NR452 Capstone Evidence-based Paper

NR452 CAPSTONE COURSE Capstone Evidence-based Paper: Effect of Postpartum Depression in Women

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NR452 CAPSTONE COURSE Capstone Evidence-based Paper Guidelines

PURPOSE
In this final assignment of the Capstone course, the student will use skills of inquiry gained in the
baccalaureate nursing program to identify a clinical issue upon which nurses have the ability to resolve or
have a positive impact. With a focus on the diversity of the individual as well as the variation of cultural
values of a particular population, the student will develop a plan for addressing the clinical issue. With the
incorporation of other disciplines from the health care team the student will describe the role the nurse
has in the implementation of an ethically sound plan.

COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO # 1: Synthesize knowledge from sciences, humanities, and nursing in managing the
needs of humans as consumers of healthcare in a patient-centered environment. (PO#1)
CO # 2: Integrate communication and relationship skills in teamwork and collaboration
functioning effectively with health team members and consumers of care. (PO#3)
CO # 3: Utilize information technology to manage knowledge, mitigate error, and support
decision making with health team members and consumers of care. (PO# 8)
CO # 4 Integrate critical thinking, clinical reasoning skills, best current evidence, clinical
expertise, and patient/family preferences/values in the implementation of the nursing
process. (PO# 4)
CO # 5: Explore the impact of professional standards, legislative issues, ethical principles,
and values on professional nursing, using data to monitor outcomes and improve quality
and safety. (PO# 5, 6)
DUE DATE
Unless otherwise instructed by the faculty, this assignment is due to be submitted in the course drop box no
later the 12 am (midnight) on the Sunday at the end of Unit 6. The College’s Late Assignment Policy applies to
this activity.
TOTAL POINTS POSSIBLE
200 points

NOTE: See the detailed Grading Rubric starting on page 6 of the PDF file in Unit 1 under Assignments for the RUA 2.  Please use headers and sub-headers, use topic sentences, double check spelling and APA format, and grade your own paper first according to the rubric before turning it in.

Introduction

See description

Clinical Issue

-NCLEX category – detailed description of relationship between ONE NCLEX category and patient population.

(reference to NCLEX-RN blueprint on the website will count as one scholarly source)

Importance

– Describe the importance of the clinical issue to the health of the patient population.

– Include the potential negative effect of leaving the clinical issue unresolved for:

-the patient population

-the healthcare system

-other identifiable considerations

Patient Population

-Expand on the description of the human condition found within the patient population.

-Summarize the diversity of the patient population

-ALSO specifically describe/identify the influence that cultural values may have on the plan.

Proposed Solution

-Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer-reviewed journal articles.

-ALSO expand on the ethical considerations in developing the plan for addressing the issue affecting the patient population.

Goals

-Discuss the plan that could be implemented by a nurse to address the clinical issue.

-One short term goal and one long term goal of the intervention will be identified – include a description of how attainment of the goals will be measured.

Short term goal (SMART goal format) Description of how attainment of the goal will be measured.
   
Long term goal (SMART goal format) Description of how attainment of the goal will be measured.
   

 

Barriers

-Identify 2 potential barriers to the success of the plan as well as a strategy for addressing each one.

Two potential barriers to the success of resolving or preventing the clinical issue (the plan) A strategy for addressing each barrier
Potential Barrier #1 Strategy for barrier #1
Potential Barriers #2 Strategy for barrier #2

 

Benefits

-Describe a minimum of one benefit to the patient population and one benefit to the nursing profession which will result from carrying out the plan (preventing or resolving the clinical issue).

One benefit to the patient population which will result from carrying out the plan (preventing or resolving the clinical issue) One benefit to the nursing profession which will result from carrying out the plan (preventing or resolving the clinical issue)
(minimum of 1 scholarly, peer-reviewed journal article for this)

 

 

 

 

 

Participants and Interdisciplinary Approach

-Identifying all the parties whose participation is important for success of implementing the plan.  The list will include a minimum of two members of disciplines outside of nursing.  Include a description of the benefit of including each member of the team to the success of the plan. A minimum of one scholarly, peer-reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

Participants in the Plan

 

 

 

(some examples might be…)

Description of the benefit of including each team member to the success of the plan. (minimum of one scholarly, peer-reviewed source providing support for the success of the plan for someone outside of nursing)
Patient  
Nursing  
Physician/Nurse Practitioner/Physician Assistant  
Physical Therapist  
Respiratory Therapist  
Occupational Therapist  
Speech Therapist  
Social Worker  
Homecare Nurse  
Nursing Assistant/Patient Care Technician  
Housekeeping  
Case Manager  
Others…  

 

Conclusion

-A thorough recap of the purpose of the plan to prevent or help the clinical issue.

-A complete statement describing why addressing this clinical problem matters and to whom.

References

Minimum of 6 SCHOLARLY, PEER-REVIEWED Articles.  You can have more than 6 if you have some which might not be considered peer-reviewed but are quality sources.

 

REQUIREMENTS
• When selecting a clinical issue to be addressed in the assignment, the student is expected to
draw from one of the four main categories of the NCLEX-RN examination blueprint:
assurance
of a safe and effective care environment, health promotion and maintenance of health, the
preservation of the patient’s psychosocial integrity and physiological integrity
.
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• Length of paper 8-10 pages excluding the title page and the reference page.
• The sources cited both in text and on the reference page for this assignment will be formatted
according APA 6
th edition guidelines.
• A minimum of six (6) peer-reviewed scholarly sources are required in support of the Evidence-based
Capstone Evidence-based Paper.
• This assignment will be graded using the Capstone Evidence- based Paper Rubric available in Unit 6
of the course.

PREPARING THE ASSIGNMENT
The student will be required to:
Produce an 8-10 page evidence-based paper addressing a significant clinical issue
Identify and explore a solution to a clinical issue
Gather additional background information on:
o the clinical issue
o the patient population
Develop a plan that could be carried out by a nurse to resolve the clinical issue.
Reflect on the knowledge and experience gained in the nursing program
Draw from one of the four main categories of the NCLEX-RN examination blueprint
o assurance of a safe and effective care environment,
o health promotion and maintenance of health,
o preservation of the patient’s psychosocial
o preservation of the patient’s physiological integrity
With the exception of the Introduction, each criterion listed below will serve as the major headings of this
assignment due in Unit Six and will include the following:
Title Page: (APA 6th edition formatting)
Introduction:
Offers a detailed description of the statement of purpose for the paper.
Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX-RN
examination blueprint:
o Assurance of a safe and effective care environment
o Health promotion and maintenance of health
o Preservation of the patient population’s psychosocial integrity
o Preservation of the patient population ’s physiological integrity
In this paper the student will provide a detailed description of the relationship between the category
from the NCLEX-RN examination blueprint and the clinical issue.
The reference to the NCLEX-RN examination blueprint found at the National Council of State Boards of
Nursing website constitutes
one scholarly reference.
Importance: The student will describe the importance of the clinical issue to the health of a patient
population. This discussion will include the potential negative effect of leaving the clinical issue
unresolved.

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Patient Population: The student will describe the patient population that is impacted by the clinical
issue. With a focus on the diversity of the human condition found within this patient population, the
student will describe the influence that cultural values may have on the proposed solution.
Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem
by using appropriate evidence-based data and integrating data from peer-reviewed journal articles. In
this paper, the student will:

i. Propose a clear solution to the clinical problem that is supported by a minimum of
three scholarly, peer-reviewed journal articles.
Expand on the ethical considerations when developing the plan.
ii.

Goals: While the intervention will not actually be carried out, the student will discuss the plan that could
be implemented by a nurse to address the clinical issue. One short-term and one long-term goal of the
intervention will be identified. The student will include a description of how attainment of each of the
goals would be measured.
Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well
as a strategy for addressing each one.
Benefits: The student will describe a minimum of one benefit to the patient population and one benefit
to the nursing profession that will result from carrying out the plan. Provides a minimum of
one
scholarly, peer-reviewed source
in support of the benefit of the plan to the patient population.
Participants and Interdisciplinary Approach: The student will identify all of the parties whose
participation is important for the success of implementing the plan.
i. This list will include a minimum of two members of disciplines outside of nursing.
ii. A description of the benefit of including each member from another discipline to the success
of the plan.
iii. A minimum of
one scholarly, peer-reviewed source providing support for the success of the
plan by including the healthcare team member outside of nursing.
• Conclusion:
i. Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical
issue.
ii. Includes a complete statement describing why addressing this clinical problem matters and to
whom.
• Reference Page: (APA 6
th edition formatting)

 

 

 

Effect of Postpartum Depression in Women Completed Sample 

Chamberlain College of Nursing

NR 452: Capstone

March 2019

 

Introduction

Postpartum depression is a condition that occurs after birth. The birth of a newborn can trigger several emotions such as excitement, joy, fear, and anxiety. These mixed feelings can lead to depression. It is a serious complication in healthcare that goes under diagnose, and it is relevant to know that women may have various changes mentally, which affect the overall health and proper care of the infants and plays a significant risk for new mothers.

Clinical Issue

The purpose of this paper is to identify ways of improving the maternal-infant relationship for women with postpartum depression. Bringing to knowledge the importance of diagnosing postpartum early, educating women on how to identify the symptoms of postpartum and different ways to seek help. One of the four main categories of the NCLEX-RN examination blueprint of 2016 is psychosocial integrity in which the nurse provides nursing care,  that helps to promote, support mental, social and emotional stage of the clients. The clinical issues for postpartum depression need to be addressed during pregnancy and post pregnancy to assess the mental health of women.

Importance

The prevalence of postpartum depression is estimated to be between twelve percent and eighteen percent of new mother ( Lindensmith, 2018). The clinical problem will be underdiagnosed of postpartum in healthcare, and it is one of the neglected aspects of women’s healthcare. It is important to know that one out of eight women will experience symptoms of postpartum depression within two weeks after delivery and it can last up to a year. Which means that about four million birth that occurs yearly in the United State of America and this equals six hundred thousand postpartum diagnoses ( Madlala and Kassier, 2017).

The potential negative effect of leaving postpartum depression issue unresolved can lead to a mother and infant relationship to be strained, the woman will be less able to respond to the baby’s needs. Evidence-based research showed that postpartum depression mothers are inadequate caregivers due to the lack of mother and infant interaction ( Madlala and Kassier, 2017).  The more advanced the postpartum is left unattended to, can lead to underdevelopment of an infant. It is important for a new mother to have full attention towards the newborn, especially after birth because the first year of life is a critical stage, it is where the infant cognitive is developed. If the mother is not diagnosed in the early stage of postpartum, it can lead to the infant which has limited social, language and behavioral development in the future. Postpartum depression can lead to poor hygiene to both the mother and the infant, breastfeeding issues or early cessation which can lead to poor infant growth.

The fact that postpartum depression as long been known as an illness that affects women after delivery and confirmed by experts that, it is poorly diagnosed by physicians, unfortunately, postpartum depression is undertreated every day in our society today. Lack of treatment of postpartum depression is most likely to cause long-term effects on the infants.

There have been some programs or screening developed for postpartum depression mothers during pregnancy, post-pregnancy and in a neonatal intensive care unit, which involves pharmacological interventions, education, coaching, and family involvement (Angarath et al., 2016).

Patient Population

The difficulties and complications related to underdiagnosed postpartum depression play a huge problem in healthcare. The patient population that is affected the most with postpartum depression are women. The main purpose will be to focus specifically more on women that are of childbearing age.

It is imperative to bring an awareness to the fact that postpartum depression can affect people from all ethnicity, race, cultures, economic or educational background and that postpartum depression is a global problem that needs to be addressed aggressively.

Research has shown that cultural factors play a great huge role in triggering postpartum depression and at the same time can help to alleviate some depression symptoms. The influence the cultural value has played in postpartum depression, to be specific African women and little awareness that is brought to the community due to lack of knowledge. The research shows that the risk for African women in developing postpartum is high,  and the surprising aspect of the whole condition is how a  low number of African women seeks for help or her treated for this condition.

Proposed Solution

Solution to the clinical problem of postpartum depression will be recommending a universal screening tool like Edinburgh postnatal depression screen, which is highly recommended by the postpartum support international. The postpartum support international team should be, but not limited to midwifery, primary doctor, obstetrician-gynecologist, the pediatric and social worker.   Edinburg postnatal depression screen is a questionnaire that is developed in helping to identify some symptoms of postpartum depression as soon as possible, just to be clear (EPDS) is not a diagnostic tool, but rather a screening tool. The benefit of this screening tool is that there are self-administered, easy to complete, and there are translated into different languages. The Edinburgh postnatal depression screen main focused is on the anxiety component, depression symptoms and suicidal thoughts (Bruno et al., 2016).

The next clinical solution will be the patient health questionnaire, this screening needs to be used for all patients in the postnatal population. The aim to be able to screen and diagnosed postpartum depression early and the best part is that there is no fee involved in the screening, it is also a self-administered tool, with different languages and it is easy to complete. The difference between Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire is, Patient Health Questionnaire Survey does not include the anxiety component but includes suicidal ideation. The implementation of this tool will help to diagnose depression symptoms and the severity of the condition ( Lindensmith, 2018).

The next clinical solution aim towards telemedicine. The idea behind this proposal was to see how effective postpartum interventions will be through telemedicine. The process involves using a different delivery method like the traditional telephone call, smartphone application, secure video,  email. The study showed the effectiveness of using telemedicine because they had a goal of reaching out to women and delivery care in the comfort of their own home, those that do not have a way of transportation and  daycare can still reach out for help through telemedicine, another priority will be those that do not want to seen in the physician office for treatment of postpartum can also access treatment and helps to break down barriers to traditional intervention for postpartum depression (Nair et al., 2016).

The ethical considerations in developing the plan for addressing the issue affecting patient population will be developing a plan in which the patient does not feel vulnerable because of the stigma behind postpartum depression. Making sure that the patient is completely involved in her care and respecting the privacy of the patients.

Goals

The nurse should formulate the plan in screening for postpartum depression with every pregnant woman that comes in for a check-up. Start by getting the patient to involve in the care, proposing a multidisciplinary checklist questionnaire that reminds the healthcare team members to follow with every patient. The nurse needs to create a short-term goal and a long-term goal.

Short term goal (SMART goal format) Description of how attainment of the goal will be measured.
The short-term goal will be the reduction of unidentified Postpartum depression by using the checklist for two months on all patients. The nurse will create a mandatory meeting for all the healthcare team members to attend, by using the checklist created to train the staff members the importance of early screening of postpartum depression with every Patient, ask some questions to identify the weaknesses in the team members and those that will need extra one on one training.  The knowledge of each individual team member will need to be evaluated weekly and staff meeting will need to be held every month for the duration of two months to reassess staff member compliance and understanding.
Long-term goal (SMART goal format) Description of how attainment of the goal will be measured.
The long-term goal involves adopting the checklist used the short-term goal for one year by all healthcare team members in the clinic with every patient. To attain the long-term goal, the nurse will continue with the implementation that was used in the short-term by continuing with the mandatory monthly meeting, using PowerPoints for visual effects. Quizzing the team members to determine their understanding and abiding by the new protocol. The nurse will determine the effectiveness of the plan, by gathering all the data collected from the checklist and presenting the statistic improvement during the monthly meeting to determine if the yearly goal has been met.

 

Barriers

Two potential barriers to the success of resolving or preventing the clinical issue (the plan) A strategy for addressing each barrier
Potential Barrier #1: a Potential barrier to the new plan, will be no receptiveness of the team members or unwilling to change Strategy for barrier #1: The nurse will need to assess the reason why the lack of enthusiasm to change in the office and present to the staff members the good behind implementing the change with the help of evidence base and visual aid.
Potential Barriers #2: Lack of parity of insurance coverage  for mental health Strategy for barrier #2: Most people know that postpartum depression occurs all the time, but the coverage of mental health is still a battle with the insurance company. During this research, I found out that insurance company is not required to have coverage for mental health and that is a huge problem because most people cannot afford to pay out of pocket for doctor’s visit and thus making treatment for a mental health screening to be very expensive.

 

Benefits

One benefit to the patient population which will result from carrying out the plan (preventing or resolving the clinical issue) One benefit to the nursing profession which will result from carrying out the plan (preventing or resolving the clinical issue)
One benefit to the patient population from carrying out the plan will be the reduction of underdiagnose postpartum depression by implementing telemedicine interventions, which gives the patient control over the healthcare and having the convenience by receiving healthcare in the comfort of your home. Create privacy, gives more time to spend and bond with the family and avoiding the headache of transportation or maybe traffic (Nair et al., 2016).

 

 

One benefit to the nursing profession which results from carrying the plan,  involve noting the effectiveness and improvement of the clients in two to twelve months, span.  If the team member follows the plan has created. That will give a boost of confidence within the team members because there are taking good care of the patients and noticing a physical and mental change.

 

Participants and Interdisciplinary Approach

To have a successful care for the patient, the multidisciplinary team must communicate together for the benefit of the patient.

Participants in the Plan

 

 

 

(some examples might be…)

Description of the benefit of including each team member to the success of the plan. (minimum of one scholarly, peer-reviewed source providing support for the success of the plan for someone outside of nursing)
Patient The benefit of including the patient in her care will reduce patient anxiety, create trust between the patient and the provider, increases patient satisfaction and helps to improve outcome.
Nursing The benefit of the nurse being involved in the patient care will be providing care that is respectful to the patient and being the voice for the patient and helping the patient to make the right decision for her.
Physician/Nurse Practitioner/Physician Assistant/psychologist The benefit of the provider being involved in patient care will improve the patient to client relationship. The provider has to listen actively to patient concerns, spend as much time with the patient during care and explains medical plans in the patient understanding.
Social Worker Social worker plays a huge role in the care of the patient, helps the patient and family member to understand the condition and how to come to terms with the diagnosis. They provide decisions to the patient and counseling for the patient. The social worker also helps the team member recognize the emotional stage in which the patient is in.
Housekeeping Getting a housekeeper during the postpartum depression stage will help the mother to focus more on taking care of herself and the infant, instead of worrying about cleaning the house.
Other: Family Member The family member like the spouse, extended family, and even close friends can be a huge help to the mother by taking care of the infant when the mother is going through postpartum depression. Though this does not directly improve the mother to infant bonding, it will help with the development of the infant, when the father of the infant and grandparents, holds, hugs and interact with the baby (Lindensmith, 2018).
   
   

 

Conclusion

The clinical issues to prevent will be underdiagnosed of postpartum depression in healthcare in general. The purpose of this plan to bring awareness to postpartum depression among the multidisciplinary members and the insurance company,  that postpartum depression does exist,  and the issue needs to be addressed aggressively because women are afraid of the stigma and in turns do not seek treatment. It is important to address that postpartum depression can affect one out of eight women within two weeks of delivery and educate on signs and symptoms.

References

Angarath I. Van Der Zee-Van Den Berg, Boere-Boonekamp, M. M., Ijzerman, M. J., Haasnoot-Smallegange, R. M., & Reijneveld, S. A. (2016). Screening for Postpartum Depression in Well-Baby Care Settings: A Systematic Review. Maternal and Child Health Journal, 21(1), 9-20. doi:10.1007/s10995-016-2088-8

Bruno, A., Laganà, A. S., Leonardi, V., Greco, D., Merlino, M., Vitale, S. G., . . . Muscatello, M. R. (2017). Inside–out: The role of anger experience and expression in the development of postpartum mood disorders. The Journal of Maternal-Fetal & Neonatal Medicine, 31(22), 3033-3038. doi:10.1080/14767058.2017.1362554

Lindensmith, R. (2018). Interventions to Improve Maternal-Infant Relationships in Mothers with Postpartum Mood Disorders. MCN, The American Journal of Maternal/Child Nursing, 43(6), 334-340. doi:10.1097/nmc.0000000000000471

Madlala, S., & Kassier, S. (2017). Antenatal and postpartum depression: Effects on infant and young child health and feeding practices. South African Journal of Clinical Nutrition, 31(1), 1-7. doi:10.1080/16070658.2017.1333753

National Council of State Boards of Nursing (2013). NCLEX-RN test plan.    https://www.ncsbn.org/2013_NCLEX_RN_Test_Plan.pdf

Nair, U., Armfield, N. R., Chatfield, M. D., & Edirippulige, S. (2018). The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 24(10), 639-650. doi:10.1177/1357633×18794332

 

 

NR452 CAPSTONE COURSE
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DIRECTIONS AND ASSIGNMENT CRITERIA

Assignment
Criteria
Points % Description
Introduction 20 10% Introduces a clinical problem drawn from one of the four main
categories of the NCLEX-RN examination blueprint:
Assurance of a safe and effective care environment.
Health promotion and maintenance of health.
Preservation of the patient’s psychosocial integrity.
Preservation of the patient’s physiological integrity.
This reference appropriately cites the NCLEX-RN
examination blueprint found at the National Council of
State Boards of Nursing website and constitutes
one
scholarly reference.
Importance 20 10% Describes the importance of the clinical problem to the health
of the patient population.
Includes the potential negative effect of leaving the clinical
issue unresolved.
Patient
Population
20 10% Summarizes the diversity of the human condition found
within the patient population.
Identifies the influence that cultural values may have on the
plan for addressing the clinical issue.
Proposed
Solution
20 10% Proposes a clear solution to the clinical problem that is
supported by a minimum of
three scholarly, peer-reviewed
sources
.
Expands on the ethical considerations in developing the plan
for addressing the issue affecting patient population.
Goals 20 10% Develops a minimum of one short-term goal.
Develops a minimum of one long-term goal.
Includes the ways in which attainment of each of the goals
will to be measured.
Barriers 20 10% Identifies a minimum of two anticipated barriers to the
success of preventing or resolving the clinical issue.
Describes at least one strategy for addressing each
anticipated barrier.
Benefits 20 10% Describes a minimum of one benefit to the patient
population and one benefit to the nursing profession that
will result from preventing or resolving the clinical issue.
Provides a minimum of one scholarly, peer-reviewed source
in support of the benefit of the plan to the patient
population.
Participants and
Interdisciplinary
Approach
20 10% Identifies all of the parties who will be involved in the
implementation of the clinical project.
This list includes a minimum of two members of a discipline
outside of nursing.

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Includes the benefit of including each member from another
discipline to the success of the project.
Provides a minimum of one scholarly, peer-reviewed source
in support of the success of the plan by including the
healthcare team member outside of nursing.
Conclusion 20 10% Provides a thorough recap of the purpose of the plan to
prevent or help to resolve the clinical issue.
Includes a complete statement describing why addressing
the clinical problem matters and to whom
APA 6th edition
Format,
Grammar and
Punctuation
20 10% Uses clear and correct grammar.
Uses proper sentence structure and flow.
Adheres to all APA 6th edition formatting guidelines for title
page, margins, and in-text citations.
Total Points = 200 Points Earned = _____

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GRADING RUBRIC

Assignment
Criteria
Outstanding or Highest
Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance
F (0–75%)
Introduction
(20 points)
Completely sets the stage for
selecting the clinical issue in
terms of the impact on the
health of a patient population.
Offers a detailed description of
the statement of purpose for
the paper while introducing a
clinical problem drawn from
one of the four main categories
of the NCLEX-RN examination
blueprint which is
appropriately cited.
19-20 points
Partially sets the stage for
selecting the clinical issue in
terms of the impact on the
health of a patient population.
Identifies most but not all of
the details describing the
statement of purpose for the
paper while introducing a
clinical problem drawn from
one of the four main
categories of the NCLEX-RN
examination blueprint which is
appropriately cited.
17-18 points
Minimally addresses the
clinical issue in terms of the
impact on the health of a
patient population. Describes
in general terms the statement
of purpose for the paper but
does not introduce a clinical
problem drawn from one of
the four main categories of the
NCLEX-RN examination
blueprint.
16 points
Provides a description of the
purpose of the paper but does
not address the clinical issue in
terms of the impact on the
health of a patient population.
Does not introduce a clinical
problem drawn from one of
the four main categories of the
NCLEX-RN examination
blueprint
0-15 points
Importance
(20 points)
Completely describes the
importance of the clinical
problem to the health of the
patient population and
includes the potential negative
effect of leaving the clinical
issue unresolved.
19-20 points
Partially describes the
importance of the clinical
problem to the health of the
patient population with partial
inclusion of the potential
negative effect of leaving the
clinical issue unresolved.
17-18 points
Minimally describes the
importance of the clinical
problem to the health of the
patient population with
minimal inclusion of the
potential negative effect of
leaving the clinical issue
unresolved.
16 points
Provides minimal or no
description of the importance
of the clinical problem to the
health of the patient
population and/or the
potential negative effect of
leaving the clinical issue
unresolved.
0-15 points

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Patient Population
(20 points)
Clearly summarizes the
diversity of the human
condition found within the
patient population. Completely
identifies the influence that
cultural values may have on
the plan for addressing the
clinical issue in the patient
population. Provides an
expanded view of the ethical
considerations of the patient
population.
19-20 points
Partially summarizes the
diversity of the human
condition found within the
patient population. Provides
limited identification of the
influence that cultural values
may have on the plan for
addressing the clinical issue in
the patient population.
Presents an incomplete view of
the ethical considerations of
the patient population.
17-18 points
Minimally summarizes the
diversity of the human
condition found within the
patient population. Provides
marginal identification of the
influence that cultural values
may have on the plan for
addressing the clinical issue in
the patient population.
Presents an inadequate view of
the ethical considerations of
the patient population.
16 points
Summary of the diversity of
the human condition found
within the patient population
missing. Identification of the
influence that cultural values
may have on the plan for
addressing the clinical issue in
the patient population
Identification of patient
population missing completely
or lacking in description.
0-15 points
Proposed Solution
(20 points)
Proposes a clear solution to
the clinical problem that
encompasses pertinent ethical
considerations in the
development of the plan.
Appropriately supported by a
minimum of three scholarly,
peer-reviewed journal articles.
19-20 points
Proposes a solution to the
clinical problem that provides
minimal reference to the
ethical considerations of
developing the plan.
Appropriately supported by
two scholarly, peer-reviewed
journal articles.
17-18 points
Attempts to propose a solution
to the clinical problem that
does not provide reference to
the ethical considerations of
developing the plan.
Appropriately supported by
one scholarly, peer-reviewed
journal article.
16 points
Makes reference to a solution
to the clinical problem without
reference to the ethical
considerations of developing
the plan and is not
appropriately supported by
scholarly, peer-reviewed
journal articles.
0-15 points
Goals
(20 points)
Develops one or more short
term goal and one or more
long-term goal. Includes a
complete description of the
ways in which attainment of
each of the goals will be
measured.
19-20 points
Provides a partial description
of one short-term goal and one
long-term goal. Includes a
partial description of the ways
in which attainment of each of
the goals will be measured.
17-18 points
Provides a minimal description
of one short-term goal and one
long-term goal. Includes a
limited description of the ways
in which attainment of each of
the goals will be measured.
16 points
Makes reference to a short
term goal and at least one
long-term goal but neglects to
provide a description of the
ways in which attainment of
each of the goals will be
measured.
0-15 points

NR452 CAPSTONE COURSE
NR452 Evidence-based Project Guidelines.docx Revised March 2018 SME-EP/ CIS-LS 8

Barriers
(20 points)
Completely describes
minimum of two anticipated
barriers to the success of the
implementation of the clinical
project and plans for
addressing them.
19-20 points
Partially describes one
anticipated barrier to the
success of the implementation
of the clinical project and plans
for addressing same.
17-18 points
Provides a minimal description
of anticipated barriers to the
success of the implementation
of the clinical project and
minimal or missing plans for
addressing them.
16 points
Little or no reference to the
anticipated barriers to the
success of the implementation
of the clinical project and plans
for addressing them.
0-15 points
Benefits
(20 points)
Provides a thorough
description of a minimum of
one benefit to the patient
population and one or more
benefit to the nursing
profession that will result from
carrying out the clinical
project. Provides one or more
scholarly, peer-reviewed
source in support of the
benefit of the plan to the
patient population.
19-20 points
Provides a partial overview of
one benefit to the patient
population and one benefit to
the nursing profession that will
result from carrying out the
clinical project. Provides one
scholarly, peer-reviewed
source in support of the
benefit of the plan to the
patient population.
17-18 points
Provides a minimal overview of
benefit to the patient
population and benefit to the
nursing profession that will
result from carrying out the
clinical project. Provides one
reference for support of the
benefit of the plan to the
patient population.
16 points
Fails to provide an overview of
benefit to the patient
population and to the nursing
profession that will result from
carrying out the clinical
project. Does not provide a
reference in support of the
benefit of the plan to the
patient population.
0-15 points

NR452 CAPSTONE COURSE
NR452 Evidence-based Project Guidelines.docx Revised March 2018 SME-EP/ CIS-LS 9

Participants and
Interdisciplinary
Approach
(20 points)
Provides complete details
identifying all of the parties
who will be involved in the
implementation of the clinical
project. This list includes two
or more members of a
discipline outside of nursing.
Provides a complete
description of the benefit of
including each member from a
discipline outside of nursing to
the success of the project.
Provides a one or more
scholarly, peer-reviewed
source in support of the
success of the plan by
including the healthcare team
member outside of nursing.
19-20 points
Provides partial details
identifying all of the parties
who will be involved in the
implementation of the clinical
project. This list includes at
least one member of a
discipline outside of nursing.
Provides a partial description
of the benefit of including each
member from a discipline
outside of nursing to the
success of the project.
Provides a minimum of one
scholarly, peer-reviewed
source in support of the
success of the plan by
including the healthcare team
member outside of nursing.
17-18 points
Minimally details the parties
who will be involved in the
implementation of the clinical
project. May or may not
include a member of a
discipline outside of nursing.
Provides a minimal description
of the benefit of including each
member from a discipline
outside of nursing to the
success of the project.
Provides one reference in
support of the success of the
plan by including the
healthcare team member
outside of nursing.
16 points
Minimal or missing details of
the parties who will be
involved in the implementation
of the clinical project. Does not
include a member of a
discipline outside of nursing.
Missing a description of the
benefit of including members
from a discipline outside of
nursing to the success of the
project. Does not provide a
reference in support of the
success of the plan by
including the healthcare team
member outside of nursing.
0-15 points
Conclusion
(20 points)
Provides a thorough recap of
the purpose of the plan to
prevent or help to resolve the
clinical issue including a
complete statement describing
why addressing this clinical
problem matters and to whom.
19-20 points
Provides a partial recap of the
purpose of plan to prevent or
help to resolve the clinical
issue including a partial
statement describing why
addressing this clinical problem
matters and to whom.
17-18 points
Partially provides a minimal
recap of the plan to prevent or
help to resolve the clinical
issue including a minimal
statement describing why
addressing this clinical problem
matters and to whom.
16 points
Minimal or missing recap of the
plan to prevent or help to
resolve the clinical issue lacking
a statement describing why
addressing this clinical problem
matters and to whom.
0-15 points

NR452 CAPSTONE COURSE
NR452 Evidence-based Project Guidelines.docx Revised March 2018 SME-EP/ CIS-LS 10

APA 6th edition
Format, Grammar
and Punctuation
(20 points)
APA 6th edition format is used
accurately and consistently in
the paper, on the title page, in
text citations, and/or the
Reference page. No errors in
grammar or punctuation.
19-20 points
APA 6th edition formatting is
used with1-2 errors, on the
title page, in-text citations,
and/or the Reference page.
Less than 2 errors in grammar
or punctuation.
17-18 points
No more than 3-5 errors in
APA 6
th edition formatting in
the paper, on the title page, in
text citations, and the
Reference page. No more than
3-5 errors in grammar or
punctuation.
16 points
More than 5 errors in APA 6th
edition formatting in the
paper, on the title page, in-text
citations, and/or the Reference
page. More than 5 errors in
grammar or punctuation.
0-15 points
Total Points Possible = 200 points

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