research-practice gap is.

Week 3 discussion

Feasibility of Your Design Proposal and Importance of Communication

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?

Week 4 discussion

Evaluating Quality Patient Outcomes

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?

Week 5 discussion

Core Competencies for Nurses

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.

Week 6 discussion

Implementing Change Despite Resistance

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.

Week 7 discussion

Healthcare Policy: What You Need to Know About the Affordable Care Act

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?

Week 8 discussion

Your Future!

Now that you are very close to completing this major accomplishment in your nursing career, what are your plans for your future? Please share your plans to keep up to date in your chosen specialty and nursing in general. What professional and nursing organizations do you plan to actively participate? Have you considered continuing your education to pursue a graduate degree?

Week 3 Capstone Project: Milestone 1

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.

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.

Week 4 Capstone Project Milestone 2

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 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 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.

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 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.

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 basic 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 not where 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.

Week 6 Capstone Project Milestone 3

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: Bullet (or main points) points on your slides, please

a. Title slide

b. Description of the Ace Star change model that you have used for this project.

c. Practice Issue

d. Scope of the problem—use basic 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 (what steps are to be taken to complete this change process, from start to finish?)

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 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.

9. Abide by the Chamberlain academic integrity policy.

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