Question Capstone Project Milestone #1:

14 Jun Question Capstone Project Milestone #1:

Posted at 23:44h in 1Academic Level by Past Papers

Question

Capstone Project Milestone #1:

PICO and Evidence Appraisal Guidelines

Purpose

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This first milestone offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the milestone will include identification of the problem or concern using the PICO format and an evidence appraisal to find evidence to support an intervention that will change the outcomes.

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 Date

Milestone #1 consists of the completion of one worksheet that contains two parts (i.e., the PICO worksheet and the evidence appraisal worksheet). Submit the file with the two worksheets completed to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 2.

Points

Milestone #1 is worth 175 points (75 points for the PICO worksheet and 100 points for the evidence appraisal worksheet).

Directions

1. Read this document including the grading rubrics below.

2. Download the PICO/Evidence Appraisal worksheets form from Doc Sharing. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve. Completion of PICO worksheet will offer a tool for your literature search.

3. For the evidence appraisal worksheet, find AT LEAST FOURsources to support the need for change and the potential intervention you have selected to solve the problem. Three of these sources must be peer-reviewed articles while one can be a reliable professional source.

4. Submit the completed PICO/Evidence Appraisal worksheet to the Week 2 Dropbox.

Grading Criteria: PICO

Category

Points

Description

Article Selection

30%

Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is properly identified. References are listed in APA format.

Strength of Research

20%

Strength of the research is listed as High, Good, or Low/Major Flaw. Reasons why the rating was given is clearly discussed and logical.

Description of Research

50%

Description of the research is thorough and detailed. Summary was given in own words. Results of the study were summarized with the application to the project noted. Recommendations for clinical practice were discussed.

Total

100 points

100%

Grading Rubric: Evidence Appraisal

Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor or Failing or Unsatisfactory Level of Performance

F (0–75%)

Total

Article Selection

30 points

28–30 points

Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is not properly identified. References are listed in APA format.

25–27 points

23–24 points

Less than three articles are peer-reviewed research. Other source is not scholarly or appropriate for the change project. Type of source is not properly identified. References have multiple errors in APA format.

0–22 points

/30

Strength of Research

20 points

Strength of the research is listed as High, Good, or Low/Major Flaw. Reasons why the rating was given is clearly discussed and logical.

19–20 points

Strength of the research is listed as High, Good, or Low/Major Flaw. Reason why the rating was given is documented but is not logical.

17–18 points

Strength of the research is listed as High, Good, or Low/Major Flaw. Reason why the rating was given is vague or absent.

15–16 points

Strength of the research is not listed as High, Good, or Low/Major Flaw. Reason why the rating was given is vague or absent.

0–14 points

/20

Description of Research

50 points

46–50 points

Description of the research is thorough and detailed. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were discussed.

42–45 points

Description of the research is vague. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were not discussed.

38–41 points

Description of the research is vague. Summary was not in own words but rather quotes from the source. Results of the study may not be listed. Recommendations for clinical practice were not discussed.

0–37 points

/50

Total Points

/100

Capstone Project Milestone #1:

PICO and Evidence Appraisal Worksheets

PICO Worksheet

Your Name:

Date:

Your Instructor’s Name:

Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project.

Directions: Use the form below to complete the PICO assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO elements.

Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICO question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICO question.

Step 2: Identify the problem. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICO question)

Step 3: How was the practice issues identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.

Step 4: What evidence must be gathered? Everyone should have a literature search. However, what other sources of reliable information will be helpful for your particular question?

Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? What databases will you search? How will you narrow your search if needed?

PICO Worksheet

What is the PICO question?____________________________________________________________

Define each element of the question below:

P- (Patient, population, or problem):

I- (Intervention):

C- (Comparison with other treatment/current practice):

O- (Desired outcome):

What is the practice issue/problem?

What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other

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:

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

Search terms:

Databases to search:

Search Strategies:

Evidence Appraisal Worksheet

Your Name:

Date:

Your Instructor’s Name:

Purpose: To find evidence to support an intervention that will change the outcomes.

Directions: Type your search question below. Find AT LEAST FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. At least three of your sources must be peer-reviewed articles. The forth source could be another peer-reviewed article or a reliable, credible source. Look in your text for ideas of other sources that can be used. Using the table below, insert and describe your four chosen resources.

Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual.

Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article. You need at least three peer-reviewed articles for your project. If your article is a non–research source, then you will need to list what type of source it is; systematic review, clinical practice guidelines, organizational experience, or individual expert opinion/case study/literature review. You may only use ONE non-research source.

Step 3: Strength of Research. Refer to page 238-240 for research evidence and page 242-244 for non-research evidence. While you do not need to assign a level for each study, you will assign a quality of evidence (high, good, or low/major flaw) and should discuss the study using some of the elements that are discussed in the appraisal forms. For example, Research evidence: was the sample size adequate? Was there a controlled group? Was it a randomized study? Were results clearly stated? Was the conclusion based on the results? Were study limitations discussed? Not all of these elements need to be discussed, but you should discuss this information to determine if the strength of the evidence is HIGH, GOOD, or LOW/MAJOR FLAW.

Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations?

Evidence Appraisal Worksheet

PICO Question:

APA Reference for Article

Give the APA-formatted reference for the article.

Type of Source

*Research: Peer-reviewed article

*Non-research systematic review, clinical practice guidelines, organizational experience, or expert opinion/case study/literature review

Strength of Research

Discuss the strength of the sources.

Report if evidence is High, Good, or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality.

Brief Description of Research

Address the questions.

*How does the information in the article apply to the project problem or proposed intervention?

*Summarize in your own words.

* Include results of the study and how these results are applicable to your project.

* What is the recommendation of the source for clinical practice?

CAPSTONE PROJECT: MILESTONE #2: DESIGN FOR CHANGE PROPOSAL PAPER (GRADED)
Your Capstone Project Milestone #2: Design for Change Proposal Paper is due Sunday. Guidelines may be found in Doc Sharing.

Your assignment is due by Sunday, end of week, 11:59 p.m. (MT). Submit your assignment to the Dropbox.

Capstone Project Milestone #2:

Design for Change Proposal Guidelines

PURPOSE

You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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.

2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.

3. The paper is to be four- 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 Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012)

i. Practice Question

ii. Evidence

iii. Translation

c. Summary

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 Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question.

Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence.

Change Plan; Translation

(Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question.

Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described.

APA Format 25 11% Minimal errors.

Total 225 points 100%

GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2

Assignment Criteria Outstanding or Highest Level of Performance

A (92–100%) Very Good or High Level of Performance

B (84–91%) Competent or Satisfactory Level of Performance

C (76–83%) Poor, Failing or Unsatisfactory Level of Performance

F (0–75%) Total

Introduction

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

23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing.

21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing.

19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic.

0–18 points /25

Change Plan Practice Question

(Steps 1–5)

50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process:

*Practice question is identified.

*Scope of the problem discussed (including supportive statistics).

*Stakeholders identified.

*Team is identified.

46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process:

*Practice question is identified.

*Scope of the problem discussed (including supportive statistics).

*Stakeholders identified.

*Team is identified.

42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified.

*Practice question is identified.

*Scope of the problem does not contain statistics to support the problem.

*Stakeholders are identified but not appropriate or missing key members.

*Team members are identified but not appropriate or missing key members.

38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent.

0–37 points /50

Change Plan Evidence

(Steps 6–10)

50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified.

*At least four reliable sources are used, three of which are peer-reviewed.

*Summary of evidence is thorough and detailed.

*Strength of evidence is discussed.

*Recommendation for change is based on evidence and is thorough.

46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified.

*At least four reliable sources are used, three of which are peer-reviewed.

*Summary of evidence is vague.

*Strength of evidence is discussed.

*Recommendation for change is based on evidence but connection is vague.

42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified.

*At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague.

*Strength of evidence is not discussed.

*Recommendation for change is present but not weak connection to the evidence.

38–41 points Activities to achieve steps six through ten of change may be missing or absent.

*Less than four reliable sources are used.

*Summary of evidence is not present or missing important elements.

*Strength of evidence is missing.

*Recommendation for change lacks support from evidence.

0–37 points /50

Change Plan Translation

(Steps 11–18)

50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process:

Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan.

*Measurable outcomes and way to report results are discussed in detail.

*Plan for implementation is thoroughly discussed.

*Ways to communicate findings (internally and externally) are discussed.

46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process:

Translation.

*Action plan is developed with specific timeline in but some elements of the timeline are missing.

*Outcomes are present but not measurable. Ways to report results are discussed in detail.

*Plan for implementation is discussed.

*Communication of findings is present but does not address both internal and external ways.

42–45 points Activities to achieve the last steps of change are vague.

*Action plan is developed but timeline is missing.

*Outcomes are vague and not measurable. Ways to report results are discussed but not in detail.

*Plan for implementation is vague.

*Communication of findings is missing.

38–41 points Activities to achieve the last steps of change are vague or missing.

*Action plan is not well-developed or missing.

*Outcomes are vague or not present. Ways to report results are discussed but not in detail.

*Plan for implementation is not present.

*Communication of findings is missing.

0–37 points /50

Summary

25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described.

23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail.

21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear.

19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent.

0–18 points /25

APA formatting, scholarly writing

25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error.

23–25 points Two to three errors.

21–22 points Four to five errors.

19–20 points Multiple errors

0–18 points /25

Total Points /225

Reference:

Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.

Title

Your Name

Chamberlain College of Nursing

NR451 RN Capstone Course

Term and Year

Your title here

This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person.

Change Model Overview

In this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link y

.our identified topic to the John Hopkins EBP Process.

Practice Question

Step 1: Recruit Interprofessional Team

You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc)

Step 2: Develop and Refine the EBP Question

Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format.

Step 3: Define the Scope of the EBP

Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale?

Steps 4 and 5: Determine Responsibility of Team Members

Why are the members chosen important to your project? What are their roles?

Evidence

Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence

What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps.

Steps 8 and 9: Summarize the Evidence

Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use.

In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. You should avoid one paragraph for each of the sources.

Step 10: Develop Recommendations for Change Based on Evidence

What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program.

Translation

Steps 11, 12, and 13, 14: Action Plan

You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results.

Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes

What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?

Steps 17: Identify Next Steps

How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent?

Step 18: Disseminate Findings

How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?

Conclusion

Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.

References

CAPSTONE PROJECT: MILESTONE #3: EDUCATING THE STAFF (GRADED)
Capstone Project Milestone #3: Educating the Staff PowerPoint assignment is due by Sunday, 11:59 p.m. (MT). Guidelines for this milestone may be found in Doc Sharing.

Submit the assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read thesestep-by-step instructions.

See the Syllabus section “Due Dates for Assignments & Exams” for due date information.

Capstone Project Milestone #3:
Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)

CO7:Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)

Due Date

Milestone #3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

Milestone #3 is worth 225 points.

Directions

1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.

2. The format for this proposal will be a PowerPoint presentation.

3. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

4. Below are the topics for the slides:

a. Title slide

b. Description of the change model used

c. PICO question—include the elements

d. Scope of the problem—use statistics

e. Your team/stakeholders

f. Evidence to support your need for change—from research

g. Action Plan

h. Timeline for the plan

i. The nurses role and responsibility in the pilot program

j. Procedure

k. Forms that will be used (if applicable)

l. Resources available to the staff—including yourself

m. Summary

n. References

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. 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 choose peer-reviewed journals and credible websites.

Guidelines

· Application: Use Microsoft PowerPoint 2010.

· Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).

· Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.

· Late Submission: See the course policy on late submissions.

· Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this project.

1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs.

2. Be creative, but realistic with your intervention and evaluation tool.

3. Incorporate graphics, clip art, or photographs to increase interest.

4. Review directions thoroughly.

5. Cite all sources within the slide show with in-text citations, as well as a reference page.

6. Proofread prior to final submission.

7. Spell check for spelling and grammar errors prior to final submission.

8. Abide by the Chamberlain College of Nursing academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change

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