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:

1. Background

2. Clinical problem statement.

3. Purpose of the change proposal in relation to providing patient care in the changing health care system.

4. PICOT question.

5. Literature search strategy employed.

6. Evaluation of the literature.

7. Applicable change or nursing theory utilized.

8. Proposed implementation plan with outcome measures.

9. Discussion of how evidence-based practice was used in creating the intervention plan.

10. Plan for evaluating the proposed nursing intervention.

11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.

12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

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.

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.

RUBRICS: 

All revisions are incorporated. The revision greatly improves the accuracy and clarity of the project.

Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident.

Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident.

Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are evident.

Topic and criteria are clearly and logically presented. Relevant support and rationale are evident.

Topic and criteria are clearly and logically presented. Relevant support and rationale are evident.

Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident.

Change or nursing theory is logically presented. Relevant support and rationale are evident.

Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident.

Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident.

Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident.

Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident.

APA format. Use scholar authors only.  3 paragraphs. Include all references. Read all instructions. You have to use the scenario

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

The discussion must include:

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

Reference

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 4, “Evaluating Performance” (pp. 79-118)
Chapter 5, “Continuous Improvement” (pp. 119-142)
Chapter 6, “Performance Improvement Tools” (pp. 143-174)
 

Microsoft. (2016). Use charts and graphs in your presentation. Retrieved from https://support.office.com/en-gb/article/Use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526

  

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

• Chapter 19, “Building Effective Teams” (pp. 335-356)