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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.