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 FIVE 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 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 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.
Grading
Criteria: Design for Change Capstone Project

Category

Points

%

Description

Introduction

25

11%

Introduction to the plan is nursing focused, with evidence-based
problem identification and potential solutions clearly identified.

Change Model Overview

50

22%

Practice issue is identified and is nursing focused. An overview of
the ACE Star model is given. The need for change is evident. Stakeholders are
identified.Practice area, team members and their role are identified
and discussed. Scope of the problem is identified.State
how nurses should use this model as a guide to facilitate change.

Evidence

50

22%

Evidence is provided thru basic information that indicates a change is
needed. For example, there have been 6 urinary tract infections over the last
two months and there were none present the last two years at the same time
period. What are some of the evidence-based interventions you discovered in
your Evidence Summary that do you plan to use?

Translation

50

22%

Activities to achieve the final steps of change are fully described.
What is needed to achieve. How do you translate what information you have
gathered into practice? How do you inform staff? What is your plan of action
to pilot the plan? What is the timeline?

Conclusion

25

11%

Clear, solid summary summarizing the key points and steps of the
change plan is included; ways to sustain the change plan are described.

APA Format

25

11%

Minimal errors.

Total

225 points

100%

Grading Rubric: Capstone Project
Milestone 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

Introduction
25
points

Introduction to the plan is nursing focused, and evidence-based. Potential
interventions clearly identified.
25
points ?

Introduction to the plan is nursing focused, and evidence-based
solutions identified but not clear.
22
points ?

Introduction to the plan is provided; however, the plan is not nursing
focused and evidence-based solutions are not convincing.
20
points ?

Introduction lacks evidence to support need for change and/or
potential solution is not evidenced-based.
10
points ?

Introduction is missing.
0
points ?

Change Model
Overview
50
points

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is
present.
Stakeholders are identified.Practice area, team
members and role are discussed.
Scope
of problem is identified.
50
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are identified.Practice area, team
members and role are discussed.
Scope
of problem is identified.
44
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are not identified.Practice
area, team members and role are discussed but without detail.
Scope
of problem is identified.
40
points ?

Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not
present.
Stakeholders are not identified.Practice
area, team members and role are not discussed.
Scope
of problem is identified.
19
points ?

Change Model Overview is missing
0
points ?

Evidence
50
points

Evidence is thoroughly provided thru basic information of the current
problem in the work setting indicating a change is needed.
Interventions discovered in Evidence Summary are used in planning for
change.
50
points ?

Evidence is briefly provided thru basic information of the current
problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in
planning for change.
44
points ?

Evidence is vaguely provided thru basic information of the current
problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in
planning for change.
40
points ?

Evidence is provided thru basic nformation of the current problem but
is not convincing.
Interventions discovered in Evidence Summary are not used in planning
for change.
19
points ?

Evidence is not provided thru basic information of the current
problem; there is no indication of change; there no interventions listed from
the Evidence Summary.
0
points ?

Translation
50
points

Activities to achieve final steps of change are fully described.
Ways to translate evidence into practice is discussed.
Methods to inform staff, activities planned for plan of action and
timeline are discussed.
50
points ?

Activities to achieve final steps of change are fully described.
How to translate evidence into practice is discussed but is not clear.

Methods to inform staff, activities planned for plan of action and
timeline are discussed.
44
points ?

Activities to achieve final steps of change are fully described.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but
timeline is not mentioned.
40
points ?

Activities to achieve final steps of change are described but not in
detail.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but
timeline is not mentioned.
19
points ?

Activities for final change plan is missing.
Translation of evidence into practice is missing.
0
points ?

Conclusion
25
points

Detailed summary of main points.
Ways to sustain plan are thoroughly described.
25 points
?

Summary of main points is brief.
Ways to sustain plan are briefly described.
22
points ?

Summary of main points is vague.
Ways to sustain plan are vaguely described.
20
points ?

Summary of main points is vague.
Ways to sustain change are not described.
10
points ?

Summary is missing.
There is no plan to sustain change.
0
points ?

APA formatting,
scholarly writing
25
points

APA format sixth edition.
Grammar, sentence structure, punctuation, and spelling correct.
References, citations correct.
Paper formatted in APA format.
No errors to one error.
25
points ?

Two to three errors.
22
points ?

Four to five errors.
20
points ?

Six to seven errors.
10
points ?

More than seven errors.
0
points ?

Total Points

Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.
Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.
Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
Note: Wikipedia and other websites do not qualify as quality academic resources. 

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Library Assignment

Critique a Research Article

A critique is a method of displaying a logical and organized analysis of a written or oral piece. Critique can provide the readers with both positive and negative outcomes depending on the author. The purpose of this assignment is for the student to perform a critique on a research article that deals with today’s health issues. In this paper the student must be diligent at what the author are claiming, taking into account the research methods being utilized and look for pros and cons of the researcher’s outcomes.

The assignment must be a minimal of five pages, excluding title page and references. The assignment must be strictly following APA guidelines, points will be deducted if otherwise. Do not use first person throughout the paper until the section called evaluate the paper.  It will be divided in the following manner:

                Title page: Give the name of the article, the authors name(s) and your name. Following APPA

                Introduction:

·         Provide an overview of the author’s research problem, research questions and main point including how the author supports his or her point.

·         Explain what the author initial          objectives (hypothesis) and results including the process he or she used to arrive at such conclusion.

Evaluate the Research Methods: in paragraph form answer the following:

·         Does the author provide a literature review?

·         Is the research current and relevant to today existing health issues?

·         Describe the research type utilized?– experimental, non-experimental, quasi experimental, etc.

·         Evaluate the sample (size, composition, or in the way the sample was selected in relation to the purpose of the study? Was the sample appropriate for the research or was it bias?

·          How practicaldoes this work seem to you? How does the author suggest research results could be applied and how do youbelieve they could be applied?

·          Could the study have been improved in your opinion? If so provide how you think it could have improved.

·          Is the writing in the article clear straightforward?

·          Can further research be conducted on this subject? Explain

Conclusion: In your conclusion, try to synthesize the pieces of your critique to emphasize your own main points about the author’s work, relating the researcher’s work to your own knowledge or to topics being discussed in your course.

Reference Page: APA style, see rubric below