TYPE SHORT TITLE IN ALL CAPS 2 Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year Running head: TYPE SHORT TITLE IN ALL CAPS 1 TYPE SHORT TITLE IN ALL CAPS 5 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 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 John Hopkins Nursing 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 John Hopkins EBP Process. Practice Question Step 1: Recruit Interprofessional Team 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) Step 2: Develop and Refine the EBP Question Restate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format. Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale? Steps 4 and 5: Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Steps 6 and 7: Conduct Internal/ External Search for Evidence and Appraisal of Evidence What type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? 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. Steps 8 and 9: Summarize the Evidence Synthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. This section should be one paragraph that is a summation of information from the multiple articles. Be sure and cite all of your references, in proper APA format, from the articles into this one paragraph. Step 10: 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. Tr ...

1. TYPE SHORT TITLE IN ALL CAPS 2
Title
Your Name
Chamberlain College of Nursing
NR451 RN Capstone Course
Term and Year
Running head: TYPE SHORT TITLE IN ALL CAPS 1
TYPE SHORT TITLE IN ALL CAPS 5
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 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 John Hopkins
Nursing 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 John Hopkins EBP Process.
Practice Question
Step 1: Recruit Interprofessional Team
You will be the leader of the team since this is your project.

2. 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)
Step 2: Develop and Refine the EBP Question
Restate your question. Include the PICO elements but make sure
you write them in paragraph form and not in list format.
Step 3: Define the Scope of the EBP
Why is this a problem? Give statistics and information to back
the scope of the problem. How does this problem impact
healthcare on a broader scale?
Steps 4 and 5: Determine Responsibility of Team Members
Why are the members chosen important to your project? What
are their roles?
Evidence
Steps 6 and 7: Conduct Internal/ External Search for Evidence
and Appraisal of Evidence
What type of evidence did you find? EBP guidelines? Quality
improvement data? Position statements? Qualitative research?
Quantitative research? 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.
Steps 8 and 9: Summarize the Evidence
Synthesize the information that you obtained from your sources.
You will need at least four sources. Of these four sources, three
must be from peer-reviewed articles. The other source can be
from a reputable source. See page 44 of your text for examples
of sources you can use.
In this section, you need to synthesize the information from the
articles. Feel free to cite multiple articles within one sentence.
This section should be one paragraph that is a summation of
information from the multiple articles. Be sure and cite all of
your references, in proper APA format, from the articles into
this one paragraph.
Step 10: Develop Recommendations for Change Based on
Evidence

3. 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
Steps 11, 12, and 13, 14: 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.
Steps 16 and 16: Evaluating Outcomes and Reporting Outcomes
What are the desired outcomes? How will they be measured?
How will you report the results to the key stakeholders?
Steps 17: Identify Next Steps
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?
Step 18: 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 three levels of change for the John
Hopkins EBP process.
References
Running h
ead:
TYPE
SHORT TITLE
IN

4. ALL CAPS
1
Title
Your Name
Chamberlain College of Nursing
NR451
RN
Capstone Course
Term and Year
Running head: TYPE SHORT TITLE IN ALL CAPS 1
Title
Your Name
Chamberlain College of Nursing

5. NR451 RN Capstone Course
Term and Year
Chamberlain College of Nursing NR 451 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 PICO and evidence appraisal information 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 Milestone to the Dropbox
by the end of Week 4.

6. Points
Milestone #2 is worth 225 points.
Directions
1. Create a proposal for your Design for Change Capstone
Project. Open the template in Doc Sharing. You will include the
information from Milestone #1, your PICO question, and
evidence appraisal, as you compose this proposal. 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.
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 Plan: Write an overview using the John Hopkins
Nursing EBP Model and Guidelines (2012)
i. Practice Question
ii. Evidence
iii. Translation
c. Summary
5. Citations and Referencesmust 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

7. 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 Plan; Practice Question (Steps 1–5)
50
22%
Activities to achieve the first steps of change are fully
described in detail and are based on the first five steps of the
John Hopkins EBP Process; Practice Question.
Change Plan; Evidence (Steps 6–10)
50
22%
Activities to achieve steps six through ten of the John Hopkins
EBP Process are fully described in detail; Evidence.
Change Plan; Translation
(Steps 11–18)
50
22%
Activities to achieve the final steps of change are fully
described in detail and are based on steps 11 through 18 of the
John Hopkins EBP Process; Practice Question.
Summary
25
11%
Clear, solid summary summarizing the key points and steps of

8. the change plan is included; ways to maintain the change plan
are described.
APA Format
25
11%
Minimal errors.
Total
225 points
100%
Grading Rubric: Capstone Project Milestone #2
Assignment Criteria
Outstanding or Highest Level of Performance
A (92–100%)
Very Good or High Level of Performance
B (84–91%)
Competent or Satisfactory Level of Performance
C (76–83%)
Poor, Failing or Unsatisfactory Level of Performance
F (0–75%)
Total
Introduction
25 points
Introduction to the plan is nursing focused, with evidence-based
problem identification and potential solutions clearly identified.
23–25 points
Introduction to the plan is nursing focused, with evidence to
support the problem and potential solution identified but
convincing areas are missing.
21–22 points
Introduction to the plan is provided; however, evidence to
support the problem and potential solution is not convincing.
19–20 points
Introduction lacks evidence to support need for change and/or
potential solution is not realistic.

9. 0–18 points
/25
Change Plan Practice Question
(Steps 1–5)
50 points
Activities to achieve the first five steps of change are fully
described in detail and are based on the first section of the John
Hopkins EBP Process:
*Practice question is identified.
*Scope of the problem discussed (including supportive
statistics).
*Stakeholders identified.
*Team is identified.
46–50 points
Activities to achieve the first five steps of change are fully
described, not in detail but are based on the first section of the
John Hopkins EBP Process:
*Practice question is identified.
*Scope of the problem discussed (including supportive
statistics).
*Stakeholders identified.
*Team is identified.
42–45 points
Activities to achieve the first five steps of change are vague.
The first section of the John Hopkins EBP Process is not clearly
identified.
*Practice question is identified.
*Scope of the problem does not contain statistics to support the
problem.
*Stakeholders are identified but not appropriate or missing key
members.
*Team members are identified but not appropriate or missing
key members.
38–41 points
Activities to address and support change are not specifically
addressed. Portions of the first five steps are missing or absent.

10. 0–37 points
/50
Change Plan Evidence
(Steps 6–10)
50 points
Activities to achieve steps six through ten of change are fully
described in detail and are based on the first section of the John
Hopkins EBP Process: Evidence is identified.
*At least four reliable sources are used, three of which are peer-
reviewed.
*Summary of evidence is thorough and detailed.
*Strength of evidence is discussed.
*Recommendation for change is based on evidence and is
thorough.
46–50 points
Activities to achieve steps six through ten of change are vague
and are based on the first section of the John Hopkins EBP
Process: Evidence is identified.
*At least four reliable sources are used, three of which are peer-
reviewed.
*Summary of evidence is vague.
*Strength of evidence is discussed.
*Recommendation for change is based on evidence but
connection is vague.
42–45 points
Activities to achieve steps six through ten of change are vague
and are based on the first section of the John Hopkins EBP
Process: Evidence is identified.
*At least four reliable sources are used but less than three are
peer-reviewed. *Summary of evidence is vague.
*Strength of evidence is not discussed.
*Recommendation for change is present but not weak
connection to the evidence.
38–41 points
Activities to achieve steps six through ten of change may be
missing or absent.

11. *Less than four reliable sources are used.
*Summary of evidence is not present or missing important
elements.
*Strength of evidence is missing.
*Recommendation for change lacks support from evidence.
0–37 points
/50
Change Plan Translation
(Steps 11–18)
50 points
Activities to achieve the last steps of change are fully described
in detail and are based on the last steps of the John Hopkins
EBP Process:
Translation. *Action plan is well-developed with specific
timeline in place to include all elements of the plan.
*Measurable outcomes and way to report results are discussed
in detail.
*Plan for implementation is thoroughly discussed.
*Ways to communicate findings (internally and externally) are
discussed.
46–50 points
Activities to achieve the last steps of change are described and
are based on the last steps of the John Hopkins EBP Process:
Translation.
*Action plan is developed with specific timeline in but some
elements of the timeline are missing.
*Outcomes are present but not measurable. Ways to report
results are discussed in detail.
*Plan for implementation is discussed.
*Communication of findings is present but does not address
both internal and external ways.
42–45 points
Activities to achieve the last steps of change are vague.
*Action plan is developed but timeline is missing.
*Outcomes are vague and not measurable. Ways to report
results are discussed but not in detail.

12. *Plan for implementation is vague.
*Communication of findings is missing.
38–41 points
Activities to achieve the last steps of change are vague or
missing.
*Action plan is not well-developed or missing.
*Outcomes are vague or not present. Ways to report results are
discussed but not in detail.
*Plan for implementation is not present.
*Communication of findings is missing.
0–37 points
/50
Summary
25 points
Clear, solid summary of the key points and the change plan are
included; ways to maintain the change plan are described.
23–25 points
A clear summary of the key points and part of the change plan
are provided; ways to maintain the change plan are mentioned,
but not in detail.
21–22 points
A summary is present but is vague; parts of the change plan are
highlighted; ways to maintain the change plan are not clear.
19–20 points
A summary is difficult to determine or absent. Key points of the
change plan are not recapped or are absent.
0–18 points
/25
APA formatting, scholarly writing
25 points
APA format sixth edition: third person, grammar, sentence
structure, punctuation, and spelling; sources correctly cited and
referenced; title page, headers, and page numbers. No errors to
one error.
23–25 points
Two to three errors.

13. 21–22 points
Four to five errors.
19–20 points
Multiple errors
0–18 points
/25
Total Points
/225
Reference:
Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing
Evidence Based Practice: Model and Guidelines (2nd
ed.).Indianapolis, IN: Sigma Theta Tau International.
NR451_Milestone2_Design_Proposal_Guidelines.docx
03/24/14 mk
1
Chamberlain College of Nursing
NR
451
RN
C
APSTONE
C
OURSE

14. NR451
_
Milestone2
_
Design_Proposal_
Guidelines.docx
03/
24
/14
mk
1
Capstone
Project
Milestone #
2
:
Design for Change
Proposal
Guide
lines
P
URPOSE
You are to create

15. a Design for Change
proposal inclusive of your PICO
and
evidence appraisal
information 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 curr
ently 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
.
C
OURSE
O
UTCOMES
This assignment enables the student to meet the following
course o
utcomes
.
CO1
:

16. 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 s
trategies 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)
D
UE
D
ATE
Milestone #
2
consists of the
proposal for your Design for Change Capstone Project. Submit
this
Mi
lestone
to the Dropbox by
the end of
Week

17. 4
.
P
OINTS
M
ilestone
#2
is worth
2
25
points
.
D
IRECTIONS
1.
Create a
proposal
for your
Design for Change Capstone Project.
Open the template in
Doc Sharing
.
You will include the information from Milestone #1
,
your PICO question
,

18. and
evidence appraisal
,
as you compose this
proposal
. You
r
plan is to convince your
management team
of a nursing
problem you have uncovered
and you fe
el is significant
enough to change the way something is currently practiced
.
2.
The format for this proposal will be a paper following
the
Publication manual of
APA
6
th
edition.
3.
The paper is to be
four

19. -
to six
-
pages
excluding
the
Title page and Reference p
a
ge.
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
Chamberlain College of Nursing NR 451 RN CAPSTONE
COURSE
NR451_Milestone2_Design_Proposal_Guidelines.docx
03/24/14 mk
1
Capstone Project Milestone #2:
Design for Change Proposal Guidelines
PURPOSE

20. You are to create a Design for Change proposal inclusive of
your PICO and evidence appraisal
information 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
Milestone 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 template in
Doc Sharing. You will include the information from Milestone

21. #1, your PICO question,
and evidence appraisal, as you compose this proposal. 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.
2. The format for this proposal will be a paper following the
Publication manual of APA 6
th
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