List of Approved Systematic Reviews NR451 Capstone Project Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details. Promoting breastfeeding Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., ... Bhandari, N. (2015). Interventions to improve breastfeeding outcomes: A systematic review and metaanalysis. Acta Paediatrica, 104, 114-134. doi:10.1111/apa.13127. Chamberlain Library Permalink: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?dire ct=true&db=a2h&AN=110726890&site=eds-live&scope=site Preventing central venous catheter-related infections Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2. Chamberlain Library Permalink: http://onlinelibrary.wiley.com.proxy.chamberlain.edu:8080/doi/10.1002/14651858.CD01 0140.pub2/full Increasing health insurance coverage for vulnerable populations Jia, L., Yuan, B., Huang, F., Lu, Y., Garner, P., & Meng, Q. (2014). Strategies for expanding health insurance coverage in vulnerable populations. Cochrane Database of Systematic Reviews, (11), 1-41. CD008194. doi:10.1002/14651858.CD008194.pub3. Chamberlain Library Permalink: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?dire ct=true&db=mdc&AN=25425010&site=eds-live&scope=site Preventing teen pregnancy and sexually-transmitted disease Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. Cochrane Database of Systematic Reviews, (11), CD006417. doi:10.1002/14651858.CD006417.pub3. Chamberlain Library Permalink: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?dire ct=true&db=mdc&AN=27824221&site=eds-live&scope=site Reducing hospital readmissions Mistiaen, P., & Poot, E. (2006). Telephone follow-up, initiated by a hospital-based health professional, for post discharge problems in patients discharged from hospital to home. Cochrane Consumers and Communication Group. (4), CD004510. doi:10.1002/14651858.CD004510.pub3. Chamberlain Library Permalink: http://onlinelibrary.wiley.com.proxy.chamberlain.edu:8080/doi/10.1002/14651858.CD00 4510.pub3/full Chamberlain College of Nursing NR 451RN Capstone Course Capstone Project Milestone 1: Practice Issue and Evidence Summary 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. NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 GH 1 Chamberlain College of Nursing NR 451RN Capstone Course 4. Please type your answers directly into the worksheet. GRADING CRITERIA: PRACTICE ISSUE Category Practice issue statement, scope of practice, practice area Points 20 % 27% Practice issue identification, rationale for selections 35 46% Types of evidence to gather, rationale for selections 20 27% 75 points 100% Total Description Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in the course. Describes the scope of practice issues. Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminate the falls? This is where you begin your initial search into the problem or practice issue identified. Identifies the practice area. Identifies how rationale behind how the practice issue was selected as a practice issue/problem Documents the practice issue in a logical manner. Identifies and documents types of evidence that must be gathered for review of the Practice Issue. Describes rationale for each type of evidence that is selected. GRADING RUBRIC: PRACTICE ISSUE Assignment Criteria Practice issue statement, scope of practice, practice area 20 points A (100%) Exceptional B (88%) Exceeds C (80%) Meets Outstanding or highest level of performance Practice issue is identified based on the systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is fully described. Practice area identified. 20 points ☐ Very good or high level of performance Practice issue is identified but is not clear, however it is based on the systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is described in simple terms. Practice area identified. 18 points ☐ Competent or satisfactory level of performance Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen. Practice issue is not an independent nursing decision. Scope of practice issue is described but is not logical NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 NI (38%) Needs Improvement Poor or failing level of performance Practice issue is unclear. Practice issue is not based on the systematic review topic. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified. 8 points ☐ GH F (0%) Developing Unsatisfactory level of performance Practice issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified. 0 points ☐ 2 Chamberlain College of Nursing NR 451RN Capstone Course Practice issue identification, rationale for selections 35 points Documents how the practice issue was identified. Rationale for responses is logical and described thoroughly. 35 points ☐ Documents how the practice issue was identified. Rationale for responses is logical and briefly described. 33 points ☐ Types of evidence to gather, rationale for selections 20 points Identifies and documents what types of evidence is needed for review. Thoroughly describes rationale for all checked types of evidence selected. 20 points ☐ Identifies and documents what types of evidence is needed for review. Briefly describes rationale for all checked types of evidence selected. 18 points ☐ in comparison to Practice Issue described. Practice area identified. 16 points ☐ Documents how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described. 30 points ☐ Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence. 16 points ☐ Vaguely describes how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described. 15 points ☐ Does not document more than one type of evidence that is needed for review and does not include rationale for selected type of evidence. 8 points ☐ Does not document how the practice issue was identified. Rationale is not completed. This section of the form is blank. 0 points ☐ Does not document types of evidence or rationale. 0 points ☐ Total Points Possible = 75 points GRADING CRITERIA: EVIDENCE SUMMARY Category Points % Description Practice Problem 10 10% Source of evidence 20 20% Objectives of the article/Statement of questions 20 20% States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms. Describes practice setting in measureable terms. Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked? Identifies a source of evidence that is a nursing topic that is the subject of a systematic review article. Provides a complete reference for the systematic review article that was chosen from the list provided. Identifies the objectives of the article. Identifies questions being addressed by author/s. Explains relationship to the chosen practice issue. NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 GH 3 Chamberlain College of Nursing Interventions/Main findings summary 30 30% Evidence-based solutions and limitations 20 20% 100 points 100% Total NR 451RN Capstone Course Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes. Summarizes main findings of the author/s including strength of evidence for each main outcome. Describes the relevance to the Milestone 2 paper. Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project. GRADING RUBRIC: EVIDENCE SUMMARY Assignment Criteria Practice Problem 10 points Source of evidence 20 points A (100%) Exceptional B (88%) Exceeds C (80%) Meets Outstanding or highest level of performance -Practice problem is in own words, with reference to the population of interest. -Setting of the problem is identified -Magnitude of problem is discussed. -The practice issue is stated in measurable terms. Met all objectives as stated above 10 points ☐ -Source is a Systematic Review article chosen from the approved list. -Complete APA formatted reference is given for Systematic Very good or high level of performance -Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is discussed. -The practice issue is stated in measurable terms. Met 3 out of 4 objectives 9 points ☐ Competent or satisfactory level of performance -Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated in measurable terms. Met 2 out of 4 objectives 8 points ☐ -Source is a Systematic Review article chosen from the approved list. -A reference is given, but it has APA formatting errors. -Source is a Systematic Review article chosen from the approved list. -No reference is provided. -The source must be relevant to NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 NI (38%) Needs Improvement Poor or failing level of performance -Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated but not measurable. Met only 1 out of 4 objectives 4 points ☐ Unsatisfactory level of performance -Practice problem is not in own words -There are no references to the population of interest. -Setting and magnitude of problem is not discussed -The practice issue is not stated in measurable terms. Did not meet any objectives 0 points ☐ -Source of evidence is a research article or systematic review no on the approved list. -A reference for the article or systematic review is given. -Source of evidence is not provided, or is not a research article or systematic review. -Reference is missing. 0 points ☐ GH F (0%) Developing 4 Chamberlain College of Nursing Objectives of the article/ Statement of questions 20 points Interventions/ Main findings summary 30 points Evidence-based solutions and limitations 20 points Review article with no errors. -The source must be relevant to the practice issue identified. 20 points ☐ -Objectives of article are identified. -Questions addressed by author/s are thorough. -Relationship to your practice issue is explained. 20 points ☐ -Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Thoroughly summarized main findings of the author/s. -Included strength of evidence for each main outcome. 30 points ☐ -Outline of evidence-based solutions considered for project is documented and clear. Discussed any limitations to the studies performed. Documents limitations believed may NR 451RN Capstone Course -The source must be relevant to the practice issue identified. 18 points ☐ the practice issue identified. -Objectives of article are identified. -Questions addressed by author/s are explained but not thorough. -Relationship to your practice issue is explained. 18 points ☐ -Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Briefly summarized main findings of the author/s. -Included strength of evidence for each main outcome. 27 points ☐ -Outline of evidence-based solutions being considered for project is documented but not clear. Discussed any limitations to the studies performed. Documents limitations believed may -Objectives of article are identified. -Questions addressed by author/s are not thorough. -Relationship to your practice issue is vague. 16 points ☐ -Objectives of article are identified. -Questions addressed by author/s is missing. -Relationship to your practice issue is not explained. 8 points ☐ -Objectives of article are not identified. -Questions addressed in article and relationship to own practice is not identified. 0 points ☐ -Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Vaguely summarized main findings of the author/s. -Included strength of evidence for most of main outcomes. 25 points ☐ -Outline of evidence-based solutions considered for project is documented but not clear. Discussed most limitations to the studies performed. Documents limitations believed may -Summary of interventions is not in own words. -Summarized main findings of the author/s is not apparent. -Did not include strength of evidence for any of the main outcome. 12 points ☐ -Summary of the interventions the author(s) suggest to improve patient outcomes is missing. -Summary of the main findings of the author is missing. -The strength of the evidence for outcomes are missing. 0 points ☐ -Outline of evidence-based solutions being considered for project is not documented. -Discussed most limitations to the studies performed. Documents limitations believed may -Outline of evidence-based solutions, limitations of studies and potential impact to project is missing. 0 points ☐ 16 points ☐ NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 -The source is not relevant to the practice issue identified. 8 points ☐ GH 5 Chamberlain College of Nursing impact use in project. 20 points ☐ impact use in project. 18 points ☐ NR 451RN Capstone Course impact use in project. 16 points ☐ impact use in project. 8 points ☐ Total Points Possible = 100 points NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 4/22/17 GH 6 Chamberlain College of Nursing NR451 RN Capstone Course Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets Student Name: Date: DIRECTIONS 1. 2. 3. 4. Refer to the guidelines for specific details on how to complete this assignment. Type your answers directly into the worksheets below. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT. 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): NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 4/22/17 GH 1 Chamberlain College of Nursing NR451 RN Capstone Course How was the practice issue identified? (check all that apply) ___ Difference between hospital and community practice ___ Safety/risk management concerns ___ Clinical practice issue is a concern ___ Unsatisfactory patient outcomes ___ Procedure or process is a time waster ___ Wide variations in practice ___ Clinical practice issue has no scientific base ___ Significant financial concerns __ Other: Describe the rationale for your checked selections: What evidence must be gathered? (check all that apply) ___ Literature search ___ Clinical Expertise ___ Guidelines ___ Financial Analysis ___ Expert Opinion ___ Standards (Regulatory, professional, community) ___ Patient Preferences ___ Other Describe the rationale for your checked selections: EVIDENCE SUMMARY WORKSHEET Directions: Please type your answers directly into the worksheet. NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 4/22/17 GH 2 Chamberlain College of Nursing NR451 RN Capstone Course 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 relate to 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. NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 4/22/17 GH 3 Chamberlain College of Nursing NR451: RN Capstone Course 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. NR451 W4 Milestone 2 Guidelines 4/22/17 GH 1 Chamberlain College of Nursing NR451: RN Capstone Course c. Evidence: Conduct internal and external searches of evidence; integrate and d. e. summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. 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 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 Model Overview 50 22% 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. Evidence 50 22% 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? Translation 50 22% 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? Conclusion 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to sustain the change plan are described. APA Format 25 11% Minimal errors. 225 points 100% Total NR451 W4 Milestone 2 Guidelines 4/22/17 GH 2 Chamberlain College of Nursing NR451: RN Capstone Course GRADING RUBRIC: CAPSTONE PROJECT MILESTONE 2 Assignment Criteria Introduction 25 points Change Model Overview 50 points A (100%) Exceptional B (88%) Exceeds C (80%) Meets Outstanding or highest level of performance Introduction to the plan is nursing focused, and evidencebased. Potential interventions clearly identified. 25 points ☐ Very good or high level of performance Introduction to the plan is nursing focused, and evidencebased solutions identified but not clear. 22 points ☐ Competent or satisfactory level of performance Introduction to the plan is provided; however, the plan is not nursing focused and evidencebased solutions are not convincing. 20 points ☐ 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 points ☐ 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 points ☐ 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 points ☐ NR451 W4 Milestone 2 Guidelines 4/22/17 GH NI (38%) Needs Improvement Poor or failing level of performance Introduction lacks evidence to support need for change and/or potential solution is not evidencedbased. 10 points ☐ 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 points ☐ F (0%) Developing Unsatisfactory level of performance Introduction is missing. 0 points ☐ Change Model Overview is missing 0 points ☐ 3 Chamberlain College of Nursing Evidence 50 points Translation 50 points Conclusion 25 points APA formatting, scholarly writing 25 points Evidence is thoroughly provided thru basic 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 points ☐ 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 points ☐ Detailed summary of main points. Ways to sustain plan are thoroughly described. 25 points ☐ APA format sixth edition. Grammar, sentence structure, punctuation, and spelling correct. NR451 W4 Milestone 2 Guidelines NR451: RN Capstone Course Evidence is briefly provided thru basic 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 points ☐ 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 points ☐ Summary of main points is brief. Ways to sustain plan are briefly described. 22 points ☐ Evidence is vaguely provided thru basic 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 points ☐ 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 points ☐ Evidence is provided thru basic nformation of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change. 19 points ☐ Evidence is not provided thru basic information of the current problem; there is no indication of change; there no interventions listed from the Evidence Summary. 0 points ☐ 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 points ☐ Activities for final change plan is missing. Translation of evidence into practice is missing. 0 points ☐ Summary of main points is vague. Ways to sustain plan are vaguely described. 20 points ☐ Summary of main points is vague. Ways to sustain change are not described. 10 points ☐ Summary is missing. There is no plan to sustain change. 0 points ☐ Two to three errors. 22 points ☐ Four to five errors. 20 points ☐ Six to seven errors. 10 points ☐ More than seven errors. 0 points ☐ 4/22/17 GH 4 Chamberlain College of Nursing NR451: RN Capstone Course References, citations correct. Paper formatted in APA format. No errors to one error. 25 points ☐ Total Points NR451 W4 Milestone 2 Guidelines 4/22/17 GH 5 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 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 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
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