NR451 EBP Change Process form Paper
EBP Change Process form Paper
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ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.EBP Change Process form Paper
Name: _____________________
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
List the systematic review chosen from the Cochrane Database of Systematic Reviews from the Chamberlain library. Type the complete APA reference for the systematic review selected.
List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
Outline one or two evidence-based solutions you will consider for the trial project.
Star Point 3: Translation (Action Plan)
Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).
List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).
What specifically is your nursing role in the change process? Other nursing roles?
List your stakeholders by position titles (charge nurse, pharmacist, etc.).-Why are the members chosen (stakeholders) important to your project?
What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?
Star Point 4: (Implementation)
Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leaders involved?
Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.
Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).
List the measurable outcomes based on the PICOT. How will these be measured?
What forms, if any, might be used for recording purposes during the pilot change process. Describe.
What resources are available to staff (include yourself) during the change pilot?
Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?
Star Point 5: (Evaluation)
How will you report the outcomes of the trial?
What would be the next steps for the use of the change process information?
Requirements for this project
- Download the EBP Change Process form during Week 1.
- The use of this specific form is REQUIRED and is due at the end of Week 6.
- A short tutorial with tips for completing this assignment may be viewed in the short video above.
- Identify a clinical topic and related nursing practice issue you think needs to be changed.
- Locate a systematic review on your topic from the Cochrane Database of Systematic Reviews located in the Chamberlain Library. Be sure this involves nursing actions.
- Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
- Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
- Work on a portion of the process each week, as the illustration unfolds.
- Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
- Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
- Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed. Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!
- For questions about this assignment, please contact your instructor.
- Use the grading rubric as a final way to check that all components of the form have been completed. The rubric is the tool your instructor will use to assess your content.
NR451 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:
- 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.
- 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
- Evidence Summary Worksheet:
-
- 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.
- 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.
- 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.
- 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.
- Type in your practice issue in the search tab; choose a systematic review article with a narrative summary to complete your worksheet.
-
- 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 eliminate the 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 is not 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 is not 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 is logical and described thoroughly. 35 points ☐ |
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described. 33 points ☐ |
Documents how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described. 30 points ☐ |
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat 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, rationale for selections
20 points |
Identifies and documents what types of evidence is needed for review.
Thoroughly describes rationale for all checked types of evidence selected. 20 points ☐ |
Identifies and documents what types of evidence is needed for review.
Briefly describes rationale 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 review and does not include rationale for selected type of evidence.
8 points ☐ |
Does not document types of evidence or rationale.
0 points ☐ |
| Total Points Possible = 75 points | |||||
Grading Criteria: Evidence Summary
| Category | Points | % | Description |
| Practice Problem | 10 | 10% | 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 of evidence | 20 | 20% | Identifies a source of evidence that is a nursing topic that is the subject of a systematic review article.
Identifies search terms. Provides a complete reference for the systematic review article. |
| Objectives of the article/Statement of questions | 20 | 20% | Identifies the objectives of the article.
Identifies questions being addressed by author/s. 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 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 Problem
10 points |
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified -Magnitude of problem is discussed. -The practice issue is stated in measurable terms. Met all objectives as stated above 10 points ☐ |
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed. -Magnitude of problem is discussed. -The practice issue is stated in measurable terms. Met 3 out of 4 objectives 9 points ☐ |
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated in measurable terms. Met 2 out of 4 objectives 8 points ☐ |
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated but not measurable. Met only 1 out of 4 objectives 4 points ☐ |
-Practice problem is not in own words
-There are no references to the population of interest. -Setting and magnitude of problem is not discussed -The practice issue is not stated in measurable terms. Did not meet any objectives 0 points ☐ |
| Source of evidence
20 points |
-Source of evidence is nursing topic.
-Source is a Systematic Review article. -Search terms are identified. -Complete reference is given for Systematic Review article. Met all 4 objectives as above 20 points ☐ |
-Source of evidence is nursing topic.
-Source is a Systematic Review article. -Search terms are identified. -Complete reference is not given for Systematic Review article. Met 3 out of 4 objectives 18 points ☐ |
-Source of evidence is nursing topic.
-Source is not a Systematic Review article. -Search terms are identified. -Complete reference is not given for Systematic Review article. Met only 2 out of 2 objectives 16 points ☐ |
-Source of evidence is not nursing topic.
-Source is a Systematic Review article. -Search terms are not identified. -Complete reference is not given for Systematic Review article. Met only 1 out of 4 objectives 8 points ☐ |
-Source of evidence is not nursing topic or Systematic Review article.
-Search terms are not identified. -Reference is missing. No objectives were met. 0 points ☐ |
| Objectives of the article/ Statement of questions
20 points |
-Objectives of article are identified.
-Questions being addressed by author/s are thorough. -Relationship to your practice issue is explained. 20 points ☐ |
-Objectives of article are identified.
-Questions being addressed by author/s are explained but not thorough. -Relationship to your practice issue is explained. 18 points ☐ |
-Objectives of article are identified.
-Questions being addressed by author/s are not thorough. -Relationship to your practice issue is vague. 16 points ☐ |
-Objectives of article are identified.
-Questions being addressed by author/s is missing. -Relationship to your practice issue is not explained. 8 points ☐ |
-Objectives of article are not identified.
-Questions being addressed in article and relationship to own practice is not identified. 0 points ☐ |
| Interventions/ Main findings summary
30 points |
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s. -Included strength of evidence for each main outcome. 30 points ☐ |
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s. -Included strength of evidence for each main outcome. 27 points ☐ |
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s. -Included strength of evidence for most of main outcomes. 25 points ☐ |
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent. -Did not include strength of evidence for any of the main outcome. 12 points ☐ |
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing. -The strength of the evidence for outcomes are missing. 0 points ☐ |
| Evidence-based solutions and limitations
20 points |
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed. Documents limitations believed may impact use in project. 20 points ☐ |
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed. Documents limitations believed may impact use in project. 18 points ☐ |
-Outline of evidence-based solutions considered for project is documented but not clear.
Discussed most limitations to the studies performed. Documents limitations believed may impact use in project. 16 points ☐ |
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed. Documents limitations believed may impact use in project. 8 points ☐ |
-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.
0 points ☐ |
| Total Points Possible = 100 points | |||||