NR451 All Weeks Discussion and Milestone Nursing Essay Paper
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?NR451 All Weeks Discussion and Milestone Nursing Essay Pap 1
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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 gameNR451 All Weeks Discussion and Milestone Nursing Essay Paper 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 cauNR451 All Weeks Discussion and Milestone Nursing Essay Paperse of an error. How could this communication error have been prevented?
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.
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?NR451 All Weeks Discussion and Milestone Nursing Essay Paper
Devry NR451 Week 5 Discussion DQ 1 & DQ 2
DQ 1
An Ethical Dilemma (graded)
Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
DQ 2
Core Competencies for Nurses (graded
Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://wwNR451 All Weeks Discussion and Milestone Nursing Essay Paperw.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?
Devry NR451 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Implementing Change Despite Resistance (graded)
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.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
DQ 2
Workplace Safety (graded)
Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.
Devry NR451 Week 7 Discussion DQ 1 & DQ 2
DQ 1
Healthcare Policy (graded)
Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?
DQ 2
Healthcare Economics (graded)
Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?
Devry NR451 Week 8 Discussion
Educational Preparation as a BSN Graduate (graded)
How has this educational program prepared you for the future of nursing as a BSN graduate?
Capstone Project Milestone #1:
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
Directions
- Refer to the guidelines for specific details on how to complete this assignment.
- Type your answers directly into the worksheets below.
- Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
- 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
| What is the Practice Issue? | |||
| Define the scope of the Practice Issue: | |||
What is the practice area?_ __ ___ |
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(list)_________________________________ |
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| How was the practice issue identified? | ___
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| Describe the rationale for your checked selections:
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| What evidence must be gathered? (Check all that apply) | |||
| 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:
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| Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:
Define the search terms for your systematic review:
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| Identify the objectives of the article.
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| 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.
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| 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.
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Capstone Project Milestone 1:
Practice Issue and Evidence Summary
Grading Grid
Evidence Summary Grading Grid
| 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 |
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| Practice Issue Worksheet | ||||||||
| Practice issue statement, scope of practice, practice area20 points | Practice issue is identified.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.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.Practice Issue is not 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 an independent nursing decision.
Scope of practice issue is not described. Practice area identified. 8 points ? |
Practice Issue is not 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 selections35 points | Documents how the practice issue was identified.Rationale for responses is logical and described thoroughly.
35 points ? |
Documents how the practice issue was identified.Rationale for responses is logical and briefly described.
33 points ? |
Documents how the practice issue was identified.Rationale for responses is somewhat 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 issue was identified.Rationale is not completed.
This section of the form is blank. 0 points ? |
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| Practice issue identification, rationale for selections20 points | Documents how the practice issue was identified.Rationale for responses is logical and described thoroughly.
35 points ? |
Documents how the practice issue was identified.Rationale for responses is logical and briefly described.
33 points ? |
Documents how the practice issue was identified.Rationale for responses is somewhat 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 issue was identified.Rationale is not completed.
This section of the form is blank. 0 points ? |
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| Evidence Summary Worksheet | ||||||||
| Practice Problem10 points | -Practice problem is in own words, with reference to the population of interest.-Setting of the problem is identified
-Magnitude of 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 issue is 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 ? |
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| Source of evidence20 points | -Source of evidence is nursing topic.-Source is a Systematic Review article.
-Search terms are identified. -Complete reference is given for Systematic Review article. Met all 4 objectives as above 20 points ? |
-Source of evidence is nursing topic.-Source is a Systematic Review article.
-Search terms are identified. -Complete reference is not given for Systematic Review article. Met 3 out of 4 objectives 18 points ? |
-Source of evidence is nursing topic.-Source is not a Systematic Review article.
-Search terms are identified. -Complete reference is not given for Systematic Review article. Met only 2 out of 2 objectives 16 points ? |
-Source of evidence is not nursing topic.-Source is a Systematic Review article.
-Search terms are not identified. -Complete reference is not given for Systematic Review article. Met only 1 out of 4 objectives 8 points ? |
-Source of evidence is not nursing topic or Systematic Review article.-Search terms are not identified.
-Reference is missing. No objectives were met. 0 points ? |
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| Objectives of the article/ Statement of questions20 points | -Objectives of article are identified.-Questions being addressed by author/s are thorough.
-Relationship to your practice issue is explained. 20 points ? |
-Objectives of article are identified.-Questions being addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained. 18 points ? |
-Objectives of article are identified.-Questions being addressed by author/s are not thorough.
-Relationship to your practice issue is vague. 16 points ? |
-Objectives of article are identified.-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained. 8 points ? |
-Objectives of article are not identified.-Questions being addressed in article and relationship to own practice is not identified.
0 points ? |
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| 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.-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. 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 ? |
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| Evidence-based solutions and limitations 20 points | -Outline of evidence-based solutions considered for project is documented and clear.Discussed 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.Discussed 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. 8 points ? |
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.0 points ? | |||
| Comments:You did great job on this assignment. | ||||||||
| Total Points Possible = 175 pointsPoints earned (sum of points in all columns) = _175___
Late assignment point deduction (if applicable) = ____ Total points earned for this assignment = _175___ |
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Capstone Project Milestone #2:
Design for Change Proposal Guidelines
PURPOSE
You are to create a Design for Change proposal 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.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
COURSE OUTCOMES
This 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 DATE
Milestone #2 consists of the proposal for your Design for Change Capstone Project. Submit this Milestone to the Dropbox by the end of Week 4.
POINTS
Milestone #2 is worth 225 points.
DIRECTIONS
1. Create a proposal for your Design for Change Capstone Project. Open the template in Doc Sharing. 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.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
b. Change Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012)
i. Practice Question
ii. Evidence
iii. Translation
c. Summary
5. 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. 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.
GRADING CRITERIA: DESIGN FOR CHANGE CAPSTONE PROJECT
Category Points % Description
Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.
Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question.
Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence.
Change Plan; Translation
(Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question.
Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described.
APA Format 25 11% Minimal errors.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
Total 225 points 100%
GRADING RUBRIC: CAPSTONE PROJECT MILESTONE #2
Assignment Criteria Outstanding or Highest Level of Performance
A (92–100%) Very Good or High Level of Performance
B (84–91%) Competent or Satisfactory Level of Performance
C (76–83%) Poor, Failing or Unsatisfactory Level of Performance
F (0–75%) Total
Introduction
25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.
23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing.
21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing.
19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic.
0–18 points /25
Change Plan Practice Question
(Steps 1–5)
50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process:
*Practice question is identified.
*Scope of the problem discussed (including supportive statistics).
*Stakeholders identified.
*Team is identified.
46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process:
*Practice question is identified.
*Scope of the problem discussed (including supportive statistics).
*Stakeholders identified.
*Team is identified.
42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified.
*Practice question is identified.
*Scope of the problem does not contain statistics to support the problem.
*Stakeholders are identified but not appropriate or missing key members.
*Team members are identified but not appropriate or missing key members.
38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent.
0–37 points /50
Change Plan Evidence
(Steps 6–10)
50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified.
*At least four reliable sources are used, three of which are peer-reviewed.
*Summary of evidence is thorough and detailed.
*Strength of evidence is discussed.
*Recommendation for change is based on evidence and is thorough.
46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified.
*At least four reliable sources are used, three of which are peer-reviewed.
*Summary of evidence is vague.
*Strength of evidence is discussed.
*Recommendation for change is based on evidence but connection is vague.
42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified.
*At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague.
*Strength of evidence is not discussed.
*Recommendation for change is present but not weak connection to the evidence.
38–41 points Activities to achieve steps six through ten of change may be missing or absent.NR451 All Weeks Discussion and Milestone Nursing Essay Paper
*Less than four reliable sources are used.
*Summary of evidence is not present or missing important elements.
*Strength of evidence is missing.
*Recommendation for change lacks support from evidence.
0–37 points /50
Change Plan Translation
(Steps 11–18)
50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process:
Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan.
*Measurable outcomes and way to report results are discussed in detail.
*P