16 Jun SOLUTIONS OUTLINE OF EVIDENCE-BASED SOLUTIONS CONSIDERED FOR PROJECT IS DOCUMENTED AND CLEAR.
Practice Issue and EvidenceSummary Guidelines
CapstoneProject Milestone 1Practice Issue and EvidenceSummary GuidelinesPurposeClear 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 OutcomesThis 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 DatesMilestone #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.PointsMilestone #1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).Practice Issue Worksheet DirectionsPractice Issue Worksheet:
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.Please type your answers directly into the worksheet.
Evidence Summary Worksheet DirectionsEvidence Summary Worksheet:
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.Please type your answers directly into the worksheet.
Grading Criteria: Practice issueCategoryPoints%DescriptionPracticeissue statement scope of practice practice area2027%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 lessenor eliminatethe falls Thisis where you begin your initial searchinto the problem or practice issue identified.Identifies the practice area.Practice issue identification rationale for selections3546%Identifies how rationale behind how the practice issue was selectedas a practice issue/problemDocuments the practice issue in a logical manner.Types of evidence to gather rationale for selections2027%Identifies and documents types of evidence that must be gathered for review of the Practice Issue.Describesrationale for each type of evidence that is selected.Total75 points100%Grading Rubric: Practice IssueAssignment CriteriaA (100%)ExceptionalOutstanding or highest level of performanceB (88%)ExceedsVery good or high level of performanceC (80%)MeetsCompetent or satisfactory level of performanceNI (38%)Needs ImprovementPoor or failing level of performanceF (0%)DevelopingUnsatisfactory level of performancePracticeissue statement scope of practice practice area20 pointsPractice 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 Issueis not an independent nursing decision.Scope of practice issue is not described.Practice area identified.8 points Practice Issueisnot 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 selections35 pointsDocuments how the practice issue was identified.Rationale for responses islogical anddescribed thoroughly.35 points Documents how the practice issue was identified.Rationale for responses islogical and brieflydescribed.33 points Documents how the 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 is somewhat logical and vaguely described.15 points Does not document how the practice issuewas identified.Rationale is not completed.This section of the form is blank.0 points Types of evidence to gather rationale for selections20 pointsIdentifies 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 describes rationale 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 neededfor reviewand does not include rationale for selected type of evidence.8 points Does not document types of evidenceor rationale.0 points Total Points Possible = 75 pointsGrading Criteria: Evidence SummaryCategoryPoints%DescriptionPractice Problem1010%States practice problem in own words with reference to the population setting and magnitude and in measurable terms.Describes practice setting in measureable termsExample: 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 evidence2020%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 questions2020%Identifies the objectives of the article.Identifies questions being addressed by author/s.Explains relationship to your practice issue.Interventions/Main findingssummary3030%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 limitations2020%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.Total100 points100%Grading Rubric: Evidence SummaryAssignment CriteriaA (100%)ExceptionalOutstanding or highest level of performanceB (88%)ExceedsVery good or high level of performanceC (80%)MeetsCompetent or satisfactory level of performanceNI (38%)Needs ImprovementPoor or failing level of performanceF (0%)DevelopingUnsatisfactory level of performancePractice Problem10 points-Practice problem is in own words with reference to the population of interest.-Setting of the problem is identified-Magnitudeof problem is discussed.-The practice issue is stated in measurable terms.Met all objectives as stated above10 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 4 objectives9 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 4 objectives8 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 not measurable.Met only 1 out of 4 objectives4 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 any objectives0 points Source of evidence20 points-Source of evidence is nursing topic.-Source is a Systematic Review article.-Search terms are identified.-Complete reference is given for Systematic Review article.Metall 4 objectives as above20 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 4 objectives18 points -Source of evidence is nursing topic.-Source isnot a Systematic Review article.-Search terms are identified.-Complete reference is not given for Systematic Review article.Met only 2 out of 2 objectives16 points -Source of evidence is not nursing topic.-Source is a Systematic Review article.-Search terms are not identified.-Complete reference is not given for Systematic Review article.Met only 1 out of 4 objectives8 points -Source of evidence is not nursing topic or Systematic Review article.-Search terms are not identified.-Reference is missing.No objectives were met.0 points Objectives of the article/ Statement of questions20 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 to own practice is not identified.0 points Interventions/ Main findings summary30 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 limitations20 points-Outline of evidence-based solutions considered for project is documented and clear.Discussed any limitations to the studies performed.Documents limitations believed may impact use in project.20 points -Outline of evidence-based solutions being considered 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 consideredfor 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 most limitations to the studies performed.Documents limitations believed may impact use in project.8 points -Outline of evidence-based solutions limitationsof studies and potential impact to project is missing.0
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