Capstone Project Change Proposal Paper

Capstone Project Change Proposal Paper

Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.Capstone Project Change Proposal Paper

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background

Problem statement

Purpose of the change proposal

PICOT

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    Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational materials, etc. are created.Capstone Project Change Proposal Paper

 

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

 

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.Capstone Project Change Proposal Paper

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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Assignment Benchmark - Capstone Project Change Proposal

 

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Max Points: 300

Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:Capstone Project Change Proposal Paper

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

PICOT Question: In cigarette smokers older than 17 years (P), does nicotine replacement therapy (I), versus using other smoking cessation therapies (C), affect smoking cessation outcomes (O) over a period of three months (T)?

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Capstone Project Change Proposal Paper

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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Benchmark - Capstone Project Change Proposal

  1
Unsatisfactory 0-71%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
60.0 %Content  
5.0 % Background Background section is not present. Background section is present, but incomplete or otherwise lacking in required detail.Capstone Project Change Proposal Paper 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.
5.0 % Problem Statement 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.Capstone Project Change Proposal Paper Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
5.0 % Change Proposal Purpose 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.
5.0 % PICOT 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.Capstone Project Change Proposal Paper PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
5.0 % Literature Search Strategy 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.
5.0 % Literature Evaluation 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.Capstone Project Change Proposal Paper Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
5.0 % Utilization of Change or Nursing Theory (2.2) Theory utilization is not present. Theory utilization content is present, but incomplete or otherwise lacking in required detail.Capstone Project Change Proposal Paper Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede 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.
5.0 % Proposed Implementation Plan with Outcome Measures (3.2) 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.
5.0 % Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3) Identification of potential barriers to plan implementation and /or discussion component is not present.Capstone Project Change Proposal Paper 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 reader.Capstone Project Change Proposal Paper
5.0 % Appendices Inclusive of Practice Immersion Clinical Documentation (1.2) 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.
10.0 % Evidence of Revision Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.Capstone Project Change Proposal Paper Incorporation of research critique feedback or evidence of revision is incomplete. Incorporation of research critique feedback and evidence of revision are present.Capstone Project Change Proposal Paper 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.
30.0 %Organization and Effectiveness  
10.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not 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.
10.0 % Argument Logic and Construction 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.Capstone Project Change Proposal Paper 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.Capstone Project Change Proposal Paper
10.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) 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. 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.Capstone Project Change Proposal Paper
10.0 %Format  
5.0 % Paper Format (use of appropriate style for the major and assignment) 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.Capstone Project Change Proposal Paper All format elements are correct.
5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 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.Capstone Project Change Proposal Paper 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

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Capstone Project Change Proposal Paper

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Abstract

Introduction: Nicotine is presented a highly addictive psychoactive substance that requires a structured strategy to address the behavioral and biological aspects of the addiction. Nicotine Replacement Therapy (NRT) is presented as one strategy that could be effective in smoking cessation efforts. The purpose is to provide evidence that supports NRT being recommended as an efficiency cessation tool for smokers who have expressed the intention to quit smoking.Capstone Project Change Proposal Paper

Comparison of research questions: The eight articles under review all address NRT use among young adult smokers.

Comparison of sample population: The eight studies are categorized as qualitative and quantities studies with the qualitative studies recruiting a smaller sample of participants (between 11 and 15 smokers) while the quantitative studies recruited a larger sample of participants (between 100 and 3,094 smokers).Capstone Project Change Proposal Paper

Comparison of limitations: The qualitative studies recruited a small population sample that reduced their generalizability. Additionally, some of the research aims are too broad. The current research intends to address the limitations by recruiting a large sample of participants that will improve results generalizability and focusing on NRT as a single smoking cessation strategy.

Conclusion: Overall, the present research intends to present evidence that supports NRT use among smokers who have presented quitting intention to improve cessation efficiency.Capstone Project Change Proposal Paper

 

 

Introduction

Nicotine is identified as a highly addictive psychoactive substance. In fact, it is behaviorally and biologically addictive making it difficult for cigarette smokers to quit as any quitting action would be accompanied by withdrawal symptoms (Barbeau, Burda & Siegel, 2013). To address the concern that links quitting with harm, nicotine replacement therapy (NRT) has been proposed. The therapy acts by replacing nicotine with a less harmful material so that the behavioral and biological aspects of smoking are not disrupted (Silla, Beard & Shahab, 2014). As such, nursing practitioners should recommend NRT for smokers who have expressed the intention to quit in order to improve the cessation efficiency. Capstone Project Change Proposal Paper

A comparison of research questions

The present research intends to compare the cessation efficiency of NRT against other smoking cessation therapies with the intention of identifying the most efficient approach for use by cigarette smokers intending to quit. As such, it intends to answer the question of: Is NRT is more efficient than other smoking cessation therapies to justify special attention from nursing personnel? To answer this question, it is prudent to collect secondary information from sources talking about NRT. Buller et al. (2014) asked the question: How useful and effective is nicotine patch (NRT) in smoking cessation interventions? Silla, Beard and Shahab (2014) ask the question of: what attitudes and beliefs do smokers and ex-smokers exhibit towards NRT? Barbeau, Burda and Siegel (2013) ask the question: do e-cigarettes present better efficacy results when compared to other NRT strategies? Thurgood et al. (2015) ask two questions. The first question is: what is the effectiveness of different smoking cessation interventions for patients with substance use disorders? The second question is: what is the impact of smoking cessation treatment on substance use outcomes? Garcia-Rodriguez et al. (2014) ask the question: What are the estimated relapse rates and predictors to smoking when using NRT among young adults? Chen et al. (2016) ask the question: What are the high-risk smoking behaviors and barriers to smoking cessation among homeless individuals? Hakim, Chowdhury and Uddin (2017) ask the question: What are the correlates of unsuccessful smoking cessation among adults in Bangladesh? Diemert et al. (2013) asked the question: What are the predictors of young adults smoking cessation behavior? The research questions from the eight selected journal articles are all concerned with smoking cessation, six of them focusing on NRT. Their relevance to the current research is highlighted by the fact that they all address the same topic (smoking cessation) for the same population (young adults). As such, they will be useful in answering the present question of whether NRT is more efficient than other smoking cessation therapies to justify special attention from nursing personnel.Capstone Project Change Proposal Paper

A comparison of sample populations

Buller et al. (2014) applied a quantitative research approach whereby a sample of 3,094 smokers was recruited aged between 18 and 30 years. Silla, Beard and Shahab (2014) applied a qualitative approach that recruited 15 participants who included current and ex-smokers. Barbeau, Burda and Siegel (2013) applied a qualitative approach that recruited 11 participants who included 9 men and 2 women. Thurgood et al. (2015) applied a qualitative approach that evaluated randomized control trials published between 1990 and 2014. Garcia-Rodriguez et al. (2014) applied a quantitative research approach that relied on secondary data from Waves 1 and 2 of the National Epidemiologic Survey of Alcohol and Related Conditions. Chen et al. (2016) applied a quantitative research approach that recruited 100 smokers from a homeless shelter. Hakim, Chowdhury and Uddin (2017) applied a quantitative research approach that used secondary data from 2009 Global Adult Tobacco Survey (GATS) for Bangladesh in which 1,552 smokers older than 14 years were recruited. Diemert et al. (2013) applied a quantitative design that relied on secondary data from the Ontario Tobacco Survey in which 592 young adult smokers were recruited as participants. The eight studies are focused on smokers as the population of interest, with the qualitative studies recruiting a smaller sample of participants (between 11 and 15 smokers) while the quantitative studies recruited a larger sample of participants (between 100 and 3,094 smokers). The present study will make use of these aspects by focusing on recruiting the participants from the population of interest (smokers older than 17 years).Capstone Project Change Proposal Paper

A comparison of the limitations of the study

Although the eight studies do not clearly outline their limitations, one limitation can be gleaned in the qualitative studies. The qualitative studies recruited a very small sample of participants (between 11 and 15) when compared to the whole population of smokers thereby making the results non-generalizable. A larger sample would be required to improve the results generalizability since such a sample would be more representative of the demographic peculiarities of the population. Still, it is understood that recruiting a larger sample would have exponentially increase the research cost for the qualitative studies. The present research will address this limitation by recruiting a large number of participants while considering the cost, convenience and time aspects. Another limitation is noted in Thurgood et al. (2015) where the formulated research aim is too broad. The present study addresses this concern by focusing on NRT as a single smoking cessation strategy.Capstone Project Change Proposal Paper

Conclusion (with recommendations)

One must accept that nicotine is a highly addictive psychoactive substance that presents both behavioral and biological aspects. As such, there is a need to develop effective strategies to break the addiction. In addition, one must acknowledge that there are a range of strategies available for facilitating smoking cessation, although they each differ in terms of approach, effectiveness and efficacy. NRT is one such strategy that has been explored, particularly its use among young adult smokers and performance in comparison to other strategies. Eight research studies have been presented that research this aspect, but their results are limited by the use of small samples and formulation of very broad objectives. The present research will address the limitations by recruiting a large sample of participants to improve results generalizability, and narrowing the objective to focus on NRT use among smokers older than 17 years as a representative of all smokers. The intention is to present evidence that supports NRT use among smokers who have presented quitting intention to improve cessation efficiency.Capstone Project Change Proposal Paper

References

Barbeau, A., Burda, J. & Siegel, M. (2013). Perceived efficacy of e-cigarettes versus nicotine replacement therapy among successful e-cigarette users: a qualitative approach. Addict Sci Clin Pract., 8, 5. doi: 10.1186/1940-0640-8-5

Buller, D., Halperin, A., Severson, H., Borland, R., Slater, M., Bettinghaus, E., Tinkelman, D., Cutter, G. & Woodall, G. (2014). Effect of Nicotine Replacement Therapy on Quitting by Young Adults in a Trial Comparing Cessation Services. J Public Health Manag Pract., 20(2), E7-E15. doi: 10.1097/PHH.0b013e3182a0b8c7Capstone Project Change Proposal Paper

Chen, J., Nguyen, A., Malesker, M. & Morrow, L. (2016). High-Risk Smoking Behaviors and Barriers to Smoking Cessation among Homeless Individuals. Respiratory Care, 61(5), 640-645. doi: 10.4187/respcare.04439

Diemert, L., Bondy, S., Brown, S. & Manske, S. (2013). Young Adult Smoking Cessation: Predictors of Quit Attempts and Abstinence. American Journal of Public Health, 103(3), 449-453. doi: 10.2105/AJPH.2012.300878

Garcia-Rodriguez, O., Secades-Villa, R., Florez-Salamanca, L., Okuda, M., Liu, S. & Blanco, C. (2014). Effect of Nicotine Replacement Therapy on Quitting by Young Adults in a Trial Comparing Cessation Services. Drug Alcohol Depend., 132(3), 479-485. doi: 10.1016/j.drugalcdep.2013.03.008

Hakim, S., Chowdhury, M. & Uddin, J. (2017). Correlates of unsuccessful smoking cessation among adults in Bangladesh. Preventive Medicine Reports, 8, 122-128. doi: 10.1016/j.pmedr.2017.08.007

Silla, K., Beard, E. & Shahab, L. (2014). Nicotine replacement therapy use among smokers and ex-smokers: associated attitudes and beliefs: a qualitative study. BMC Public Health, 14, 1311. doi: 10.1186/1471-2458-14-1311

Thurgood, S., McNeill, A., Clark-Carter, D. & Brose, L. (2015). A Systematic Review of Smoking Cessation Interventions for Adults in Substance Abuse Treatment or Recovery. Nicotine & Tobacco Research, 18(5), 993-1001. doi: 10.1093/ntr/ntv127

Capstone Project Change Proposal Paper