Devry NR451 All Capstone Project Milestones Latest

Devry NR451 Week 2 Capstone Project Milestone #1 Latest 2017 JanuaryCapstone Project Milestone 1:PICO and Evidence Appraisal GuidelinesPurposeClear identification of the problem or opportunity is the first step in evidence-based nursing. This first milestone offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the milestone will include identification of the problem or concern using the PICO format and an evidence appraisal to find evidence to support an intervention that will change the outcomes.Course OutcomesThis 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 DateMilestone #1 consists of the completion of one worksheet that contains two parts (i.e., the PICO worksheet and the evidence appraisalworksheet). Submit the file with the two worksheetscompleted to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 2.PointsMilestone #1 is worth 175 points (75 points for the PICO worksheet and 100 points for the evidence appraisal worksheet).Directions1. Read this document including the grading rubrics below.2. Download the PICO/Evidence Appraisal worksheets formfromCourse Resources.Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve. Completion of PICOworksheet will offer a tool for your literature search.3. For theevidence appraisalworksheet, find AT LEAST FOURsources to support the need for change and the potential intervention you have selected to solve the problem. Three of these sources must be peer-reviewed articles while one can be a reliable professional source.4. Submit the completed PICO/Evidence Appraisal worksheet to the Week 2 Dropbox.CapstoneProject Milestone #1:PICOandEvidence Appraisal WorksheetsPICO WorksheetYour Name:Date:Your Instructor’s Name:Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project.Directions:Use the form below to complete the PICO assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO elements.Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICO question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICO question.Step 2: Identify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICO question)Step 3: How was the practice issues identified?How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.Step 4: What evidence must be gathered? Everyone should have a literature search. However, what other sources of reliable information will be helpful for your particular question?Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? What databases will you search? How will you narrow your search if needed?PICO WorksheetWhat is the PICO question?____________________________________________________________Define each element of the question below:P- (Patient, population, or problem):I- (Intervention):C- (Comparison with other treatment/current practice):O- (Desired outcome):What is the practice issue/problem?What is the practice area?___ Clinical___ Education___ Administration___ OtherHow 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:What evidence must be gathered? (check all that apply)___ Literature search___ Guidelines___ Expert Opinion___ Patient Preferences___ Clinical Expertise___ Financial Analysis___ Standards (Regulatory, professional, community)___ OtherSearch terms:Databases to search:Search Strategies:Evidence Appraisal WorksheetYour Name:Date:Your Instructor’s Name:Purpose: To find evidence to support an intervention that will change the outcomes.Directions: Type your search question below. Find AT LEAST FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. At least three of your sources must be peer-reviewed articles. The fourth source could be another peer-reviewed article or a reliable, credible source. Look in your text for ideas of other sources that can be used. Using the table below, insert and describe your four chosen resources.Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual.Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article. You need at least three peer-reviewed articles for your project. If your article is a non–research source, then you will need to list what type of source it is; systematic review, clinical practice guidelines, organizational experience, or individual expert opinion/case study/literature review. You may only use ONE non-research source.Step 3: Strength of Research. Refer to page 238-240 for research evidence and page 242-244 for non-research evidence. While you do not need to assign a level for each study, you will assign a quality of evidence (high, good, or low/major flaw) and should discuss the study using some of the elements that are discussed in the appraisal forms. For example, Research evidence: was the sample size adequate? Was there a controlled group? Was it a randomized study? Were results clearly stated? Was the conclusion based on the results? Were study limitations discussed? Not all of these elements need to be discussed, but you should discuss this information to determine if the strength of the evidence is HIGH, GOOD, or LOW/MAJOR FLAW.Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations?Evidence Appraisal WorksheetPICO Question:APA Reference for ArticleGive the APA-formatted reference for the article.Type of Source*Research: Peer-reviewed article*Non-research systematic review, clinical practice guidelines, organizational experience, or expert opinion/case study/literature reviewStrength of ResearchDiscuss the strength of the sources.Report if evidence is High, Good, or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality.Brief Description of ResearchAddress the questions.*How does the information in the article apply to the project problem or proposed intervention?*Summarize in your own words.* Include results of the study and how these results are applicable to your project.* What is the recommendation of the source for clinical practice?1234Devry NR451 Week 4 Capstone Project Milestone #2 Latest 2017 JanuaryCapstone Project Milestone 2:Design for ChangeProposal GuidelinesPurposeYou are to create a Design for Changeproposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.Course OutcomesThis assignment enables the student to meet the following course outcomes.CO1:Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)CO2:Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)Due DateMilestone #2 consists of the proposal for your Design for Change Capstone Project. Submit this Milestone to the Dropbox by the end of Week 4.PointsMilestone #2 is worth 225 points.Directions1. Create a proposal for your Design for Change Capstone Project. Open the template in Course Resources. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.3. The paper is to be four- to six-pages excluding the Title page and Reference page.4. As you organize your information and evidence, include the following topics.a. Introduction:Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association(2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.b. Change Plan:Write an overview using the Johns Hopkins Nursing EBP Model and Guidelines (2012)i. Practice Questionii. Evidenceiii. Translationc. Summary5. Citations and Referencesmust be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format.In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.TitleYour NameChamberlain College of NursingNR451 RN Capstone CourseTerm and YearYour title hereThis paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember that you will keep all the bolded headings and just remove the non-bolded content when you start your paper.Change Model OverviewIn this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the John Hopkins EBP Process.Practice QuestionStep 1: Recruit Interprofessional TeamYou will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc)Step 2: Develop and Refine the EBP QuestionRestate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format.Step 3: Define the Scope of the EBPWhy is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale?Steps4 and 5: Determine Responsibility of Team MembersWhy are the members chosen important to your project? What are their roles?EvidenceSteps 6and 7: Conduct Internal/External Search for Evidence and Appraisal of EvidenceWhat type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps.Steps8and9: Summarize the EvidenceSynthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use.In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. This section should be one paragraph that is a summation of information from the multiple articles. Be sure and cite all of your references, in proper APA format, from the articles into this one paragraph.Step 10: Develop Recommendations for ChangeBased on EvidenceWhat is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program.TranslationSteps 11, 12, and 13, 14: Action PlanYou have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results.Steps 16and 16: Evaluating Outcomes and Reporting OutcomesWhat are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?Steps 17: Identify Next StepsHow will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent?Step 18: Disseminate FindingsHow will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?ConclusionProvide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process.Devry NR451 Week 6 Capstone Project Milestone #2 Latest 2017 JanuaryCapstone Project Milestone 3:Educating Staff: Implementing Change PowerPoint Guidelines and Grading RubricPURPOSEThe purpose of this PowerPoint presentation is to create theEducating Staff: Implementing Change ProjectPowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.COURSE OUTCOMESThis assignment enables the student to meet the following Course Outcomes.CO2:Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)CO3:Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)DUE DATEMilestone #3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 6.POINTSMilestone #3 is worth 200 points.DIRECTIONS1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.2. The format for this proposal will be a PowerPoint presentation.3. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.4. Below are the topics for the slides:a. Title slideb. Description of the change model usedc. PICO question—include the elementsd. Scope of the problem—use statisticse. Your team/stakeholdersf. Evidence to support your need for change—from researchg. Action Planh. Timeline for the plani. The nurses role and responsibility in the pilot programj. Procedurek. Forms that will be used (if applicable)l. Resources available to the staff—including yourselfm. Summaryn. References5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.GUIDELINES• Application: Use Microsoft PowerPoint 2010.• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.• Late Submission: See the course policy on late submissions.• Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.BEST PRACTICES IN PREPARING A POWERPOINT PRESENTATIONThe following are best practices in preparing this project.1. Slides should be easy to read with short bullet points and large font.Do not use paragraphs.2. Be creative, but realistic with your intervention and evaluation tool.3. Incorporate graphics, clip art, or photographs to increase interest.4. Review directions thoroughly.5. Cite all sources within the slide show with in-text citations,as well as a reference page.6. Proofread prior to final submission.7. Spell check for spelling and grammar errors prior to final submission.8. Abide by the Chamberlain College of Nursing academic integrity policy.?