Question
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.

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