View Rubrics Download Top of Form Benchmark - Capstone Project Change Proposal - Rubric No of Criteria: 16 Achievement Levels: 5 Criteria Achievement Levels Description Percentage Unsatisfactory 0-71% 0.00 % Less Than Satisfactory 72-75% 75.00 % Satisfactory 76-79% 79.00 % Good 80-89% 89.00 % Excellent 90-100% 100.00 % Content 60.0 Background 5.0 Background section is not present. Background section is present, but incomplete or otherwise lacking in required detail. Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Background section is present and complete. The submission provides the basic information required. Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Problem Statement 5.0 Problem statement is not present. Problem statement is present, but incomplete or otherwise lacking in required detail. Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Problem statement is present and complete. The submission provides the basic information required. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Change Proposal Purpose 5.0 Purpose of change proposal is not present. Purpose of change proposal is present, but incomplete or otherwise lacking in required detail. Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is present and complete. The submission provides the basic information required. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. PICOT 5.0 PICOT is not present. PICOT is present, but incomplete or otherwise lacking in required detail. PICOT is present. Some minor details or elements are missing but the omission(s) do not impede understanding. PICOT is present and complete. The submission provides the basic information required. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature Search Strategy 5.0 Literature search strategy is not present. Literature search strategy is present, but incomplete or otherwise lacking in required detail. Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature search strategy is present and complete. The submission provides the basic information required. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature Evaluation 5.0 Literature evaluation is not present. Literature evaluation is present, but incomplete or otherwise lacking in required detail. Literature e ...

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Benchmark - Capstone Project Change Proposal - Rubric
No of Criteria: 16 Achievement Levels: 5
Criteria
Achievement Levels
Description
Percentage
Unsatisfactory 0-71%
0.00 %
Less Than Satisfactory 72-75%
75.00 %
Satisfactory 76-79%
79.00 %
Good 80-89%
89.00 %
Excellent 90-100%
100.00 %
Content
60.0
Background
5.0
Background section is not present.
Background section is present, but incomplete or otherwise
lacking in required detail.
Background section is present. Some minor details or elements
are missing but the omission(s) do not impede understanding.
Background section is present and complete. The submission

2. provides the basic information required.
Background section is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Problem Statement
5.0
Problem statement is not present.
Problem statement is present, but incomplete or otherwise
lacking in required detail.
Problem statement is present. Some minor details or elements
are missing but the omission(s) do not impede understanding.
Problem statement is present and complete. The submission
provides the basic information required.
Problem statement is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Change Proposal Purpose
5.0
Purpose of change proposal is not present.
Purpose of change proposal is present, but incomplete or
otherwise lacking in required detail.
Purpose of change proposal is present. Some minor details or
elements are missing but the omission(s) do not impede
understanding.
Purpose of change proposal is present and complete. The
submission provides the basic information required.
Purpose of change proposal is present, complete, and
incorporates additional relevant details and critical thinking to
engage the reader.
PICOT
5.0
PICOT is not present.
PICOT is present, but incomplete or otherwise lacking in
required detail.
PICOT is present. Some minor details or elements are missing
but the omission(s) do not impede understanding.

3. PICOT is present and complete. The submission provides the
basic information required.
PICOT is present, complete, and incorporates additional
relevant details and critical thinking to engage the reader.
Literature Search Strategy
5.0
Literature search strategy is not present.
Literature search strategy is present, but incomplete or
otherwise lacking in required detail.
Literature search strategy is present. Some minor details or
elements are missing but the omission(s) do not impede
understanding.
Literature search strategy is present and complete. The
submission provides the basic information required.
Literature search strategy is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Literature Evaluation
5.0
Literature evaluation is not present.
Literature evaluation is present, but incomplete or otherwise
lacking in required detail.
Literature evaluation is present. Some minor details or elements
are missing but the omission(s) do not impede understanding.
Literature evaluation is present and complete. The submission
provides the basic information required.
Literature evaluation is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Utilization of Change or Nursing Theory (2.2)
5.0
Theory utilization is not present.
Theory utilization content is present, but incomplete or
otherwise lacking in required detail.
Theory utilization content is present. Some minor details or
elements are missing but the omission(s) do not impede

4. understanding.
Theory utilization content is present and complete. The
submission provides the basic information required.
Theory utilization content is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Proposed Implementation Plan with Outcome Measures (3.2)
5.0
Implementation plan is not present.
Implementation plan is present, but incomplete or otherwise
lacking in required detail.
Implementation plan is present. Some minor details or elements
are missing but the omission(s) do not impede understanding.
Implementation plan is present and complete. The submission
provides the basic information required.
Implementation plan is present, complete, and incorporates
additional relevant details and critical thinking to engage the
reader.
Identification of potential barriers to plan implementation, and a
discussion of how these could be overcome (2.3)
5.0
Identification of potential barriers to plan implementation and
/or discussion component is not present.
Identification of potential barriers to plan implementation with
a discussion component is present, but is incomplete or
otherwise lacking in required detail.
Identification of potential barriers to plan implementation with
a discussion component is present. Some minor details or
elements are missing but the omission(s) do not impede
understanding.
Identification of potential barriers to plan implementation with
a discussion component is present and complete. The
submission provides the basic information required.
Identification of potential barriers to plan implementation with
a discussion component is present, complete, and incorporates
additional relevant details and critical thinking to engage the

5. reader.
Appendices Inclusive of Practice Immersion Clinical
Documentation (1.2)
5.0
Appendices are not present.
Appendices are present, but incomplete or otherwise lacking in
required detail.
Appendices are present with minor elements missing that do not
impede understanding.
Appendices are present and complete. The submission provides
the basic information required.
Appendices are present, complete, and incorporates additional
relevant details and critical thinking to engage the reader.
Evidence of Revision
10.0
Final paper does not demonstrate incorporation of feedback or
evidence of revision on research critiques.
Incorporation of research critique feedback or evidence of
revision is incomplete.
Incorporation of research critique feedback and evidence of
revision are present.
Evidence of incorporation of research critique feedback and
revision is clearly provided.
Evidence of incorporation of research critique feedback and
revision is comprehensive and thoroughly developed.
Organization and Effectiveness
30.0
Thesis Development and Purpose
10.0
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not

6. clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper.
Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
10.0
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Clear and convincing argument presents a persuasive claim in a
distinctive and compelling manner. All sources are
authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar,
language use)
10.0
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Frequent and repetitive mechanical errors distract the reader.
Inconsistencies in language choice (register) or word choice are
present. Sentence structure is correct but not varied.

7. Some mechanical errors or typos are present, but they are not
overly distracting to the reader. Correct and varied sentence
structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Writer is clearly in command of standard, written, academic
English.
Format
10.0
Paper Format (use of appropriate style for the major and
assignment)
5.0
Template is not used appropriately, or documentation format is
rarely followed correctly.
Appropriate template is used, but some elements are missing or
mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Appropriate template is fully used. There are virtually no errors
in formatting style.
All format elements are correct.
Documentation of Sources (citations, footnotes, references,
bibliography, etc., as appropriate to assignment and style)
5.0
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous formatting
errors.
Sources are documented, as appropriate to assignment and style,
although some formatting errors may be present.

8. Sources are documented, as appropriate to assignment and style,
and format is mostly correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of error.
Total Percentage 100
Part II: Compare and contrast two works of art done in two
different eras/styles. Select from the following pairs of
eras/styles: Medieval and Renaissance, Baroque and Rococo,
Rococo and Neoclassical. Include an overview of what
primarily distinguishes the art work of each era, and then
indicate specific formal or thematic aspects of each work that
typify its era. Include a discussion of the role of changing
cultural and political climates in influencing the shift from on
style to the next. You may choose two paintings, two sculptural
works, or two architectural works. Be sure to use the
terminology regarding elements of art and principles of design
that we studied as you proceed in your discussion. Select
specific art works and provide page numbers or links.
600 words
Textbook:
Getlein, Mark. (2015) Living with Art (11th ed). New York:
McGraw-Hill.
Running head: LITERATURE REVIEW1
LITERATURE REVIEW3

9. LITERATURE REVIEW
Nnenna Nwagbo
Grand Canyon University- NRS
490
01/20/2020
Introduction
Hand hygiene in hospitals prevents cross-infection. The
observation and hand hygiene by health care workers in order to
prevent cross-border infections is extremely important many
health facilities also face major problems due to poor adherence
with many of these strategies and guidelines for improving hand
hygiene, through the introduction of large hospital services.
Therefore, it is very important to maintain hand hygiene in
order to prevent and reduce cross infections. This paper focuses
on analysis and comparison between eight articles, all
addressing hand hygiene and infection control in hospital among
health care workers.
Comparison of research questions
The evaluation of literature used in the capstone project
reveals various similarities and differences in the research
questions. Most articles used in the project have research
questions that directly aim at Hand hygiene and infection
control in hospital among health care workers. Studies by
Catherine Godfrey and Jeffrey T. Schouten (2014) have research
study that describes best practices for infection control
programs in acute care setting. Heather S. Reisinger et. Al
(2014) has research article that focus on identifying the
variability in hand hygiene practices among health care

10. workers.
Allegranzi and H. Sax and D. Pittet(2015) explicitly
examined the need for changes in hand-hygiene practices to
improve intervention. Catherine Godfrey, Christie Villa, Liza
Dawson, Susan Swindells, and Jeffrey T. Schouten (2014), these
are groups of researchers that combined to discuss ways of
controlling infections acquired in healthcare facilities.
The fifth article by Helena C. Maltezou and Sabine Wicker
(2016) focuses on the role of health-care setting in the
transmission of measles. The topic of the sixth document
empirical review by Walter Zingg, Alison Holmes, Anna-
Pelagia Magiorakos, and Didier Pittet(2016) is that the key
components of infection control systems were defined for
implementation. The seventh article researches the effect of
introduction of safety devices in reducing needle stick injuries.
(Cornelia Hoffmann, Lutz Buchholz and Paul Schnitzler,
2016)The last article by Hassan Ahmed Khan, Aftab Ahmad,
and Riffat Mehboob(2015) researches the ways of controlling
nosocomial infections in hospitals.
Comparison of sample populations
The research byCatherine Godfrey and Jeffrey T. Schouten
(2014) in their studysampledinfection control practitioners. The
study involved controlled trials that were selected at random.
Heather S. Reisinger et. Al (2014) sampled Veterans
Health Administration. Measurement for hand hygiene
enforcement and measures to ensure conformity is protected by
the national survey. Allegranzi and H. Sax and D. Pittet(2015)
sampled Acute care setting with feasibility and impact study
that uses a descriptive and explanatory method. Catherine
Godfrey, Christie Villa, Liza Dawson, Susan Swindells, and
Jeffrey T. Schouten (2014) sampled clinical research sites. The
study examined formal infection management intervention
programs.
The article by Helena C. Maltezou and Sabine Wicker
(2016) sampled Health-care setting with a research methods of

11. Diagnosis of outbreak cases. Walter Zingg, Alison Holmes,
Anna-Pelagia Magiorakos, and Didier Pittet(2015) also used a
sample of Health-care setting focusing on Systematic review
method. Cornelia Hoffmann, Lutz Buchholz and Paul Schnitzler
(2015) used similar sample of Health care setting with a
different study of Extraction and review of data from laboratory
information systems. In the article by Hassan Ahmed Khan,
Aftab Ahmad, and Riffat Mehboob(2015) sample Health-care
setting, system review method was used with the analysis of
control of nosocomial infections.
A comparison of limitations
The first article by Catherine Godfrey and Jeffrey T.
Schouten (2014) had a limitation of low rates of adherence to
infection control programs. Limitations of the research by
Heather S. Reisinger et. Al(2014) included majority of VHA
medical centers not measuring compliance rates and does not
have instituted intervention practices. B. Allegranzi and H. Sax
and D. Pittet(2015) had a limitation of Necessary infrastructure
crucial in enhancing hand hygiene. The limitation of research
by Catherine Godfrey, Christie Villa, Liza Dawson, Susan
Swindells, and Jeffrey T. Schouten (2014) is Organizational
support such as staff training and surveillance which helps in
infection control.
Helena C. Maltezou and Sabine Wicker (2016) had a
limitation of sufficient vaccination coverage which is a key
infection control measure. Walter Zingg, Alison Holmes, Anna-
Pelagia magiorakos, and Didier Pittet(2015) had a limitation of
staff training and surveillance which are the key components of
infection control programs in hospitals. Cornelia Hoffmann,
Lutz Buchholz and Paul Schnitzler (2016) had no limitation and
conflicts during the study as there was introduction of safety
devices that greatly reduces infections acquired in hospitals.
Hassan Ahmed Khan, Aftab Ahmad, and Riffat Mehboob(2015)
had one limitation which was proper use infection control
practices which can reduce the spread of nosocomial infections.

12. Conclusion
All eight studies focused on hand hygiene and infection
control but from a different angle. Each of the research
questions studied by each study is relevant in finding
information about the prevalence of hand hygiene among health
care workers, causes, interventions, and barriers to these
interventions. The studies were done for different settings and
samples, which was great since it is from various locations
helping in getting a good picture of hand hygiene and infection
control among health care workers. All the studies also had
limitations due to the nature of the research, but still, the
findings create a real description of the issue. The articles help
form a foundation for further study. Further research should be
done on various energy transfer mechanisms for implementation
of hand hygiene and infection control among health care
workers.
References
B. Allegranzia, H. S. (2015, February). Hand hygiene and
healthcare system change within multi-modal promotion: a
narrative review. Retrieved from Journal of Hospital Infection:
https://www.sciencedirect.com/science/article/pii/S0195670113
600031
Catherine Godfrey, C. V. (2014, April 01). Controlling Health
Care Associated Infections in the International Research
Setting. Retrieved from NCBI:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801291/
Cornelia Hoffmann, L. B. (2015, July 29). Reduction of
needlestick injuries in healthcare personnel at a university
hospital using safety devices. Retrieved from Biomedcentral:
https://occup-med.biomedcentral.com/articles/10.1186/1745-

13. 6673-8-20
Hassan Ahmed Khan, A. A. (2015, July). Nosocomial infection
and their control strategies. Retrieved from Science Direct :
https://www.sciencedirect.com/science/article/pii/S2221169115
000829
Heather Schacht Reisinger, J. Y. (2015, November).
Comprehensive survey of hand hygiene measurement and
improvement practices in the Veterans Health Administration.
Retrieved from American Journal of Infection Control:
https://www.sciencedirect.com/science/article/abs/pii/S0196655
313008870
Helena C. Maltezou, a. S. (2016, July). Measles in health-care
settings. Retrieved from Science Direct:
https://www.sciencedirect.com/science/article/abs/pii/S0196655
312012618
Schouten, C. G. (2014, January 01). Infection Control Best
Practices in Clinical Research in Resource-Limited Settings.
Retrieved from NCBI:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930462/
Walter Zingg, A. H.-P. (2015, February). Hospital organization,
management, and structure for prevention of health-care-
associated infection: a systematic review and expert consensus.
Retrieved from Science Direct:
https://www.sciencedirect.com/science/article/abs/pii/S1473309
914708540
Literature Evaluation Table
Student Name: Nnenna Nwagbo
Change Topic (2-3 sentences): The topic focuses on infection
control among patients admitted in the hospital. The People who

14. are focused on are those with the need for long term care.
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Authors: Catherine Godfrey and Jeffrey T. Schouten
Link- doi: 10.1097/QAI.0000000000000034
Authors: Heather S. Reisinger et. Al
Link: https://doi.org/10.1016/j.ajic.2013.04.016
Authors: B. Allegranzi and H. Sax and D. Pittet
Link: https://doi.org/10.1016/S0195-6701(13)60003-1
Authors: Catherine Godfrey, Christie Villa, Liza Dawson, Susan
Swindells, and Jeffrey T. Schouten,
Link: doi: 10.1097/QAI.0b013e3182845b95
Article Title and Year Published
Article Title: Infection Control Best Practices in Clinical
Research in Resource-Limited Settings
Year Published: 2014
Article Title: Comprehensive survey of hand hygiene
measurement and improvement practices in the Veterans Health
Administration
Year published: 2015
Article Title: Hand hygiene and healthcare system change
within multi-modal promotion: a narrative review
Year Published:
2015.
Article Title: Controlling Health Care Associated Infections in
the International Research Setting
Year Published: 2014

15. Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study
The purpose of the study is to describe best practices for
infection control programs in acute care setting.
The article aims to identify variability in hand hygiene
practices.
The article aims to discuss the need for system change in
developing hand hygiene improvement intervention practices.
The article aims to discuss ways of controlling infections
acquired in healthcare facilities.
Design (Type of Quantitative, or Type of Qualitative)
Design: Descriptive and explanatory
Design: Survey
Descriptive and explanatory study
Design: Survey
Setting/Sample
Sample: Infection control practitioners
Sample: Veterans Health Administration
Sample: Acute care setting
Sample: Clinical research sites
Methods: Intervention/Instruments
The study involved controlled trials that were selected at
random.
The national survey covered
Measurement for hand hygiene compliance and improvement
practices to ensure compliance.
Method: feasibility and impact study.
Method: The survey was conducted to find out about formal
intervention programs for infection control.
Analysis
Analysis was done to observe compliance with infection control
programs

16. Survey results of one hundred and forty-one healthcare centers
were analysed
Review of reports on hand hygiene studies
Survey results from seventy-four sites were analysed
Key Findings
Low rates of adherence to infection control programs
A majority of VHA medical centers measure compliance rates
and have instituted intervention practices.
Necessary infrastructure is crucial in enhancing hand hygiene
Organizational support such as staff training and surveillance
helps in infection control.
Recommendations
The article recommends the development of infection control
standards for patient care (Schouten, 2014)
The article recommends the need to standardize surveillance and
compliance monitoring across all VHA medical centers
(Reisinger et Al. 2014).
The article recommends the need for system change to improve
hand hygiene intervention strategies (Allegranzi et Al., 2014).
The article recommends the need to adopt infection control
policies in all clinical research sites (Godfrey et Al., 2014)
Explanation of How the Article Supports EBP/Capstone Project
The study on infection control programs supports the capstone
project.
The survey supports the capstone project through the study of
measurement of hand hygiene compliance rates and intervention
practices
Demonstrating the need for necessary infrastructure that will
ensure hand
hygiene compliance is in support of the capstone project.
The survey on infection control policies in healthcare facilities
supports the capstone project.

17. Criteria
Article 5
Article 6
Article 7
Article 8
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Authors: Helena C. Maltezou and Sabine Wicker
Link: https://doi.org/10.1016/j.ajic.2012.09.017
Authors: Walter Zingg, Alison Holmes, Anna-Pelagia
Magiorakos, and Didier Pittet
Link: https://doi.org/10.1016/S1473-3099(14)70854-0
Authors: Cornelia Hoffmann, Lutz Buchholz and Paul Schnitzler
Link: https://doi.org/10.1186/1745-6673-8-20
Authors: Hassan Ahmed Khan, Aftab Ahmad, and Riffat
Mehboob
Link: https://doi.org/10.1016/j.apjtb.2015.05.001
Article Title and Year Published
Article Title: Measles in health-care settings
Year Published: 2016
Article Title: Hospital organization, management, and structure
for prevention of health-care-associated infection: a systematic
review and expert consensus
Year Published: 2015
Article Title: Reduction of needlestick injuries in healthcare
personnel at a university hospital using safety devices
Year Published: 2015
Article Title: Nosocomial infections and their control strategies
Year Published: 2015

18. Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study
The role of health-care setting in the transmission of measles.
The aim of the study was to identify key components for the
implementation of infection control programs
The objective of the study was to examine the effect of
introduction of safety devices in reducing needlestick injuries.
The study aimed to discuss ways of controlling nosocomial
infections.
Design (Type of Quantitative, or Type of Qualitative)
Descriptive and explanatory study
Design: Descriptive and explanatory study
Design: Descriptive and explanatory study
Design: Descriptive and explanatory study
Setting/Sample
Health-care setting
Health-care setting
Health-care setting
Health-care setting
Methods: Intervention/Instruments
Methods: Diagnosis of outbreak cases
Method: Systematic review
Method: Extraction and review of data from laboratory
information systems.
Method: Systematic review
Analysis
Analytical analysis of infection control measures in health-care
setting
A detailed systematic review on organization of infection
control policies in hospitals
An analysis of needlestick injuries before and after introduction

19. of safety devices
Analysis of control of nosocomial infections
Key Findings
Sufficient vaccination coverage is a key infection control
measure
Staff training and surveillance are key components of infection
control programs in hospitals.
The introduction of safety devices greatly reduces infections
acquired in hospitals
The use of proper infection control practices can reduce the
spread of nosocomial infections
Recommendations
The article recommends the need for sufficient vaccination
coverage to eliminate measles (Maltezou et Al., 2017).
The article recommends the implementation of multimodal and
multidisciplinary infection control programs (Zingg et Al.,
2015).
The article recommends the implementation of safety devices to
improve healthcare personnel and patients’ safety (Hoffmann et
Al., 2017)
The article recommends the need to devise a surveillance
methodology to reduce transmission of nosocomial infections
(Khan et Al., 2015).
Explanation of How the Article Supports EBP/Capstone
The article supports the capstone project through the study of
infection control of health-care associated outbreak of measles.
The article supports the capstone project by identifying several
key components for implementation and monitoring of infection
control
The article supports the capstone project by recommending the
implementation of safety devices in healthcare facilities.
The article supports the capstone project by providing ways of
devising infection control programs to compare and control

20. infection rates
References
B. Allegranzia, H. S. (2015, February). Hand hygiene and
healthcare system change within multi-modal promotion: a
narrative review. Retrieved from Journal of Hospital Infection:
https://www.sciencedirect.com/science/article/pii/S0195670113
600031
Catherine Godfrey, C. V. (2014, April 01). Controlling Health
Care Associated Infections in the International Research
Setting. Retrieved from NCBI:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801291/
Cornelia Hoffmann, L. B. (2015, July 29). Reduction of
needlestick injuries in healthcare personnel at a university
hospital using safety devices. Retrieved from Biomedcentral:
https://occup-med.biomedcentral.com/articles/10.1186/1745-
6673-8-20
Hassan Ahmed Khan, A. A. (2015, July). Nosocomial infections
and their control strategies. Retrieved from Science Direct :
https://www.sciencedirect.com/science/article/pii/S2221169115
000829
Heather Schacht Reisinger, J. Y. (2015, November).
Comprehensive survey of hand hygiene measurement and
improvement practices in the Veterans Health Administration.
Retrieved from American Journal of Infection Control:
https://www.sciencedirect.com/science/article/abs/pii/S0196655
313008870
Helena C. Maltezou, a. S. (2016, July). Measles in health-care
settings. Retrieved from Science Direct:
https://www.sciencedirect.com/science/article/abs/pii/S0196655
312012618
Schouten, C. G. (2014, January 01). Infection Control Best
Practices in Clinical Research in Resource-Limited Settings.
Retrieved from NCBI:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930462/

21. Walter Zingg, A. H.-P. (2015, February). Hospital organisation,
management, and structure for prevention of health-care-
associated infection: a systematic review and expert consensus.
Retrieved from Science Direct:
https://www.sciencedirect.com/science/article/abs/pii/S1473309
914708540
2
CAPSTONE PROJECT TOPIC SELECTION AND APPROVAL
Capstone Project Topic Selection and Approval
Nnenna Nwagbo
Grand Canyon University
NRS-490-0502- Professional Capstone and Practicum
December 8, 2019
Running head: ASSIGNMENT TITLE HERE
1
Running head: CAPSTONE PROJECT TOPIC SELCTION AND
APPROVAL
Capstone Project Topic Selection and Approval
Identified Issue
Since i visited and interacted with my mentor in her workplace,

22. we decided to base my research on the integration of my
capstone project for safe workers or acuity-based work research,
some of which are patiently focused. The charge nurse of the
pending shift change is currently developing client duties for
the upcoming switch. An authorized acuity device is not used
for the function of patient activities or staff.
Setting
The practicum site is a 127-bed community-based psychiatric
hospital and a behavioral health department in Riverside
university health system, which is a medical educational school.
Psychiatric emergency services are available on the site for all
genders. Facilities provide evaluations, emergencies and
referrals to other mental health care as necessary. Emergency
treatment services (ETS) Specializes in mental and emotional
distress assessment and treatment. Medication and referral to
others in mental health facilities can be given to patients who
arrive at ETS and released back. Some patients may be admitted
to the hospital for further treatment. My specific focus will be
on the Inpatient units.
Issue Description
Acuity tests the quality of a patient's nursing care. The change
of a nurse according to the need of patient is governed by an
acuity-based recruitment framework and not by pure patient
numbers (O'Keeffe, 2016). Acuity is the degree to which
treatment is to be carried out in a hospital. Greater acuity
people need more care, so that the nursing-patient rate is lower.
Adequate nursing staff is important to enhancing the safety and
maintenance of patients, although poor work puts patients at
risk and pushes nurses out of jobs' (O'Keeffe 2016).
Impact of the Issue
The shortage contribute to depression, illness, call offs, and job
frustration. Nurse need to work for long hours in extremely
demanding circumstances. In these conditions, nurses who work
are more likely to make mistakes and medical mistakes. "The
unfortunate outcome is that the standard of patient care is
vulnerable to a variety of preventable risks, including

23. medication errors and increased mortality levels.” (Knudson,
2013). If the rate of nursing staffing is so low, nurses are
sometimes required to jeopardize patient care. Unsafe nursing
staff is a dangerous profession that contributes to clinical
errors, worse outcomes and nursing injuries and burnout that
jeopardizes the safety of staff and patients. (Knudson, 2013).
Significance of the Issue
Only seven states require hospitals to have health and staff
control boards responsible for their policies. Such states are,
among others: CT, IL, NV, OH, OR, TX, WA (Jones, Whyley,
Doyle and Bevan, L, 2018).California is the only State to have
the minimum nursing to patient ratios necessary to be managed
by all the units at all times in law and regulations.(Jones,
Whyley, Doyle & Bevan, L, 2018). Inadequate staff increases
the risk of preventable harm to the client. "Because nursing
salaries are the greatest administrative expense of acute care,
most companies consider reducing the costs of nursing jobs.
When resources are limited or existing staff do not fulfill
patient care expectations, healthcare providers may be required
to restrict the level of care appropriate for optimal and healthy
patient outcomes.
(Pearce, Morgan, Matthews, Martin, Ross, Rochin & Welton,
2018).
Proposed
Solution
Patient acuity is a critical component of the healthcare
profession. Task dependent models of recruitment were shown
to improve patient outcomes and to boost the performance of
nurses. Current technology for acuity calculation allows

24. rational, right and effective measurements to support personnel
decision taking (Kidd & Grove, 2014).
References
Africa, L. M. (2017). Transition to Practice Programs: Effective