QUALITY AND COST MEASUREMENT

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As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are: QUALITY AND COST MEASUREMENT

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Why are quality measures important?

What is the difference between quality measures and performance indicators?

What performance measures are used for NP productivity?

Why are incentive plans used in clinical organizations?

To prepare:

Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)

Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)

By Day 3

Post an explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model QUALITY AND COST MEASUREMENT.

Communicable Disease

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Write a paper (2,000-2,500 words) in which you apply the concepts of   epidemiology and nursing research to a communicable disease. Refer to   “Communicable Disease Chain,” “Chain of   Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza Communicable Disease

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Epidemiology Paper Requirements

Address the following:

  1. Describe the communicable disease (causes, symptoms, mode of     transmission, complications, treatment) and the demographic of     interest (mortality, morbidity, incidence, and prevalence). Is this     a reportable disease? If so, provide details about reporting time,     whom to report to, etc.
  2. Describe the determinants of health     and explain how those factors contribute to the development of this   disease.
  3. Discuss the epidemiologic triangle as it relates to     the communicable disease you have selected. Include the host     factors, agent factors (presence or absence), and environmental     factors. (The textbook describes each element of the epidemiologic     triangle). Are there any special considerations or notifications for     the community, schools, or general population?
  4. Explain the     role of the community health nurse (case finding, reporting, data     collecting, data analysis, and follow-up).
  5. Identify at     least one national agency or organization that addresses the     communicable disease chosen and describe how the organization(s)     contributes to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this     addressed in other countries or cultures? Is this disease endemic to     a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion. 

You are required to submit this assignment to Turnitin. Please refer   to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc Communicable Disease

DIVERSE POPULATION

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Introduction and Alignment

This exercise will test whether you can apply first the basic principles, vocabulary, and processes you learned, both biostatistical and epidemiologic, in the first four weeks of the course, and given the practice you had with reading and responding to three different published articles in the fifth week, to actually designing a health sciences research study and writing it up in scholarly format, with all it appropriate pieces, “just as if” you had actually carried it out.  Hopefully, in the future, you will have the chance to carry out such a study for real DIVERSE POPULATION.

Upon completion of this assignment, you should be able to:

  • Design and write up a health research study on a diverse (in terms of ethnicity, nationality, or another factor) population.  Write up each component part of the study, “just as if” you had actually carried it out yourself.

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Resources

  • Textbook: American Psychological Association. (2017). APA Style Central. Retrieved from http://apastylecentral.apa.org
  • Textbook: Macha, K., & McDonough, J. P. (2012). Epidemiology for advanced nursing practice. Sudbury, MA: Jones and Bartlett Learning.
  • Textbook:  Sullivan, L. M. (2018). Biostatistics in public health (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
    • Chapter 2 Study Designs
    • Chapter 3 Quantifying the Extent of Disease
    • Chapter 4 Summarizing Data Collected in the Sample
    • Chapter 6 Confidence Interval Estimates
    • Chapter 7 Hypothesis Testing Procedures
    • Chapter 8 Power and Sample Size Determination
    • Chapter 10 Nonparametric Tests
  • Video: Week 6 Video
  • MP3: Audio only Week 6 Video
  • File: 6.3 Epidemiology Study Guide
  • File: 6.3 Epidemiology Research Websites for Generating Case Study Ideas

Instructions

  1. For this paper, choose Professional format in APA Style Central as it will guide you through the writing of your abstract and author note.
  2. Download the file Exercise 6.3 Epidemiology Study Guide 10.2018
  3. Using this guide, write up an epidemiology study just as if you had performed it. Further detailed instructions are included on the guide. Abstracts are usually 250 words or less so please use the Word Count feature under the Review tab.
  4. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox DIVERSE POPULATION.

Genomics

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DQ 1

Name three essential structural elements of a functional eukaryotic chromosome and describe their functions. Discuss the implications related to research, health, and life span in terms of one of the structural elements.

DQ 2

Describe the difference among replication, transcription, and translation for both DNA and RNA.

Topic 2: Genetics I

DQ 1

Describe at least four factors that can be associated in a complex inheritance health issue.

DQ 2

Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available Genomics.

Topic 3: Genetics 2

DQ 1

Contrast two models used for multigenerational family health histories. Which do you prefer and why?

DQ 2

Describe the importance of a comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Topic 4: Personalized Genetic Medicine

DQ 1

Genetics testing is viewed as either positive or negative. When used to detect the genes for breast cancer, health insurance companies deny care based on genetics. Why? Describe one genetic test and its impact on health, prevention, screening, diagnostics, treatment selection, and treatment effectiveness.

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DQ 2

Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide the care with the highest level of evidence to each patient. Describe one pharmacological agent with a protocol/clinical guideline that is used. Discuss how this protocol may not take into consideration genetic variations. What can be done to tailor care to each patient while providing standardized treatments?

Topic 5: Nutrition

DQ 1

Describe one health issue and discuss how nutrition can impact this health issue positively and negatively.

DQ 2

Choose one disorder of malnutrition. Discuss the genetic and environmental influences on this disorder, including prevalence rates, testing, treatment, and prognosis Genomics.

Topic 6: Aging

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 7: Chronic Disease

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the chronic disease population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative way to care for those with chronic disease now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 8: Ethical and Legal Considerations

DQ 1

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication Genomics.

HEALTH CARE PROGRAM

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Overview of Assignment

Please take a moment to watch this Assignment Introduction, or read the presentation transcript.

Directions

Within your group, you will work to create a WebQuest. A WebQuest is an inquiry-oriented assignment. Look at sample WebQuests (search online) to see how creative you can be. The format is divided into sections or independent pages. Think of each section as a section on a paper HEALTH CARE PROGRAM.

For your WebQuest presentation, you will choose a problem that is a public policy issue. (Nursing Shortage) You will define the health care problem. 

You may be working in a certain clinical area and may see a need for more research or alternatives to treatment options. The problem may be a professional problem that you as an advance practice nurse are encountering in terms of autonomy or reimbursement for your services. It could be a workplace safety issue or a management issue. It could be a general societal problem that needs to be brought to the attention of the legislators.

Your WebQuest Presentation:

  • Most of the information for your WebQuest will come from the Web. However, you are expected to use the Library to supplement the information that you find on the Web.
  • You must also use a minimum of three graphics or images to illustrate your points. The graphics can go on any of the pages in the WebQuest and you can use more if you like. The graphics do not substitute for the text that is to explain each section.
  • You are expected to use analysis in each of the sections and provide details and explanations in each area. The Web resources are to validate what your position or argument is.
  • You will use this WebQuest PowerPoint template to build your WebQuest. Before you begin your work however, watch this video to learn how to edit the template to create your unique WebQuest.

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Movenote Presentation

In one section of your WebQuest, you will include a link to a Movenote presentation that you create. Movenote is an online tool that allows you to combine slides (e.g., PowerPoint, Google Slides, or Prezi slides) and video, displayed as an inset. The video will be of you, on camera, as you narrate. In this way, you can combine the two, presenting your ideas in video as you display your slides. Be sure to review How to Use Movenote for Your Assignment Presentation before you begin HEALTH CARE PROGRAM.

In your Movenote presentation, you will give a 5-minute talk with slides, as if you were speaking at a press conference delivering your message to a politician or to the community as a whole about what you have identified as the problem. Your presentation should explain why your identified problem needs to be addressed.

The following should be incorporated in your WebQuest:

  • The health care problem/public policy issue
  • A link to your Movenote presentation
  • A transcript of the Movenote presentation
  • What the government’s response to this problem has been previously (i.e., what has been done in terms of laws, rules, regulations, or programs; if the issue has never been addressed, you will discuss what needs to be done)
  • Your assessment of the legislative and policy-making strategies that influence health care services
  • Your proposed bill, either on the state or federal level, advancing your proposed change
  • Why these changes are important and a discussion of what opportunities nurses have to become involved in the design of this program
  • Your advice on how the program can be implemented
  • A summary of the Project
  • The credits page

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources HEALTH CARE PROGRAM.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Health Promotion During Pregnancy

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When caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby Health Promotion During Pregnancy.

Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.

1. Review Chapter 2 of the Tharpe et al. text and the 

2. Article from the Centers for Disease Control and Prevention in this week’s  Learning Resources:

3. Consider lifestyle changes that pregnant women must make in relation to smoking. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.

· 4. Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as posters, that might be most effective with your patient population.

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Post a detailed description of the educational media piece you would create for health promotion during pregnancy. Explain why you selected the particular topic (SMOKING), as well as why you selected the type of media (POSTER),  and how and why it is suitable for your patient population.

Note: Attach the POSTER to your Discussion posting before the References.

DUE ON: OCT. 17.17 by 12 noon

APA FORMAT

ZERO PLGIARISM

1&1/2 PAGE only.

:earning Resource/Required Readings/References

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

  • Review Chapter 30, “Diagnosis of Pregnancy and      Overview of Prenatal Care” (pp. 781-797)

This chapter examines the diagnosis of pregnancy, routine prenatal care, and patient education strategies for pregnant women.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers Health Promotion During Pregnancy.

  • Review: Chapter 2, “Care of the Woman During      Pregnancy” (pp. 49-90)

This chapter explores the care of women during pregnancy, including common health conditions and health promotion.

  • Chapter 3, “Care of the Pregnant Woman with      Prenatal Conditions” (pp. 93-154)

This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.

Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.html

This website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored.

Optional Resources

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/ Health Promotion During Pregnancy

SEXUALLY TRANSMITTED INFECTION

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Journal Entry 4 – (Vaginal Discharge).

Reflect on a patient who presented: 

1. with a vaginal discharge during your Practicum Experience. 2. 

2. Describe key signs and symptoms that were consistent with a sexually transmitted infection (STI) versus a non-STI related infection.  

3. If you diagnosed the patient with an STI, describe your experience in telling the patient that she had an STI, as well as the patient’s reaction to the diagnosis. 

4. Explain how the diagnosis might impact the patient’s life short-term and long-term. 

5. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient, you may select a related case study from a reputable source.

(2). Assignment: Practicum – 

Journal Entry 5 (Choose a TOPIC of your choice from the 3).

Reflect on a patient who presented:

1. with endometriosis, ovarian cysts, or amenorrhea during your Practicum Experience. (Choose one d/o).

2. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. 

3. Then, explain how treatment modalities differ for endometriosis, ovarian cysts, and amenorrhea, as well as the implications of these differences when diagnosing and treating patients. 

4. If you did not have an opportunity to evaluate a patient, you may select a related case study from a reputable source.

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(3). Assignment Practicum –

Journal Entry –  6 SEXUALLY TRANSMITTED INFECTION

(Breast Condition).

Reflect on a patient who presents with:

1. with a breast condition during your Practicum Experience. 

2. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. 

3. Then, explain your patient education strategies for patients with or at risk of breast conditions. 

4. Include a description of how you might teach patients to perform breast self-examinations. 

5. If you did not have an opportunity to evaluate a patient with this background during the last six weeks, you may select a related case study from a reputable source.

Instruction:

 There are 3 individual Journal Assignments here:

This Home Work is DUE on Monday. OCT. 9th.2017.

1. No plagiarism what so ever.

2. ALL work APA format.

3. A scholarly written work from a grad; preferably a NURSE.

4. Must address EACH number by paragraph.

5. Use 4 to 5 sources/reference on EACH journal; must be from reputable sources.

Here are some recommended sources use.

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/ SEXUALLY TRANSMITTED INFECTION

HIT Projects and Decision Makers

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A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system HIT Projects and Decision Makers.
 

Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project.
 

To prepare:

  • Bring      to mind a HIT project implemented in your organization. Which leaders      identified the project? Which stakeholders and decision makers helped      moved the project forward?
  • Consider      methods that were used to garner the support of stakeholders and decision      makers to move the project forward.

By tomorrow Wednesday 09/20/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward. (HIT stands for Health Information Technology, pick one that was implemented in the hospital. One project that comes to my mind is when my hospital upgraded their EHR system from MEDITECH to EPIC system).

2) Evaluate the impact of key decision makers on moving the HIT project forward.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

  • Chapter      17, “Disruptive Innovation: Point of Care”

This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.

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Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

  • “Standards      of Nursing Informatics Practice” (pp. 67-79)

This excerpt presents the specific measurement criteria found within each nursing informatics standard.

Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989. 

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9. 

Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Systems analysis. Baltimore, MD: Author.

Note: The approximate length of this media piece is 11 minutes.

The presenters in this week’s media presentation outline the stages involved when implementing a new technology system.

Optional Resources

Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (electronic Point-Of-Care Project) experience. Studies in Health Technology and Informatics, 129(Pt 2), 1088-1092. HIT Projects and Decision Makers

Applying Nursing Theory

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Instructions:

  1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
  2. Post two discussion questions based on the readings along with your answers.
  3. Read and then respond to at least two of your classmate’s postings.

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Theorist Scenario
Florence Nightengale Using Nightengale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing (working as an employee or student).Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice.

OR

Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient?
Betty Neuman Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression.

Use the Neuman System Model as a conceptual framework to respond to the following:Describe the family as a system.How does the dominant Anglo culture impact on  the family’s stability as a system?What stressors (actual and potential) threaten the family?What additional assessment data are needed related to Martina’s medical diagnoses?What additional assessment data are needed related to the family’s health status?How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels?

OR
Imogene King Think about and write your personal definitions of environment, health, nursing, and person. (Do these sound familiar to you?). Compare your definitions with King’s definitions. How are they similar? How are they different? Are they more alike than different? If they are more alike, develop a plan to use King’s framework and theory more extensively in your paper (and practice).

OR

Does the philosophy of one of the agencies in which you have practiced encourage the involvement of the patients in their care? If so, does mutual goal setting occur? If not, what changes would you suggest to promote more active involvement of the patients in their own care?

Analyze an interaction  you have had with a patient. Were you able to achieve a transaction as King describes it? If so, think about what you did differently with this person? If not, think about the interaction and try to identify why the transaction was not achieved?
Hildegard Peplau During the therapeutic relationship, patients may distort their perceptions of others. Therefore they may relate to the nurse not on  the basis of the nurse’s realistic attributes, but wholly or chiefly on the basis of interpersonal relationships existing in their environment. With  the patient and nurse roles you have described above, discuss how these distorted perceptions may affect the patient’s care and the nurse-patient relationship.

OR

Considering the nurse-patient relationship created in question #1 above, discuss the phases and the changing roles that would be considered when working with this patient. Consider experiences in which you would 0r/and would not be able to accomplish the appropriate goals for each phase of the nurse-patient relationship.
Madeleine Leininger Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the  21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion: The importance of transcultural nursing knowledge in an increasingly diverse worldAn increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures.Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.

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

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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 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 the NR451_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 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).

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Introduce the reader to the plan with evidence-based problem identification and solution. b. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); 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 Referencesmust 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. 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 basic 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 ChangeBased 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.