Chamberlain NR-451 RN Capstone Course – Full Course
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Devry NR451 Week 1
Discussion DQ 1 & DQ 2
DQ 1
Assessing Need for
Change (graded)
Think about a problem
in your clinical practice. Are the satisfaction scores in your unit low? Does
your unit have a higher than average infection rate? What is a problem you see
in your clinical practice? What are some of the possible solutions? Why is it
important to evaluate the need for change and not just stick with the “it’s the
way we always have done it” mentality?
DQ 1
Nurse’s Role in EBP
(graded)
Evidence based
practice dates back to Florence Nightingale, yet it took a long time for nurses
to conduct nursing research. Why is it important for nurses to have their own
body of knowledge? Give a specific example of how bedside nurses contribute to
nursing research?
Devry NR451 Week 2
Discussion DQ 1 & DQ 2
DQ 1
Forming the PICO
Question (graded)
Form a PICO question
that you will use for your change project. Include each element of the PICO
question. How did you develop this question? Why is it important to your
clinical practice?
DQ 2
Appraisal of Evidence
(graded)
When reviewing a
journal article, how do you best determine its credibility and reliability? Why
is it important to determine the strength of evidence and how does that affect
your implementation of the results into clinical practice?
Devry NR451 Week 3
Discussion DQ 1 & DQ 2
DQ 1
Feasibility of your
Capstone Project (graded)
Now that you have
identified your capstone project. What is the cost involved to implement your
project? Remember that cost isn’t always just money but also time and resources
(both tangible and intangible). Will the initial cost pay off in the long run
with improved outcomes?
DQ 2
Communication Errors
(graded)
Have you ever played
the telephone game when you were younger? Communication can take on a life of
its own and the content can often be distorted over time. Give an example in
your clinical practice where miscommunication was the root cause of an error.
How could this communication error have been prevented?
NR451 Week 3 Capstone Project Milestone 1: Practice Issue and
Evidence Summary Guidelines
CapstoneProject
Milestone 1:
Practice Issue and
EvidenceSummary 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 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.
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.
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.
Describes 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/problem
Documents 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 area
20 points
|
Practice issueis identified based on the
systematic review topic chosen.
Practice 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.
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.
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.
0 points ☐
|
|
Practice issue identification, rationale for
selections
35 points
|
Documents how the practice issue was
identified.
Rationale 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.
Rationale 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
selections
20 points
|
Identifies and documents what types of
evidence is needed for review.
Thoroughlydescribes rationale for all
checked types of evidence selected.
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.
8 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?
|
|
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.
Summarizes 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.
|
|
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
10 points
|
-Practice problem is in own words, with
reference to the population of interest.
-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.
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.
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.
-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 evidence
20 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.
-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.
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.
-Reference is missing.
0 points ☐
|
|
Objectives of the article/ Statement of
questions
20 points
|
-Objectives of article are identified.
-Questions addressed by author/s are
thorough.
-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.
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 ☐
|
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