15 Jan Practice Issue Worksheet

Week 1 discussion

Types of Nursing Models and Frameworks of EBP

What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse’s responsibility when EBP and patient and family practice do not match?

Week 2 discussion

The Clinical Question and Systematic Reviews

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a list provided to you in Course Resources.

Choose a systematic review from the list of approved reviews based on your interests or your practice situation.

Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.

Relate how you developed the question.

Describe the importance of this question to your clinical practice previously, currently, or in the future.

Describe what a research-practice gap is.

Week 3 discussion

Feasibility of Your Design Proposal and Importance of Communication

Now that you have identified your capstone change project, it is time to look its feasibility.

What tangible and intangible resources will be needed to implement your project?

What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?

How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?

Week 4 discussion

Evaluating Quality Patient Outcomes

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

Week 5 discussion

Core Competencies for Nurses

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www.qsen.org. How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

Week 6 discussion

Implementing Change Despite Resistance

Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

Week 7 discussion

Healthcare Policy: What You Need to Know About the Affordable Care Act

Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House.

Respond to the questions below.

What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

Why is it important to be aware of changes in healthcare policy?

Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

Week 8 discussion

Your Future!

Now that you are very close to completing this major accomplishment in your nursing career, what are your plans for your future? Please share your plans to keep up to date in your chosen specialty and nursing in general. What professional and nursing organizations do you plan to actively participate? Have you considered continuing your education to pursue a graduate degree?

Week 3 Capstone Project: Milestone 1

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.

CapstoneProject Milestone 1:

Practice Issue and EvidenceSummaryWorksheets

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: