Nursing

Chamberlain College of NursingNR451: RN Capstone Course
Capstone Project Milestone 2:
Design for Change Proposal Guidelines
Purpose
You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet 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 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 assignment 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 theNR451_Milestone2_Design_Proposal_template in Course Resources to create your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.
2. The format for this proposal will be a paper following the Publication manual of APA 6thedition.
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 Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
c. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
d. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
e. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
5. Citations and References must be includedto 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 Model Overview
50
22%
Practice issue is identified and is nursing focused. An overview of the ACE Star model is given. The need for change is evident. Stakeholders are identified. Practice area, team members and their role are identified and discussed. Scope of the problem is identified. State how nurses should use this model as a guide to facilitate change.
Evidence
50
22%
Evidence is provided thru statistical information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?
Translation
50
22%
Activities to achieve the final steps of change are fully described. What is needed to achieve. How do you translate what information you have gathered into practice? How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?
Conclusion
25
11%
Clear, solid summary summarizing the key points and steps of the change plan is included; ways to sustain the change plan are described.
APA Format
25
11%
Minimal errors.
Total
225 points
100%
Grading Rubric: Capstone Project Milestone #2
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
Introduction
25 points
Introduction to the plan is nursing focused, andevidence-based.Potential interventions clearly identified.
25 points ☐
Introduction to the plan is nursing focused, andevidence-based solutions identified but not clear.
22 points ☐
Introduction to the plan is provided; however, the plan is not nursing focused and evidence-basedsolutions are not convincing.
20 points ☐
Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.
10 points ☐
Introduction is missing.
0 points ☐
Change Model Overview
50 points
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is present.
Stakeholders are identified. Practice area, team members and role are discussed.
Scope of problem is identified.
50 points ☐
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholders are identified. Practice area, team members and role are discussed.
Scope of problem is identified.
44 points ☐
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholders are not identified. Practice area, team members and role are discussed but without detail.
Scope of problem is identified.
40 points ☐
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholders are not identified. Practice area, team members and role are not discussed.
Scope of problem is identified.
19 points ☐
Change Model Overview is missing
0 points ☐
Evidence
50 points
Evidence is thoroughly provided thru statistical information of the current problem in the work setting indicating a change is needed.
Interventions discovered in Evidence Summary are used in planning for change.
50 points ☐
Evidence is briefly provided thru statistical information of the current problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in planning for change.
44 points ☐
Evidence is vaguely provided thru statistical information of the current problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in planning for change.
40 points ☐
Evidence is provided thru statistical information of the current problem but is not convincing.
Interventions discovered in Evidence Summary are notused in planning for change.
19 points ☐
Evidence is not provided thru statistical information of the current problem; there is no indication of change; there no interventions listed from the Evidence Summary.
0 points ☐
Translation
50 points
Activities to achieve final steps of change are fully described.
Ways to translateevidence into practice is discussed.
Methods to inform staff, activities planned for plan of action and timeline are discussed.
50 points ☐
Activities to achieve final steps of change are fully described.
How to translate evidence into practice is discussed but is not clear.
Methods to inform staff, activities planned for plan of action and timeline are discussed.
44 points ☐
Activities to achieve final steps of change are fully described.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but timeline is not mentioned.
40 points ☐
Activities to achieve final steps of change are described but not in detail.
How to translate evidence into practice is not discussed.
Methods to inform staff, activities planned for plan of action but timeline is not mentioned.
19 points ☐
Activities for final change plan is missing.
Translation of evidence into practice is missing.
0 points ☐
Conclusion
25 points
Detailed summary of main points.
Ways to sustain plan are thoroughly described.
25 points ☐
Summary of main points is brief.
Ways to sustainplan are briefly described.
22 points ☐
Summary of main points is vague.
Ways to sustainplan are vaguely described.
20 points ☐
Summary of main points is vague.
Ways to sustain change are not described.
10 points ☐
Summary ismissing.
There is no plan tosustain change.
0 points ☐
APA formatting, scholarly writing
25 points
APA format sixth edition.
Grammar, sentence structure, punctuation, and spelling correct.
References, citations correct.
Paper formatted in APA format.
No errors to one error.
25 points ☐
Two to three errors.
22 points ☐
Four to five errors.
20 points ☐
Six to seven errors.
10 points ☐
More than seven errors.
0 points ☐
Total Points
NR451 W4 Milestone 2 Guidelines 2/16/17 GH
5
Running head: TYPE SHORT TITLE IN ALL CAPS1
Title
Your Name
Chamberlain College of Nursing
NR451 RN Capstone Course
Term and Year

TYPE SHORT TITLE IN ALL CAPS2
Your title here
This 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 also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper.
Change Model Overview
In this first paragraph, provide an overview of the ACE Star model 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 ACE Star model EBP Process.
Define the Scope of the EBP
Restate your practice issue. Why is this a problem? Give statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale?
Stakeholders
You 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.).
Determine Responsibility of Team Members
Why are the members chosen important to your project?What are their roles?
Evidence
Conduct internal/ external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines? 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.
Summarize the Evidence
In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use? Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph.
Develop Recommendations for Change Based on Evidence
What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program.
Translation
Action Plan
You 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.
Process, Outcomes Evaluation and Reporting
What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?
Identify Next Steps
How 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?
Disseminate Findings
How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?
Conclusion
Provide 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 five points of the ACE Star change model EBP process and ways to maintain the change plan.
References