b’Nursing help’

b”n2017-03-06 00:21xc2xa0Chamberlain College of NursingNR 451RNxc2xa0Capstone CourseCapstonexc2xa0Projectxc2xa0Milestone 1:Practice Issue andxc2xa0Evidencexc2xa0Summaryxc2xa0GuidelinesPurposeClear 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.xc2xa0Completion 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 xe2x80x98breaking downxe2x80x99 of a systematic review on your topic forxc2xa0your change project.Course OutcomesThis assignment enables the student to meet the following course outcomes:xc2xa0xe2x80xa2xc2xa0CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)xe2x80xa2xc2xa0CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)Due DatesMilestone #1 consists of the completion ofxc2xa0twoxc2xa0worksheets (Practice Issue Worksheet) and (Evidence Summary Worksheet). Submit the completed worksheetsxc2xa0to the Dropbox by Sunday, 11:59 p.m. MT at the end ofxc2xa0Week 3.Pointsxc2xa0Milestone #1 is worthxc2xa0175 pointsxc2xa0(75 points for the Practice Issue and 100 points for the Evidence Summary).Practice Issue Worksheetxc2xa0Directions1.xc2xa0Practice Issue Worksheet:xc2xa0a.xc2xa0Read the guidelines including the grading rubrics below.xc2xa0xc2xa0You will use this worksheet toxc2xa0document the practice issue presented and approved by your instructor in the Week 2 Discussions. xc2xa0i.xc2xa0Your practice issue will be the same for all three Milestone assignments in this course.xc2xa0b.xc2xa0Please type your answers directly into the worksheet.Evidence Summary Worksheetxc2xa0Directions2.xc2xa0Evidence Summary Worksheet:xc2xa0a.xc2xa0Read the guidelines including the grading rubrics below. xc2xa0You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.xc2xa0b.xc2xa0Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must bexc2xa0peer-reviewedxc2xa0and include axc2xa0narrative summary.i.xc2xa0Go to the Chamberlain Library, click on RNBSN; NR451 Capstone course.xc2xa0You can find systematic reviews from many databases within the library, or by searching from the library homepage main search bar.xc2xa0ii.xc2xa0To search, combine the phrase ‘systematic review’ withxc2xa0your topic using the Boolean search operator AND. For example, if you are looking for a systematic review on fall prevention, you would use this Boolean search phrase: systematic review AND fall prevention.xc2xa0c.xc2xa0Type in your practice issue in the search tab; choose a systematic review article with axc2xa0narrative summaryxc2xa0to complete your worksheet. xc2xa0xc2xa0d.xc2xa0Please type your answers directly into the worksheet.Grading Criteria:xc2xa0Practice issueCategoryPoints%DescriptionPracticexc2xa0issue statement, scope of practice, practice area2027%Identifies a Practice issue statement that isxc2xa0an independent nursing decision.xc2xa0Describes thexc2xa0scope ofxc2xa0practice issues.Example: The number of falls in your facilityxc2xa0has been increasing,xc2xa0especially during shift change.xc2xa0What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenxc2xa0orxc2xa0eliminatethe falls?xc2xa0Thisxc2xa0is where you begin your initialxc2xa0searchxc2xa0into the problem or practice issue identified.xc2xa0Identifies the practice area.Practice issue identification, rationalexc2xa0forxc2xa0selections3546%Identifies howxc2xa0rationale behind howxc2xa0thexc2xa0practice issue was selectedxc2xa0as axc2xa0practice issue/problemDocuments the practice issue in a logical manner.Types of evidencexc2xa0to gather, rationalexc2xa0forxc2xa0selections2027%Identifies andxc2xa0documentsxc2xa0types of evidence that must be gatheredxc2xa0forxc2xa0reviewxc2xa0of the Practice Issue.Describesxc2xa0rationale for each type of evidence that is selected.Total75 points100%Grading Rubric:xc2xa0Practice IssueAssignment CriteriaA (100%)ExceptionalOutstanding or highest level of performanceB (88%)ExceedsVery good or high level of performanceC (80%)MeetsCompetent or satisfactory level of performanceNI (38%)Needs ImprovementPoor or failing level of performanceF (0%)DevelopingUnsatisfactory level of performancePracticexc2xa0issue statement, scope ofxc2xa0practice, practice area20 pointsPractice issuexc2xa0is identified.xc2xa0Practice issuexc2xa0is anxc2xa0independent nursing decision.Scope of practice issue isxc2xa0fully described.xc2xa0Practice area identified.xc2xa020xc2xa0pointsxc2xa0xe2x98x90Practice Issuexc2xa0is identifiedxc2xa0but is not clear.Practice issuexc2xa0is an independent nursing decision.xc2xa0Scope of practice issue is described in simple terms.xc2xa0Practice area identified.18xc2xa0pointsxc2xa0xe2x98x90Practice Issuexc2xa0is identifiedxc2xa0but is not clearlyxc2xa0related to a nursing practice issue.xc2xa0Practicexc2xa0Issue isnot anxc2xa0independent nursing decision.Scope of practice issue is described but is not logical in comparison to Practice Issue described.Practice area identified.xc2xa016xc2xa0pointsxc2xa0xe2x98x90Practice Issuexc2xa0isxc2xa0unclear.Practice Issuexc2xa0is not an independent nursing decision.Scope of practice issue is not described.xc2xa0Practice area identified.xc2xa08 pointsxc2xa0xe2x98x90Practice Issuexc2xa0isnotxc2xa0identified; practice issue isxc2xa0not an independent nursing decision; scope of practice issue is not described; practice area is not identified.0 pointsxc2xa0xe2x98x90Practice issue identification, rationalexc2xa0forxc2xa0selections35 pointsDocuments how the practice issue was identified.xc2xa0Rationale for responsesxc2xa0islogical anddescribed thoroughly.xc2xa035 pointsxc2xa0xe2x98x90Documents howthe practice issue was identified.xc2xa0Rationale for responsesxc2xa0islogical and brieflydescribed.33 pointsxc2xa0xe2x98x90Documents howthexc2xa0practice issuexc2xa0was identified.xc2xa0Rationalexc2xa0for responsesxc2xa0issomewhat logical and vaguelyxc2xa0described.30xc2xa0pointsxc2xa0xe2x98x90Vaguely describes howxc2xa0thexc2xa0practice issuexc2xa0was identified.xc2xa0Rationalexc2xa0for responsesxc2xa0issomewhat logical and vaguely described.xc2xa015 pointsxc2xa0xe2x98x90Does not document how the practice issuexc2xa0was identified.xc2xa0Rationale is not completed.This section of the form is blank.0 pointsxc2xa0xe2x98x90Types of evidencexc2xa0to gather, rationaleforxc2xa0selections20 pointsxc2xa0Identifies andxc2xa0documents what types ofxc2xa0evidence is needed for review.xc2xa0Thoroughlydescribesxc2xa0rationale for all checkedxc2xa0types of evidence selected.20xc2xa0pointsxc2xa0xe2x98x90Identifies and documents what types ofxc2xa0evidence is needed for review.Briefly describesrationale forxc2xa0allxc2xa0checked types of evidence selected.xc2xa018xc2xa0pointsxc2xa0xe2x98x90Identifies and documents what types ofxc2xa0evidence is needed butxc2xa0includesxc2xa0onlyxc2xa0a minimum description forxc2xa0rationalexc2xa0for selected evidence.xc2xa016xc2xa0pointsxc2xa0xe2x98x90Does notxc2xa0documentxc2xa0more than onexc2xa0type ofxc2xa0evidence that is neededxc2xa0for reviewand doesxc2xa0not include rationale forxc2xa0selected type of evidence.xc2xa08xc2xa0pointsxc2xa0xe2x98x90Does not document types ofxc2xa0evidencexc2xa0orrationale.xc2xa00 pointsxc2xa0xe2x98x90Total Points Possible = 75 pointsGrading Criteria: Evidence SummaryCategoryPoints%DescriptionPractice Problemxc2xa01010%States practice problem in own words, with reference to the population, setting, and magnitude and inxc2xa0measurable terms.Describes practice setting in measureable termsExample: Consider the example given in the evidence summary above.xc2xa0The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change.xc2xa0What do you believe may bexc2xa0causing this? What can be done to lessen orxc2xa0eliminate the falls? How does this number of falls relate to other monthsxc2xa0that have been tracked?Source of evidence2020%Identifies a source of evidencexc2xa0thatxc2xa0isxc2xa0axc2xa0nursing topic that is the subject of a systematic reviewxc2xa0article.xc2xa0Identifies search terms.Provides a complete reference for the systematic reviewxc2xa0article.Objectivesxc2xa0of the article/Statement of questions2020%Identifies the objectives ofxc2xa0the article.Identifies questions being addressed by author/s.Explainsxc2xa0relationship to your practice issue.Interventions/Main findingsxc2xa0summary3030%Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.Summarizesxc2xa0main findings of the author/s including strength of evidence forxc2xa0each main outcome.Describes the relevance toxc2xa0the Milestone 2 paper.Evidence-based solutions and limitations2020%Outlinesxc2xa0evidence-based solutionsxc2xa0toxc2xa0consider forxc2xa0the capstone project.Discussesxc2xa0any limitations to the studiesxc2xa0included in the systematic reviewxc2xa0that you believe may impact usexc2xa0of the evidence providedxc2xa0in your project.Total100 points100%Grading Rubric: Evidence SummaryAssignment CriteriaA (100%)ExceptionalOutstanding or highest level of performanceB (88%)ExceedsVery good or high level of performanceC (80%)MeetsCompetent or satisfactory level of performanceNI (38%)Needs ImprovementPoor or failing level of performanceF (0%)DevelopingUnsatisfactory level of performancePractice Problem10 points-Practice problem is in own words, with reference to the populationxc2xa0of interest.-Settingxc2xa0of the problem isxc2xa0identified-Magnitudexc2xa0of problem is discussed.-The practice issue is stated inxc2xa0measurable terms.Metxc2xa0allxc2xa0objectives as stated above10 pointsxc2xa0xe2x98x90-Practice problem is in own words, with reference to the population of interest.-Setting of the problem isxc2xa0notxc2xa0discussed.-Magnitude of problem is discussed.-The practice issue is stated in measurable terms.xc2xa0Metxc2xa03 out of 4objectives9xc2xa0pointsxc2xa0xe2x98x90-Practice problem is in own words, with reference to the population of interest.-Setting of the problem isxc2xa0notxc2xa0discussed.-Magnitude of problem isxc2xa0notxc2xa0discussed.-The practice issue is stated in measurable terms.xc2xa0Met 2 out of 4objectives8xc2xa0pointsxc2xa0xe2x98x90-Practice problem is in own words, with reference to the population of interest.-Setting of the problem isxc2xa0notxc2xa0discussed.-Magnitude of problem isxc2xa0notxc2xa0discussed.-The practice issue is statedxc2xa0but notmeasurable.Met only 1 out of 4xc2xa0objectives4xc2xa0pointsxc2xa0xe2x98x90-Practice problem isxc2xa0notxc2xa0in own words-There are noxc2xa0referencesxc2xa0to the population of interest.-Settingxc2xa0and magnitude of problem isxc2xa0notxc2xa0discussed-The practice issue isxc2xa0notxc2xa0stated in measurable terms.xc2xa0Did not meet anyobjectives0 pointsxc2xa0xe2x98x90Source of evidence20 points-Source of evidence isxc2xa0nursing topic.-Source is aSystematic Review article.xc2xa0-Search termsxc2xa0arexc2xa0identified.-Complete reference is given for Systematic Review article.Metxc2xa0all 4objectives as above20 pointsxc2xa0xe2x98x90-Source of evidence isxc2xa0nursing topic.-Source is a Systematic Review article.xc2xa0-Search termsxc2xa0are identified.-Complete reference isxc2xa0notxc2xa0given for Systematic Review article.Met 3xc2xa0out of 4objectives18 pointsxc2xa0xe2x98x90-Source of evidence isxc2xa0nursing topic.-Source isxc2xa0not aSystematic Review article.xc2xa0-Search terms are identified.-Complete reference isxc2xa0notxc2xa0given for Systematic Review article.Metxc2xa0only 2xc2xa0out of 2xc2xa0objectives16 pointsxc2xa0xe2x98x90-Source of evidence isxc2xa0notxc2xa0nursing topic.-Source is a Systematic Review article.xc2xa0-Search terms arenotxc2xa0identified.-Complete reference isxc2xa0notxc2xa0given for Systematic Review article.Met only 1 out of 4 objectives8 pointsxc2xa0xe2x98x90-Source of evidence isxc2xa0notxc2xa0nursing topicxc2xa0or Systematic Review article.-Search terms arenotxc2xa0identified.-Reference isxc2xa0missing.No objectivesxc2xa0werexc2xa0met.0 pointsxc2xa0xe2x98x90Objectivesxc2xa0of thexc2xa0article/ Statement of questions20 points-Objectives of articlexc2xa0arexc2xa0identified.-Questions being addressed by author/sxc2xa0are thorough.xc2xa0-Relationshipxc2xa0to your practice issue is explained.20 pointsxc2xa0xe2x98x90-Objectives of article are identified.-Questions being addressed by author/s are explained but not thorough.xc2xa0-Relationship to your practice issue is explained.xc2xa018xc2xa0pointsxc2xa0xe2x98x90-Objectives of article are identified.-Questions being addressed by author/s are not thorough.xc2xa0-Relationship to your practice issuexc2xa0isxc2xa0vague.xc2xa016xc2xa0pointsxc2xa0xe2x98x90-Objectives of article are identified.-Questions being addressed by author/sxc2xa0is missing.xc2xa0-Relationship to your practice issue isxc2xa0notxc2xa0explained.xc2xa08xc2xa0pointsxc2xa0xe2x98x90-Objectives of articlexc2xa0are not identified.-Questions being addressed in article and relationship toown practice is not identified.0 pointsxc2xa0xe2x98x90Interventions/ Main findings summaryxc2xa030 points-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.-Thoroughlyxc2xa0summarizedxc2xa0main findings of the author/s.-Includedxc2xa0strength of evidence for each main outcome.30 pointsxc2xa0xe2x98x90-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.-Brieflyxc2xa0summarized main findings of the author/s.-Included strength of evidence for each main outcome.27xc2xa0pointsxc2xa0xe2x98x90-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.-Vaguelysummarized main findings of the author/s.-Includedxc2xa0strength of evidence forxc2xa0most ofxc2xa0mainxc2xa0outcomes.25xc2xa0pointsxc2xa0xe2x98x90-Summary of interventions is not in own words.-Summarized main findings of the author/s is not apparent.xc2xa0-Did notxc2xa0include strength of evidence forxc2xa0any of thexc2xa0main outcome.12xc2xa0pointsxc2xa0xe2x98x90-Summaryxc2xa0of the interventions the author(s) suggest to improve patient outcomes isxc2xa0missing.xc2xa0-Summary of the main findings of the author is missing.xc2xa0-The strength of the evidence for outcomes are missing.xc2xa00 pointsxc2xa0xe2x98x90Evidence-based solutions and limitationsxc2xa020 points-Outlinexc2xa0ofxc2xa0evidence-based solutions consideredxc2xa0forxc2xa0projectxc2xa0is documented and clear.Discussedxc2xa0any limitations to the studies performed.Documents limitationsbelievedxc2xa0may impact usexc2xa0in project.20 pointsxc2xa0xe2x98x90-Outline of evidence-based solutionsxc2xa0beingconsideredxc2xa0forxc2xa0project is documentedxc2xa0but notxc2xa0clear.Discussed any limitations to the studies performed.Documents limitations believed may impact use in project.18xc2xa0pointsxc2xa0xe2x98x90-Outline of evidence-based solutions consideredxc2xa0forxc2xa0projectxc2xa0is documentedxc2xa0but notxc2xa0clear.Discussedxc2xa0mostxc2xa0limitations to the studies performed.Documents limitations believed may impact use in project.16xc2xa0pointsxc2xa0xe2x98x90-Outline of evidence-based solutionsxc2xa0beingxc2xa0consideredxc2xa0forxc2xa0project isxc2xa0notxc2xa0documented.-Discussedxc2xa0mostlimitations to the studies performed.Documents limitations believed may impact use in project.8xc2xa0pointsxc2xa0xe2x98x90-Outline of evidence-based solutions, limitationsxc2xa0ofxc2xa0studies and potential impact to project is missing.0 pointsxc2xa0xe2x98x90Total Points Possible = 100 pointsNR451 W3 Milestone1xc2xa0Practice Issue & Evidence Summary Guidelinesxc2xa02/16/17 xc2xa0 xc2xa0GH3xc2xa0This is the guidelinesxc2xa02017-03-06 00:23Chamberlain College of NursingNR451xc2xa0RNxc2xa0Capstone CourseCapstonexc2xa0Projectxc2xa0Milestone 1:Practice Issue andxc2xa0Evidencexc2xa0Summaryxc2xa0WorksheetsStudent Name:xc2xa0Date:Directions1.xc2xa0Refer to the guidelines for specific details on how to complete this assignment.2.xc2xa0Type your answers directly into the worksheets below.3.xc2xa0Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.4.xc2xa0Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.Practice Issue WorksheetWhat is the Practice Issue?Define the scope of the Practice Issue:What is the practice area?___ Clinical___ Education___ Administration___ Other (list)_________________________________How 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:Describe the rationalexc2xa0for your checked selections:What evidence must be gathered?xc2xa0(check all that apply)___xc2xa0Literature search___ Guidelines___ Expert Opinion___ Patient Preferences___ Clinical Expertise___ Financial Analysis___ Standards (Regulatory, professional, community)___ OtherDescribe the rationalexc2xa0for your checked selections:xc2xa0Evidencexc2xa0Summaryxc2xa0Worksheetxc2xa0Directions: 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:Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem.xc2xa0Write thexc2xa0complete APA reference for the systematic review article you selected:Define the search terms for your systematic review:Identify thexc2xa0objectives of the article.Provide a statement of the questions being addressed in the workxc2xa0and how they relatexc2xa0to yourxc2xa0practice issue: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. xc2xa0Consider the relevance to your project proposal for thexc2xa0Milestone 2xc2xa0project paper.Outline evidence-based solutionsxc2xa0that 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.NR451xc2xa0W3 MS1xc2xa0Practice Issue and Evidence Summaryxc2xa0Worksheetsxc2xa0xc2xa02/16/17xc2xa0xc2xa0 xc2xa0GH3Clinical questionxe2x80x9cThe thoughtful development of a well-structured EBP question is important because the question drives the strategies used to search for evidencexe2x80x9d. (Dearholt & Dang, 2012, p.64). My question is: Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support?xc2xa0P- (Patient, Population)-Congestive Heart Failure PatientsI-(Intervention)-Follow up phone call at 48 and 72 hours post dischargeC-(Comparison with current practice)-No follow up telephone calls for support.O-(Desired outcome)-Reduce the number of Readmissions “

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