NR451 Capstone Project Milestone 1

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary

Types of Nursing Models and Frameworks of EBP (graded)

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?

NR 451 Week 2 Discussion Latest 2017
The Clinical Question (graded)

Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes.

Formulate a significant clinical question 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.
Define meta-analysis,and explain how this relates to evidence -based practice (EBP).
Describe what a research-practice gap is.
NR 451 Week 3 Discussion Latest 2017
Feasibility of Your Design Proposal and Importance of Communication (graded)

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 4 Discussion Latest 2017

Evaluating Quality Patient Outcomes (graded)
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 5 Discussion Latest 2017
Core Competencies for Nurses (graded)

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 6 Discussion Latest 2017

Implementing Change Despite Resistance (graded)
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 Latest 2017

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?

NR 451 Week 8 Discussion Latest 2017

The Future of Affordable, Safe, and Quality Healthcare (graded)
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.

NR451 Week 3 Capstone Project Milestone 1 Latest 2017 March
Capstone Project 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 (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. Practice Issue Worksheet: 1. Read the guidelines including the grading rubrics below. You will use this worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions. i. Your practice issue will be the same for all three Milestone assignments in this course. 1. Please type your answers directly into the worksheet. Evidence Summary Worksheet Directions 1. Evidence Summary Worksheet: 1. Read the guidelines including the grading rubrics below. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment. b. Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must be peer-reviewedand include a narrative summary. i.Go to the Chamberlain Library, click on RNBSN; NR451 Capstone course.You can find systematic reviews from many databases within the library, or by searching from the library homepage main search bar. ii.To search, combine the phrase ‘systematic review’ with your topic using the Boolean search operator AND. For example, if you are looking for a systematic review on fall prevention, you would use this Boolean search phrase: systematic review AND fall prevention. c. Type in your practice issue in the search tab; choose a systematic review article with a narrative summaryto complete your worksheet. 1. Please type your answers directly into the worksheet. 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 What is the Practice Issue? 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: 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. 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.

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary