reducing hospital readmissions

reducing hospital readmissions

Week 3: Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet (graded) • Due Sunday by

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11:59pm • Points 175 • Submitting a file upload Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines Updated 7/10/2017 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. (PO4) CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8) Due Dates Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site. Complete both worksheets and submit the form 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. A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site. 2. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the List of Approved Systematic Reviews (Links to an external site.)Links to an external site.. 3. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected. 4. Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions. 5. Your practice issue will be the same for all three Milestone assignments in this course. 6. 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. 3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment. 4. Please type your answers directly into the worksheet. **Academic Integrity Reminder** Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page. NR451_Milestone1 Criteria This criterion is linked to a Learning OutcomePratice issue statement, scope of practice, practice area view longer description This criterion is linked to a Learning OutcomePractice issue identification, rationale for selections view longer description This criterion is linked to a Learning OutcomeTypes of evidence to gather, rationale for selections view longer description This criterion is linked to a Learning OutcomePractice problem view longer description Ratings Practice issue is identified based on the systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is fully described. Practice area identified. 20.0 pts Practice issue is identified but is not clear, however it is based on the systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is described in simple terms. Practice area identified. 18.0 pts Documents how the practice issue was identified. Rationale for responses is logical and described thoroughly. 35.0 pts Documents how the practice issue was identified. Rationale for responses is logical and briefly described. 33.0 pts Identifies and documents what types of evidence is needed for review. Thoroughly describes rationale for all checked types of evidence selected. 20.0 pts -Practice problem is in own words, with reference to the population of Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen. 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. 16.0 pts Documents how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described. 30.0 pts Identifies and documents what types of evidence is needed for review. Briefly describes rationale for all checked types of evidence selected. 18.0 pts -Practice problem is in own words, with reference to the population of Pts Practice issue is unclear. Practice issue is not based on the systematic review topic. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified. 8.0 pts Vaguely describes how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described. 15.0 pts Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence. 16.0 pts -Practice problem is in own words, with reference to the population of 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. 0.0 pts Does not document how the practice issue was identified. Rationale is not completed. This section of the form is blank. 0.0 pts Does not document more than one type of evidence that is needed for review and does not include rationale for selected type of evidence. 8.0 pts -Practice problem is in own words, with reference to the population of Does not document types of evidence or rationale. 0.0 pts -Practice problem is not in own words -There are no references to the 20.0 pts 35.0 pts 20.0 pts 10.0 pts interest. -Setting of the problem is identified Magnitude of problem is discussed. -The practice issue is stated in measurable terms. 10.0 pts interest. -Setting of the problem is not discussed. Magnitude of problem is discussed. -The practice issue is stated in measurable terms. 9.0 pts interest. -Setting of the problem is not discussed. Magnitude of problem is not discussed. -The practice issue is stated in measurable terms. 8.0 pts -Source is a Systematic Review article chosen from the approved list. -A reference is given, but it has APA formatting errors. The source must be relevant to the practice issue identified. 18.0 pts -Source is a Systematic Review article chosen from the approved list. No reference is provided. -The source must be relevant to the practice issue identified. 16.0 pts interest. -Setting of the problem is not discussed. Magnitude of problem is not discussed. -The practice issue is stated but not measurable. 4.0 pts This criterion is linked to a Learning OutcomeSource of evidence view longer description -Source is a Systematic Review article chosen from the approved list. Complete APA formatted reference is given for Systematic Review article with no errors. -The source must be relevant to the practice issue identified. 20.0 pts This criterion is linked to a Learning OutcomeObjectives of the article/Statement of questions view longer description -Objectives of article are identified. Questions addressed by author/s are thorough. Relationship to your practice issue is explained. 20.0 pts -Objectives of article are identified. Questions addressed by author/s are explained but not thorough. Relationship to your practice issue is explained. 18.0 pts -Objectives of article are identified. Questions addressed by author/s are not thorough. Relationship to your practice issue is vague. 16.0 pts -Objectives of article are identified. Questions addressed by author/s is missing. Relationship to your practice issue is not explained. 8.0 pts This criterion is linked to a Learning -Thoroughly summarized (in their -Briefly summarized (in -Vaguely summarized (in their -Summary of interventions is population of interest. -Setting and magnitude of problem is not discussed -The practice issue is not stated in measurable terms. 0.0 pts -Source of evidence is a research article or systematic review no on the approved list. -A reference for the article or systematic review is given. -The source is not relevant to the practice issue identified. 8.0 pts -Source of evidence is not provided, or is not a research article or systematic review. Reference is missing. 0.0 pts -Objectives of article are not identified. Questions addressed in article and relationship to own practice is not identified. 0.0 pts -Summary of the interventions the 20.0 pts 20.0 pts 30.0 pts OutcomeInterventions/Main own words) the findings summary interventions the view longer description author(s) suggest to improve patient outcomes. Thoroughly summarized main findings of the author/s. -Included strength of evidence for each main outcome. 30.0 pts This criterion is linked to a Learning OutcomeEvidence-based solutions and limitation view longer description -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. 20.0 pts 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. 27.0 pts -Outline of evidencebased 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. 18.0 pts 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. 25.0 pts 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. 12.0 pts -Outline of evidencebased solutions considered for project is documented but not clear. Discussed most limitations to the studies performed. Documents limitations believed may impact use in project. 16.0 pts Total Points: 175.0 NOTE: Please use your browser’s File setting to save or print this page. NR451_Milestone1 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. 0.0 pts -Outline of evidencebased solutions being considered for project is not documented. Discussed most limitations to the studies performed. Documents limitations believed may impact use in project. 8.0 pts -Outline of evidencebased solutions, limitations of studies and potential impact to project is missing. 0.0 pts 20.0 pts Chamberlain College of Nursing NR451 RN Capstone Course Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets For Use July 2018 Student Name: Date: DIRECTIONS 1. 2. 3. 4. 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 List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support): What is the nursing practice issue you have identified related to the topic you have chosen? Fully describe 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) NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 7/2018 DP 1 Chamberlain College of Nursing NR451 RN Capstone Course ___ Safety/risk management concerns ___ Difference between hospital and community practice ___ Unsatisfactory patient outcomes ___ Clinical practice issue is a concern ___ Wide variations in practice ___ Procedure or process is a time waster ___ Significant financial concerns ___ Clinical practice issue has no scientific base __ Other: Describe the rationale for your checked selections: What evidence must be gathered? (check all that apply) ___ Literature search ___ Clinical Expertise ___ Guidelines ___ Financial Analysis ___ Expert Opinion ___ Standards (Regulatory, professional, community) ___ Patient Preferences ___ Other 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: Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 7/2018 DP 2 Chamberlain College of Nursing NR451 RN Capstone Course reference for any additional optional supplemental scholarly source related to the review you wish to use. Identify the objectives of the article: Provide a statement of the questions being addressed in the work and how these relate to your practice 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. Consider the relevance to your project proposal for the Milestone 2 project paper. (If an optional supplemental source is also used, include a statement of relevance to it as well.) Outline evidence-based solutions that you will consider for your project. Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project. NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 7/2018 DP 3
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