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1. NR 451 Week 1 DiscussionTypes of Nursing Models and Frameworks of EBP FOR MORE CLASSES VISIT www.nr451rank.com Types of Nursing Models and Frameworks of EBP What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse's responsibility when EBP and patient and family practice do not match? --------------------------------------------------------------------------------------- NR 451 Week 2 DiscussionThe Clinical Question FOR MORE CLASSES VISIT www.nr451rank.com The Clinical Question Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes

2. • Formulate a significant clinical question that will be the basis for your capstone change project • Relate how you developed the question • Describe the importance of this question to your clinical practice • Define meta-analysis.and explain how this relates to evidence -based practice (EBP) • Describe what a research-practice gap is --------------------------------------------------------------------------------------- NR 451 Week 3 Capstone Project Milestone 1 Practice Issue And Evidence Summary Guidelines (Chlorhexidine Pre-Operatively) FOR MORE CLASSES VISIT www.nr451rank.com Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets Directions Refer to the guidelines for specific details on how to complete this assignment.

3. 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 What is the Practice Issue? Define the scope of the Practice Issue: What is the practice area? _✔ ✔__ ___ ___ (list)_________________________________ How was the practice issue identified? ___

4. Describe the rationale for your checked selections: What evidence must be gathered? (Check all that apply) Describe 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:

5. Define the search terms for your systematic review: Identify the objectives of the article. 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. --------------------------------------------------------------------------------------- NR 451 Week 3 Capstone Project Milestone 1 Practice Issue And Evidence Summary Guidelines (Promoting Breastfeeding) FOR MORE CLASSES VISIT

6. www.nr451rank.com Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets 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 What is the Practice Issue? Define the scope of the Practice Issue: What is the practice area? _✔ ✔__ ___

7. ___ (list)_________________________________ How was the practice issue identified? ___ Describe the rationale for your checked selections: What evidence must be gathered? (Check all that apply) Describe the rationale for your checked selections: Evidence Summary Worksheet Directions: Please type your answers directly into the worksheet.

8. 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. 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.

9. 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. --------------------------------------------------------------------------------------- NR 451 Week 3 DiscussionFeasibility of Your Design Proposal and Importance of Communication FOR MORE CLASSES VISIT www.nr451rank.com Feasibility of Your Design Proposal and Importance of Communication Now that you have identified your capstone change project. it is time to look its feasibility • What tangible and intangible resources will be needed to implement your project? • What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?

10. • How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking? --------------------------------------------------------------------------------------- NR 451 Week 4 Assignment 2: Capstone Project Milestone # 2 Design for Change Proposal Paper (Chlorhexidine Pre-Operatively) Set 2 – Promoting Breastfeeding FOR MORE CLASSES VISIT www.nr451rank.com 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.

11. 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. --------------------------------------------------------------------------------------- NR 451 Week 4 Assignment 2: Capstone Project Milestone # 2 Design for Change Proposal Paper (Promoting Breastfeeding) FOR MORE CLASSES VISIT

12. www.nr451rank.com 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. 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.

13. 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. --------------------------------------------------------------------------------------- NR 451 Week 4 DiscussionEvaluating Quality Patient Outcomes FOR MORE CLASSES VISIT www.nr451rank.com 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?

14. Why does continuous quality improvement need to be associated with change? --------------------------------------------------------------------------------------- NR 451 Week 5 DiscussionCore Competencies for Nurses FOR MORE CLASSES VISIT www.nr451rank.com 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 (Chlorhexidine Pre- Operatively) Set 2 – Promoting Breastfeeding FOR MORE CLASSES VISIT www.nr451rank.com 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.

15. 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

16. 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. ---------------------------------------------------------------------------------------

17. NR 451 Week 6 Capstone Project Milestone 3 Educating Staff: Implementing Change Guidelines Purpose (Promoting Breastfeeding) FOR MORE CLASSES VISIT www.nr451rank.com 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

18. 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.

19. 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. --------------------------------------------------------------------------------------- NR 451 Week 6 Discussion Implementing Change Despite Resistance FOR MORE CLASSES VISIT www.nr451rank.com 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 • 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?

20. --------------------------------------------------------------------------------------- NR 451 Week 7 Discussion FOR MORE CLASSES VISIT www.nr451rank.com Please go to www whitehousegov/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 DiscussionThe Future of Affordable, Safe, and Quality Healthcare FOR MORE CLASSES VISIT

21. www.nr451rank.com 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 ----------------------------------------------------------------------------------------------