CAM, Patient Education Ethics, And Informed Consent

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Professional Capstone and Practicum

NRS-493 6 Credits Mar 14 - May 22, 2022

Course Description

This is a writing-intensive course. The course combines scholarly activities with clinical practice experiences designed to synthesize learning into the practice environment and impact health outcomes. Learners participate in planned, clinical experiences that refine professional competencies at the baccalaureate level and enable learners to integrate new knowledge and higher level skills to advance nursing practice. Clinical practice hours will be dedicated to learning objectives in leadership and in community health. The professional capstone project offers learners the opportunity to propose a resolution to an issue or problem significant to nursing practice within a clinical environment. Learners identify, design, and propose an evidence-based solution within a health care organization with guidance from faculty and a preceptor in the field. The proposal must reflect synthesis and integration of course content and professional practice. Development of the capstone project is guided by the baccalaureate program learner learning outcomes. Clinical hours: 100. Combined ; 50 hours in leadership and 50 hours in community health. Prerequisites: NRS-430V, NRS-429VN, NRS-434VN, NRS-428VN, HLT-362V, NRS-433V, PHI-413V, NRS-451VN, NRS-410V, and NRS-440VN.

Instructor Contact Information

Vernon Thacker [email protected]

Class Resources

NRS-493 Course Revision History

Optional: GCU Library Webinars

For additional information, the following is recommended:

Review the webinar information offered by the GCU Library. From the "Webinars and Workshops: Webinar Calendar" page, select the "Category" tab and scroll down to the Nursing and Health Sciences selection. Webinar participation is optional.

http://libguides.gcu.edu/webinars

Nursing and Health Sciences

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http://libguides.gcu.edu/webinars

Explore "Nursing and Health Sciences," located on the Grand Canyon University website.

This is a discipline-specific research page to assist you with your research. In particular, seek out the "Evidence- Based Practice (EBP)" tab in the LibGuide for highly specific information pertinent to the capstone project.

http://libguides.gcu.edu/Nursing

NRS-493 Capstone Project Change Proposal Deliverables Table

The "NRS-493 Capstone Project Change Proposal Deliverables Table" is list of items that must be completed and submitted by the student each week. Included in the deliverables table are assignments, direct clinical hours, and indirect clinical hours broken down by week. This table is meant to assist the student in constructing the capstone project change proposal successfully.

LopesWrite

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

https://support.gcu.edu/hc/en-us/articles/201277380-LopesWrite

NRS-493 Discussion Questions

NRS-493 RN-BSN Clinical Practice Experience Orientation

Virtual Capstone and Practicum Experience Guidance

Access the "Virtual Capstone and Practicum Experience Guidance" document for information on completing practicum requirements.

Clinical Practice Experience Clinical Evaluation Tools

The "Student Evaluation of Preceptor" will be completed by the student and submitted to the course faculty 1. at the end of the course. The "Student Evaluation of Agency/Site" will be completed by students, validated by faculty regarding the 2. clinical site, and submitted to course faculty at the end of the course.

After completing these documents, submit them to the instructor in LoudCloud.

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http://libguides.gcu.edu/Nursing

https://support.gcu.edu/hc/en-us/articles/201277380-LopesWrite

Clinical Practice Experience Clinical Evaluation Tools

After completing these documents, submit them to the instructor in LoudCloud.

NRS-493 Individual Success Plan Example

The "NRS-493 Individual Success Plan Example" is intended to assist students who need more guidance when developing their Individual Success Plan (ISP) assignment.

Expectations for the Professional Capstone Project Change Proposal

The capstone project change proposal is a clinical practice experience assignment that offers students an opportunity to research and propose an evidence-based, nursing intervention to address an issue significant to nursing practice within a clinical environment. Students must identify a specific patient population, or clinical department, within their chosen practicum environment to design and propose an evidence-based solution. Faculty must approve capstone project change proposal topics. Faculty and preceptors support students toward project completion.

Examples of appropriate clinical practice experience assignments are listed in the Course Materials and in Appendix A of the AACN document titled: "White Paper: Expectations for Practice Experiences in the RN to Baccalaureate Curriculum."

https://www.aacnnursing.org/Portals/42/News/White-Papers/RN-BSN-Expectations-White-Paper.pdf

Evaluating Websites

View the "Evaluating Websites" tutorial, located on the Grand Canyon University website.

This tutorial will explain how to evaluate websites for content that you can trust.

https://lc.gcumedia.com/mediaElements/evaluating-websites-tutorial/v2.1/

Topic 1: Identification of issue Significant to Nursing Practice I

The first step in developing an evidence-based, practice change proposal is to identify an issue or problem that is significant to nursing practice. In this topic, students will examine a health care clinical problem or an organizational issue and its implications to nursing practice.

Objectives:

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https://www.aacnnursing.org/Portals/42/News/White-Papers/RN-BSN-Expectations-White-Paper.pdf

https://lc.gcumedia.com/mediaElements/evaluating-websites-tutorial/v2.1/

Create a plan for successful completion of the course.1. Integrate reflective practice in the form of a reflective journal.2. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.3.

Mar 14, 2022 - Mar 20, 2022 Max Points: 75

Resources

Optional: GCU Library Webinars

For additional information, the following is recommended:

http://libguides.gcu.edu/webinars

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities beyond their employment in a clinical practice setting. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available in an organizational setting, in the community, or nationally. This submission should include how you were involved and contributions made to interdisciplinary initiatives. In Topic 10, students will submit a summary report of the scholarly activity and their involvement in any interdisciplinary initiatives. Students must use the "Scholarly Activity Summary" resource to guide this assignment.

NRS-493 Individual Success Plan

Review the "NRS-493 Individual Success Plan" resource to familiarize yourself with the requirements for the Individual Success Plan (ISP) assignment in this topic.

Evidence-Based Practice: The Future of Nursing and the Role of Nurse

Read "Evidence-Based Practice: The Future of Nursing and the Role of Nurse," by Jyothi, from International Journal of Nursing Education (2012).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=104394666&site=eds-live&scope=site

Adopting Evidence-Based Practice in Clinical Decision Making: Nurses' Perceptions, Knowledge, and Barriers

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http://libguides.gcu.edu/webinars

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104394666&site=eds-live&scope=site

Read "Adopting Evidence-Based Practice in Clinical Decision Making: Nurses' Perceptions, Knowledge, and Barriers," by Majid, Schubert, Luyt, Zhang, Theng, Chang, and Mokhtar, from the Journal of the Medial Library Association (2011).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/

Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence- Based Practice

Read "Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice," by Stillwell, Fineout-Overholt, Melnyk, and Williamson, from American Journal of Nursing (2010).

https://journals.lww.com/ajnonline/Fulltext/2010/03000/ Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx

Evidence-Based Practice: Share the Spirit of Inquiry

Read "Evidence-Based Practice: Share the Spirit of Inquiry," by Arzouman, from MEDSURG Nursing (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsovi&AN=edsovi.00008484.201507000.00001&site=eds-live&scope=site

Assessments

Class Introductions Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 16, 2022, 11:59 PM 0

Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

Individual Success Plan (ISP) Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 25

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice 1. hours, and 25 indirect clinical experience hours. Completion of work associated with program competencies.2. Work associated with completion of the student's capstone project change proposal.3.

Students will use the "Individual Success Plan" to develop an individual plan for completing practice hours and

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/

https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsovi&AN=edsovi.00008484.201507000.00001&site=eds-live&scope=site

course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the "NRS-493 Individual Success Plan" resource, located in the Study Materials and in the assignment instructions.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

You are not required to submit this assignment to LopesWrite.

Practice Experience Conference (Pre-Conference) Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 15

Students are required to initiate a preconference that will occur during the first week of class and must include the faculty member and the preceptor. Conferences may be conducted face-to-face or via synchronous technology such as Skype, Zoom, or GoToMeeting. The student, preceptor, and faculty must be present at the conference. The student and preceptor will complete the "Practice Experience Conference Form (Preconference)" and the student will submit it to the instructor in the digital classroom after the conference has taken place.

You are not required to submit this assignment to LopesWrite.

Capstone Change Project Topics Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 0

Work with your preceptor to perform a needs assessment of the organization and community for your practicum. Review the needs assessment to identify possible project topics. In preparation for the capstone change project proposal, compile a list of three to five possible topics for your project and submit to the assignment instructor in the digital classroom.

You are not required to submit this assignment to LopesWrite.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 0

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional

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practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week's entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

New practice approaches1. Interprofessional collaboration2. Health care delivery and clinical systems3. Ethical considerations in health care4. Practices of culturally sensitive care5. Ensuring the integrity of human dignity in the care of all patients6. Population health concerns7. The role of technology in improving health care outcomes8. Health policy9. Leadership and economic models10. Health disparities11.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 10

Document your clinical practice hours using the Lopes Activity Tracker (LAT) in your student portal. Once you have opened the app, click on the link for your class to record your hours. Clinical practice hours should be documented and submitted within 48 hours of the clinical experience. After the hours have been submitted, the preceptor will verify the hours, which are then reviewed by the faculty.

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 1 DQ 1 Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 16, 2022, 11:59 PM 5

Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

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Topic 1 DQ 2 Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 18, 2022, 11:59 PM 5

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

Topic 1 Participation Start Date & Time Due Date & Time Points

Mar 14, 2022, 12:00 AM Mar 20, 2022, 11:59 PM 15

Topic 2: Identification of Issue Significant to Nursing Practice II

In this topic, students will continue to explore the context of their chosen clinical problem or organizational issue and its implications to nursing practice. Students will also research the options for their intervention proposal: primary prevention, secondary prevention, bioterrorism, environmental, or collaboration with an interprofessional team.

Objectives:

Develop a solution to address a clinical practice issue to improve patient outcomes.1. Connect the developed solution of a clinical practice issue with how it will affect nursing practice.2. Identify a clinical practice problem or an organizational issue within a community clinical practice setting.3. Connect the identified clinical practice problem or organization issue to the implications it would have on 4. nursing practice. Integrate reflective practice into the practicum reflective journal.5. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.6.

Mar 21, 2022 - Mar 27, 2022 Max Points: 85

Resources

Integrated Comprehensive Care - A Case Study in Nursing Leadership and System Transformation

Read "Integrated Comprehensive Care - A Case Study in Nursing Leadership and System Transformation," by Wheatley, Doyle, Evans, Gosse, and Smith, from Nursing Leadership (2017).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsbl&AN=RN614966127&site=eds-live&scope=site

Optional: GCU Library Webinars

For additional information, the following is recommended:

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN614966127&site=eds-live&scope=site

http://libguides.gcu.edu/webinars

Capstone Project: Developing a Question

Read "Capstone Project: Developing a Question" to assist you in developing a capstone project appropriate to the course and the overall RN-to-BSN program of study.

Evidence-Based Practice: Share the Spirit of Inquiry

Review "Evidence-Based Practice: Share the Spirit of Inquiry," by Arzouman, from MEDSURG Nursing (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsovi&AN=edsovi.00008484.201507000.00001&site=eds-live&scope=site

Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence- Based Practice

Review "Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice," by Stillwell, Fineout-Overholt, Melnyk, and Williamson, from American Journal of Nursing (2010).

https://journals.lww.com/ajnonline/Fulltext/2010/03000/ Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx

Educational and Community-Based Programs

Read "Educational and Community-Based Programs," located the Healthy People 2020 website. In particular, look for examples of the integration of community health, leadership, and EBP for use in completing the topic assignment.

https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs

Assessments

Capstone Topic Summary Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 27, 2022, 11:59 PM 0

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for

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http://libguides.gcu.edu/webinars

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsovi&AN=edsovi.00008484.201507000.00001&site=eds-live&scope=site

https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx

https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs

the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership).

You are not required to submit this assignment to LopesWrite.

Capstone Project Topic Selection and Approval Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 27, 2022, 11:59 PM 50

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional 1. team project that will be the focus of the change proposal. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or 2. collaborative interprofessional team project can be observed. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, 3. educational need, or collaborative interprofessional team project. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative 4. interprofessional team project. Significance of the topic and its implications for nursing practice.5. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.6.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

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

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

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 27, 2022, 11:59 PM 0

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inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 27, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 2 DQ 1 Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 23, 2022, 11:59 PM 5

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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

Topic 2 DQ 2 Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 25, 2022, 11:59 PM 5

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

Topic 2 Participation Start Date & Time Due Date & Time Points

Mar 21, 2022, 12:00 AM Mar 27, 2022, 11:59 PM 15

Topic 3: Development of Evidence-Based Practice Change Proposal I

The next step in developing an evidence-based practice change proposal for the capstone project is to conduct a thorough review of the literature pertaining to the chosen topic. In this topic, students will examine the research literature and utilize library resources to locate quality, peer-reviewed sources to support their chosen topic and solution. Students will use the PICOT question process to create a PICOT question for their topic.

Objectives:

Critique evidence-based research to support the development of the capstone project change proposal.1. Create a PICOT question incorporating an evidence-based nursing practice intervention.2. Create objectives for an evidence-based nursing practice change proposal.3. Integrate reflective practice into the practicum reflective journal.4. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.5.

Mar 28, 2022 - Apr 3, 2022 Max Points: 90

Resources

Asking Focused Questions

Read "Asking Focused Questions," located on the Centre for Evidence-Based Medicine website.

http://www.cebm.net/asking-focused-questions/

Science of Improvement: Testing Changes

Read "Science of Improvement: Testing Changes," located on the Institute for Healthcare Improvement website.

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http://www.cebm.net/asking-focused-questions/

http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx

Formulating a Researchable Question: A Critical Step for Facilitating Good Clinical Research

Read "Formulating a Researchable Question: A Critical Step for Facilitating Good Clinical Research," by Aslam and Emmanuel, from Indian Journal of Sexually Transmitted Diseases and AID (2010).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/

Selecting the Best Theory to Implement Planned Change

Read "Selecting the Best Theory to Implement Planned Change," by Mitchell, from Nursing Management (2013).

http://home.nwciowa.edu/publicdownload/ Nursing%20Department%5CNUR310%5CSelecting%20the%20Best%20Theory%20to%20Implement%20Planne d%20Change.pdf

Nursing Theories

Explore the Nursing Theories page of the Current Nursing website. This website provides information on leading nursing theories.

http://currentnursing.com/nursing_theory/

Research Questions, Hypotheses and Objectives

Read "Research Questions, Hypotheses and Objectives," by Farrugia, Petrisor, Farrokhyar, and Bhandari, from Canadian Journal of Surgery (2010).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/

The Effect of Translating Research Into Practice Intervention to Promote Use of Evidence- Based Fall Prevention Interventions in Hospitalized Adults: A Prospective Pre-Post Implementation Study in the U.S.

Read "The Effect of Translating Research Into Practice Intervention to Promote Use of Evidence-Based Fall Prevention Interventions in Hospitalized Adults: A Prospective Pre-Post Implementation Study in the U.S.," by Titler et al., from Applied Nursing Research (2016).

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0897189715002384

Nursing Theory

Explore Nursing Theory website. This website provides information on leading nursing theories.

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http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/

http://home.nwciowa.edu/publicdownload/Nursing%20Department%5CNUR310%5CSelecting%20the%20Best%20Theory%20to%20Implement%20Planned%20Change.pdf

http://currentnursing.com/nursing_theory/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0897189715002384

http://nursing-theory.org/

Translating Research for Evidence-Based Practice

Read "Translating Research for Evidence-Based Practice," by Bowen and Forrest, from Access (2017).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=120577496&site=ehost-live&scope=site

Assessments

PICOT Question Paper Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Apr 3, 2022, 11:59 PM 50

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

Evidence-based solution1. Nursing intervention2. Patient care3. Health care agency4. Nursing practice5.

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark - Capstone Change Project Objectives Start Date & Time Due Date & Time Points

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http://nursing-theory.org/

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120577496&site=ehost-live&scope=site

Mar 28, 2022, 12:00 AM Apr 3, 2022, 11:59 PM 5

Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale.

After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations.

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 not required to submit this assignment to LopesWrite.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.5: Advocate for autonomy and social justice for individuals and diverse populations.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Apr 3, 2022, 11:59 PM 0

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text

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citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Apr 3, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 3 DQ 1 Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Mar 30, 2022, 11:59 PM 5

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Topic 3 DQ 2 Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Apr 1, 2022, 11:59 PM 5

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Topic 3 Participation Start Date & Time Due Date & Time Points

Mar 28, 2022, 12:00 AM Apr 3, 2022, 11:59 PM 15

Topic 4: Development of Evidence-Based Practice Change Proposal II

In this topic, students will continue to examine the research literature and utilize library resources to locate quality, peer-reviewed sources that support their chosen topic and solution. Students will begin to synthesize

Page 16 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

the research data from multiple sources to identify strategies for implementation of a nursing intervention. Students must identify a change or nursing theory to support their proposed capstone project intervention.

Objectives:

Synthesize evidence-based research data to support the development of the capstone project change 1. proposal. Identify a change or nursing theory to support the nursing intervention for the capstone project change 2. proposal. Write measurable outcomes for the evidence-based nursing practice intervention used in the capstone 3. project change proposal. Integrate reflective practice into the practicum reflective journal.4. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.5.

Apr 4, 2022 - Apr 10, 2022 Max Points: 85

Resources

Nursing Theories

Explore the Nursing Theories page of the Current Nursing website. This website provides information on leading nursing theories.

http://currentnursing.com/nursing_theory/

Translating Research for Evidence-Based Practice

Review "Translating Research for Evidence-Based Practice," by Bowen and Forrest, from Access (2017).

https://search-proquest-com.lopes.idm.oclc.org/docview/1860951984?accountid=7374

Change Theory: Kurt Lewin

Read "Change Theory: Kurt Lewin," located on the Current Nursing website.

http://currentnursing.com/nursing_theory/change_theory.html

Nursing Theory

Explore Nursing Theory website. This website provides information on leading nursing theories.

http://nursing-theory.org/

Literature Evaluation Table

Review the "Literature Evaluation Table" resource to assist you in completing the Literature Evaluation Table

Page 17 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

http://currentnursing.com/nursing_theory/

https://search-proquest-com.lopes.idm.oclc.org/docview/1860951984?accountid=7374

http://currentnursing.com/nursing_theory/change_theory.html

http://nursing-theory.org/

assignment.

Research Questions, Hypotheses and Objectives

Review "Research Questions, Hypotheses and Objectives," by Farrugia, Petrisor, Farrokhyar, and Bhandari, from Canadian Journal of Surgery (2010).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/

Asking Focused Questions

Review "Asking Focused Questions," located on the Centre for Evidence-Based Medicine website.

http://www.cebm.net/asking-focused-questions/

Introducing AORN's New Model for Evidence Rating

Read "Introducing AORN's New Model for Evidence Rating," by Spruce, Van Wicklin, Hicks, Conner, and Dunn, from AORN Journal (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsbl&AN=RN346651439&site=eds-live&scope=site

Formulating a Researchable Question: A Critical Step for Facilitating Good Clinical Research

Review "Formulating a Researchable Question: A Critical Step for Facilitating Good Clinical Research," by Aslam and Emmanuel, from Indian Journal of Sexually Transmitted Diseases and AID (2010).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/

Science of Improvement: Testing Changes

Review "Science of Improvement: Testing Changes," located on the Institute for Healthcare Improvement website.

http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx

Assessments

Literature Evaluation Table Start Date & Time Due Date & Time Points

Page 18 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/

http://www.cebm.net/asking-focused-questions/

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN346651439&site=eds-live&scope=site

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/

http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx

Apr 4, 2022, 12:00 AM Apr 10, 2022, 11:59 PM 50

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student's ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the "Literature Evaluation Table," determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

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 not required to submit this assignment to LopesWrite.

Capstone Change Project Outcomes Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 10, 2022, 11:59 PM 0

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 10, 2022, 11:59 PM 0

Page 19 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 10, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 4 DQ 1 Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 6, 2022, 11:59 PM 5

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.

Page 20 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

Topic 4 DQ 2 Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 8, 2022, 11:59 PM 5

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?

Topic 4 Participation Start Date & Time Due Date & Time Points

Apr 4, 2022, 12:00 AM Apr 10, 2022, 11:59 PM 15

Topic 5: Capstone Project Change Proposal Implementation Plan I

Students must formulate an evidence-based and financially feasible strategic plan for their change proposal. Development of a written plan requires an assessment of the organization's culture, stakeholders, potential challenges, barriers, and obstacles to the implementation of the change proposal. In this topic, students will develop their understanding of cultural aspects related to the organizational environment.

Objectives:

Assess the organization and community for key stakeholders.1. Assess the culture of the organization for potential challenges in incorporating the nursing practice 2. intervention. Create a strategic plan defining how the nursing practice intervention would be implemented in the 3. capstone project change proposal. Integrate reflective practice into the practicum reflective journal.4. Demonstrate interprofessional collaboration throughout the creation of the capstone project change 5. proposal.

Apr 11, 2022 - Apr 17, 2022 Max Points: 70

Resources

Research at the Bedside: It Makes a Difference

Read "Research at the Bedside: It Makes a Difference," by Bridges, from American Journal of Critical Care (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=109815727&site=eds-live&scope=site

Inside Looking In or Inside Looking Out? How Leaders Shape Cultures Equipped for Evidence- Based Practice

Read "'Inside Looking In' or 'Inside Looking Out'? How Leaders Shape Cultures Equipped for Evidence-Based Practice," by Halm, from American Journal of Critical Care (2010).

Page 21 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109815727&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsbl&AN=RN275158559&site=eds-live&scope=site

Evidence-Based Practice (EBP)

Read "Evidence-Based Practice (EBP)," by Samonte and Vallente, from Salem Press Encyclopedia (2015), for specific information on developing a literature review.

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ers&AN=113931151&site=eds-live&scope=site

Defining What Evidence Is, Linking It to Patient Outcomes, and Making It Relevant to Practice: Insight From Clinical Nurses

Read "Defining What Evidence Is, Linking It to Patient Outcomes, and Making It Relevant to Practice: Insight From Clinical Nurses," by Jeffs, Beswick, Lo, Campbell, Ferris, and Sidani, from Applied Nursing Research (2013).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsbl&AN=RN336184640&site=eds-live&scope=site

Best Practice in Nursing: A Concept Analysis

Read "Best Practice in Nursing: A Concept Analysis," by Nelson, from International Journal of Nursing Studies (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103894941&site=eds-live&scope=site

Assessments

Practice Experience Conference (Mid-Conference) Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 15

Students are required to initiate a mid-conference that will occur during Topic 5, using the "Practice Experience Conference Form (Mid-Conference)" resource. This conference is intended for the student, preceptor, and faculty to discuss progress toward meeting the learning goals and course objectives contained in the Individual Success Plan (ISP). Progress toward completing the written capstone project will also be discussed, including faculty recommendations for project development. Student progress will be documented on the Clinical Evaluation Tool (CET), which is submitted in LoudCloud prior to the conference. The CET will be discussed during the mid-conference and graded in LoudCloud by the faculty after the mid-conference. If the student receives an "Unacceptable" or "Below Expectations" in any category, the student will remediate for that category of the CET.

Page 22 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN275158559&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931151&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN336184640&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103894941&site=eds-live&scope=site

Midterm Evaluation of Student Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 20

The preceptor will perform a midterm evaluation with the faculty. The preceptor will input the evaluation content into the Lopes Activity Tracker. The student will upload the evaluation into the digital classroom after meeting with the preceptor to discuss the midterm evaluation.

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

Clinical Practice Experience Remediation Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 0

Students who are not making appropriate progress on their capstone project and receive an "Unacceptable" or "Below Expectations" on the CET will be required to complete remediation activities. Required remediation activities are listed on the "NRS-493: Clinical Experience Remediation" document. The required activities must be submitted in LoudCloud upon their completion by the end of Topic 7. All required remediation activities will be reviewed and approved by the faculty.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 0

Page 23 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

Health policy9. Leadership and economic models10. Health disparities11.

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 not required to submit this assignment to LopesWrite.

Strategic Plan Summary Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 0

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Submission Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 5 DQ 1 Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 13, 2022, 11:59 PM 5

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Page 24 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

Topic 5 DQ 2 Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 15, 2022, 11:59 PM 5

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

Topic 5 Participation Start Date & Time Due Date & Time Points

Apr 11, 2022, 12:00 AM Apr 17, 2022, 11:59 PM 15

Topic 6: Capstone Change Project Implementation Plan II

In this topic, students will synthesize discovered evidence-based research that supports the intervention for the capstone project change proposal into a literature review. The strategic plan will be reviewed to determine what resources would be required if the intervention were to be implemented.

Objectives:

Create a list of resources from the evaluation of your strategic plan that would be needed to implement the 1. change proposal. Synthesize discovered evidence-based research that supports the capstone project change proposal.2. Integrate reflective practice into the practicum reflective journal.3. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.4.

Apr 18, 2022 - Apr 24, 2022 Max Points: 85

Resources

Evidence-Based Practice (EBP)

Review "Evidence-Based Practice (EBP)," by Samonte and Vallente, from Salem Press Encyclopedia (2015), for specific information on developing a literature review.

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ers&AN=113931151&site=eds-live&scope=site

Research at the Bedside: It Makes a Difference

Review "Research at the Bedside: It Makes a Difference," by Bridges, from American Journal of Critical Care (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?

Page 25 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931151&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109815727&site=eds-live&scope=site

direct=true&db=ccm&AN=109815727&site=eds-live&scope=site

Best Practice in Nursing: A Concept Analysis

Read "Best Practice in Nursing: A Concept Analysis," by Nelson, from International Journal of Nursing Studies (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103894941&site=eds-live&scope=site

Assessments

Literature Review Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 24, 2022, 11:59 PM 50

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

Title page1. Introduction section2. A comparison of research questions3. A comparison of sample populations4. A comparison of the limitations of the study5. A conclusion section, incorporating recommendations for further research6.

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Capstone Change Project Resources Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 24, 2022, 11:59 PM 0

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be Page 26 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103894941&site=eds-live&scope=site

needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to LopesWrite.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 24, 2022, 11:59 PM 0

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 24, 2022, 11:59 PM 10

Page 27 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 6 DQ 1 Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 20, 2022, 11:59 PM 5

After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.

Topic 6 DQ 2 Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 22, 2022, 11:59 PM 5

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

Topic 6 Participation Start Date & Time Due Date & Time Points

Apr 18, 2022, 12:00 AM Apr 24, 2022, 11:59 PM 15

Topic 7: Capstone Change Project Evaluation Plan

Students must develop skills related to systematic evaluation for intervention effectiveness. The content covered this week prepares students to evaluate the effectiveness of interventions and develop communication plans for the dissemination of information related to project outcomes. Synthesis of information from the process of evaluating outcomes (whether outcomes were met or not) generates new knowledge and adds to the body of knowledge for nursing practice.

Objectives:

Determine how the capstone project change proposal could be disseminated to leadership.1. Create a plan to evaluate outcomes of the proposed nursing practice intervention used in the change 2. proposal. Integrate reflective practice into the practicum reflective journal.3. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.4.

Page 28 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

Apr 25, 2022 - May 1, 2022 Max Points: 35

Resources

Back to Basics: Implementing Evidence-Based Practice

Read "Back to Basics: Implementing Evidence-Based Practice," by Spruce, from AORN Journal (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103866426&site=eds-live&scope=site

A Successful Approach to Implementing Evidence-Based Practice

Read "A Successful Approach to Implementing Evidence-Based Practice," by Giomuso et al., from Med-Surg Matters (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=109799107&site=eds-live&scope=site

Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP

Read "Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP," by Stetler, Ritchie, Rycroft-Malone, and Charns, from Worldviews on Evidence-Based Nursing (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103991765&site=eds-live&scope=site

The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings

Read "The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs," by Melnyk, Gallagher-Ford, Long, and Fineout-Overholt, from Worldviews on Evidence Based Nursing (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsbl&AN=RN348459921&site=eds-live&scope=site

Searching for Ethical Leadership in Nursing

Read "Searching for Ethical Leadership in Nursing," by Marakoff et al., from Nursing Ethics (2014).

https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/0969733013513213

Page 29 Grand Canyon University 2022 © Prepared on: Mar 17, 2022

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103866426&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109799107&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103991765&site=eds-live&scope=site

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN348459921&site=eds-live&scope=site

https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/0969733013513213

Assessments

Capstone Change Project Evaluation Plan Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM May 1, 2022, 11:59 PM 0

Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM May 1, 2022, 11:59 PM 0

APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM May 1, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 7 DQ 1 Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM Apr 27, 2022, 11:59 PM 5

Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?

Topic 7 DQ 2 Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM Apr 29, 2022, 11:59 PM 5

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

Topic 7 Participation Start Date & Time Due Date & Time Points

Apr 25, 2022, 12:00 AM May 1, 2022, 11:59 PM 15

Topic 8: Written Capstone Change Project

Students will synthesize the components developed in prior topics to formulate a written evidence-based account of the capstone project. Additionally, the student will integrate the following into the written evidence- based account: a plan for evaluating the nursing intervention, a change or nursing theory, and a discussion on how potential barriers will be overcome.

Objectives:

Produce a written comprehensive evidence-based capstone project change proposal using components 1. developed in prior topics of the course. Integrate a plan for evaluating the nursing intervention in the written comprehensive evidence-based 2. capstone project change proposal. Integrate a change or nursing theory into the written comprehensive evidence-based capstone project 3. change proposal. Identify potential barriers to the implementation of the change proposal.4. Integrate how the identified potential barriers will be overcome.5. Integrate reflective practice into the practicum reflective journal.6. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.7.

May 2, 2022 - May 8, 2022 Max Points: 235

Resources

Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP

Review "Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP," by Stetler, Ritchie, Rycroft-Malone, and Charns, from Worldviews on Evidence-Based Nursing (2014).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103991765&site=eds-live&scope=site

Back to Basics: Implementing Evidence-Based Practice

Review "Back to Basics: Implementing Evidence-Based Practice," by Spruce, from AORN Journal (2015).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=103866426&site=eds-live&scope=site

Searching for Ethical Leadership in Nursing

Review "Searching for Ethical Leadership in Nursing," by Marakoff et al., from Nursing Ethics (2014).

https://journals.sagepub.com/doi/full/10.1177/0969733013513213

The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings

Review "The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103991765&site=eds-live&scope=site

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https://journals.sagepub.com/doi/full/10.1177/0969733013513213

Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs," by Melnyk, Gallagher-Ford, Long, and Fineout-Overholt, from Worldviews on Evidence Based Nursing (2014).

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A Successful Approach to Implementing Evidence-Based Practice

Review "A Successful Approach to Implementing Evidence-Based Practice," by Giomuso et al., from Med-Surg Matters (2014).

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Assessments

Benchmark - Capstone Project Change Proposal Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 8, 2022, 11:59 PM 200

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background1. Clinical problem statement.2. Purpose of the change proposal in relation to providing patient care in the changing health care system.3. PICOT question.4. Literature search strategy employed.5. Evaluation of the literature.6. Applicable change or nursing theory utilized.7. Proposed implementation plan with outcome measures.8. Discussion of how evidence-based practice was used in creating the intervention plan.9. Plan for evaluating the proposed nursing intervention.10. Identification of potential barriers to plan implementation, and a discussion of how these could be 11. overcome. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.12.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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

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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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

2.2: Comprehend nursing concepts and health theories.

3.2: Implement patient care decisions based on evidence-based practice.

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 8, 2022, 11:59 PM 0

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 8, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 8 DQ 1 Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 4, 2022, 11:59 PM 5

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

Topic 8 DQ 2 Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 6, 2022, 11:59 PM 5

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Topic 8 Participation Start Date & Time Due Date & Time Points

May 2, 2022, 12:00 AM May 8, 2022, 11:59 PM 15

Topic 9: Capstone Project Change Proposal Plan

In this topic, students will design a professional presentation in order to disseminate their capstone project change proposal. While creating the final presentation, students will continue to reflect on their clinical practice experience.

Objectives:

Design a professional presentation for dissemination of the capstone project change proposal.1. Integrate reflective practice into the practicum reflective journal.2.

Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.3.

May 9, 2022 - May 15, 2022 Max Points: 35

Resources

Integrated Comprehensive Care - A Case Study in Nursing Leadership and System Transformation

Read "Integrated Comprehensive Care - A Case Study in Nursing Leadership and System Transformation," by Wheatley, Doyle, Evans, Gosse, and Smith, from Nursing Leadership (2017).

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The Cochrane Collaboration

Explore the Cochrane Collaboration website.

http://www.cochrane.org/

Presenter's Corner

Explore the resources provided on the Presenter's Corner page of the Western Institute of Nursing website.

https://www.winursing.org/

Assessments

Capstone Project Change Proposal Presentation for Faculty Review and Feedback Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 15, 2022, 11:59 PM 0

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence- based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.

You are not required to submit this assignment to LopesWrite.

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http://www.cochrane.org/

https://www.winursing.org/

Professional Capstone and Practicum Reflective Journal Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 15, 2022, 11:59 PM 0

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 not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 15, 2022, 11:59 PM 10

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it though the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

Topic 9 DQ 1 Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 11, 2022, 11:59 PM 5

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

Topic 9 DQ 2 Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 13, 2022, 11:59 PM 5

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization's culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

Topic 9 Participation Start Date & Time Due Date & Time Points

May 9, 2022, 12:00 AM May 15, 2022, 11:59 PM 15

Topic 10: Capstone Change Project Evaluation and Dissemination

The capstone project change proposal will be presented to an interprofessional group of leaders. A final summary of the reflective journal entries will allow students to self-reflect on the process of developing an evidence-based change proposal. Students will apply concepts related to self-awareness, synthesis, and integration of new knowledge and skills in their nursing practice.

Objectives:

Present the capstone project change proposal to an interprofessional group of leaders.1. Demonstrate interprofessional collaboration in the dissemination of the capstone project change proposal.2. Demonstrate achievement of the course objectives in the written completion of the Individual Success Plan 3. (ISP). Integrate self-reflective practice in summarizing the practicum reflective journal entries.4.

May 16, 2022 - May 22, 2022 Max Points: 205

Resources

The Cochrane Collaboration

Explore the Cochrane Collaboration website.

http://www.cochrane.org/

Presenter's Corner

Explore the resources provided on the Presenter's Corner page of the Western Institute of Nursing website.

https://www.winursing.org/

Assessments

Capstone Project Change Proposal Presentation Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 0

Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.

After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.

You are not required to submit this assignment to LopesWrite.

Individual Success Plan (ISP) Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 25

The completed Individual Success Plan (ISP) signed off by the preceptor must be submitted to the digital classroom for faculty approval. Student expectations and instructions for completing the ISP document are provided on the "NRS-493 Individual Success Plan" document. Faculty must approve of the completed ISP. Obtaining preceptor feedback and signature is the responsibility of the student.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Benchmark - Professional Capstone and Practicum Reflective Journal

http://www.cochrane.org/

https://www.winursing.org/

Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 90

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1: Utilize patient care technology and information management systems.

4.3: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3: Provide culturally sensitive care.

5.4: Preserve the integrity and human dignity in the care of all patients.

Scholarly Activities Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 10

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the "Scholarly Activity Summary" resource to help guide this assignment.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Lopes Activity Tracker Final Submission Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 10

At the end of the course, download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it through the assignment dropbox.

This submission is required in order to receive a final grade in the course.

In order to receive a passing grade in the course, students are required to have met the required number of approved practicum hours.

Practice Experience Conference (Post-Conference) Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 15

Students are required to initiate a Post- Conference that will occur during Topic 10. This meeting is intended for the student, preceptor, and faculty to discuss the completion of the clinical practice experience, the learning goals contained in the Individual Success Plan (ISP), and course learning objectives. Completion of the written capstone project change proposal will also be discussed, including preceptor recommendations. Completion of the clinical practice experience will be documented on the "Clinical Evaluation Tool" (CET), which

is submitted in the digital classroom prior to the Post-Conference. The CET will be reviewed during the Post- Conference including recommendations from the preceptor. Faculty will grade the submitted CET after the conference.

Indirect Clinical Practice Experience Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 0

Submit the completed "NRS-493 Indirect Clinical Practice Experience Hours" form to the digital classroom by the end of Topic 10.

Student Evaluation of Preceptor and Site Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 10

Access the Lopes Activity Tracker to complete the "Student Evaluation of Preceptor and Site." Upload and submit the evaluation through the dropbox in the digital classroom.

Final Evaluation of Student by Preceptor Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 20

The preceptor will complete your final evaluation in the Lopes Activity Tracker.

Both the student and preceptor must sign the form. The final evaluation is completed and submitted by the student to the dropbox in the digital classroom.

Students must meet all clinical expectations of the course, earn a passing grade on all benchmark assignments, and successfully complete remediation (if necessary) in order to receive a passing grade in the NRS-493 course. If there are any competencies on the final evaluation that are "Below Expectations," this may result in failure of the course.

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

Topic 10 DQ 1 Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 18, 2022, 11:59 PM 5

Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.

Topic 10 DQ 2

Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 20, 2022, 11:59 PM 5

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

Topic 10 Participation Start Date & Time Due Date & Time Points

May 16, 2022, 12:00 AM May 22, 2022, 11:59 PM 15