NR 451 Week 3 Capstone Project

NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

(Promoting Breastfeeding)

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

Directions: NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

Refer to the guidelines for specific details on how to complete this assignment.
Type your answers directly into the worksheets below.
Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
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

What is the Practice Issue?

Define the scope of the Practice Issue:

What is the practice area?
_✔__ ___

___
(list)_________________________________
How was the practice issue identified?
___
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply)
Describe the rationale for your checked selections:

NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

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:

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article.

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.

Grading Rubric: NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

Assignment Criteria	A (100%) Exceptional Outstanding or highest level of performance	B (88%) Exceeds Very good or high level of performance	C (80%) Meets Competent or satisfactory level of performance	NI (38%) Needs Improvement Poor or failing level of performance	F (0%) Developing Unsatisfactory level of performance
The Problem 30 points	Summary of change model and Practice issued addressed Statistical information as it relates to work area,scope of problem to healthcare as a whole, discussed. Team, stakeholders and role/reason chosen is discussed and is logical. 30 points ☐	Summary of change model and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed. Team, stakeholders and their role/reason chosen is discussed and is logical. 26 points ☐	Summary of change model discussed and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed minimally. Team, stakeholders and their role/reason chosen discussed and is logical. 24 points ☐	Summary of change model is not discussed however, Practice issued is addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed Team and stakeholders stated butrole/ reason chosen is not discussed. 11 points ☐	None of the elements were present. 0 points ☐
The Evidence 35 points	Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 35 points ☐	Discussion of the evidence is done in terms of themes. Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 31 points ☐	Discussion of the evidence is done in terms of individual authors within the article. Pertinent information is not summarized. Sources listed individually but as an Evidence Summary synthesized into concepts discovered. 28 points ☐	Discussion of the evidence is done in terms individual authors. Pertinent information is not summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 13 points ☐	There is no discussion of the evidence. 0 points ☐
The Plan 35 points	Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate. 35 points ☐	Plan of action described but not all important elements included. OR Timeline is present but doesn’t contain all elements. 31 points ☐	Plan of action described but not all important elements included AND Timeline is present but doesn’t contain all elements. 28 points ☐	Plan of action is present but not logical and is incomplete. The timeline is not appropriate or logical. 13 points ☐	Plan of action is not present. The timeline is not present. 0 points ☐
The Nurse’s Role 25 points	The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise. 25 points ☐	The nurses’ role is described but not clear. OR Procedures are discussed but not clear. 22 points ☐	The nurses’ role is described but not clear. AND Procedures are discussed but not clear. 20 points ☐	The nurse’s roles are not appropriate. Procedures are not clearly written and are incomplete. 10 points ☐	Nurses’ roles are absent. Procedures are absent. 0 points ☐
Resources 20 points	Form for tracking outcomes during pilot study is included. Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included. 20 points ☐	Form for tracking outcomes included. At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project. 18 points ☐	Form for tracking outcomes included but was not well-developed. At least two resources are included but are not included for the duration of the project. 16 points ☐	Form for tracking outcomes is poorly developed. Only one resource is listed. 8 points ☐	Form for tracking outcomes is absent No appropriate resources are listed. 0 points ☐
Summary 10 points	Summary slide reiterates the problem and purpose of the plan along with the measurable goals. 10 points ☐	Summary slide reiterates the problem AND purpose. Goals are stated but are not referenced in terms of success. 9 points ☐	Summary slide reiterates the problem OR the purpose, but not both. Goals are stated. 8 points ☐	Summary slide reiterates the problem OR the purpose, but not both. Goals are not mentioned. 4 points ☐	Summary slide is not shown. 0 points ☐
Overall presentation 20 points	Presentation is presented in a clear and logical manner. PowerPoint is appealing and includes creativity. Font is easy to read. 20 points ☐	Presentation is accurate and covers most elements. 18 points ☐	Presentation content is accurate and can be followed, but it lacks flow and creativity. 16 points ☐	Presentation lacks organization. Creativity is difficult to follow. 8 points ☐	Presentation lacks any attempt at organization and comes across as chaotic. 0 points ☐
Mechanics 25 points	Includes title slide.Grammar, punctuation, and sentence structure are correct. References properly cited within the presentation. Reference slide includes all citations within the PowerPoint presentation. Evidence of spell and grammar check. 25 points ☐	Title slide is incomplete. Minimal errors in grammar, punctuation, and/or sentence structure noted. References are present, with minimal errors in format within the PowerPoint presentation. Citations are present but not correct format. 22 points ☐	Missing title slide Multiple grammar and punctuation errors noted. References do not include all citations within the PowerPoint presentation. 20 points ☐	The title slide is missing. The references are improperly formatted and are incomplete within the PowerPoint presentation. Errors in spelling and grammar are evident. 10 points ☐	Title slide and citations are missing. References are missing. No evidence of proof-reading prior to submitting assignment. 0 points ☐
Total Possible Points = 200 points:

NR451

Week 5 Discussion: Core Competencies for Nurses

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.

NR 451 Week 3 Discussion: Feasibility of Your Design Proposal and Importance of Communication

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?

NR 451 Week 8 Discussion: The Future of Affordable, Safe, and Quality Healthcare

The Future of Affordable, Safe, and Quality Healthcare

What does the following statement mean to you?

In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.

NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

(Chlorhexidine Pre-Operatively)

Create a proposal for your Design for Change Capstone Project. 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.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
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.

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

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.
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 required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

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.

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NR 451 Week 4 Assignment 2: Capstone Project Milestone 2 – Design for Change Proposal Paper Set 2

(Promoting Breastfeeding)

NR 451 Week 4 Discussion: Evaluating Quality Patient Outcomes

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?

NR 451 Week 6 Capstone Project Milestone 3 Educating Staff – Implementing Change Guidelines Purpose Set 1

(Chlorhexidine Pre-Operatively)

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.

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.
The format for this proposal will be a PowerPoint presentation.
The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

Below are the topics for the slides:

a. Title slide
b. Description of the change model used
c. PICO question—include the elements
d. Scope of the problem—use statistics
e. Your team/stakeholders
f. Evidence to support your need for change—from research
g. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References
Citations and References must be includedg. Action Plan
h. Timeline for the plan
i. The nurses role and responsibility in the pilot program
j. Procedure
k. Forms that will be used (if applicable)
l. Resources available to the staff—including yourself
m. Summary
n. References

5. 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.

NR 451 Week 6 Discussion: Implementing Change Despite Resistance

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.

NR 451 Week 7 Discussion

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?

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NR 451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Set 2

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NR 451 Week 3 Capstone Project