Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.PICOT Question Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Research CritiquesIn the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.Refer to "Research Critiques and PICOT Guidelines - Final Draft." Questions under each heading should be addressed as a narrative in the structure of a formal paper.Proposed Evidence-Based Practice ChangeDiscuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.General RequirementsPrepare this assignment according to the APA guidelines found in the AP

There is a long-term care facility in your current community. This hypothetical facility, Royal Haven, has three levels of care: skilled nursing, assisted living and independent living. Knowing what you know about your community, you have agreed to do an external environmental analysis for the facility (identify a location or community with which you are as familiar as the environment of Royal Haven).Address the following Tasks for Royal Haven. Specifically: Task 1: Identify external factors that will likely affect the organization. Task 2: Identify likely key stakeholders.  Task 3: Speculate on important measures for success for the organization.

In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts.Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness.Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:Develop a problem statement for a patient, family, or population that’s relevant to your practice.Begin building a body of evidence that will inform your approach to your practicum.Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 1: Lead people and processes to improve patient, systems, and population outcomes.Define a patient, family, or population health problem that’s relevant to personal and professional practice.Competency 2: Make clinical and operational decisions based upon the best available evidence.Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.Competency 5: Analyze the impact of health policy on quality and cost of care.Explain how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.Competency 7: Implement patient-centered care to improve quality of care and the patient experience.Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem.Competency 8: Integrate professional standards and values into practice.Organize content so ideas flow logically with smooth transitions.Apply APA style and formatting to scholarly writing.PreparationIn this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).To prepare for the assessment, complete the following:Identify the patient, family, or group you want to work with during your practicum The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.In addition, you may wish to complete the following:Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed.Review the Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum.Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.InstructionsComplete this assessment in two parts.Part 1Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.Part 2Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions.RequirementsThe assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.Define a patient, family, or population health problem that’s relevant to your practice.Summarize the problem you’ll explore.Identify the patient, family, or group you intend to work with during your practicum.Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.Explain how you would know if the data are unreliable.Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum.Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.Discuss research on the effectiveness of leadership strategies.Define the role that you anticipate leadership must play in addressing the problem.Describe collaboration and communication strategies that you anticipate will be needed to address the problem.Describe the change management strategies that you anticipate will be required to address the problem.Organize content so ideas flow logically with smooth transitions.Apply APA style and formatting to scholarly writing.Additional RequirementsFormat: Format your paper using APA style. Use the APA Style Paper Template. An APA Style Paper Tutorial is also provided to help you in writing and formatting your paper. Be sure to include:A title page and reference page. An abstract is not required.A running head on all pages.Appropriate section headings.Length: Your paper should be approximately 5–7 pages in length, not including the reference page.Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.