Week 3 Capstone
Project: Milestone 1

CapstoneProject Milestone 1:

Practice Issue and EvidenceSummary 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;
the 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. Locate
the list of systematic reviews in Course Resources. Choose the ONE systematic
topic that of most interest to you, or most relevant to your practice
situation.

2. Follow
the grading criteria below to formulate your practice issue, which must be
based on the topic of the systematic review you have selected.

3. Use the
worksheet found in Course Resources to document the practice issue presented
and approved by your instructor in the Week 2 Discussions.

4. Your
practice issue will be the same for all three Milestone assignments in this
course.

5. Please
type your answers directly into the worksheet.

EVIDENCE SUMMARY WORKSHEET DIRECTIONS

1. Develop
an evidence summary by following the grading criteria below.

2. Document
this on the evidence summary portion of the worksheet, which may be found in
Course Resources.

3. You will
use this worksheet to incorporate your evidence summary into your Week 4
Milestone 2 assignment.

CapstoneProject Milestone 1:

Practice Issue and EvidenceSummaryWorksheets

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

List the topic and include the citation for the systematic
review you have selected:

What is the practice issue you have identified related to
the topic you have chosen?

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:

Type the complete APA reference for the systematic review
article you chose from the list provided,It must be relevant to the practice
issue you described above.

Identify the objectives of the article.

Provide a statement of the questions being addressed in the
work and how they relateto 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.

Week 4 Capstone
Project Milestone 2

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 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
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 Referencesmust 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.

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. Remember also that you will keep all the bolded headings and
just remove the non-bolded content when you start your paper.

Change Model Overview

In this first paragraph, provide an overview of the ACE Star
model 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 your identified topic to the ACE Star model
EBP Process.

Define the Scope of the EBP

Restate your practice issue. Why is this a problem? Give
basic statistics and information to back the scope of the problem at your
facility/work area. How does this problem impact healthcare on a broader scale?

Stakeholders

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.).

Determine Responsibility of Team Members

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

Evidence

Conduct internal/external search for evidence. What type of
evidence did you find in addition to you Evidence Summary? EBP guidelines?
Quality improvement data? Position statements? Clinical Practice
Guidelines? 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.

Summarize the Evidence

In this section, you need to synthesize the information from
the systematic review article. What are some of the evidence-based interventions
you discovered in your Evidence Summary that do you plan to use?Be sure and
cite all of your references, in proper APA format, from any and all articles
into this one paragraph.

Develop Recommendations for ChangeBased 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

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.

Process, Outcomes Evaluation and Reporting

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

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?

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 five points of the ACE Star change model EBP process and ways to
maintain the change plan.

Week 6 Capstone
Project Milestone 3

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.

• 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)

• 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 ofWeek 6.

POINTS

Milestone3 is worth 200 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. Tutorial:
For those not familiar with the development of a PowerPoint slideshow, the
following link to the Microsoft website may be helpful.
http://office.microsoft.com/en-us/support/training-FX101782702.aspx The
Chamberlain Student Success Strategies (CCSSS) offers a module on Computer
Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be
found under the Special Courses list in eCollege.

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

5. Below are
the topics for the slides: Bullet (or main points) points on your slides,
please

a. Title
slide

b. Description
of the Ace Star change model that you have used for this project.

c. Practice
Issue

d. Scope of
the problem—use basic statisticsfrom what you know of the problem in your work
area.

e. Your
team/stakeholders

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

g. Action
Plan

h. Timeline
for the plan

i. The
nurse’s role and responsibility in the pilot program

j. Procedure
(what steps are to be taken to complete this change process, from start to
finish?)

k. Forms
that will be used (if applicable)

l. Resources
available to the staff—including yourself

m. Summary

n. References

6. 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
presentation.

1. Be
creative.

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

3. Make easy
to read with short bullet points and large font.

4. Use
speaker notes (found under the section View and “Notes” in the PowerPoint template
you choose. These are for your personal use to use as a reference if you are
giving your presentation to an audience and they help faculty identify what you
will speak to your audience about.

5. Review
directions thoroughly.

6. Cite all
sources within the slides with (author, year) as well as on the Reference
slide.

7. Proofread
prior to final submission.

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

9. Abide by
the Chamberlain academic integrity policy.