NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

(Chlorhexidine Pre-Operatively)

Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.

The format for this proposal will be a paper following the Publication manual of APA 6th
The paper is to be four- to six-pages excluding the Title page and Reference page.
As you organize your information and evidence, include the following topics.
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.

NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
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 required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

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 Rubric: NR 451 Week 4 Assignment 2 Capstone Project Milestone 2: Design for Change Proposal Paper Set 1

Assignment Criteria	A (100%) Exceptional Outstanding or highest level of performance	B (88%) Exceeds Very good or high level of performance	C (80%) Meets Competent or satisfactory level of performance	NI (38%) Needs Improvement Poor or failing level of performance	F (0%) Developing Unsatisfactory level of performance
The Problem 30 points	Summary of change model and Practice issued addressed Statistical information as it relates to work area,scope of problem to healthcare as a whole, discussed. Team, stakeholders and role/reason chosen is discussed and is logical. 30 points ☐	Summary of change model and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed. Team, stakeholders and their role/reason chosen is discussed and is logical. 26 points ☐	Summary of change model discussed and Practice issued addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed minimally. Team, stakeholders and their role/reason chosen discussed and is logical. 24 points ☐	Summary of change model is not discussed however, Practice issued is addressed Statistical information as it relates to work area is missing and scope of problem to healthcare discussed Team and stakeholders stated butrole/ reason chosen is not discussed. 11 points ☐	None of the elements were present. 0 points ☐
The Evidence 35 points	Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 35 points ☐	Discussion of the evidence is done in terms of themes. Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 31 points ☐	Discussion of the evidence is done in terms of individual authors within the article. Pertinent information is not summarized. Sources listed individually but as an Evidence Summary synthesized into concepts discovered. 28 points ☐	Discussion of the evidence is done in terms individual authors. Pertinent information is not summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered. 13 points ☐	There is no discussion of the evidence. 0 points ☐
The Plan 35 points	Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate. 35 points ☐	Plan of action described but not all important elements included. OR Timeline is present but doesn’t contain all elements. 31 points ☐	Plan of action described but not all important elements included AND Timeline is present but doesn’t contain all elements. 28 points ☐	Plan of action is present but not logical and is incomplete. The timeline is not appropriate or logical. 13 points ☐	Plan of action is not present. The timeline is not present. 0 points ☐
The Nurse’s Role 25 points	The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise. 25 points ☐	The nurses’ role is described but not clear. OR Procedures are discussed but not clear. 22 points ☐	The nurses’ role is described but not clear. AND Procedures are discussed but not clear. 20 points ☐	The nurse’s roles are not appropriate. Procedures are not clearly written and are incomplete. 10 points ☐	Nurses’ roles are absent. Procedures are absent. 0 points ☐
Resources 20 points	Form for tracking outcomes during pilot study is included. Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included. 20 points ☐	Form for tracking outcomes included. At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project. 18 points ☐	Form for tracking outcomes included but was not well-developed. At least two resources are included but are not included for the duration of the project. 16 points ☐	Form for tracking outcomes is poorly developed. Only one resource is listed. 8 points ☐	Form for tracking outcomes is absent No appropriate resources are listed. 0 points ☐
Summary 10 points	Summary slide reiterates the problem and purpose of the plan along with the measurable goals. 10 points ☐	Summary slide reiterates the problem AND purpose. Goals are stated but are not referenced in terms of success. 9 points ☐	Summary slide reiterates the problem OR the purpose, but not both. Goals are stated. 8 points ☐	Summary slide reiterates the problem OR the purpose, but not both. Goals are not mentioned. 4 points ☐	Summary slide is not shown. 0 points ☐
Overall presentation 20 points	Presentation is presented in a clear and logical manner. PowerPoint is appealing and includes creativity. Font is easy to read. 20 points ☐	Presentation is accurate and covers most elements. 18 points ☐	Presentation content is accurate and can be followed, but it lacks flow and creativity. 16 points ☐	Presentation lacks organization. Creativity is difficult to follow. 8 points ☐	Presentation lacks any attempt at organization and comes across as chaotic. 0 points ☐
Mechanics 25 points	Includes title slide.Grammar, punctuation, and sentence structure are correct. References properly cited within the presentation. Reference slide includes all citations within the PowerPoint presentation. Evidence of spell and grammar check. 25 points ☐	Title slide is incomplete. Minimal errors in grammar, punctuation, and/or sentence structure noted. References are present, with minimal errors in format within the PowerPoint presentation. Citations are present but not correct format. 22 points ☐	Missing title slide Multiple grammar and punctuation errors noted. References do not include all citations within the PowerPoint presentation. 20 points ☐	The title slide is missing. The references are improperly formatted and are incomplete within the PowerPoint presentation. Errors in spelling and grammar are evident. 10 points ☐	Title slide and citations are missing. References are missing. No evidence of proof-reading prior to submitting assignment. 0 points ☐
Total Possible Points = 200 points:

NR451

NR 451 Week 7 Discussion

Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House

Respond to the questions below

• What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?

• Why is it important to be aware of changes in healthcare policy?

• Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

NR 451 Week 8 Discussion: The Future of Affordable, Safe, and Quality Healthcare

The Future of Affordable, Safe, and Quality Healthcare

What does the following statement mean to you?

In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.

Week 4 Assignment 2: Capstone Project Milestone 2 – Design for Change Proposal Paper Set 2

(Promoting Breastfeeding)

Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.

Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
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 required. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources required, use peer-reviewed journals and credible websites.

NR 451 Week 4 Discussion: Evaluating Quality Patient Outcomes

Evaluating Quality Patient Outcomes

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

NR 451 Week 5 Discussion: Core Competencies for Nurses

Core Competencies for Nurses

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www qsen org How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

NR 451 Week 6 Capstone Project Milestone 3 Educating Staff – Implementing Change Guidelines Purpose Set 1

(Chlorhexidine Pre-Operatively)

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.

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.
The format for this proposal will be a PowerPoint presentation.
The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

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
Citations and References must be includedg. 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.

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NR 451 Week 6 Discussion: Implementing Change Despite Resistance

Implementing Change Despite Resistance

Change can be difficult to implement Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.