Capstone Change Project Outcomes Paper

May 30, 2024

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale. The assignment will be used to develop a written implementation plan. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to LopesWrite.

Hello,

My selected topics are as follows

Infection Control

Hospital Acquire

Infection such as Covid 19

Chronic health disease of Elderly person

Cognitive behavioral therapy

Diabetes management and prevention

Provision of clean water and sanitization project

Food security projects

Capstone Change Project Outcomes Example

I spent quite a good time with my preceptor discussing the organizational policies. This discussion helped me to come up with the objectives of the project. The objectives then guided the action plan that ultimately enabled me to realize the outcomes of the project. Four outcomes were arrived at guided by the objectives.

To begin with, the first outcome would be a reduction in the incidences of ventilator-acquired Pneumonia (VAP). VAP is a common nosocomial infection that continues to cause mortality and morbidity. On the other hand, chlorohexidine has been used in various settings with good results reported. The application of chlorhexidine (CHG) should help in reducing the bacterial load that would ultimately lead to decreased VAP and a reduction in hospital stay. In addition, resistant strains of organisms would be reduced through proper administration of CHG in all eligible individuals. The second outcome is increased knowledge among nurses about the evidence-based project (EBP).

Empowered nurses have improved cognitive levels that improve their attitude and behavior towards the EBP (Mathew et al., 2022). Furthermore, nurses who understand the importance of the EBP are likely to offer quality services through adherence to daily bathing. This improves patient outcomes as well as reduces mortality. In addition, knowledgeable nurses will teach others and encourage them to adhere to the EBP guidelines to ensure patient safety.

The third outcome would be a reduction in the cost of care. Essentially, following the guidelines reduces the microbial load leading to a reduction in VAP. Patients without complications are likely to recover quickly thus reducing hospital stay that ultimately reducing the cost of care. This is because patients who spend longer times in hospital are likely to develop other complications that would require the use of resources to enable them to get help. Lastly, the general patient outcomes will be improved upon implementing an EBP project. The patient outcome can be measured in terms of morbidity, mortality, length of hospital stays, cost of care, and satisfaction level.

References

Mathew, J. M., Thelly, A. S., & Antony, L. (2022). Empowering nurses to meet challenges and lead palliative care for achieving triple billion targets. Indian Journal of Palliative Care, 28(2), 174–179. https://doi.org/10.25259/IJPC_56_2021

NRS-493 Individual Success Plan

For this assignments, the attached chart must be used to plug into. It is just success plan for course. there is no specific word count or sources required. It is just a way if tracking assignments due and the plans that I have to successfully complete requirements. Please see attached chart.

NRS-493 Individual Success Plan

REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.

PR A C T I C E E X P E R I E N C E	Complete Contact Information
	Student Information	GCU
	Name:
	E-mail:
	Phone Number:
	Course Faculty Information	GCU
	Name:
	E-mail:
	Phone Number:
	Practicum Preceptor Information	Practice Setting
	Name:
	E-mail:
	Phone Number:

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.

In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).

General Requirements

Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.

Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).

Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.

Topic	Graded Assignment	Indirect Clinical Assignments
Topic 1	1. Individual Success Plan2. Reflection Journal Entry	1. List of potential topics for the change proposal
Topic 2	1. Topic Selection Approval Paper2. Reflection Journal Entry	1. Search the literature for supporting journal articles2. Summary of topic category; community or leadership
Topic 3	1. PICOT Question Paper2. Reflection Journal Entry	1. List of objectives
Topic 4	1. Literature Evaluation Table2. Reflection Journal Entry	1. List of measurable outcomes
Topic 5	1. Reflection Journal Entry	1. Summary of the strategic plan2. Midterm Evaluation Tool
Topic 6	1. Literature Review Table2. Reflection Journal Entry	1. List of resources
Topic 7	1. Reflection Journal Entry	1. Summary of the evaluation plan2. Remediation-if required
Topic 8	1. Benchmark Written Capstone Project Change Proposal2. Reflection Journal Entry
Topic 9	1. Reflection Journal Entry	1. Professional Presentation
Topic 10	1. Finalized ISP2. Scholarly Activity Summary 3. Benchmark-Reflection Journal Summary	1. Summary of presentation2. Final Clinical Evaluation Tool 3. Practice Clinical Evaluation Tool-Agency 4. Practice Clinical Evaluation Tool-Preceptor

Application-based Learning Course Assignments	List of Current Course Objectives	AssignmentDate Due	Self-Assessment:Programmatic Domains & Competencies (see Appendix A)	Self-Assessment:GCU RN-to-BSN University Mission Critical Competencies (see Appendix A)	DateAssignment Completed

By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.

Student Signature
Name:
Date:
Preceptor Signature [Upon Initiation of Course]
Name:
Date:
Preceptor Signature [Upon Completion of Course]
Name:
Date:

APPENDIX A:

GCU RN-to-BSN Domains & Competencies

University’s Mission Critical Competencies

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

MC5: Leadership: Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.

Domains and Competencies

How does this Individual Success Plan support the Program Domains and Competencies?

Domain 1: Professional Role

Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

Competencies:

1.1: Exemplify professionalism in diverse health care settings.

1.2: Manage patient care within the changing environment of the health care system.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

1.4: Participate in health care policy development to influence nursing practice and health care.

1.5: Advocate for autonomy and social justice for individuals and diverse populations.

Domain 2: Theoretical Foundations of Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

Competencies:

2.1: Incorporate liberal arts and science studies into nursing knowledge.

2.2: Comprehend nursing concepts and health theories.

2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.

Domain 3: Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

Competencies:

3.1: Utilize the nursing process to provide safe and effective care for patients across the lifespan

3.2: Implement patient care decisions based on evidence-based practice.

3.3: Provide individualized education to diverse patient populations in a variety of health care settings.

3.4: Demonstrate professional standards of practice.

Domain 4: Communication/Informatics

Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

Competencies:

4.1: Utilize patient care technology and information management systems.

4.2: Communicate therapeutically with patients.

4.3: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

Domain 5: Holistic Patient Care

Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

Competencies:

5.1: Understand the human experience across the health-illness continuum.

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

5.3: Provide culturally sensitive care.

5.4: Preserve the integrity and human dignity in the care of all patients.

NRS 493 Capstone Project Topic Selection and Approval

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.

The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.

A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.

Significance of the topic and its implications for nursing practice.

A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NRS 493 Professional Capstone and Practicum Reflective Journal- Topic 2

Students are required to submit weekly journal entries throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum. In each week\’s entry, students should reflect on the personal knowledge and skills gained.

Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.

Topic Focus: Interpersonal Collaboration

While APA style is not required for the body of this assignment, solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Example Topic 2 Reflective Journal Topic Focus: Interprofessional Collaboration

Interprofessional collaboration involves interaction between two or more professionals with common goals and problem-solving needs. This topic has introduced me to various aspects of problem-solving and made me realize some strengths and weaknesses in my training so far. At the end of the course and training, I aim at acquiring the best quality and safety education in nursing (QSEN) competencies to offer the best care to my patients in the future.

In this topic, I aimed at dealing with teamwork and collaboration as a part of the progress to achieve the best competencies. My evaluation of problems and issues relevant to my practice and this competency element was civility in the workplace. I believe that a civil working and learning environment encourages reciprocal interaction that will enhance academic and professional growth. Therefore, based on my experience worth the topic I dug deep into the issue and presented my issue using evidence-based practice.

One of the strengths that I realized from this topic is evidence-based practice and interprofessional collaboration. The knowledge behind these strengths was enhanced by the passion to look up and interpret relevant literature evidence. In the future, I intend to work in an environment will many professionals thus the need to sharpen further my interprofessional skills.

Hopefully, the skills that I will gain throughout the course will develop this strength and make me a competent nurse. Additional resources such as interactive multimedia learning and simulated scenarios will impact greatly my leadership and collaboration skills. This will expose my learning to various real-life scenarios and ensure stimulative learning. It is my wish that my individual commitment to work with my fellows will ensure future success.

NRS 493 PICOT Question Paper

Review your problem or issue and the study materials to formulate a PICOT (Patient, Intervention, Comparison, Outcome and Time) question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care.

The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Step 1: Create PICOT question; A PICOT question is presented and provides a clear framework for the capstone project change proposal. Your PICOT question should clearly outline all of these elements: patient, intervention, comparison, outcome and time.

Step 2: PICOT Problem: Identify the PICOT problem, what clinical problems or issues may arise from clinical care? The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is thoroughly described.

Step 3: Describe nursing intervention: A nursing intervention used to address the problem. Compare the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process.

Step 4: Summarize Clinical Problem and Patient Outcome: The clinical problem and how it can result in a positive patient outcome.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NRS 493 Professional Capstone and Practicum Reflective Journal- Topic 3

Topic Focus: Health care delivery and clinical systems

While APA style is not required for the body of this assignment, solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Example Journal Topic 3

This week has been very successful and exciting. I spent most of my time with my mentor to discuss issues around health care delivery and clinical systems; a vital component in ensuring safety and quality of care to patients. Various parameters are addressed in this subject; they include health advancement, diagnosis is illnesses, health promotion and disease prevention, treatment and management of clinical conditions, appropriate rehabilitation plan, and effective communication (Hand et al., 2021). We concluded that improving the healthcare delivery and clinical system (HDCS) is a paramount task that would improve clinical outcomes.

From the interactive session we had, I decided to come up with a PICOT question that would help in improving the HDCS by using nurse driven-protocol to reduce ventilation acquired pneumonia in intubated patients using chlorhexidine. VAP is a common nosocomial infection in the intensive care unit that lead to mortality, increased cost of care, and poor patient outcome (Veet et al., 2020).

My ability to communicate effectively, form interpersonal collaboration, critically think, and embrace teamwork was essential for me to come up with a project that could improve health systems. In addition, I am assertive, goal-oriented, and have good leadership techniques that are paramount in the clinical system. On the other hand, I have personal weaknesses that require improvement. Such include poor public speaking skills, poor time management skills, and procrastination; these could interfere with my nursing skills.

Improving patient outcomes in the ICU requires advancement in the mode of care through the provision of required resources. For instance, there is a need for resource mobilization to install bedside imaging such as ultrasound and radiograph to aid in diagnosis; education of healthcare providers about infection prevention practices to reduce infection rate, and integration of communication systems to ease information sharing and improve patient outcomes. Involving nurses and other healthcare providers will improve care delivery that improves patient satisfaction.

References

Hand, B. N., Gilmore, D., Coury, D. L., Darragh, A. R., Moffatt-Bruce, S., Hanks, C., & Garvin, J. H. (2021). Effects of a specialized primary care facility on preventive service use among autistic adults: A retrospective claims study. Journal of General Internal Medicine, 36(6), 1682–1688. https://doi.org/10.1007/s11606-020-06513-7

Veet, C. A., Radomski, T. R., D’Avella, C., Hernandez, I., Wessel, C., Swart, E. C. S., Shrank, W. H., & Parekh, N. (2020). Impact of healthcare delivery system type on clinical, utilization, and cost outcomes of patient-centered medical homes: A systematic review. Journal of General Internal Medicine, 35(4), 1276–1284. https://doi.org/10.1007/s11606-019-05594-3