Capstone Project Milestone #1: PICO and Evidence Appraisal Guidelines Purpose Clear identification of the problem or opportunity is the first step in evidence-based nursing. This first milestone offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the milestone will include identification of the problem or concern using the PICO format and an evidence appraisal to find evidence to support an intervention that will change the outcomes. Course Outcomes This assignment enables the student to meet the following Course Outcomes. CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4) CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8) Due Date Milestone #1 consists of the completion of one worksheet that contains two parts (i.e., the PICO worksheet and the evidence appraisal worksheet). Submit the file with the two worksheets completed to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 2. Points Milestone #1 is worth 175 points (75 points for the PICO worksheet and 100 points for the evidence appraisal worksheet). Directions 1. Read this document including the grading rubrics below. 2. Download the PICO/Evidence Appraisal worksheets form from Doc Sharing. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve. Completion of PICO worksheet will offer a tool for your literature search. 3. For the evidence appraisal worksheet, find AT LEAST FOURsources to support the need for change and the potential intervention you have selected to solve the problem. Three of these sources must be peer-reviewed articles while one can be a reliable professional source. 4. Submit the completed PICO/Evidence Appraisal worksheet to the Week 2 Dropbox. Grading Criteria: PICO Category Points % Description PICO question and components 40 53% Question or nursing problem is identified and is an independent nursing decision. PICO elements are correctly identified. Outcomes are measurable. Practice issue and scope of the problem 20 27% Practice issue/problem is thoroughly described. The need for change is evident.Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified. Evidence and search terms 15 20% Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms and ways in which the search can be narrowed if discussed. Total 75 points 100% Grading Rubric: PICO Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor or Failing or Unsatisfactory Level of Performance F (0–75%) Total PICO question and components 40 points Question or nursing problem is identified and is an independent nursing decision. PICO elements are correctly identified. Outcomes are measurable. 37–40 points Question or nursing problem is identified and is an independent nursing decision. PICO elements are correctly identified. Outcomes but are not measurable. 34–36 points Question or nursing problem is identified and is an independent nursing decision. One PICO element is not correctly identified. Outcomes but are not measurable. 30–33 points Question or nursing problem is identified but is not an independent nursing decision. Several PICO elements are not correctly identified. Outcomes are not measurable or may not be present. 0–29 points /40 Practice issue and scope of the problem 20 points *Practice issue/problem is thoroughly described. The need for change is evident.*Practice area is identified. *Identification of the practice issue is clear. *Scope of the problem is identified. 19–20 points *Practice issue/problem is vaguely described. The need for change is evident. *Practice area is identified. *Identification of the practice issue is clear. *Scope of the problem is identified. 17–18 points *Practice issue/problem is vaguely described. The need for change is not obvious. *Practice area is identified. *Identification of the practice issue is clear. *Scope of the problem is identified. 15–16 points *Practice issue/problem is vaguely described. Need for change is not obvious. *Practice issues or scope of the problem are not addressed and/or not accurate. 0–14 points /20 Evidence and search terms. 15 points Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms and ways in which the search can be narrowed if discussed. 14–15 points Appropriately identifies the types of evidences that should be gathered (must include literature search). Uses manageable search terms. Ways in which the search can be narrowed is not included. 13 points Appropriately identifies the types of evidences that should be gathered (must include literature search). Search terms are not measurable. Ways in which the search can be narrowed is not included. 11–12 points Types of evidence that should be gathered is not noted or not correct, literature search not identified. Search terms are not measurable or absent. Ways in which the search can be narrowed is not included. 0–10 points /15 Total Points /75 Grading Criteria: Evidence Appraisal Category Points % Description Article Selection 30 30% Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is properly identified. References are listed in APA format. Strength of Research 20 20% Strength of the research is listed as High, Good, or Low/Major Flaw. Reasons why the rating was given is clearly discussed and logical. Description of Research 50 50% Description of the research is thorough and detailed. Summary was given in own words. Results of the study were summarized with the application to the project noted. Recommendations for clinical practice were discussed. Total 100 points 100% Grading Rubric: Evidence Appraisal Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor or Failing or Unsatisfactory Level of Performance F (0–75%) Total Article Selection 30 points Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is properly identified. References are listed in APA format. 28–30 points Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is not properly identified. References are listed in APA format. 25–27 points Four articles used. At least three articles are peer-reviewed research. Other source is scholarly and appropriate for the change project. Type of source is not properly identified. References some errors in APA format. 23–24 points Less than three articles are peer-reviewed research. Other source is not scholarly or appropriate for the change project. Type of source is not properly identified. References have multiple errors in APA format. 0–22 points /30 Strength of Research 20 points Strength of the research is listed as High, Good, or Low/Major Flaw. Reasons why the rating was given is clearly discussed and logical. 19–20 points Strength of the research is listed as High, Good, or Low/Major Flaw. Reason why the rating was given is documented but is not logical. 17–18 points Strength of the research is listed as High, Good, or Low/Major Flaw. Reason why the rating was given is vague or absent. 15–16 points Strength of the research is not listed as High, Good, or Low/Major Flaw. Reason why the rating was given is vague or absent. 0–14 points /20 Description of Research 50 points Description of the research is thorough and detailed. Summary was given in own words. Results of the study were summarized with the application to the project noted. Recommendations for clinical practice were discussed. 46–50 points Description of the research is thorough and detailed. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were discussed. 42–45 points Description of the research is vague. Summary was given in own words. Results of the study were listed but no application or summary of results were given. Recommendations for clinical practice were not discussed. 38–41 points Description of the research is vague. Summary was not in own words but rather quotes from the source. Results of the study may not be listed. Recommendations for clinical practice were not discussed. 0–37 points /50 Total Points /100 wek 4 Capstone Project Milestone #2: Design for Change Proposal Guidelines Purpose You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information 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 Milestone 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 template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. 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. 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). Introduce the reader to the plan with evidence-based problem identification and solution. b. Change Plan: Write an overview using the Johns Hopkins Nursing EBP Model and Guidelines (2012) i. Practice Question ii. Evidence iii. Translation c. Summary 5. Citations and References must 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. Grading Criteria: Design for Change Capstone Project Category Points % Description Introduction 25 11% Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. Change Plan; Practice Question (Steps 1–5) 50 22% Activities to achieve the first steps of change are fully described in detail and are based on the first five steps of the John Hopkins EBP Process; Practice Question. Change Plan; Evidence (Steps 6–10) 50 22% Activities to achieve steps six through ten of the John Hopkins EBP Process are fully described in detail; Evidence. Change Plan; Translation (Steps 11–18) 50 22% Activities to achieve the final steps of change are fully described in detail and are based on steps 11 through 18 of the John Hopkins EBP Process; Practice Question. Summary 25 11% Clear, solid summary summarizing the key points and steps of the change plan is included; ways to maintain the change plan are described. APA Format 25 11% Minimal errors. Total 225 points 100% Grading Rubric: Capstone Project Milestone #2 Assignment Criteria Outstanding or Highest Level of Performance A (92–100%) Very Good or High Level of Performance B (84–91%) Competent or Satisfactory Level of Performance C (76–83%) Poor, Failing or Unsatisfactory Level of Performance F (0–75%) Total Introduction 25 points Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified. 23–25 points Introduction to the plan is nursing focused, with evidence to support the problem and potential solution identified but convincing areas are missing. 21–22 points Introduction to the plan is provided; however, evidence to support the problem and potential solution is not convincing. 19–20 points Introduction lacks evidence to support need for change and/or potential solution is not realistic. 0–18 points /25 Change Plan PracticeQuestion (Steps 1–5) 50 points Activities to achieve the first five steps of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 46–50 points Activities to achieve the first five steps of change are fully described, not in detail but are based on the first section of the John Hopkins EBP Process: *Practice question is identified. *Scope of the problem discussed (including supportive statistics). *Stakeholders identified. *Team is identified. 42–45 points Activities to achieve the first five steps of change are vague. The first section of the John Hopkins EBP Process is not clearly identified. *Practice question is identified. *Scope of the problem does not contain statistics to support the problem. *Stakeholders are identified but not appropriate or missing key members. *Team members are identified but not appropriate or missing key members. 38–41 points Activities to address and support change are not specifically addressed. Portions of the first five steps are missing or absent. 0–37 points /50 Change Plan Evidence (Steps 6–10) 50 points Activities to achieve steps six through ten of change are fully described in detail and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is thorough and detailed. *Strength of evidence is discussed. *Recommendation for change is based on evidence and is thorough. 46–50 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used, three of which are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is discussed. *Recommendation for change is based on evidence but connection is vague. 42–45 points Activities to achieve steps six through ten of change are vague and are based on the first section of the John Hopkins EBP Process: Evidence is identified. *At least four reliable sources are used but less than three are peer-reviewed. *Summary of evidence is vague. *Strength of evidence is not discussed. *Recommendation for change is present but not weak connection to the evidence. 38–41 points Activities to achieve steps six through ten of change may be missing or absent. *Less than four reliable sources are used. *Summary of evidence is not present or missing important elements. *Strength of evidence is missing. *Recommendation for change lacks support from evidence. 0–37 points /50 Change Plan Translation (Steps 11–18) 50 points Activities to achieve the last steps of change are fully described in detail and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is well-developed with specific timeline in place to include all elements of the plan. *Measurable outcomes and way to report results are discussed in detail. *Plan for implementation is thoroughly discussed. *Ways to communicate findings (internally and externally) are discussed. 46–50 points Activities to achieve the last steps of change are described and are based on the last steps of the John Hopkins EBP Process: Translation. *Action plan is developed with specific timeline in but some elements of the timeline are missing. *Outcomes are present but not measurable. Ways to report results are discussed in detail. *Plan for implementation is discussed. *Communication of findings is present but does not address both internal and external ways. 42–45 points Activities to achieve the last steps of change are vague. *Action plan is developed but timeline is missing. *Outcomes are vague and not measurable. Ways to report results are discussed but not in detail. *Plan for implementation is vague. *Communication of findings is missing. 38–41 points Activities to achieve the last steps of change are vague or missing. *Action plan is not well-developed or missing. *Outcomes are vague or not present. Ways to report results are discussed but not in detail. *Plan for implementation is not present. *Communication of findings is missing. 0–37 points /50 Summary 25 points Clear, solid summary of the key points and the change plan are included; ways to maintain the change plan are described. 23–25 points A clear summary of the key points and part of the change plan are provided; ways to maintain the change plan are mentioned, but not in detail. 21–22 points A summary is present but is vague; parts of the change plan are highlighted; ways to maintain the change plan are not clear. 19–20 points A summary is difficult to determine or absent. Key points of the change plan are not recapped or are absent. 0–18 points /25 APA formatting, scholarly writing 25 points APA format sixth edition: third person, grammar, sentence structure, punctuation, and spelling; sources correctly cited and referenced; title page, headers, and page numbers. No errors to one error. 23–25 points Two to three errors. 21–22 points Four to five errors. 19–20 points Multiple errors 0–18 points /25 Total Points /225 Reference: Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nd ed.).Indianapolis, IN: Sigma Theta Tau International. week 6 .2pt;text-align:right”>Capstone Project Milestone #3: Educating Staff: Implementing Change Guidelines Purpose The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented. Course Outcomes This assignment enables the student to meet the following Course Outcomes. 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) CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3) CO7:Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7) Due Date Milestone #3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6. Points Milestone #3 is worth 200 points. Directions 1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project. 2. The format for this proposal will be a PowerPoint presentation. 3. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides. 4. Below are the topics for the slides: a. Title slide b. Description of the change model used c. PICO question—include the elements d. Scope of the problem—use statistics e. Your team/stakeholders f. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plan i. The nurses role and responsibility in the pilot program j. Procedure k. Forms that will be used (if applicable) l. Resources available to the staff—including yourself m. Summary n. References 5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. 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 choose peer-reviewed journals and credible websites. Guidelines · Application: Use Microsoft PowerPoint 2010. · Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide). · Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6. · Late Submission: See the course policy on late submissions. · Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started. Best Practices in Preparing a PowerPoint Presentation The following are best practices in preparing this project. 1. Slides should be easy to read with short bullet points and large font. Do not use paragraphs. 2. Be creative, but realistic with your intervention and evaluation tool. 3. Incorporate graphics, clip art, or photographs to increase interest. 4. Review directions thoroughly. 5. Cite all sources within the slide show with in-text citations, as well as a reference page. 6. Proofread prior to final submission. 7. Spell check for spelling and grammar errors prior to final submission. 8. Abide by the Chamberlain College of Nursing academic integrity policy. Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 15% Summary of change model discussed.PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 35 17% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 35 17% Plan of action described. Important elements are discussed and logical.Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 25 13% The nurse’s role in the pilot plan is described and clear.Procedures for the pilot plan are clear and concise. Resources 20 10% Form for tracking the outcomes is included.Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 20 10% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 25 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check. Total 200 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * One of the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 35 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least four sources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (32-35points) Four sources are discussed but evidence is not synthesized into themes learned. (30-31 points) Four sources are discussed but evidence is not synthesized or summarized. (27-29 points) Not all four sources are discussed. Summary of information not detailed or pertinent. (0–26 points) /35 The Plan 35 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (32-35 points) *Plan of action described but not all important elements included. OR * Timeline is present but doesn’t contain all elements. (30-31 points) *Plan of action described but not all important elements included. AND * Timeline is present but doesn’t contain all elements. (27-29 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–26 points) /35 The Nurse’s Role 25 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (23-25 points) * The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (21-22 points) * The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (19-20 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–18 points) /25 Resources 20 points * Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less than three appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals. (1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 20 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (18-20 points) Presentation is accurate and covers most elements but lacks creativity. (16-17 points) Presentation lacks flow and creativity or is difficult to follow. (15 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–14 points) /20 Mechanics 25 points Includes title slide (2 points) Grammar, punctuation, and sentence structure are correct. (7 points) References properly cited within the paper. (5 points) Reference page includes all citations. (5 points) Evidence of spell and grammar check. (6 points) (23-25 total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (21-22 points) Missing title slide Multiple grammar and punctuation errors noted. (19-20 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–18 points) /25 Total points: /200
