Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines
Purpose
Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
ORDER A PLAGIARISM-FREE PAPER NOW
- CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
- CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)
Due Dates
Milestone 1 consists of the completion of ONE form with two worksheets. Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1.
Points
Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).
You are required to use the linked article and Worksheets or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required Worksheet or article will be evaluated for evidence of an academic integrity violation. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
Practice Issue Worksheet Directions
- A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.) (Links to an external site.)
- Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.). Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
- Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
- Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.) (both worksheets appear in ONE file) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
- Your practice issue will be the same for all three Milestone assignments in this course.
- Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions
- Develop an evidence summary by following the grading criteria below.
- Document this on the evidence summary portion of the worksheet.
- You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
- Please type your answers directly into the worksheet.
**Academic Integrity Reminder**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Please see the grading criteria and rubrics on this page.
NOTE: Please use your browser’s File setting to save or print this page.
Rubric
| Criteria | Ratings | Pts | |||||
|---|---|---|---|---|---|---|---|
|
Practice Issue Statement, Scope of Practice, Practice Area Identifies a practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the approved list provided in the course. Describes the scope of practice issues. Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminate the falls? This is where you begin your initial search into the problem or practice issue identified. Identifies the practice area.
|
|
||||||
|
Practice Issue-Rationale for Selections Identifies how rationale behind how the practice issue was selected as a practice issue/problem. Documents the practice issue in a logical manner.
|
|
||||||
|
Types of Evidence Gathered-Rationale for Selections Identifies and documents types of evidence that must be gathered for review of the Practice Issue. Describes rationale for each type of evidence that is selected.
|
|
||||||
|
Practice Problem Description States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms. Describes practice setting in measureable terms. Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?
|
|
||||||
|
Source(s) of Evidence Identifies a source of evidence that is a nursing topic and is the subject of a systematic review article. Provides a complete reference for the systematic review article that was chosen from the list, as well as any optional scholarly source in support of the project topic.
|
|
||||||
|
Article Objectives/Statement of Questions Identifies the objectives of the article. Identifies questions being addressed by author/s. Explains relationship to the chosen practice issue. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
|
|
||||||
|
Interventions/Main Findings Summary Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes. Summarizes main findings of the author/s including strength of evidence for each main outcome. Describes the relevance to the Milestone 2 paper. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
|
|
||||||
|
Evidence-based Solutions and Limitations Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project
|
|
||||||
|
Total Points: 175.0. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1
|
|||||||
NR451_W3_Milestone1_Worksheets
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
For Use
Student Name: Date:
Directions
- Refer to the guidelines for specific details on how to complete this assignment.
- Type your answers directly into the worksheets below.
- Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
- Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.
Practice Issue Worksheet
| List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support):
Topic: Health-Associated Infection Citation: Cooper FPM, Alexander CE, Sinha S, Omar MI. Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database of Systematic Reviews 2016, Issue 7, Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2 |
||
| What is the nursing practice issue you have identified related to the topic you have chosen?
The practice issue is to identify the policies for handling indwelling urinary catheters in adults that would reduce the risk of infection. It recognizes that there are different policies for handling catheters, but each policy has different strengths and weaknesses. As such, analyzing the merits and demerits of each policy would help in identifying the best policy for reducing the risk of infection for the patients and ensuring all round safety for the medical personnel. |
||
| Fully describe the scope of the practice issue:
Catheter management is influenced by a range of factors, key of which is cost, convenience and risk. The catheters cost adds to the cost of care while convenience is concerned with how medical personnel plan their professional responsibilities. Risk includes its association with both the patients and medical personnel. Catheters should ideally be replaced when the old ones are no longer useful and the replacement should not place the medical personnel at risk. As such, any policy for managing catheter replacement should include considerations for cost and convenience, as well as risk to patients and medical personnel. In identifying a policy that combines the three factors, this research anticipates to present a viable catheter management policy that meets the mentioned needs to cost, convenience and risk. |
||
| What is the practice area?
_X_ Clinical ___ Education ___ Administration ___ Other (List): |
||
| How was the practice issue identified? (check all that apply)
_X_ Safety/risk management concerns _X_ Unsatisfactory patient outcomes ___ Wide variations in practice ___ Significant financial concerns
|
___ Difference between hospital and community practice _X_ Clinical practice issue is a concern ___ Procedure or process is a time waster ___ Clinical practice issue has no scientific base __ Other: |
|
| Describe the rationale for your checked selections:
Incorrect handling of catheters is likely to place the medical personnel at risk. Additionally, erroneous management of catheters increase the risk of the patients acquiring new urinary tract infections. As such, the research intends to reduce the possibility of unsatisfactory patient outcomes by improving the patients’ health outcomes. Also, it intends to improve clinical practice by identifying the most efficiency way for handling catheters. |
||
| What evidence must be gathered? (check all that apply) | ||
| _X_ Literature search
_X_ Guidelines ___ Expert Opinion ___ Patient Preferences |
___ Clinical Expertise
_X_ Financial Analysis _X_ Standards (Regulatory, professional, community) _X_ Other – Medical records |
|
| Describe the rationale for your checked selections:
The literature search will explore publications that are relevant to the research topic. The guidelines will be reviewed to see policies that govern catheter management. Financial analysis will be conducted to review the costs of each policy option, particularly the cost of catheters and their use. Standards will be identified to have a better awareness of the existing thresholds. Medical records will be reviewed to evaluate the effect of each policy on urinary tract infection incidence. |
||
Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet.
| Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
The practice problem is that incorrect catheter management increases the risk of urinary tract infection. This is particularly true for adult patients since the large majority of them are comprised of elderly persons identified as high risk populations. |
| Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA reference for any additional optional supplemental scholarly source related to the review you wish to use.
Cooper, F., Alexander, C., Sinha, S. & Omar, M. (2016). Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database of Systematic Reviews, 2016(7), Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2 |
| Identify the objectives of the article:
The article’s objective was to evaluate the different policies for replacing long-term indwelling urinary catheters in adults with the focus being on their effectiveness. Provide a statement of the questions being addressed in the work and how these relate to your practice issue: The question asked in the research is: What are the policies for replacing long-term indwelling urinary catheters in adults and how effective are these policies? This question relates to the current practice issue by providing evidence to support emphasis on specific policies. That is to say that it identifies the more effective policies, showing reason for their advantages. |
| Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.
The article’s summary notes that the set objective was not met. Still, it made some good contributions towards understanding on the policies. In fact, it shows that an effective catheter management policy policies must consider the patients’ satisfaction, quality of life, convenience, type of trauma on the urinary tract, and economics. Additionally, the authors raise the question of whether or not catheters can be replaced. Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper. (If an optional supplemental source is also used, include a statement of relevance to it as well.) The article summarizes that it does not have sufficient evidence to reach a conclusion on the effectiveness of the difference catheter replacement policy. |
| Outline evidence-based solutions that you will consider for your project.
The present project will consider the risk associated with each policy, particularly the infection incidence rate associated with each policy. Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project. The major limitation is that there are a lot of variables that could affect the research results. Some of these variables include differences in catheter brands, lubrication used, environment (whether in hospital or at home), and the catheter replacement strategy. |