Chamberlain College of Nursing NR451 RN Capstone Course Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets 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 What is the Practice Issue? 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: Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected: Define the search terms for your systematic review: 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 2/16/17 GH 1 GCU College of Education LESSON PLAN TEMPLATE Teacher Candidate: Grade Level: Date: Unit/Subject: Instructional Plan Title:Click here to enter text. I. Planning Lesson summary and focus:Click here to enter text. Classroom and student factors:Clic ...

1. Chamberlain College of Nursing NR451 RN Capstone
Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
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
What is the Practice Issue?
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

2. ___ 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:
Find a source of evidence that is a systematic review article on
a nursing topic that is relevant to your practice problem. Write

3. the complete APA reference for the systematic review article
you selected:
Define the search terms for your systematic review:
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 2/16/17 GH
1

4. GCU College of Education
LESSON PLAN TEMPLATE
Teacher Candidate:
Grade Level:
Date:
Unit/Subject:
Instructional Plan Title:Click here to enter text.
I. Planning
Lesson summary and focus:Click here to enter text.
Classroom and student factors:Click here to enter text.
National / State Learning Standards:Click here to enter text.
Specific learning target(s) / objectives:
Teaching notes:Click here to enter text.
Click here to enter text.
Agenda:
Formative assessment:Click here to enter text.Click here to
enter text.
Academic Language:
Key vocabulary:
Function:
Form:
Click here to enter text.Click here to enter text.
Click here to enter text.
Instructional Materials, Equipment and Technology:
Click here to enter text.
Grouping:

5. Click here to enter text.
II. Instruction
A. Opening
Prior knowledge connection:Click here to enter text.
Anticipatory set:Click here to enter text.
B. Learning and Teaching Activities (Teaching and Guided
Practice):
I Do
Students Do
DifferentiationClick here to enter text.Click here to enter
text.Click here to enter text.
III. ASSESSMENT
Summative Assessment:Click here to enter text.
Differentiation:
Click here to enter text.
Closure:Click here to enter text.
Homework:
Click here to enter text.
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

6. 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
(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. Practice Issue Worksheet:
a. Read the guidelines including the grading rubrics below.
You will use this worksheet to document the practice issue
presented and approved by your instructor in the Week 2
Discussions.
i. Your practice issue will be the same for all three Milestone
assignments in this course.
b. Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
2. Evidence Summary Worksheet:
a. Read the guidelines including the grading rubrics below.

7. You will use this worksheet to incorporate your evidence
summary into your Week 4 Milestone 2 assignment.
b. Find a systematic review article in the Chamberlain library
on your topic. Your Systematic Review Article must be peer-
reviewed and include a narrative summary.
i. Go to the Chamberlain Library, click on RNBSN; NR451
Capstone course. You can find systematic reviews from many
databases within the library, or by searching from the library
homepage main search bar.
ii. To search, combine the phrase 'systematic review' with your
topic using the Boolean search operator AND. For example, if
you are looking for a systematic review on fall prevention, you
would use this Boolean search phrase: systematic review AND
fall prevention.
c. Type in your practice issue in the search tab; choose a
systematic review article with a narrative summary to complete
your worksheet.
d. Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent
nursing decision.
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.

8. Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was
selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
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.
Total
75 points
100%
Grading Rubric: Practice Issue
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)

9. Developing
Unsatisfactory level of performance
Practice issue statement, scope of practice, practice area
20 points
Practice issue is identified.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points ☐
Practice Issue is identified but is not clear.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points ☐
Practice Issue is identified but is not clearly related to a nursing
practice issue.
Practice Issue is not an independent nursing decision.
Scope of practice issue is described but is not logical in
comparison to Practice Issue described.
Practice area identified.
16 points ☐
Practice Issue is unclear.
Practice Issue is not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points ☐
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 ☐
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points ☐

10. Documents how the practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points ☐
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely
described.
30 points ☐
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely
described.
15 points ☐
Does not document how the practice issue was identified.
Rationale is not completed.
This section of the form is blank.
0 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 ☐
Identifies and documents what types of evidence is needed but
includes only a minimum description for rationale for selected
evidence.
16 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 types of evidence or rationale.

11. 0 points ☐
Total Points Possible = 75 points
Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
10
10%
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?
Source of evidence
20
20%
Identifies a source of evidence that is a nursing topic that is the
subject of a systematic review article.
Identifies search terms.
Provides a complete reference for the systematic review article.
Objectives of the article/Statement of questions
20
20%
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to your practice issue.
Interventions/Main findings summary

12. 30
30%
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.
Evidence-based solutions and limitations
20
20%
Outlines evidence-based solutions to consider for the capstone
project.
Discusses any limitations to the studies included in the
systematic review that you believe may impact use of the
evidence provided in your project.
Total
100 points
100%
Grading Rubric: Evidence Summary
Assignment Criteria
A (100%)
Exceptional
Outstanding or highest level of performance
B (88%)
Exceeds
Very good or high level of performance
C (80%)
Meets
Competent or satisfactory level of performance
NI (38%)
Needs Improvement

13. Poor or failing level of performance
F (0%)
Developing
Unsatisfactory level of performance
Practice Problem
10 points
-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 ☐
-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 ☐
-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 ☐
-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 ☐
-Practice problem is not in own words

14. -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
20 points
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is given for Systematic Review article.
Met all 4 objectives as above
20 points ☐
-Source of evidence is nursing topic.
-Source is a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met 3 out of 4 objectives
18 points ☐
-Source of evidence is nursing topic.
-Source is not a Systematic Review article.
-Search terms are identified.
-Complete reference is not given for Systematic Review article.
Met only 2 out of 2 objectives
16 points ☐
-Source of evidence is not nursing topic.
-Source is a Systematic Review article.
-Search terms are not identified.
-Complete reference is not given for Systematic Review article.
Met only 1 out of 4 objectives
8 points ☐
-Source of evidence is not nursing topic or Systematic Review
article.
-Search terms are not identified.
-Reference is missing.
No objectives were met.

15. 0 points ☐
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not
thorough.
-Relationship to your practice issue is explained.
18 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points ☐
-Objectives of article are identified.
-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ☐
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own
practice is not identified.
0 points ☐
Interventions/ Main findings summary
30 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 ☐
-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 ☐

16. -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 ☐
-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 ☐
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is
documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 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 impact use in project.
18 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 impact use in project.
16 points ☐
-Outline of evidence-based solutions being considered for
project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.

17. 8 points ☐
-Outline of evidence-based solutions, limitations of studies and
potential impact to project is missing.
0 points ☐
Total Points Possible = 100 points
NR451 W3 Milestone1 Practice Issue & Evidence Summary
Guidelines 2/16/17 GH
3