You will design and develop an evidenced-based practice change, quality improvement, or innovation that demonstrates the synthesis of WGU graduate competencies. This project is not primary research, but should be focused on scholarly evidence in support of practice improvements, innovation, or general practice change. It will not require an Institutional Review Board (IRB) approval. You will be required to conduct a comprehensive literature review that defines the evidence in support of your project. The literature review represents a collection of primary research studies that have already been conducted and that provide guidance for best practices. Once your project plan is complete, you will create a professional presentation that outlines your plan, and then present it to your stakeholder group and preceptor.
Before you start your project, you will first need to secure organizational approval and obtain a letter of agreement from your preceptor. In Task 1, you will be required to develop a plan for your capstone project that describes your problem and proposed solution.
A. Summarize your project by doing the following:
1. Identify the problem.
2. Describe why the identified problem requires a practice change, quality improvement, or innovation.
3. Explain the causes of the problem.
4. Identify the stakeholders.
a. Discuss each stakeholder s interest, power, and influence in relation to the project.
B. Explain the purpose of your project.
C. Discuss your proposed solution for your project.
D. Provide an evidence summary to support the proposed change.
1. Provide a reference list for your evidence summary in APA format that includes a minimum of five scholarly, peer-reviewed sources that were published within the last five years.
E. Explain your proposed implementation plan that includes the following:
1. Plan of action
3. Needed resources and personnel
4. Proposed change theory
5. Barriers to implementation
6. Learning objectives and outcomes
F. When you use sources, include all in-text citations and references in APA format
Project Title (Use Upper and Lower Case)
Author’s First Last Name
Western Governors University
College of Health Professions
Project Title (Place the name of your project here)
Please identify a nursing problem within your specialty track of Nursing Education . Discuss why the problem requires an evidence-based practice change, quality improvement or innovation. How did you identify the problem Is it a nurse sensitive indicator that you or your peers have identified What observations of your own or comments made by your peer group, management team, and other members of the transprofessional team help identify this problem
For project ideas, please see your Field Experience Course of Study – Introduction section. The scope of your project must address all aspects included in the course evaluation rubric. You will lay the foundation for an evidence-based practice change, quality improvement, or innovation during the Field Experience course.
This section will include a general description of the evidence-based practice change, quality improvement, or innovation that your organization is interested in, actively engaged in, or willing to support. You will need to be specific. For example, your organization may be interested in changing the policy or approach to patient triage in your emergency department. However, this policy change/process improvement will take several months and system wide resources to complete. You will not have sufficient time or resources to complete the entire policy change/process improvement within the scope of your project. Also, due to organizational constraints or your position in the organization, you may not have the capacity to effect the policy/process improvement in its entirety. Nevertheless, you are in a position to influence change by developing a specific component in support of changing the triage process. Therefore, your project will involve a smaller scope, which you must fully develop. Your part of the project may involve the following: 1) Developing a schematic for the new triage process, 2) Developing a new policy for implementing the new triage process, 3) Developing a new educational offering about the new triage process, and/or 4) Providing a presentation of the evidence that supports changing the triage process to stakeholders that are in a position to effect the change that you are advocating. Your project will then focus on what you will do (or did) to influence change within your organization; your specific component of the larger change that is taking place within your organization. The goal is for you to be succinct, yet provide sufficient detail to ensure readers have a clear understanding of what your specific contribution to the organization s practice change, quality improvement, or innovation is all about.
Rationale for Change, Quality Improvement, or Innovation
(This section includes a description of why the change, quality improvement, or innovation is required. Please respond in paragraph format. A paragraph contains a minimum of three to five sentences. Each paragraph supports a separate and distinct idea.)
Causes of the Problem
(This section involves factors, issues, or phenomenon that helped to create the problem. Please respond in narrative paragraph format. A paragraph contains a minimum of three to five sentences. What is the cause of the problem in your area of practice What are you and/or your peers seeing in your practice setting What factors contribute to the problem Each paragraph supports a separate and distinct idea.)
Identification of Stakeholders
(Your stakeholders are people internal or external to your organization that have a key interest in, or can have a significant impact on your proposed change. Examples of stakeholders include, but are not limited to patients, nurses, physicians, administrators, support or ancillary care staff, family members, volunteers, etc. You will need to include the positions or roles each of the stakeholders hold in your discussion. For example: CNO, unit manager, staff nurse, educator, quality improvement office, spouse, etc.)
Stakeholders interest, power, and influence. (This section involves a more detailed discussion about the specific interest, power, and influence (role) that each stakeholder has in relation to your proposed change. For example: Hospital administration or the administration of a university can be stakeholders. They would have a heavy interest in any changes made within their facilities and have the power to approve or deny your project. Physicians, practitioners or nurses may have a positive or negative influence on your project. Informal leaders also have power and influence. Your challenge is to identify the specific interest, power, and influence each of the identified stakeholders has in relation to your specific project.)
Purpose of Project
(This section should include a detailed description of what the proposed evidence-based practice change, quality improvement, or innovation will accomplish. What specific change will your project bring about What do you hope to accomplish for the organization and/or stakeholders by implementing your proposed change )
(This section involves presenting a succinct and clear description or statement of your proposed evidence-based practice change, quality improvement, or innovation. The description must include specific information about what you intend to do (change). Based on your current position within the organization, this may also involve what you plan to do to influence change what you plan to do as a change agent within your organization. Your proposed solution should include who will be involved, what will be done, and where your proposed project will take place.
(This involves a narrative discussion summarizing the five scholarly sources that were reviewed. The Evidence Summary should not be an Annotated Bibliography (separate critique) of the five sources. Instead, it should identify the areas where consensus among the various authors of the sources exists. The findings, positions, and recommendations included in your Evidence Summary should be consistent with the recommendations you are proposing for your Capstone project. This section will require the use of in-text citations using each of the five sources. A reference list for the evidence summary in APA format that includes five scholarly, peer-reviewed sources that were published within the last five years will be included in the References section of the paper. Remember, this evidence summary is your preliminary support for your project. Be sure your support is adequate.)
Plan of Action
(This section should provide a detailed plan of action. You will need to provide information about the specific steps that will be required to complete your Capstone project. This section may also include a description of meetings and agreements (support commitments or negotiations) that have been made to lay the foundation for your project prior to actual implementation. Include proposed meetings with your preceptor and/or stakeholders, plans for educating stakeholders (if necessary), goals, and models or frameworks that will be used to inform or guide your project should also be included. While an exact step-by-step plan is not needed and may not be possible to include at this phase of your project development, you must provide a clear, succinct explanation of your proposed plan of action.)
(Your proposed timeline should include general information about when the various milestones in your project are anticipated to be achieved. For example, Week 1 of the project will include . Weeks 2-4 involves .. Week 5 involves . Weeks 6 and 7 provides for . etc. The timeline can be displayed using a variety of options including tables, graphics, in addition to a narrative discussion of the milestones. You do not need to provide specific dates, however; you should provide an estimation of the time involved with each step.)
Required Resources and Personnel
(This section involves a narrative discussion about any resources required for the planning and implementation of your project. Resources may include financial support, time, classroom space, printing costs, equipment, personnel adjustments or reallocation of staffing.)
Proposed Change Theory
(This discussion should identify the specific change theory you have chosen to guide and inform your project. You will need to include the details of the change theory you believe will be most effective in your area of nursing practice. This detailed discussion should correlate the actions/activities relevant to your project with each stage/phase/step of the Change Theory you identify. In-text citation(s) are required in this section.)
Barriers to Implementation
(This section involves a discussion about potential barriers you may encounter with the implementation of your project. This discussion may include ways you plan to address or mitigate the potential barriers.)
Learning Objectives and Outcomes
(NOTE: This section only applies to Education Specialty track students. This section requires a description of the learning objectives and anticipated outcomes associated with your Capstone project. For example, you will need to identify objectives and outcomes if you are planning an education offering, training module, simulation, training exercise, return demonstration activity, new or revised course or curriculum. Learning objectives and outcomes should be articulated in clear and concise terms. In-text citations may be required to support your chosen objectives and outcomes.)
(Please note that this document outline is only a guide. The written paper, including all in-text citations, must be written in proper APA style. All references (sources) should be identified using in-text citations in the body (narrative portion) of the paper. All of the included sources should be included in the References section.)
Finkler, S. A., Jones, C. B., & Kovner, C. T. (2013). Financial management for nurse managers and executives (4th ed.). St. Louis, MO: Elsevier.
Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A., & De Groot, H. (2012). Patient turnover and the relationship between nurse staffing and patient outcomes. Research in Nursing & Health, 35(3), 277-288. doi:10.1002/nur.21474
Park, S. H., Boyle, D. K., Bergquist-Beringer, S., Staggs, V. S., & Dunton, N. E. (2014). Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers. Health Services Research, 49(4), 1205-1225. doi:10.1111/1475-6773.12158
Staggs, V. S., & Dunton, N. (2012). Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: An observational cross-sectional study. International Journal of Nursing Studies, 49(9), 1138-1145. doi:10.1016/j.ijnurstu.2012.03.009
Sullivan-Havens, D., Jones, C. B., & Carlson, J. (2014). Chief nursing office retention & turnover, 2013: Is the crisis still brewing Retrieved from https://www.aone.org/conference2014/Handouts/2014_Concurrent_Handouts/Additional%20Handouts/S330H_BN2.pdf