Chamberlain College of NursingNR 451RN Capstone Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary 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:
a. 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.
b. Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
2. Evidence Summary Worksheet:
a. 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-reviewed and 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 summary to complete your worksheet.
d. Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent nursing decision.
Describes the scope of practice issues.
Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminatethe falls? This is where you begin your initial search into the problem or practice issue identified.
Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
Identifies and documents types of evidence that must be gathered for review of the Practice Issue.
Describes rationale for each type of evidence that is selected.
Total
75 points
100%
Grading Rubric: Practice Issue
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
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☐
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue isnot an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue isnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points ☐
Documents howthe practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points ☐
Documents howthe practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Types of evidence to gather, rationalefor selections
20 points
Identifies and documents what types of evidence is needed for review.
Thoroughlydescribes rationale for all checked types of evidence selected.
20 points ☐
Identifies and documents what types of evidence is needed for review.
Briefly describesrationale for all checked types of evidence selected.
18 points ☐
Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.
16 points ☐
Does not document more than one type of evidence that is needed for reviewand does not include rationale for selected type of evidence.
8 points ☐
Does not document types of evidence orrationale.
0 points ☐
Total Points Possible = 75 points
Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
10
10%
States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.
Describes practice setting in measureable terms
Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?
Source of evidence
20
20%
Identifies a source of evidence that is a nursing topic that is the subject of a systematic review article.
Identifies search terms.
Provides a complete reference for the systematic review article.
Objectives of the article/Statement of questions
20
20%
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to your practice issue.
Interventions/Main findings summary
30
30%
Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.
Summarizes main findings of the author/s including strength of evidence for each main outcome.
Describes the relevance to the Milestone 2 paper.
Evidence-based solutions and limitations
20
20%
Outlines evidence-based solutions to consider for the capstone project.
Discusses any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project.
Total
100 points
100%
Grading Rubric: Evidence Summary
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
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but notmeasurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet anyobjectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is aSystematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4objectives as above
20 points ☐
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not aSystematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms arenot identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms arenot identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship toown practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☐
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguelysummarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitationsbelieved may impact use in project.
20 points ☐
-Outline of evidence-based solutions beingconsidered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed mostlimitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Total Points Possible = 100 points
NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH
3
This is the guidelines
2017-03-06 00:23Chamberlain College of NursingNR451 RN Capstone Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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 relate to 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 W3 MS1 Practice Issue and Evidence Summary Worksheets 2/16/17 GH
3
Clinical question
“The thoughtful development of a well-structured EBP question is important because the question drives the strategies used to search for evidence”. (Dearholt & Dang, 2012, p.64). My question is: Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support?
P- (Patient, Population)-Congestive Heart Failure Patients
I-(Intervention)-Follow up phone call at 48 and 72 hours post discharge
C-(Comparison with current practice)-No follow up telephone calls for support.
O-(Desired outcome)-Reduce the number of Readmissions
Trio
UncategorizedNursing homework help
UncategorizedEthical Considerations.
Last week, you explored practice problems at the local level. This week, we’ll take that knowledge a step further—you’ll have the opportunity to examine the protection of individuals who volunteer to participate in research studies. What ethical principles are researchers held to as they design a sampling plan that includes recruitment, informed consent, and protection of human subjects throughout the duration of the study, including the dissemination of research study findings? Why is a researcher’s ethical responsibility to human subjects relevant to your exploration of a practice problem? The Office for Human Research Protections (OHRP) provides leadership in the protection of the rights, welfare, and wellbeing of human subjects involved in research conducted or supported by the U.S. Department of Health and Human Services (HHS). I’m sure you’re ready to find answers to these questions, so let’s get started!
Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem (lung cancer) and the eventual research-based intervention you select for your practice change project and address the following.
Instructions:
Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.
• Textbooks are not considered scholarly sources.
• Wikipedia, Wikis, .com website, or blogs should not be used.
*Resources available to support your learning and work in our discussions this week are:
https://www.hhs.gov/ohrp/regulations-and-policy/regulations/common-rule/index.html
http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/Bates-Reducing-Harm-Important-To-Patient-Safety.aspx
https://www.govinfo.gov/content/pkg/CFR-2016-title45-vol1/pdf/CFR-2016-title45-vol1-part46.pdf
https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
U.S. Department of health and Human Services. (2017, October 25). The Belmont report: Basic ethical principles and their application [Video]. YouTube. https://www.youtube.com/watch?v=M6AKIIhoFn4&feature=youtu.be
Resnik, D. B. (2020, August 25). National Institute of Environmental Health Sciences: Research ethics timeline (1932-Present). https://www.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm (Links to an external site.)
Centers for Disease Control and Prevention. (2016). U.S. public health service syphilis study at Tuskegee. http://www.cdc.gov/tuskegee/timeline.ht
Dang, D., & Dearholt, S. (2018). Johns Hopkins nursing evidence-based practice model and guidelines (3rd ed.). Sigma Theta Tau International.
U.S. Department of Health & Human Services. (n.d.). Human subjects research. http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.html
Sociology homework help
UncategorizedBased on a careful reading of select “public sociology” case studies provided in your course textbook, develop a 500-700-word review and critique of the case study:
___________________________________________________________________________
Case Study Critical Review 2
Case Study 2.1 OR Case Study 3.1 in the textbook.
Next, for this review (500-750 words), address the following questions in your review of the selected case study. Cite three to five scholarly sources to support your answers:
1. What was the social problem/issue the study and/or initiative was intended to address? Do you think the project scope and design was well suited to better understand and address the issue? Explain.
2. Describe the grassroots nature of the case study/project. How did the project come about? What were opportunities and/or challenges experienced in various stages of the project? How effectively did researchers address project opportunities and challenges?
3. What did project planners do to create active connections between stakeholders (i.e. those affected by—or those in a position to influence—the identified community problem). In your view, what were the strengths and/or limitations of the approach taken to build active community connections between stakeholders?
4. Briefly summarize lessons learned by those involved with the project. Provide an example of one lesson that could be directly applied to your proposed action research project.
I UPLOADED THE ARTICLE CASE STUDY 2.1 IN SECTIONS AS SCREENSHOTS, IT DID NOT ALLOW ME TO SAVE IT AS A COMPLETE FILE. SO SORRY. THEY ARE IN ORDER FROM 1-26. I HOPE I CAN GET THE HELP NEEDED. THANK YOU!
Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.
Nursing Essay Help- Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
- Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
- Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
- Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.
- Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.
To complete: Write a 4- to 5-page paper (page count does not include title and reference page) that addresses the following:- Identify a problem, inefficiency, or issue within a specific department/unit.
- Describe a specific, realistic change that could be made to address the issue.
- Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
- Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
- Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
- Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references>Psychology homework help
UncategorizedFinal Project, Part II: Evaluate a Quantitative Study
For Part II of your final project, you will comprehensively evaluate an article of your choice that reports on a quantitative study. (Remember, a quantitative study uses numbers as data.) Locate an article in the professional literature that addresses a topic you are interested in. Remember to use the Area of Interest interactive (Links to an external site.) to guide you in the selection process. The article you select should describe a quantitative study and should have all or most of the expected sections, either with their own headings or embedded in the article: Introduction, Literature Review, Methods, Results, and Discussion.
In writing your evaluation of the article, you will use Section 5.7 in your text. Do not simply tell what is in the article, but evaluate it using the questions in your text. Explain and justify your evaluation based on specific examples from the article.
Your paper should be 2100-2800 words in length (not counting the title, abstract, and reference pages) and comprehensively evaluate an article of a quantitative study. Use proper APA formatting and good writing and organization in your evaluation paper.
The following questions may help you in evaluating your articles, though you do not have to follow this format exactly.
In addition to your 2100-2800 word paper, upload a PDF copy of the article to the Dropbox.
>Education homework help
UncategorizedAssignment #1 – Research
Find the answers to the following questions.
Assignment #2 – Five Paragraph Essay
After completing the research and preparing your presentation, you have all the materials necessary to create a five-paragraph essay about your composer. Please organize your essay in the following manner.
Material in this paragraph should come from your research to questions 1 – 3 in Assignment #1. Be sure to introduce the information you will be sharing in the body of your essay.
This paragraph should cover the personal life of your composer. Using your responses to questions 4 – 11, create a quality overview of your composer’ life.
This paragraph will cover the musical works of your composer. Your responses to question 12 will give you the material to create this paragraph.
This paragraph will discuss the lasting contribution your composer made to music history and why they are remembered still today. Your response to question 13 will be the basis for this paragraph.
This paragraph will summarize the ideas you have presented in your essay. You may or may not to choose the ideas you created in response to questions 14 and 15.
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PERSONAL LEADERSHIP IN NURSING
Nursing HomeworksPERSONAL LEADERSHIP IN NURSING
ASSIGNMENT
In this written assignment, you will clarify your current beliefs about leadership in nursing and you will critically analyze the fit between your current beliefs and the literature. The 1st part is about your own values and beliefs, so it is very personal but then you need to situate it within the literature to demonstrate how you fit or do not fit with the literature.
The 2nd part is much broader and is about your ideal vision related to leadership in nursing as a profession.
The 3rd part is about what you think you yourself should be doing in order to live out your values/beliefs about leadership within the context of your vision for nursing. For example, as an educator who believes in the importance of facilitating a student’s growth might also talk a little about how the current systems constrain me from meeting my goals.
Remember to relate all of your reflections to the literature, even though you will be writing about your personal beliefs and so on. It is expected that you use the literature from course materials, but additional new material should also be sought.
Your personal paper about leadership should be no more than 5 typed pages double-spaced (excluding cover sheet and references) and must follow APA format, including a cover page and judicious use of headings. Please become familiar with the APA materials that I have posted on Moodle and use them to ensure you follow correct APA style. The APA folder within the Introduction folder even contains an example cover page and first page that you could use as the template for how to format your assignment. The references within this course are in APA
format and I recommend you use them as your template for references. I prefer that you single space your references, similar to the format in this course outline, as it saves space and pages.
Depth of analysis is essential, so be careful to explore each area. Your grade will reflect the extent to which you meet the following criteria:
Level of critical reflection in how you describe your values and beliefs related to leadership in nursing, i.e., what is important to you when nursing with persons you are leading, and relate to the literature
.
Level of critical reflection in how you describe your vision related to leadership in nursing,i.e., what you envision the practice of leadership in nursing should be, and relate to the literature.
Level of critical reflection in how you describe your mandate as a nurse in the context of leading, i.e., your personal policy or course of action in providing and promoting nursing leadership, and relate to the literature.
Coherence, flow, and clarity of paper; relevant and accurate use of headings; accurate citation of references according to APA; follows APA format, e.g., running head, spacing
between sentences, etc.
include reference page and one of the article you use to write this paper
Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support?
UncategorizedChamberlain College of NursingNR 451RN Capstone Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary 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:
a. 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.
b. Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
2. Evidence Summary Worksheet:
a. 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-reviewed and 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 summary to complete your worksheet.
d. Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent nursing decision.
Describes the scope of practice issues.
Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminatethe falls? This is where you begin your initial search into the problem or practice issue identified.
Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
Identifies and documents types of evidence that must be gathered for review of the Practice Issue.
Describes rationale for each type of evidence that is selected.
Total
75 points
100%
Grading Rubric: Practice Issue
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
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☐
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing practice issue.
Practice Issue isnot an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
Practice Issue isnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points ☐
Documents howthe practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points ☐
Documents howthe practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 points ☐
Types of evidence to gather, rationalefor selections
20 points
Identifies and documents what types of evidence is needed for review.
Thoroughlydescribes rationale for all checked types of evidence selected.
20 points ☐
Identifies and documents what types of evidence is needed for review.
Briefly describesrationale for all checked types of evidence selected.
18 points ☐
Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.
16 points ☐
Does not document more than one type of evidence that is needed for reviewand does not include rationale for selected type of evidence.
8 points ☐
Does not document types of evidence orrationale.
0 points ☐
Total Points Possible = 75 points
Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
10
10%
States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.
Describes practice setting in measureable terms
Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?
Source of evidence
20
20%
Identifies a source of evidence that is a nursing topic that is the subject of a systematic review article.
Identifies search terms.
Provides a complete reference for the systematic review article.
Objectives of the article/Statement of questions
20
20%
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to your practice issue.
Interventions/Main findings summary
30
30%
Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.
Summarizes main findings of the author/s including strength of evidence for each main outcome.
Describes the relevance to the Milestone 2 paper.
Evidence-based solutions and limitations
20
20%
Outlines evidence-based solutions to consider for the capstone project.
Discusses any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project.
Total
100 points
100%
Grading Rubric: Evidence Summary
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
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issue is stated in measurable terms.
Met 3 out of 4objectives
9 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4objectives
8 points ☐
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but notmeasurable.
Met only 1 out of 4 objectives
4 points ☐
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet anyobjectives
0 points ☐
Source of evidence
20 points
-Source of evidence is nursing topic.
-Source is aSystematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4objectives as above
20 points ☐
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not aSystematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms arenot identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms arenot identified.
-Reference is missing.
No objectives were met.
0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship toown practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points ☐
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points ☐
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguelysummarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points ☐
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points ☐
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitationsbelieved may impact use in project.
20 points ☐
-Outline of evidence-based solutions beingconsidered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points ☐
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed mostlimitations to the studies performed.
Documents limitations believed may impact use in project.
8 points ☐
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐
Total Points Possible = 100 points
NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH
3
This is the guidelines
2017-03-06 00:23Chamberlain College of NursingNR451 RN Capstone Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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 relate to 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 W3 MS1 Practice Issue and Evidence Summary Worksheets 2/16/17 GH
3
Clinical question
“The thoughtful development of a well-structured EBP question is important because the question drives the strategies used to search for evidence”. (Dearholt & Dang, 2012, p.64). My question is: Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support?
P- (Patient, Population)-Congestive Heart Failure Patients
I-(Intervention)-Follow up phone call at 48 and 72 hours post discharge
C-(Comparison with current practice)-No follow up telephone calls for support.
O-(Desired outcome)-Reduce the number of Readmissions
TRAINING DIAGNOSTIC
UncategorizedWhich learning approach suits you best when retaining knowledge cognitive or behavioral? (I think both.) Explain your choice? Also how did Covid-19 pandemic impact how training is delivered? Has it changed? What training delivery methods are being utilized for learning?
Describe at least two examples of how EBP scholarship is demonstrated
Nursing HomeworksEssay – Scholarship of Evidence-based Practice
Describe at least two examples of how EBP scholarship is demonstrated either by you personally or by someone in your practice environment. Include in your example descriptions, which type of scholarship the example represents.
ORDER A PLAGIARISM-FREE PAPER NOW
Recall from your lesson that the types of scholarship include (a) discovery, (b) teaching or (c) application and integration. Which type of scholarship do you think that your DNP project will be? Why do you think so?
Further, projects can be categorized into (a) quality improvements, (b) implementing practice guidelines, (c) evaluating practice processes and policy, or (d) examining patterns of behavior.
Essay – Scholarship of Evidence-based Practice
Thinking about these categories of scholarship and project type, how would you describe your potential project? Essay – Scholarship of Evidence-based Practice