15 Jan Reflection on Leading Change

MSN6030 Practicum and Capstone

Unit 2 Assignment

Problem Statement (PICOT)

Context

For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assignment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course. The discussion from Unit 1 will have helped you brainstorm and crystallize some of your ideas for this assignment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.

Some examples of appropriate projects are:

Community-based intervention to address teen pregnancy among Native Americans.

School-based intervention to address adolescent obesity.

Educational program to help nurses implement IV best practices in the emergency room.

Policy proposal to remove barriers for government aid recipients to receive breast cancer treatment at a private clinic.

Training program for new nurses working with the Hmong community.

Curriculum to educate young Latina women, ages 18–24, about HIV prevention.

Web site to educate adult patients recently diagnosed with diabetes about proactive self-care.

Instructions

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (both linked in the Resources) to better understand how each criterion will be assessed.

Reminder: These instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.

Part 1: Problem Statement (2–3 pages)

Need Statement (1 paragraph).

Analyze a health promotion, quality improvement, prevention, education, or management need.

Population and Setting (1–2 paragraphs).

Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).

Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1 or 2 paragraphs).

Analyze potential interprofessional alternatives to an initial intervention overview with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).

Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).

Propose a rough time frame for the development and implementation of an intervention to address an identified need.

Part 2: Literature Review (10–15 resources, 3–6 pages).

Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.

Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.

Address Generally Throughout

Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project.

MSN6030 Practicum and Capstone

Unit 4 Assignment

Intervention Plan Design

Context

Your application of the PICOT approach to developing your problem statement and the research that you conducted and synthesized in your literature review are the foundation and framework that you will need to successfully build your intervention plan. This plan will lay out specific components of the intervention you are planning to address the need you have identified for the target population and setting. You will justify your approach to the intervention plan by integrating appropriate theoretical foundations. You will also analyze and address the needs of stakeholders, requirements of regulatory bodies, and ethical and legal considerations. It is important to have a sound intervention plan design in place before trying to work on the details of implementation and evaluation.

Instructions

You intervention plan design will be the second section of your final project submission. The goal for this is to design a holistic plan that should be able to improve the quality of outcomes for your target population and setting. Provide enough detail so that the faculty member assessing your intervention plan design will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and Guiding Questions: Intervention Plan Design document (both linked in the Resources) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement and the setting and context for this intervention plan.

Reminder: These instructions are an outline. Your heading for this this section should be Intervention Plan Components and not Part 1: Intervention Plan Components.

Part 1: Intervention Plan Components

Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.

Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.

Part 2: Theoretical Foundations

Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.

Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.

Part 3: Stakeholders, Policy, and Regulations

Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.

Part 4: Ethical and Legal Implications

Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.

Address Generally Throughout

Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention and the implications of the plan that must be taken into account.

MSN6030 Practicum and Capstone

Unit 6 Assignment

Implementation Plan Design

Context

Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various consideration it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan.

Instructions

Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (both linked in the Resources) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan.

Reminder: These instructions are an outline. Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership

Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.

Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.

Part 2: Delivery and Technology

Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.

Evaluate the current and emerging technological options related to the proposed delivery methods.

Part 3: Stakeholders, Policy, and Regulations

Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.

Propose existing or new policy considerations that would support the implementation of an intervention plan.

Part 4: Timeline

Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.

Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.

Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience.

MSN6030 Practicum and Capstone

Unit 8 Assignment

Evaluation Plan Design and Discussion

Context

Once an intervention is planned and implemented it is important to evaluate the degree to which the outcomes of the project were achieved. By evaluating the desired outcomes of an intervention, it is possible to make more informed decisions about opportunities for continuous improvement. It is also possible to identify strategies and approaches that could be useful in improving one’s personal practice in other contexts or care areas.

Instructions

Your evaluation plan design and discussion will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes were achieved after your intervention plan has been implemented. This will allow you and your care setting to determine the degree to which the plan was successful in addressing the identified need of your target population and setting. You will also discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Evaluation Plan Design and Discussion document (both linked in the Resources) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).

Reminder: these instructions are an outline. Your heading for this this section should be Evaluation of Plan and not Part 1: Evaluation of Plan.

Part 1: Evaluation of Plan

Define the outcomes that are the goal of an intervention plan.

Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Part 2: Discussion

Advocacy

Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.

Explain how the intervention plan affects nursing, and interprofessional collaboration, and how the health care field gains from the plan.

Future Steps

Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.

Reflection on Leading Change and Improvement

Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.

Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.

Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.

Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.

MSN6030 Practicum and Capstone

Unit 9 Assignment

Final Project Submission

Congratulations! The finish line is in sight for both the capstone project you have been working on all quarter and your Master’s of Science in Nursing program. Take a moment to appreciate all you have accomplished and give yourself a pat on the back; you have earned it!

Your final submission for your capstone project will bring together of all the sections you have worked on throughout this course, as well as the relevant revisions you have made to those sections based on feedback from your instructor, as well as feedback you have received or observations you may have made during your practicum experience. True professionals can learn to strive for continuous improvement in their work and incorporate feedback from colleagues and leaders to help scaffold improvement efforts. As a master’s-level nurse you will be expected to create and implement plans and evaluate their outcomes. Being able to envision a pathway for a project to move from the idea phase all the way through the evaluation phase is a critical skill. By successfully synthesizing the various sections of this project together into one final artifact, you will have demonstrated your competence in this essential skill.

Instructions

For your final capstone project submission you will synthesize the work you completed in the Unit 2, 4, 6, and 8 assignments. Please make sure that you have made relevant revisions as suggested by your instructor and colleagues, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assignment is an Abstract and an Introduction.

This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:

Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.

Evaluate the best available evidence for use in clinical and organizational decision making.

Apply quality improvement methods to impact patient, population, and systems outcomes.

Design patient- and population-centered care to improve health outcomes.

Integrate interprofessional care to improve safety and quality and to decrease cost of care.

Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.

Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.

Additionally, you will be assessed on how well you incorporated feedback you received from your instructor and peers on your previous work in this course via the following criterion:

Integrate writing feedback to improve the clarity and quality of final product.

Please carefully review the outline below to see which parts of the final submission will align to which program outcomes. (Note: The bullet points in the outline correspond to the grading criteria from your previous assignments. If may be worth putting in some extra revisions on the material related to criteria on which you did not previously score as well as you would have liked. You may also wish to read the Guiding Questions: Final Project Submission document to better understand how each aspect of your submission will be assessed.) It is important to remember that if you do a quality job addressing the points below, you will meet all of the program outcomes. The alignment is provided for transparency, but do not become preoccupied with how each point will feed into the scoring guide.

Abstract

Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).

Introduction

Summarize your need, target population, and setting (PO #1).

Provide a high-level overview of your intervention plan (PO #4).

Justify the importance of your need and intervention plan (PO #1).

Provide a high-level overview of your implementation plan (PO #4).

Provide a high-level over view of your evaluation plan (PO #4).

Part 1: Problem Statement (PICOT)

Need Statement

Analyze a health promotion, quality improvement, prevention, education, or management need (PO #1).

Population and Setting

Describe a target population and setting in which an identified need will be addressed (PO #4).

Intervention Overview

Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).

Comparison of Approaches

Analyze potential interprofessional alternatives to an initial intervention overview with regard to their possibilities to meet the needs of the project, population, and setting (PO#5).

Initial Outcome Draft

Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #4).

Time Estimate

Propose a rough time frame for the development and implementation of an intervention to address an identified need (PO #1).

Part 2: Literature Review

Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).

Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).

Part 3: Intervention Plan

Intervention Plan Components

Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).

Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).

Theoretical Foundations

Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).

Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).

Stakeholders, Policy, and Regulations

Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).

Ethical and Legal Implications

Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).

Part 4: Implementation Plan

Management and Leadership

Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).

Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).

Delivery and Technology

Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).

Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).

Stakeholders, Policy, and Regulations

Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).

Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).

Timeline

Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).

Part 5: Evaluation Plan

Define the outcomes that are the goal of an intervention plan (PO #4).

Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).

Part 6: Discussion

Advocacy

Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).

Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).

Future Steps

Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).

Reflection on Leading Change and Improvement

Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).

Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).

Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).

Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).

Integrate writing feedback to improve the clarity and quality of final product.