scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx

scano123
2017-03-06 00:21
Chamberlain College of Nursing
NR 451
RN
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 interventio
n 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
worksheet
s (Practice Issue Worksheet) and (Evidence Summary
Worksheet)
. Submit the completed worksheet
s
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. 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
2
7
%
Identifies a Practice issue statement that is
an independent nursing decision.
D
escribes the
s
cope of
practice i
ssues.
Example
: The n
umber 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.
Practice issue identification, rational
e
for
selections
35
46
%
Identifies how
rationale behind h
ow
the
practice issue was selected
as a
practice issue/problem
D
ocuments the practice issue in a logical manner.
Types of evidence
to gather
, rational
e
for
selections
20
27%
Identifies and
documents
types of evidence that must be gathered

for
review
of the Practice Issue.
D
escribes
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%)
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 p
ractice issue is
fully described
.
Practice area identified.
20
points
☐
Practice Issue
is identified
but is not clear
.
Practice i
ssue
is an independent nursing decision.
Scope of p
ractice issue is described in simple terms
.
1
8
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 p
ractice issue is described but is not logical in comparison to
Practice Issue described.
1
6
points
☐
Practice Issue
is
unclear
.
Practice Issue
is not an independent nursing decision.
Scope of p
ractice issue is not described.
8 points
☐
Practice Issue
is
not
identified
; practice issue is
not an independent nursing decision; scope of practice issue is
not described; p
ractice area is not identified.
0 points
☐
Practice issue identification, rational
e

for
selections
35 points
Documents h
ow the p
ractice is
sue was identified
.
Rationale for responses
is
logical and
described thoroughly
.
35 points
☐
Documents how
the p
ractice is
sue was identified
.
Rationale for responses
is
logical and briefly
described.
33 points
☐
Documents how
the
practice issue
was identified
.
Rationale
for responses
is
somewhat logical and vaguely
described

.
30
points
☐
Vaguely describes how
the
p
ractice issue
was identified
.
Rationale
for responses
is
somewhat logical and vaguely described.
15 points
☐
Does not document h
ow the practice issue
was identified.
Rationale is not completed.
T
his section of the form is blank
.
0 points
☐
Types of evidence
to gather
, rational
e
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 d
ocuments what types of
evidence is needed for review.
Briefly describes
rationale for
all
checked types of evidence selected
.
1
8
points
☐
Identifies and d
ocuments what types of
evidence is needed but
includes
only
a minimum description for
rationale
for selected evidence.
1
6
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.
0 points
☐
Total Points Possible = 75 points
Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
1
0
1
0%
States p
ractice problem in own words, with reference to the population,
setting, and magnitude and in
measurable terms.
Describes practice setting in m
easureable terms
E

xa
mple
: 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 e
vidence
20
20%
Identifies a s
ource of evidence
that
is
a
n
ursing topic that is the subject of a systematic r
eview
article
.
Identifies search terms.
Provides a complete reference for the systematic r
eview
article
.
Objective
s
of the article/Statement of questions
20

20%
Identifies the o
bjectives of
the article.
Identifies q
uestions being addressed by author/s
.
Explain
s
relat
ionship to your practice issue.
Interventions
/Main findings
summary
30
3
0%
S
ummarize
s
, in own words, suggested interventions by the author
/s to improve patient outcomes.
S
ummarize
s
main findings of the author/s including strength of evidence
for
each main outcome.
Describes the r
elevance to
the Milestone 2 pape
r.
Evidence-based solutions and l
imitations
20

20%
Outline
s
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
Poor or failing level of performance

F (0%)
Developing
Unsatisfactory level of performance
Practice Problem
1
0 points
-
Practice problem is in own words, with reference to the
population
of interest
.
-
S
etting
of the problem is
identified
-
Magnitude
of problem is discussed.
-
The practice issue is stated in
measurable terms.
Met
all
objectives as stated above
1
0 points
☐
-
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
☐
-
-
not
discussed.
-
Magnitude of problem is
not
discussed.
-
The practice issue is stated in measurable terms.
Met 2 out of 4
objectives
8
points
☐
-
-
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
-
There are no
referenc
es
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 e
vidence
20 points
-
Source of evidence is
n
ursing topic
.
-
Source is a
Systematic Review article.
-
Search terms
are
identified
.
-
C
omplete reference is given for Systematic Review article
.
Met
all 4
objectives as above
20 points
☐
-
n
ursing topic.
-
Source is a Systematic Review article.
-
Search terms
are identified
.

-
Complete reference is
not
given for Systematic Review article.
Me
t 3
out of 4
objectives
18 points
☐
-
n
ursing topic.
-
Source is
not a
Systematic Review article.
-
Search terms are identified
.
-
not
Met
only 2
out of 2
objectives
16 points
☐
-
not
n

ursing topic.
-
Source is a Systematic Review article.
-
Search terms are
not
identified
.
-
not
Met only 1 out of 4 objectives
8 points
☐
-
not
n
ursing topic
or Systematic Review article
.
-
Search terms are
not
identified
.
-
R
eference is
missing
.
No objectives
were
met.
0 points

☐
Objective
s
of the
article/ Statement of questions
2
0 points
-
Objectives of article
are
identified
.
-
Q
uestions being addressed by author/s
are thorough
.
-
R
elationship
to your practice issue is explained
.
2
0 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
☐
-

-
Questions being addressed by author/s are not thorough.
-
Relationship to your practice issue
is
vague
.
16
points
☐
-
-
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
o
wn 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
s
ummarize
d
main findings of the author/s
.
-
I
nclud
ed
strength of evidence for each main outcome.
3
0 points
☐
-
Briefly summarized (in their own words) the interventions the
author(s) suggest to improve patient outcomes.
-
Briefly
s
ummarized main findings of the author/s.
-
Included strength of evidence for each main outcome.
27
points
☐
-
Vaguely summarized (in their own words) the interventions the
author(s) suggest to improve patient outcomes.
-
Vaguely
s

ummarized main findings of the author/s.
-
I
nclude
d
strength of evidence for
most of
main
outcome
s
.
25
points
☐
-
Summary of inte
rventions is not in own words.
-
Summarize
d main findings of the author/s is not apparent.
-
Did not
i
nclude 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 consider
ed
for
project
is documented and clear.
D
iscuss
ed
any limitations to the studies performed
.
Documents limitations
believe
d
may impact use
in project
.
2
0 points
☐
-
Outline of evidence-based solutions
being
consider
ed
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 consider
ed
for
project
is documented
but not
clear.
Discussed
most
limitations to the studies performed.
16
points
☐
-
being
consider
ed
for
project is
not
documented
.
-
Discussed
most
limitations to the studies performed.

8
points
☐
-
, limitations
of
studies and potential impact to project is missing.
0 points
☐
Total Points Possible = 100 points
NR451 W3 Milestone1
Practice Issue & Evidenc
e Summary Guidelines
2/1
6
/17 GH
3
This is the guidelines
Delete message
scano123
2017-03-06 00:23
Chamberlain College of Nursing
NR
451
RN
Capstone Course
Capstone

Project
Milestone 1
:
Practice Issue and
Evidence
Summary
Worksheet
s
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 rational
e
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 rational
e
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 r
eference for the systematic review article you selected
:
Define the search terms for your systematic review
:
Identify the
objective
s of the article.
P
rovide 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)
sugg
est 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.
NR4
51
W
3 MS1
Practice Issue and Evidence Summary
Worksheets
2/1
6

/17
GH
3
Clinical question
“The thoughtful development of a well-structured EBP question
is important because the question drives the strategies used to
search for evidence”. (Dearholt & Dang, 2012, p.64). My
question is: Will Congestive Heart Failure patients discharged
from the hospital increase the chance of not being readmitted
within 30 days with follow up care that includes post discharge
telephone calls for support?
P- (Patient, Population)-Congestive Heart Failure Patients
I-(Intervention)-Follow up phone call at 48 and 72 hours post
discharge
C-(Comparison with current practice)-No follow up telephone
calls for support.
O-(Desired outcome)-Reduce the number of Readmissions
Delete message

scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx

scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx

Recommended

Recommended

More Related Content

Similar to scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx

Similar to scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx (16)

More from infantkimber

More from infantkimber (20)

Recently uploaded

Recently uploaded (20)

scano1232017-03-06 0021 Chamberlain College of NursingNR 45.docx