Capstone in Evidence-Based Professional Nursing Practice

Course Description

Students review and build upon leadership and management principles. Emphasis is placed on understanding the health care system and social forces affecting care delivery, effective leadership, patient outcomes, project management, health care policies, basic accounting principles, and entrepreneurship. Students use evidence-based resources, address health competencies and analyze an identified issue while developing a plan of interventions that incorporates current evidence for management of the identified issue. Students will present their capstone work via a poster or podium presentation. Presentation forums may be at their selected venue, at a professional conference, or conducted virtually.

Course Learning Outcomes

Upon completion of the course, the student will be able to:

  1. Use information and technologies to monitor and provide quality patient care. (PLO 1)
  2. Demonstrate cultural competence in nursing practice. (PLO 2)
  3. Provide competent, evidence-based nursing care. (PLO 3)
  4. Document nursing information and activities in support of safe patient care. (PLO 4)
  5. Speak clearly and concisely in conveying healthcare information. (PLO 5)
  6. Collaborate effectively with healthcare team members. (PLO 6)
  7. Apply empirical research to nursing practice. (PLO 7)
  8. Apply the Code of Ethics for Nurses in professional nursing practice. (PLO 8)
  9. Objectively analyze and evaluate data to inform decision-making in nursing practice. (PLO 9)

Welcome to Capstone in Evidence-Based Professional Nursing Practice

The student will provide a proposal on the approved topic using Evidence-Based Project in healthcare and their respective community setting.  You will develop a protocol supported by evidence, review and critically appraise the literature regarding this topic, and develop a project proposal. The proposal should include the plan for implementation, and evaluation.  During week 8, the student will present his/her EBP project and finally, create a poster suitable for presentation at a nursing conference or for publication. The Project must focus on the RN/BSN practice. Please consult your practicing state’s Nurse Practice Act. Your project proposal must not focus on interventions carried out by an Advanced Practice Nurse.

Concepts studied during your progression through the RN-BSN program should be clearly integrated into this assignment.  This presentation demonstrates your achievement of the outcomes of the Essentials of Baccalaureate Education for Professional Nursing Practice as defined by the American Association of College of Nursing

There are eight modules in this course.

Module 1:  Evidence-Based Practice (EBP) topic proposal from the identified health concern (approved topic)  in NURS 378 (due week 1)

Module 2:  Evidence-Based Practice Timeline and Plan (due by Week 2)

Module 3:  Literature Review (due end of Week 3)

Module 4:  Stakeholder Analysis (due end of Week 4)

Module 5:  Stakeholder Communication (due end of Week 5)

Module 6:  Evidence-Based Practice Design Paper (due end of Week 6)

        Evidence-Based Practice Design Paper

  • Background: Community Health Concern and Identification
  • Facilitators and Barriers to EBP Implementation
  • Organizational Culture
  • Proposal for the next steps to address the identified health concern

Module 7:  Evidence-based Practice Presentation, Part I

  • Presentation in synchronous class session (TBA, Week 7)
  • Instructor will schedule presentation date and time

Module 8:  Evidence-based Practice Poster Presentation, Part II

  • Poster presentation, voice-narrated powerpoint.

Welcome to Week 2

Week two will focus on development of an evidence-based timeline and plan for the project.  Levels of evidence will be explored.

EBP is a problem-solving approach to clinical decision-making within a healthcare organization. It integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence. EBP considers internal and external influences on practice. EBP encourages critical thinking in the application of evidence to the care of individual patients or population groups.

From Johns Hopkins nursing evidence-based practice : Models and Guidelines

Dearholt, S., Dang, Deborah, & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice : Models and Guidelines.

The John Hopkins Evidence-Based Practice Model consists of three steps:

  1. Practice Question – develop practice question
  2. Evidence – search, evaluate, synthesize external and internal evidences.
  3. Translation – create a plan, timeline, outcomes, and disseminate findings.

A project must have a clear plan rather like planning a journey with a map. You will want to know the estimated time and cost. Knowing that you must have an end goal to meet your objectives, a timeline and a plan is crucial in your project proposal.

A project timeline is the chronological steps to the order of your events to meet your objectives or end goal. It is crucial that a timeline is attached to each event. Chronology is the exact order in which events occurs to assist us with the understanding of the cause and effect of those events.  Consideration must be given to the past, present, and future.

  • Past: why and how the events unfolded
  • Present: what is in progress
  • Future: what is to be completed

There are several key components to developing a project timeline. We must identify and meet with the stakeholders, set and prioritize goals, define deliverables, create a timeline for each deliverable, identify barriers and complete a risk assessment, and present the project plan to stakeholders.

The steps to the planning process include developing objectives and tasks to meet those objectives. Determine the resources needed and the timeline required for each task. Develop an assessment and tracking tool for the project. Finalize the plan and distribute to stakeholders.

What is Evidence-Based Practice?

Chatty Patties – Evidence-Based Practice

ASSIGNMENT

Evidence-based practice is a conscientious, problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values and preferences, and a clinician’s expertise in making decisions about a patient’s care. Unfortunately, no standard formula exists for how much these factors should be weighed in the clinical decision-making process. However, there are a variety of rating systems and hierarchies of evidence that grade the strength or quality of evidence generated from a research study or report. Being knowledgeable about evidence-based practice and levels of evidence is important to every clinician as clinicians need to be confident about how much emphasis they should place on a study, report, practice alert or clinical practice guideline when making decisions about a patient’s care.

Select and discuss a published practice guideline from a credible source and critique the levels of evidence.  Comment regarding the strength of the levels of evidence that support the guideline.

  • Length: 250 Words
  • references (not older than 5 years) with corresponding in text citations using APA format 7th edition

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