Benchmark – Capstone Project Change Proposal

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

Students will develop a 1,250-1,500 word paper 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. Problem statement
3. Purpose of the change proposal
4. PICOT
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. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components 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.

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

4-The BSN prepared RN has a research knowledge base that pushes critical thinking and process improvements and change. Challenging policies in place and ensuring the pediatric clinic I work in is using the most up to date and best practices when caring for patients is one of my goals. It is also important o me to educate staff on the changes including providers and nurses. Thus far, they have been receptive to change and I have had little push back. There are a few staff members that continuously challenge me and my research but it helps me gain more knowledge and to show professionalism and integrity to staff when dealing with conflict and change. Knowing that a BSN prepared RN is leading the pediatric clinic is comforting to the providers and staff within the clinic and there is a lot of trust instilled in the advocacy to our patients by practicing with EBP. The BSN prepared RN has the research to become even more innovative with new health care strategies.

5-Evidence-based practice (EBP) is an essential component of the practice of a bachelor of science in nursing student because EBP involves thorough investigation in the treatment of a patient. EBP involves taking into account references of the patient and combines it with the knowledge of the doctor in order to facilitate delivering maximum positive results. An objective of EBP is to avoid the use of unnecessary healthcare procedures and making decisions based on the available body of facts. EBP plays a major role in improving the standard of treatment given to patients.

When placing a nasogastric tube for feeding, it is important to determine its position by testing the pH of the aspirate to determine whether the tube has been placed in the correct position. Through this practice, it can be confirmed hat the tube has been placed in the gastric pathway and not in the respiratory pathway, which greatly reduces the incidence of pneumonia.

6-yes BSN prepared nurses use more critical thinking in processes and procedures. It is encouraging to work with management that supports your views. It also builds confidence in what you do and will encourage you to do more. Challenges from co-workers are inevitable especially when you are trying to change the old ways of doing things. No everybody like change and not everybody is comfortable dealing with change. Thanks for sharing your posts.