Week 4: Capstone Project: Milestone 2: Design Proposal, assignment help

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How are you doing Henry this is the second part of the Project we did the first part last week.

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.

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Capstone Project Milestone 2: Design for Change Proposal Guidelines Updated 7/23/2017 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. (PO1) 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. (PO2) 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. Rubric Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site.. Points Milestone 2 is worth 225 points. Directions 1. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e (Links to an external site.)Links to an external site. 2. Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone. 3. Create a proposal for your Design for Change Capstone Project. Open the Milestone 2 Design Proposal Template (Links to an external site.)Links to an external site.. Use this to write 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. 4. The format for this proposal will be a paper following the Publication manual of APA 6th edition. 5. The paper is to be four- to six-pages excluding the Title page and Reference page. 6. 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. 7. 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. 8. 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. 9. Submit your paper by 11:59 p.m. MT by Sunday of the end of Week 4. **Academic Integrity Reminder** Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. NOTE: Please use your browser's File setting to save or print this page. Rubric NR451_Milestone2 NR451_Milestone2 Ratings Criteria This criterion is linked to a Learning OutcomeIntroductio n view longer description This criterion is linked to a Learning OutcomeChange Model Overview view longer description This criterion is linked to a Learning OutcomeEvidence view longer description Introduction to the plan is nursing focused, and evidence-based. Potential interventions clearly identified. 25.0 pts Introduction to the plan is nursing focused, and evidence-based solutions identified but not clear 22.0 pts Practice issue is nursing focused. Overview of the ACE Star model is given. Rationale for change is present. Stakeholders are identified. Practice area, team members and role are discussed. Scope of problem is identified. 50.0 pts Practice issue is nursing focused. Overview of the ACE Star model is given. Rationale for change is not present. Stakeholders are identified. Practice area, team members and role are discussed. Scope of problem is identified. 44.0 pts Evidence is thoroughly provided through statistical information of the current problem in the work setting Evidence is briefly provided through statistical information of the current problem in the work setting Pts Introduction to the plan is provided; however, the plan is not nursing focused and evidence-based solutions are not convincing. 20.0 pts Practice issue is nursing focused. Overview of the ACE Star model is given. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are discussed but without detail. Scope of problem is identified. 40.0 pts Evidence is vaguely provided through statistical information of the current problem in the work setting Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based. 10.0 pts Practice issue is nursing focused. Overview of the ACE Star model is given. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed. Scope of problem is identified. 19.0 pts Evidence is provided through statistical information of the current problem but is not convincing. Introduction is missing. 25.0 0.0 pts pt s Change Model Overview is missing 0.0 pts 50.0 pt s Evidence is not provided through 50.0 statistical information s of the current problem; there is no pt NR451_Milestone2 Ratings Criteria This criterion is linked to a Learning OutcomeTranslation view longer description This criterion is linked to a Learning OutcomeConclusion view longer description This criterion is linked to a Learning OutcomeAPA formatting, scholarly writing view longer description Total Points: 225.0 PreviousNext Pts indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change. 50.0 pts indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change. 44.0 pts indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change. 40.0 pts Activities to achieve final steps of change are fully described. Ways to translate evidence into practice is discussed. Methods to inform staff, activities planned for plan of action and timeline are discussed. 50.0 pts Activities to achieve final steps of change are fully described. How to translate evidence into practice is discussed but is not clear. Methods to inform staff, activities planned for plan of action and timeline are discussed. 44.0 pts Activities to achieve final steps of change are fully described. How to translate evidence into practice is not discussed. Methods to inform staff, activities planned for plan of action but timeline is not mentioned. 40.0 pts Activities to achieve final steps of change are described but not in detail. How to translate evidence into practice is not discussed. Methods to inform staff, activities planned for plan of action but timeline is not mentioned. 19.0 pts Summary of main points is brief. Ways to sustain plan are briefly described. 22.0 pts Summary of main points is vague. Ways to sustain plan are vaguely described. 20.0 pts Summary of main points is vague. Ways to sustain change are not described. 10.0 pts Detailed summary of main points. Ways to sustain plan are thoroughly described. 25.0 pts APA format sixth edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. No errors to one error. 25.0 pts Interventions discovered in Evidence Summary are not used in planning for change. 19.0 pts Two to three errors. 22.0 pts Four to five errors. 20.0 pts indication of change; there no interventions listed from the Evidence Summary 0.0 pts Six to seven errors. 10.0 pts Activities for final change plan is missing. Translation of evidence into 50.0 practice is s missing. 0.0 pts Summary is missing. There is no plan to sustain change. 0.0 pts pt 25.0 pt s More than 25.0 seven errors. 0.0 pts s pt Running head: TYPE SHORT TITLE IN ALL CAPS Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year 1 TYPE SHORT TITLE IN ALL CAPS 2 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 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 TYPE SHORT TITLE IN ALL CAPS 3 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 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 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 TYPE SHORT TITLE IN ALL CAPS 4 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. TYPE SHORT TITLE IN ALL CAPS 5 References Chamberlain College of Nursing NR451: RN Capstone Course NR451 Milestone 2: Design for Change Proposal Rubric Criteria Ratings Introduction to the plan is Introduction nursing (Introduction to focused, and the plan is evidencenursing focused, based. with evidencePotential based problem interventions identification and clearly potential identified. solutions clearly 25.0 pts identified.) Change Model Overview (Practice issue is identified and is nursing focused. An overview of the ACE Star model is given. The need for change is evident. Stakeholders are identified. Practice area, team members and their role are identified and discussed. Scope of the problem is identified. State how nurses should use this model as a guide to facilitate change.) Introduction to the plan is nursing focused, and evidencebased solutions identified but not clear 22.0 pts Introduction to the plan is provided; however, the plan is not nursing focused and evidencebased solutions are not convincing. 20.0 pts Pts Introduction Introduction lacks is missing. evidence to 0.0 pts support need for change and/or 25.0 potential pts solution is not evidencedbased. 10.0 pts Practice issue Practice issue Practice issue is nursing is nursing is nursing focused. focused. focused. Overview of Overview of Overview of the ACE Star the ACE Star the ACE Star model is model is model is given. given. given. Rationale for Rationale for Rationale for change is change is not change is not present. present. present. Stakeholders Stakeholders Stakeholders are identified. are identified. are not Practice area, Practice area, identified. team members team members Practice area, and role are and role are team members discussed. discussed. and role are Scope of Scope of discussed but problem is problem is without detail. identified. identified. Scope of 50.0 pts 44.0 pts problem is identified. 40.0 pts NR451 Milestone 2: Design for Change Proposal 7/23/2107 jm Practice issue is nursing focused. Overview of the ACE Star model is given. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed. Scope of problem is identified. 19.0 pts Change Model Overview is missing 0.0 pts 50.0 pts 1 Chamberlain College of Nursing NR451: RN Capstone Course Criteria Evidence (Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?) Ratings Evidence is thoroughly provided through statistical information of the current problem in the work setting indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change. 50.0 pts Evidence is briefly provided through statistical information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change. 44.0 pts Evidence is vaguely provided through statistical information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change. 40.0 pts Evidence is provided through statistical information of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change. 19.0 pts Translation (Activities to achieve the final steps of change are fully described. What is needed to achieve. How do you translate what information you have gathered into practice? How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?) Activities to Activities to achieve final achieve final steps of steps of change are change are fully fully described. described. Ways to How to translate translate evidence into evidence into practice is practice is discussed. discussed but Methods to is not clear. inform staff, Methods to activities inform staff, planned for activities plan of planned for action and plan of timeline are action and discussed. timeline are 50.0 pts discussed. Activities to achieve final steps of change are fully described. How to translate evidence into practice is not discussed. Methods to inform staff, activities planned for plan of action but timeline is not mentioned. 40.0 pts Activities to achieve final steps of change are described but not in detail. How to translate evidence into practice is not discussed. Methods to inform staff, activities planned for plan of action but timeline is not mentioned. 19.0 pts NR451 Milestone 2: Design for Change Proposal 7/23/2107 jm Pts Evidence is not provided through statistical information of the current problem; there is no indication of change; there no 50.0 interventions pts listed from the Evidence Summary 0.0 pts Activities for final change plan is missing. Translation of evidence into practice is missing. 0.0 pts 50.0 pts 2 Chamberlain College of Nursing Criteria NR451: RN Capstone Course Ratings Pts 44.0 pts Conclusion (Clear, solid summary summarizing the key points and steps of the change plan is included; ways to sustain the change plan are described.) Detailed summary of main points. Ways to sustain plan are thoroughly described. 25.0 pts Summary of main points is brief. Ways to sustain plan are briefly described. 22.0 pts Summary of Summary of main points is main points vague. Ways is vague. to sustain Ways to plan are sustain vaguely change are described. not 20.0 pts described. 10.0 pts APA format sixth edition. Grammar, sentence structure, APA formatting, punctuation, and spelling correct. scholarly writing References, citations correct. Paper (Minimal errors.) formatted in APA format. No errors to one error. 25.0 pts Two to three errors. 22.0 pts Four to five errors. 20.0 pts Summary is missing. There is no plan to 25.0 sustain pts change. 0.0 pts Six to seven errors. 10.0 pts More than seven errors. 0.0 pts 25.0 pts Total Points: 225.0 NR451 Milestone 2: Design for Change Proposal 7/23/2107 jm 3
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Promotion of Breastfeeding - Outline
Thesis Statement: The number of breastfeeding mothers is low and this affects the health of the
babies where there are increased risks that necessitate for the improvement of the awareness of
the community on the breastfeeding needs.
I.

Change Model Overview
A. Protection of infants
B. Health systems
C. Nurses in enhancing education
D. Education evaluation

II.

Evidence
A. Exclusive breastfeeding
B. Nutrition

III.

Translation
A. Improvement rates
B. Determination of challenges
C. Sustainability


Running head: PROMOTION OF BREASTFEEDING

Promotion of Breastfeeding
Name
Institution

1

PROMOTION OF BREASTFEEDING

2

Promotion of Breastfeeding
Breastfeeding is important in helping to develop the health of the baby, and this helps in
the development of the immunity contributing to the nutritional value of the children. It also
benefits the mother in protection any illnesses that might arise. There are different risks
associated with lack of breastfeeding, and this includes infections of the respiratory that require
that is the development of the best strategies for improvement of the health of the babies. The
nutrients contained in breast milk are essential in helping to develop the immunity of the
children, and this increases the need to enhance the ability of the mothers to focus on the needs
of the baby and the promotion of their health. The number of breastfeeding mothers is low, and
this affects the health of the babies where there are increased risks that necessitate for the
improvement of the awareness of the community on the breastfeeding needs.
Change Model Overview
The change model ensures that there is focus on the framework that helps in the
integration of the evidence of promotion of breastfeeding into practice. The use of the ACE star
model helps in understanding the approaches that are necessary in enhancing the promotion of
breastfeeding. The transformation as shown in the model helps in making sure that there is an
organization of the effects of not breastfeeding and enhancement of the strategies that help in
encouraging the community on the benefits that they incur in breastfeeding. The process starts
with discovery research where there is focus on the methodologies used and the generation of the
different designs in helping to understand the actions in a clinical process that enhance the
relationship that exists. The evidence summary stage looks at the credibility of the results in the
process and the summary of the different sources in helping to address the issues faced. The third
stage is the translation of guidelines, and this looks at the integration of the summaries into

PROMOTION OF BREASTFEEDING

3

practice that leads to the fourth stage in practice integration helping in meeting the expectations
of the practices. The fifth stage is the evaluation of the outcomes, and this helps in focusing on
the satisfaction of the patients Fernanda (Demutti Pimpão et al., 2016).
Scope of EBP
The practice issues are promotion of breastfeeding, and this is critical in ensuring that
there is the protection of infants and that there is a reduction of the illnesses that they are likely
to face. There is a decrease of the rates of breastfeeding, and this leads to increased illnesses in
infants requiring that there is education on the importance of breastfeeding. Research shows that
81% of the babies are breastfed, but only 22% are breastfed exclusively after a period of
6months (Sinha et al., 2015). The lack of exclusive breastfeeding leads to the weakening of the
child immunity, and this increases the risks of diseases such as pneumonia. The problem impacts
health care as there is need of improvement of the health systems in catering for the needs of the
children and ensuring that effective policies are in place to assist in the improvement of the cases
of health improvement. The risks necessitate for the improvement measures in helping to
promote the need for an increase of breastfeeding.
Stakeholders
Stakeholders play an important role in ensuring the promotion of health of the babies and
their development. The increase in substitutes of breast milk leads to increases in choices that the
mothers make on breastfeeding affecting the health of the babies. The stakeholders in the project
includes doctors that are involved in education of the mothers on the needs of the babies, nurses
that help in showing the effect of not breastfeeding the babies, teachers that help in education of
the young girls in the need of breastfeeding and the analysis of the different constraints that
continue to affect the experience of young mothers in breastfeeding.

PROMOTION OF BREASTFEEDING

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Role of Stakeholders
The role that the stakeholders play is important in enhancing the feeding habits of the
infants. There is focus on the promotion of the need to breastfeed, and this helps in the
realization of the effect that it has on the babies’ health. The analysis of the practices common in
the environment is the work of the stakeholders, and this means that they identify the trends in
helping to encourage the mother...


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