Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the 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.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

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Course Outcomes

 

This assignment enables the student to meet the following course outcomes:

  • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)

 

  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)

 

Due Dates

 

Milestone 1 consists of the completion of two worksheets; the Practice Issue Worksheet and Evidence Summary Worksheet. Submit the completed worksheets to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

  1. Locate the list of systematic reviews in Course Resources. Choose the ONE systematic topic that of most interest to you, or most relevant to your practice situation.
  2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
  3. Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
  4. Your practice issue will be the same for all three Milestone assignments in this course.
  5. Please type your answers directly into the worksheet.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

 

Evidence Summary Worksheet Directions

  1. Develop an evidence summary by following the grading criteria below.
  2. Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.
  3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
  4. Please type your answers directly into the worksheet.

 

Grading Criteria: Practice issue

Category Points % Description
Practice issue statement, scope of practice, practice area 20 27% Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in the course.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperDescribes the scope of practice issues.

Example: The number of falls in your facility has been increasing, especially during shift change.What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenor eliminatethe falls?Thisis where you begin your initial searchinto the problem or practice issue identified.

Identifies the practice area.

Practice issue identification, rationale for selections 35 46% Identifies how rationale behind how the practice issue was selected as a practice issue/problemDocuments the practice issue in a logical manner.
Types of evidence to gather, rationale for selections 20 27% Identifies and documents types of evidence that must be gathered for review of the Practice Issue.Describes rationale for each type of evidence that is selected.
Total 75 points 100%  

 

Grading Rubric: Practice Issue

Assignment Criteria A (100%)Exceptional

 

Outstanding or highest level of performance

B (88%)Exceeds

 

Very good or high level of performance

C (80%)Meets

 

Competent or satisfactory level of performance

NI (38%)Needs Improvement

Poor or failing level of performance

F (0%)Developing

 

Unsatisfactory level of performance

Practice issue statement, scope of practice, practice area20 points Practice issueis identified based on the systematic review topic chosen.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperPractice issue is an independent nursing decision.

Scope of practice issue is fully described.

Practice area identified.

20 points ☐

Practice issue is identified but is not clear, however it is based on the systematic review topic chosen.Practice issue is an independent nursing decision.

Scope of practice issue is described in simple terms.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Practice area identified.

18 points ☐

Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen.Practice issue isnot an independent nursing decision.

Scope of practice issue is described but is not logical in comparison to Practice Issue described.

Practice area identified.

16 points ☐

Practice issue is unclear.Practice issue is not based on the systematic review topic.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Practice Issueis not an independent nursing decision.

Scope of practice issue is not described.

Practice area identified.

8 points ☐

Practice issueisnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper0 points ☐
Practice issue identification, rationale for selections35 points Documents how the practice issue was identified.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperRationale for responses islogical anddescribed thoroughly.

35 points ☐

Documents how the practice issue was identified.Rationale for responses islogical and brieflydescribed.

33 points ☐

Documents how the practice issue was identified.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperRationale for responses issomewhat logical and vaguely described.

30 points ☐

Vaguely describes how the practice issue was identified.Rationale for responses is somewhat logical and vaguely described.

15 points ☐

Does not document how the practice issuewas identified.Rationale is not completed.

This section of the form is blank.

0 points ☐

Types of evidence to gather, rationale for selections20 points Identifies and documents what types of evidence is needed for review.Thoroughlydescribes rationale for all checked types of evidence selected.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

20 points ☐

Identifies and documents what types of evidence is needed for review.Briefly describes rationale for all checked types of evidence selected.

18 points ☐

Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.16 points ☐ Does not document more than one type of evidence that is neededfor reviewand does not include rationale for selected type of evidence.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper8 points ☐ Does not document types of evidenceor rationale.0 points ☐
Total Points Possible = 75 points  

 

Grading Criteria: Evidence Summary

Category Points % Description
Practice Problem 10 10% States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.Describes practice setting in measureable terms.

Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Source of evidence 20 20% Identifies a source of evidencethat is a nursing topic that is the subject of a systematic review article.Provides a complete reference for the systematic review article that was chosen from the list provided.
Objectives of the article/Statement of questions 20 20% Identifies the objectives of the article.Identifies questions being addressed by author/s.

Explains relationship to the chosen practice issue.

Interventions/Main findingssummary 30 30% Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperSummarizes main findings of the author/s including strength of evidence for each main outcome.

Describes the relevance to the Milestone 2 paper.

Evidence-based solutions and limitations 20 20% Outlines evidence-based solutions to consider for the capstone project.Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper
Total 100 points 100%  

 

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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 Problem10 points -Practice problem is in own words, with reference to the population of interest.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper-Setting of the problem is identified

-Magnitudeof problem is discussed.

-The practice issue is stated in measurable terms.

Met all objectives as stated above

10 points ☐

-Practice problem is in own words, with reference to the population of interest.-Setting of the problem is not discussed.

-Magnitude of problem is discussed.

-The practice issueis stated in measurable terms.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Met 3 out of 4 objectives

9 points ☐

-Practice problem is in own words, with reference to the population of interest.-Setting of the problem is not discussed.

-Magnitude of problem is not discussed.

-The practice issue is stated in measurable terms.

Met 2 out of 4 objectives

8 points ☐

-Practice problem is in own words, with reference to the population of interest.-Setting of the problem is not discussed.

-Magnitude of problem is not discussed.

-The practice issue is stated but not measurable.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Met only 1 out of 4 objectives

4 points ☐

-Practice problem is not in own words-There are no references to the population of interest.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

-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 evidence20 points -Source is a Systematic Review article chosen from the approved list.-Complete APA formatted reference is given for Systematic Review article with no errors.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

-The source must be relevant to the practice issue identified.

20 points ☐

-Source is a Systematic Review article chosen from the approved list.-A reference is given, but it has APA formatting errors.

-The source must be relevant to the practice issue identified.

18 points ☐

-Source is a Systematic Review article chosen from the approved list.-No reference is provided.

-The source must be relevant to the practice issue identified.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

 

16 points ☐

-Source of evidence is a research article or systematic review no on the approved list.-A reference for the article or systematic review is given.

-The source is not relevant to the practice issue identified.

8 points ☐

-Source of evidence is not provided, or is not a research article or systematic review.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper-Reference is missing.

0 points ☐

Objectives of the article/ Statement of questions20 points -Objectives of article are identified.-Questions addressed by author/s are thorough.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

-Relationship to your practice issue is explained.

20 points ☐

-Objectives of article are identified.-Questions addressed by author/s are explained but not thorough.

-Relationship to your practice issue is explained.

18 points ☐

-Objectives of article are identified.-Questions addressed by author/s are not thorough.

-Relationship to your practice issue is vague.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

16 points ☐

-Objectives of article are identified.-Questions addressed by author/s is missing.

-Relationship to your practice issue is not explained.

8 points ☐

-Objectives of articleare not identified.-Questions addressed in article and relationship to own practice is not identified.

0 points ☐

Interventions/ Main findings summary 30 points -Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.-Thoroughly summarized main findings of the author/s.

-Included strength of evidence for each main outcome.

30 points ☐

-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper-Briefly summarized 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 summarized main findings of the author/s.

-Included strength of evidence for most of main outcomes.

25 points ☐

-Summary of interventions is not in own words.-Summarized main findings of the author/s is not apparent.

-Did not include strength of evidence for any of the main outcome.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

12 points ☐

-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.-Summary of the main findings of the author is missing.

-The strength of the evidence for outcomes are missing.

0 points ☐

Evidence-based solutions and limitations 20 points -Outline of evidence-based solutions considered for project is documented and clear.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperDiscussed any limitations to the studies performed.

Documents limitations believed may impact use in project.

20 points ☐

-Outline of evidence-based solutions being considered for project is documented but not clear.Discussed any limitations to the studies performed.

Documents limitations believed may impact use in project.

18 points ☐

-Outline of evidence-based solutions considered for project is documented but not clear.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines PaperDiscussed most limitations to the studies performed.

Documents limitations believed may impact use in project.

16 points ☐

-Outline of evidence-based solutions being considered for project is not documented.-Discussed most limitations to the studies performed.

Documents limitations believed may impact use in project.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

8 points ☐

-Outline of evidence-based solutions, limitationsof studies and potential impact to project is missing.0 points ☐
Total Points Possible = 100 points

 

Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

 

Student Name:                                                          Date:

Directions

  1. Refer to the guidelines for specific details on how to complete this assignment.
  2. Type your answers directly into the worksheets below.
  3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
  4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

 

Practice Issue Worksheet

 

List the topic and include the citation for the systematic review you have selected: 

 

What is the practice issue you have identified related to the topic you have chosen? 

 

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:Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

Describe the rationale for your checked selections: 

 

What evidence must be gathered? (check all that apply)
___ Literature search___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise___ Financial Analysis

___ Standards (Regulatory, professional, community)

___ Other

 

Describe the rationale for your checked selections: 

 

 

Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.

 

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper 

 

Type the complete APA reference for the systematic review article you chose from the list provided,It must be relevant to the practice issue you described above. 

 

Identify the objectives of the article. 

Provide a statement of the questions being addressed in the work and how they relateto your practice issue:

 

 

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes. 

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper.

 

 

Outline evidence-based solutions that you will consider for your project. 

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

 

 

 

Devry NR451 Week 4 Discussion DQ 1 & DQ 2

 

DQ 1

Patterns of Nursing Care (graded)

 

Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper

 

DQ 2

Discussion of Articles (graded)

 

Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Paper