NRS-490 Professional Capstone and Practicum Entire Course
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NRS-490 Topic 1 DQ 1
Max Points: 5.0
Identify two GCU
Library scholarly databases that will help you find the best research articles
to support your EBP proposal. Discuss why these two databases are better than
Google Scholar or a general Internet search.
NRS-490 Topic 1 DQ 2
Max Points: 5.0
The Institute of
Medicine has stated a goal that 90% of practice be evidence-based by 2020.
According to HealthyPeople.gov, the United States is currently at approximately
15%. Discuss two barriers that might hold nursing practice from achieving this
goal, and suggest ways in which identified barriers may be addressed.
NRS-490 Topic 1 Assignment Individual Success Plan (ISP)
Details:
Planning is the key to
successful completion of this course and your overall program of study. The
Individual Success Plan (ISP) assignment requires early collaboration with the
course faculty and your course mentor. You will need to establish a plan for
successful completion of (1) deliverables associated with weekly course
objectives, (2), required practice immersion hours, and (3) deliverables
associated with your capstone project.
Access the “Individual
Success Plan” resource in the Topic Materials. Read the information in the
resource, including student expectations and instructions for completing the
ISP document.
Use the “Individual
Success Plan” to develop a personal plan for completing your practice hours and
how topic objectives will be met. Include the number of hours you plan to set
aside to meet your goals.
A combination of 100
supervised clinical hours in community health and leadership areas will be
obtained through the application of the objectives listed in the Guidelines for Undergraduate
Field Experiences manual.
Practicum immersion
experiences are required in a community health setting. Community-based
settings should encourage community integration and involvement; expand
accessibility of services and supports; promote personal preference, strengths,
dignity; and empower people to participate in the economic mainstream.
According to
HealthyPeople.gov, educational and community-based programs and strategies are
designed to reach people outside of traditional health care settings. These
settings may include schools, worksites, health care facilities, and
communities. Community health and leadership practice immersion can occur in
the same site and in conjunction with the evidence-based project in the NRS-490
course.
If you are a registered
nurse in Washington, your practicum experience must include a minimum of 50
hours in a community health setting.
Students should apply
concepts from prior courses to critically examine and improve their current
practice. Students should also integrate scholarly readings to develop case
reports that demonstrate increasingly complex and proficient practice.
Consider the
challenges you expect to encounter as you continue the practice hour and
competency requirements throughout this course. How might you overcome these
challenges?
You can renegotiate
these deliverables with your faculty and mentor throughout this course and
update your ISP accordingly.
Once your ISP has been
developed and accepted by your course faculty, you will have your course mentor
sign it at the beginning of, and upon completion of, each assignment that
incorporates practice immersion hours. You will track all course practice
immersion hours in the ISP.
APA format is not
required, but solid academic writing is expected.
You are not required
to submit this assignment to Turnitin.
NRS-490 Topic 1 Assignment Professional Capstone and Practicum
Documentation
Details:
The Professional
Capstone and Practicum course requires students to select a course mentor. This
mentor is not a preceptor, but an individual who will guide students as they
work to complete the practice immersion hour requirements for this course.
Students are not required to “shadow” their mentor.
The course mentor
should be someone who can provide professional development knowledge and guidance
and who possesses a genuine interest in working with students to further their
academic goals.
Selection, approval,
and retention of a course mentor must be completed as soon as possible at the
start of this course, as this individual will be working with the student on
each assignment that incorporates practice immersion hours. Working with a
course mentor is mandatory.
Once a course mentor
has agreed to serve in the role, you must complete and submit the following
required documentation so that practice experiences can begin in a timely
manner:
1.
Field Experience Site
Information Form
2.
Qualified
Mentor/Preceptor Summary Form
3.
Mentor’s license,
certification, and resume/curriculum vitae
The student is
responsible for obtaining all signatures for the paperwork submission. Course
faculty will approve all sites and mentors according to student learning needs
and specific course objectives.
Do not initiate new
work on practice-immersion-hour-based course assignments until your course
instructor has approved your course mentor.
Once a course mentor
is approved, students should contact the mentor within 1 week of receiving the
approval notification. Students are encouraged to make an appointment to meet
with their mentor in person and arrange to review the NRS-490 course objectives
and the Individual Success Plan (ISP).
For more specific
information on the course mentor process and roles and responsibilities, refer
to Section Three of the Guidelines for Undergraduate Field Experiences resource.
NRS-490 Topic 1 Assignment Professional Capstone and Practicum
Reflective Journal and Scholarly Activities
Details:
Throughout the course,
students will engage in weekly reflection and scholarly activities. These
assignments are presented in Topic 1 to allow students to plan ahead, and
incorporate the deliverables into the Individual Success Plan if they so
choose.
The weekly reflective
journals and scholarly activities will not be submitted in LoudCloud each week;
a final, culminating submission will be due in Topic 10. No submission is
required until Topic 10.
Professional Capstone and Practicum Reflective Journal
Students are required
to maintain weekly reflective narratives throughout the course to combine into
a final, course-long reflective journal that integrates leadership and inquiry
into current practice as it applies to the Professional Capstone and Practicum
course. This course-long journal assignment will be due in Topic 10.
In each week’s entry,
you should reflect on the personal knowledge and skills gained throughout the
Professional Capstone and Practicum course. Your entry should address a
variable combination of the following, dependent on the specific practice
immersion clinical experiences you encountered that week:
1.
New practice
approaches
2.
Intraprofessional
collaboration
3.
Health care delivery
and clinical systems
4.
Ethical considerations
in health care
5.
Population health
concerns
6.
The role of technology
in improving health care outcomes
7.
Health policy
8.
Leadership and
economic models
9.
Health disparities
In the Topic 10
submission, each of the areas should be addressed in one or more of the weekly
entries.
This reflection
journal also allows students to outline what they have discovered about their
professional practice, personal strengths and weaknesses that surfaced,
additional resources and abilities that could be introduced to a given
situation to influence optimal outcomes, and finally, how they met competencies
and course objectives.
Scholarly Activities
Throughout the
RN-to-BSN program, students are required to participate in scholarly activities
outside of clinical practice or professional practice. Examples of scholarly
activities include attending conferences, seminars, journal club, grand rounds,
morbidity and mortality meetings, interdisciplinary committees, quality
improvement committees, and any other opportunities available at your site,
within your community, or nationally.
You are required to
post one scholarly activity while you are in the BSN program, which should be
documented by the end of this course. In addition to this submission, you are
required to be involved and contribute to interdisciplinary initiatives on a
regular basis.
In Topic 10, you will
submit a summary report of your scholarly activity. You may use the “Scholarly
Activity Summary” resource to help guide this assignment.
NRS-490 Topic 2 DQ 1
Max Points: 5.0
During your practicum,
determine what clinical problem or issue the organization is facing. Discuss
two implications for nursing.
NRS-490 Topic 2 DQ 2
What is the main issue
for your organization in addressing a solution to evidence-based nursing
practice? Discuss what might be the first step in addressing and resolving this
issue.
NRS-490 Topic 2 Assignment Capstone Project Topic Selection and
Approval
Details:
In collaboration with
your approved course mentor, you will identify a specific evidence-based
practice proposal topic for the capstone project. Consider the clinical
environment in which you are currently working or have recently worked. The
capstone project topic can be a clinical practice problem, an organizational
issue, a quality improvement suggestion, a leadership initiative, or an
educational need appropriate to your area of interest as well as your practice
immersion (practicum) setting. Examples of the integration of community health,
leadership, and an EBP can be found on the “Educational and Community-Based
Programs” page of the Healthy People 2020 website.
Write a 500-750 word
description of your proposed capstone project topic. Make sure to include the
following:
1.
The problem, issue,
suggestion, initiative, or educational need that will be the focus of the
project
2.
The setting or context
in which the problem, issue, suggestion, initiative, or educational need can be
observed.
3.
A description
providing a high level of detail regarding the problem, issue, suggestion,
initiative, or educational need.
4.
Impact of the problem,
issue, suggestion, initiative, or educational need on the work environment, the
quality of care provided by staff, and patient outcomes.
5.
Significance of the
problem, issue, suggestion, initiative, or educational need and its
implications to nursing.
6.
A proposed solution to
the identified project topic
You are required to
retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time
accordingly to complete this assignment.
Prepare this
assignment according to the guidelines found in the APA Style Guide, located in
the Student Success Center. An abstract is not required.
You are required to
submit this assignment to Turnitin. Please refer to the directions in the
Student Success Center.
NRS 490 Topic 2 Practice Hours Completion Statement NRS-490
Details:
Students will track
their practice hours throughout the course via the Practice Hours Completion
Statement provided in this assignment.
Complete the following
statement in a Word document and submit the attachment:
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF)
practice hours in association with the goals and objectives for this course. I
also verify that all required course approvals are in place from my faculty and
practice mentor.
NRS 490 Topic 3 DQ 1
Submit a summary of
six of your articles on the discussion board. Discuss one strength and one
weakness to each of these six articles on why the article may or may not
provide sufficient evidence for your practice change.
NRS 490 Topic 3 DQ 2
Name two different
methods for evaluating evidence. Compare and contrast these two methods.
NRS 490 Topic 3 Assignment PICOT Statement Paper
Details:
Review the Topic
Materials and the work completed in NRS-433V to formulate a PICOT statement for
your capstone project.A PICOT starts with a designated patient population in a
particular clinical area and identifies clinical problems or issues that arise
from clinical care. The intervention should be an independent, specified
nursing change intervention. The intervention cannot require a provider
prescription. Include a comparison to a patient population not currently
receiving the intervention, and specify the timeframe needed to implement the
change process.Formulate a PICOT statement using the PICOT format provided in
the assigned readings. The PICOT statement will provide a framework for your
capstone project.In a paper of 500-750 words, clearly identify the clinical
problem and how it can result in a positive patient outcome.Make sure to address
the following on the PICOT statement:
1.
Evidence-Based
Solution
2.
Nursing Intervention
3.
Patient Care
4.
Health Care Agency
5.
Nursing Practice
Prepare this
assignment according to the guidelines found in the APA Style Guide, located in
the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the
Student Success Center.
NRS 490 Topic 3 Practice Hours Completion Statement NRS-490
Details:
Students will track
their practice hours throughout the course via the Practice Hours Completion
Statement provided in this assignment.
Complete the following
statement in a Word document and submit the attachment:
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF)
practice hours in association with the goals and objectives for this course. I
also verify that all required course approvals are in place from my faculty and
practice mentor.
NRS 490 Topic 4 DQ 1
Why is understanding
the health care system at the local level important to consider when planning
an EBP implementation? Conduct research and solicit anecdotal evidence from
your course mentor that you will take into consideration for your own change
project.
NRS 490 Topic 4 DQ 2
Compare and contrast
two change theories, and determine which theory makes the most sense for
implementing your specific EBP project. Why? Has your mentor used either
theory, and to what result?
NRS 490 Topic 4 Assignment Literature Evaluation Table
Details:
In nursing practice,
accurate identification and application of research is essential to achieving
successful outcomes. Being able to articulate the information and successfully
summarize relevant peer-reviewed articles in a scholarly fashion helps to
support the student’s ability and confidence to further develop and synthesize
the progressively more complex assignments that constitute the components of
the course change proposal capstone project.
For this assignment,
the student will provide a synopsis of eight peer-reviewed articles from
nursing journals using an evaluation table that determines the level and
strength of evidence for each of the eight articles. The articles should be
current within the last 5 years and closely relate to the PICOT statement
developed earlier in this course. The articles may include quantitative
research, descriptive analyses, longitudinal studies, or meta-analysis
articles. A systematic review may be used to provide background information for
the purpose or problem identified in the proposed capstone project. Use the
“Literature Evaluation Table” resource to complete this assignment.
While APA style is not
required for the body of this assignment, solid academic writing is expected,
and in-text citations and references should be presented using APA
documentation guidelines, which can be 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 not required
to submit this assignment to Turnitin.
NRS 490 Topic 5 DQ 1
Stakeholder support is
necessary for a successful change proposal project implementation. Consider
your internal stakeholders, such as the facility, unit or health care setting
where the change process is situated, and your external stakeholders, like an
individual or group outside the health care setting. Why is their support
necessary to the success of your project, and how you will go about securing
that support?
NRS 490 Topic 5 DQ 2
Technology is integral
to successful implementation in many projects, through either support or
integration or both. Name at least one technology that could improve the
implementation process and the outcomes of your EBP project. Do you plan to use
this technology? If not, what are the barriers that prevent its use?
NRS 490 Topic 6 DQ 1
After discussion with
your mentor, name one financial aspect, one quality aspect, and one clinical
aspect that need to be taken into account for developing the evidence-based
practice project. Explain how your proposal will directly and indirectly impact
each of the aspects.
NRS 490 Topic 6 DQ 2
Now that you have
completed a series of assignments that have led you into the active project
planning and development stage for your project, briefly describe your proposed
solution to address the problem, issue, suggestion, initiative, or educational
need and how it has changed since you first envisioned it. What led to your
current perspective and direction?
NRS 490 Topic 6 Assignment Literature Review
Details:
While the
implementation plan prepares students to apply their research to the problem or
issue they have identified for their capstone change proposal project, the
literature review enables students to map out and move into the active planning
and development stages of the project.
A literature review
analyzes how current research supports the PICOT, as well as identifies what is
known and what is not known in the evidence. Students will use the information
from the earlier PICOT Statement Paper and Literature Evaluation Table
assignments to develop a 750-1,000 word review that includes the following
sections:
1.
Title page
2.
Introduction section
3.
A comparison of
research questions
4.
A comparison of sample
populations
5.
A comparison of the
limitations of the study
6.
A conclusion section,
incorporating recommendations for further research
Prepare this
assignment according to the guidelines found in the APA Style Guide, located in
the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the
Student Success Center.
NRS 490 Topic 7 DQ 1
Max Points: 5.0
Describe one internal
and one external method for the dissemination of your EBP project results. For
example, an internal method may be the hospital board, and an external method
may be a professional nursing organization. Discuss why it is important to
report your results to both of these groups. How will your communication
strategies change for each group?
NRS 490 Topic 7 DQ 2
Max Points: 5.0
In order to evaluate
an evidence-based practice project, it is important to be able to determine the
effectiveness of your change. Discuss one way you will be able to evaluate
whether your project made a difference in practice.
NRS 490 Topic 8 DQ 1
Based on how you will
evaluate your EBP project, which independent and dependent variables do you
need to collect? Why?
NRS 490 Topic 8 DQ 2
Not all EBP projects
result in statistically significant results. Define clinical significance, and
explain the difference between clinical and statistical significance. How can
you use clinical significance to support positive outcomes in your project?
NRS 490 Topic 9 DQ 1
Discuss one personal
strength and one weakness you have regarding professional presentations. Name
one method for improvement for each of these, and discuss why it is important for
you to work on these skills if you want to present your findings in a more
formal setting.
NRS 490 Topic 9 DQ 2
Sustaining change can
be difficult, as there are many variables that can affect implementation. One
critical component of EBP is to ensure that practice change is part of an
organization’s culture so it will continue to impact outcomes over time. Name
two potential barriers that may prevent your EBP change proposal from
continuing to obtain the same desired results 6 months to a year from now, and
your strategies for overcoming these barriers.
NRS 490 Topic 9 Assignment Benchmark – Capstone Project Change
Proposal
Details:
In this assignment,
students will pull together the change proposal project components they have
been working on throughout the course to create a proposal inclusive of
sections for each content focus area in the course. At the conclusion of this
project, the student will be able to apply evidence-based research steps and
processes required as the foundation to address a clinically oriented problem
or issue in future practice.
Students will develop
a 1,250-1,500 word paper that includes the following information as it applies
to the problem, issue, suggestion, initiative, or educational need profiled in
the capstone change proposal:
1.
Background
2.
Problem statement
3.
Purpose of the change
proposal
4.
PICOT
5.
Literature search
strategy employed
6.
Evaluation of the
literature
7.
Applicable change or
nursing theory utilized
8.
Proposed
implementation plan with outcome measures
9.
Identification of
potential barriers to plan implementation, and a discussion of how these could
be overcome
10.
Appendix section, if
tables, graphs, surveys, educational materials, etc. are created
Review the feedback
from your instructor on the Topic 3 assignment, PICOT Statement Paper, and
Topic 6 assignment, Literature Review. Use the feedback to make appropriate
revisions to the portfolio components before submitting.
Prepare this
assignment according to the guidelines found in the APA Style Guide, located in
the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the
Student Success Center.
NRS 490 Topic 10 DQ 1
Max Points: 5.0
Dissemination of EBP
and research, such as presenting results at a conference or writing an article
for a journal, is an important part of professional practice. Identify one
professional journal and one nursing or health care conference where you might
present your project. Discuss why each of your choices is the best option for
you to disseminate your new knowledge.
NRS 490 Topic 10 DQ 2
Discuss why EBP is an
essential component of the practice of a BSN-prepared RN. Identify two ways in
which you will continue to integrate evidence into your practice and encourage
it within your work environment. What obstacles could challenge this plan, and
what steps will you take to minimize their impact?
NRS 490 Topic 10 Assignment Benchmark – Professional Capstone
and Practicum Reflective Journal
Details:
Students are required
to maintain weekly reflective narratives throughout the course to combine into
one course-long reflective journal that integrates leadership and inquiry into
current practice as it applies to the Professional Capstone and Practicum
course.
In your journal, you
will reflect on the personal knowledge and skills gained throughout this course.
The journal should address a variable combination of the following, depending
on your specific practice immersion clinical experiences:
1.
New practice
approaches
2.
Intraprofessional
collaboration
3.
Health care delivery
and clinical systems
4.
Ethical considerations
in health care
5.
Population health
concerns
6.
The role of technology
in improving health care outcomes
7.
Health policy
8.
Leadership and
economic models
9.
Health disparities
Students will outline
what they have discovered about their professional practice, personal strengths
and weaknesses that surfaced, additional resources and abilities that could be
introduced to a given situation to influence optimal outcomes, and finally, how
the student met the competencies aligned to this course.
While APA style is not
required for the body of this assignment, solid academic writing is expected,
and in-text citations and references should be presented using APA
documentation guidelines, which can be 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 Turnitin. Please refer to the directions in the
Student Success Center.
NRS 490 Topic 10 Assignment 2 Practice Hours Documentation
Details:
LoudCloud will be used
to document and follow the status of your practice immersion hours throughout
this course. Students must be able to document a minimum of 100 practice hours
in association with this course to fulfill the total required practice hours in
the RN-to-BSN program. Please review the Practice Hours Portfolio Required
Elements below, then review the Guidelines for Undergraduate Field Experiences resource for details on what may or may
not qualify as practice hours.
Practice Hours Portfolio Required Elements
The Practice Hours
Portfolio will include all of the following elements:
1.
Individual Success
Plan signed off by course mentor.
2.
Comprehensive clinical
log of hours applied to program learning outcomes.
3.
Student evaluations
(final).
4.
Course mentor
evaluations (final).
5.
Faculty approvals of
the Individual Success Plan and documented practice immersion hours. (Student
is responsible for obtaining approvals.)
Course mentor’s
approval of the Individual Success Plan and documented practice immersion
hours. (Student is responsible for obtaining approvals.)
NRS 490 Topic 10 Assignment 3 Practice Immersion Clinical
Evaluation Tools Submission
Details:
Submit the completed
“Practice Immersion Clinical Evaluation Tool” to your course faculty by the end
of the course, as it is required to successfully pass the course.
NRS 490 Topic 10 Assignment 4 Scholarly Activities
Details:
Throughout the
RN-to-BSN program, students are required to participate in scholarly activities
outside of clinical practice or professional practice. Examples of scholarly
activities include attending conferences, seminars, journal club, grand rounds,
morbidity and mortality meetings, interdisciplinary committees, quality
improvement committees, and any other opportunities available at your site,
within your community, or nationally.
You are required to
post one scholarly activity while you are in the BSN program, which should be
documented by the end of this course. In addition to this submission, you are
required to be involved and contribute to interdisciplinary initiatives on a
regular basis.
Submit, as the
assignment, a summary report of the scholarly activity, including who, what,
where, when and any relevant take-home points. Include the appropriate program
competencies associated with the scholarly activity as well as future
professional goals related to this activity. You may use the “Scholarly
Activity Summary” resource to help guide this assignment.
While APA format is
not required for the body of this assignment, solid academic writing is
expected, and in-text citations and references should be presented using APA
documentation guidelines, which can be found in the APA Style Guide, located in
the Student Success Center.
You are not required
to submit this assignment to Turnitin.
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