number of Readmissions

Nursing help 2017-03-06 00:21 Chamberlain College of NursingNR 451RN Capstone Course 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: • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4) • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8) Due Dates Milestone #1 consists of the completion of two worksheets (Practice Issue Worksheet) and (Evidence Summary Worksheet). Submit the completed worksheets to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3. Points Milestone #1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary). Practice Issue Worksheet Directions. Practice Issue Worksheet: a. Read the guidelines including the grading rubrics below. You will use this worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions. i. Your practice issue will be the same for all three Milestone assignments in this course. b. Please type your answers directly into the worksheet. Evidence Summary Worksheet Directions 2. Evidence Summary Worksheet: a. Read the guidelines including the grading rubrics below. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment. b. Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must be peer-reviewed and include a narrative summary. i. Go to the Chamberlain Library, click on RNBSN; NR451 Capstone course. You can find systematic reviews from many databases within the library, or by searching from the library homepage main search bar.ii. To search, combine the phrase ‘systematic review’ with your topic using the Boolean search operator AND. For example, if you are looking for a systematic review on fall prevention, you would use this Boolean search phrase: systematic review AND fall prevention. c. Type in your practice issue in the search tab; choose a systematic review article with a narrative summary to complete your worksheet. d. Please type your answers directly into the worksheet. Grading Criteria: Practice issue Category Points % Description Practice issue statement, scope of practice, practice area 20 27% Identifies a Practice issue statement that is an independent nursing decision. 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 eliminatethe falls? This is where you begin your initial search into the problem or practice issue identified. Identifies the practice area.Practice issue identification, rationale for selections 35 46% 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 to gather, rationale for selections 20 27% 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. Total 75 points 100% Grading Rubric: Practice Issue 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 Practice issue statement, scope of practice, practice area 20 points Practice issue is identified. Practice issue is an independent nursing decision. Scope of practice issue is fully described. Practice area identified. 20 points ☐ Practice Issue is identified but is not clear. Practice issue is an independent nursing decision. Scope of practice issue is described in simple terms. Practice area identified. 18 points ☐ Practice Issue is identified but is not clearly related to a nursing practice issue. Practice Issue isnot an independent nursing decision. Scope of practice issue is described but is not logical in comparison to Practice Issue described. Practice area identified. 16 points ☐ Practice Issue is unclear. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified. 8 points ☐ Practice Issue isnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified. 0 points ☐ Practice issue identification, rationale for selections 35 points Documents how the practice issue was identified. Rationale for responses islogical anddescribed thoroughly. 35 points ☐Documents howthe practice issue was identified. Rationale for responses islogical and brieflydescribed. 33 points ☐ Documents howthe practice issue was identified. Rationale for responses issomewhat logical and vaguely described. 30 points ☐ Vaguely describes how the practice issue was identified. Rationale for responses issomewhat logical and vaguely described. 15 points ☐ Does not document how the practice issue was identified. Rationale is not completed. This section of the form is blank. 0 points ☐ Types of evidence to gather, rationalefor selections 20 points Identifies and documents what types of evidence is needed for review. Thoroughlydescribes rationale for all checked types of evidence selected. 20 points ☐ Identifies and documents what types of evidence is needed for review. Briefly describesrationale for all checked types of evidence selected. 18 points ☐ Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence. 16 points ☐ Does not document more than one type of evidence that is needed for reviewand does not include rationale for selected type of evidence. 8 points ☐ Does not document types of evidence orrationale.Documents howthe practice issue was identified. Rationale for responses islogical and brieflydescribed. 33 points ☐ Documents howthe practice issue was identified. Rationale for responses issomewhat logical and vaguely described. 30 points ☐ Vaguely describes how the practice issue was identified. Rationale for responses issomewhat logical and vaguely described. 15 points ☐ Does not document how the practice issue was identified. Rationale is not completed. This section of the form is blank. 0 points ☐ Types of evidence to gather, rationalefor selections 20 points Identifies and documents what types of evidence is needed for review. Thoroughlydescribes rationale for all checked types of evidence selected. 20 points ☐ Identifies and documents what types of evidence is needed for review. Briefly describesrationale for all checked types of evidence selected. 18 points ☐ Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence. 16 points ☐ Does not document more than one type of evidence that is needed for reviewand does not include rationale for selected type of evidence. 8 points ☐ Does not document types of evidence orrationale.Explains relationship to your practice issue. Interventions/Main findings summary 30 30% 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. Evidence-based solutions and limitations 20 20% Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project. Total 100 points 100% Grading Rubric: Evidence Summary Assignment Criteria A (100%) Exceptional Outstanding or highest level of performanceExplains relationship to your practice issue. Interventions/Main findings summary 30 30% 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. Evidence-based solutions and limitations 20 20% Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project. Total 100 points 100% Grading Rubric: Evidence Summary Assignment Criteria A (100%) Exceptional Outstanding or highest level of performanceDescribe the rationale for your checked selections: 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: Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected: Define the search terms for your systematic review: Identify the objectives of the article. Provide a statement of the questions being addressed in the work and how they relate to your practice issue: Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes. 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. Outline evidence-based solutions that you will consider for your project. Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project. NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 2/16/17 GH 3 Clinical question “The thoughtful development of a well-structured EBP question is important because the question drives the strategies used to search for evidence”. (Dearholt & Dang, 2012, p.64). My question is: Will Congestive Heart Failure patients discharged from the hospital increase the chance of not being readmitted within 30 days with follow up care that includes post discharge telephone calls for support? P- (Patient, Population)-Congestive Heart Failure Patients I-(Intervention)-Follow up phone call at 48 and 72 hours post discharge C-(Comparison with current practice)-No follow up telephone calls for support. O-(Desired outcome)-Reduce the number of Readmissions

 

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