Concept Synthesis Paper on Personal Nursing Philosophy
Consider the following questions as you complete your various tasks related to this assignment.
1.
How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2.
What are the major concepts I employ that are unique to my professional practice?
3.
What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4.
How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5.
What research supports these theories and concepts?
6.
How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.
Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.
Grading of the paper will be based on the following:
Grading Criteria:
Maximum Points
Nursing Autobiography
The nursing autobiography included personal experiences in the field of nursing.
8
Provided an account of the current professional role of the student.
8
Included factors that guided decision making.
8
Quality of Essay
Enlisted the four metaparadigms.
8
The essay included a definition of the four metaparadigms of nursing with reference to professional practice.
8
The essay mentioned how the metapardigms were employed in nursing practice.
8
The essay enlisted two practice-specific concepts.
8
The essay included clinical examples for each of the chosen concepts.
8
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material.
8
The essay demonstrated consistency between concepts, assumptions, and clinical application.
8
The essay identified and discussed students’ perspective on two other concepts specific to their practice.
8
The essay included a numbered list of at least 5 propositions or assumptions.
8
The concepts were connected and integrated to reveal a meaningful sequence.
8
The essay demonstrated clarification and organization of the students’ professional foundation.
8
The essay demonstrated evidence of critical thinking in analysis and response.
8
The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted.
8
Essay was well written, well organized, and articulate.
8
Presentation Criteria
The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.)
3
The paper revealed clarity, organization, and articulation of ideas.
3
The paper showed that ideas were well-documented.
3
The paper revealed the breadth of research effort.
2
The paper demonstrated appropriate use of APA format in references and citations.
3
Total
150

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

Advancing Nursing Practice

Why is evidence-based practice (EBP) important to the nursing profession? Discuss how evidence-based practice is being integrated into clinical practice. Provide an example from your nursing practice, experiences, or the literatureWhat are clinical guidelines and why are they important to clinical nursing practice? How do you believe the use of evidence-based practice and clinical guidelines are changing nursing practice? In what ways do patients benefit from the use of EBP? Reply to other students (at least two) and describe your current practice related to their clinical question and evidence-based practice findings/conclusions

Q2

Discussion 5.2: Nursing Home Compare 

Go to the Medicare.gov website (http://www.medicare.gov/) and search under the Quality Care Finder for Nursing Home Compare – type in your zip code (76549)Detail the results you found for 5 nursing facilities in your area and how they compared based on the overall rating, health inspections, staffing, and quality measures. Do you believe this an accurate snapshot comparing facilities in your area? Would this information impact where you might place a loved one if he/she needed skilled nursing care? How do you think this tool would impact quality improvement within nursing facilities?

Risk management and strategic planning paper.The Research Paper is a fifteen- to twenty-page paper (excluding title and references pages) that provides the student the opportunity to investigate a specific topic, apply graduate-level critical thinking to the presentation of the information, and utilize and synthesize appropriate current research for your selected topic. The Research Paper utilizes professional health care knowledge and skills and applies those proficiencies to the context of quality improvement and risk management.Choose one of the following topics for your Research Paper:Design an organizational quality or risk management program to implement; monitor health care outcomes in the setting of your choice that support standards of care principles, outcomes management, and national accreditation such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Committee for Quality Assurance (NCQA), and so forth. Include the role your program plays in the organizational mission, culture, and strategic direction.Analyze the effects of the social, cultural, and political influences in the delivery of health care services as they specifically pertain to quality improvement and risk management to the health care organization and patients served.Identify and discuss the health care professional and stakeholder roles and responsibilities in quality and risk management within a health care delivery system, including organizational mission, vision, goals, and objectives.Analyze health care policy, reimbursement, and regulatory requirements that affect quality and risk management in the delivery of health care within an organizational type of your choice.Identify and assess the legal, ethical, and risk aspects in total quality and risk management; include patient safety and process improvement.Outline statistical methodologies used for data analysis, both internally and externally. Discuss the sources, users, and how statistics are utilized in quality and risk management decision making in outcomes management, patient safety, patient satisfaction, and so forth.Select appropriate strategies for administering the quality improvement and risk-management processes within a health care delivery system.Writing the Research PaperThe Research Paper:Must be fifteen to twenty double-spaced pages in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.Must include a title page with the following:Title of paperStudent’s nameCourse name and numberInstructors nameDate submittedMust include an introductory paragraph with a succinct thesis statement.Must address the topic of the paper with critical thought.Must end with a conclusion that reaffirms your thesis.Must use at least ten scholarly and/or peer-reviewed sources drafted within the last five years, including a minimum of three from the Ashford University Library.Must document all sources in APA style as outlined in the Ashford Writing Center.Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.