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.

Nursing: Today and Beyond

Write a 1500-2000 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the Signature Assignment rubric criteria for this assignment.

• Describe at least three challenges nurses face today in care delivery. These can be ethical, legal, financial, or social. Provide at least one way to successfully overcome each challenge.
• In the Institute of Medicine’s 2010 Future of Nursing report, the committee developed four key messages. Choose one message, explain the message in detail, and why it is important to the nursing profession.
• Explain each of the Institute of Medicine’s five core competencies and describe ways in which nursing practice can meet each of these. Identify at least one obstacle for each and explain in detail how it can be overcome.

Assignment Expectations:

Length: 1500 to 2000 words in length; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of five (5) outside scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. You cannot pass this class without passing this assignment.

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

1. New practice approaches
2. Intraprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Population health concerns
6. The role of technology in improving health care outcomes
7. Health policy
8. Leadership and economic models
9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, 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.

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 required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Consider your experiences at work, school, and in your personal life. You have, at some point, been asked to work with a group to achieve a particular goal. It might have been a group research project, a new marketing plan, a learning plan, a schedule to roll out new technology, planning a wedding, or even planning and creating a large family meal. In many collaborative efforts like these, there are disagreements. Select one collaborative experience from your past that involved some disagreements or significant differences of opinion.

Write a short (2-page) paper in APA style discussing the following elements:

1. Describe the project that you were working on, including the people involved.
2. Explain the problem that you encountered with the group. How was that problem overcome? What was the end result of encountering and dealing with that problem?
3. What do you think was the cause of the problem? How much of the problem came from miscommunication, either from you or from other people involved? What did you do to help resolve the problem?
4. If you were able to relive that experience, how would you change the way that you approached the encountered problem? How would you communicate differently?
5. How, ultimately, was the conflict resolved?