Clear identification of the practice issue is the first step in evidence-based nursing.

Summary Guidelines

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Updated 5/2018

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets. Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).

You are required to use the assignment specific item(s) (article/systematic review/topic/form/templates) or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required item, as defined above, will be evaluated for evidence of an academic integrity violation.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. This includes blank, incomplete, incorrect file, and/or incorrect file format documents. It is your responsibility to submit the correct completed assignment in the correct format to the correct submission area. Your last submission before the due date will be graded. You may not resubmit after the due date with a different file and incur a late deduction per the Late Assignment policy.

Practice Issue Worksheet Directions

Below is a video tutorial with tips for completing this assignment. Click to view an audio transcript (Links to an external site.) Links to an external site. .

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Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.) Links to an external site. .
Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.) Links to an external site. (both worksheets appear in ONE form) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.) Links to an external site. . Click on the envelope at the top of the page.
Your practice issue will be the same for all three Milestone assignments in this course.
Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.
Document this on the evidence summary portion of the worksheet.
You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
Please type your answers directly into the worksheet.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR451_Milestone1_3

NR451_Milestone1_3

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomePractice Issue Statement, Scope of Practice, Practice Area

Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the approved list provided in the course. Describes the scope of practice issues. Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminate the falls? This is where you begin your initial search into the problem or practice issue identified. Identifies the practice area.

20.0 pts

Practice issue is identified based on the approved systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is fully described. Practice area identified.

18.0 pts

Practice issue is identified but is not clear, however it is based on the approved systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is described in simple terms. Practice area identified.

16.0 pts

Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the approved systematic review topic chosen. Practice issue is not an independent nursing decision. Scope of practice issue is described but is not clear. Practice area identified.

8.0 pts

Practice issue is unclear. Practice issue is not based on the approved systematic review topic. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified.

0.0 pts

Practice issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.

20.0 pts

This criterion is linked to a Learning OutcomePractice Issue-Rationale for Selections

Identifies how rationale behind how the practice issue was selected as a practice issue/problem. Documents the practice issue in a logical manner.

35.0 pts

Documents how the practice issue was identified. Rationale for responses is logical and described thoroughly.

33.0 pts

Documents how the practice issue was identified. Rationale for responses is logical and briefly described.

30.0 pts

Documents how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described.

15.0 pts

Vaguely describes how the practice issue was identified. Rationale for responses is somewhat logical and vaguely described.

0.0 pts

Does not document how the practice issue was identified. Rationale is not completed. This section of the form is blank

35.0 pts

This criterion is linked to a Learning OutcomeTypes of Evidence Gathered-Rationale for Selections

Identifies and documents types of evidence that must be gathered for review of the Practice Issue. Describes rationale for each type of evidence that is selected.

20.0 pts

Identifies and documents what types of evidence is needed for review. Thoroughly describes rationale for all checked types of evidence selected.

18.0 pts

Identifies and documents what types of evidence is needed for review. Briefly describes rationale for all checked types of evidence selected.

16.0 pts

Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.

8.0 pts

Does not document more than one type of evidence that is needed for review and does not include rationale for selected type of evidence.

0.0 pts

Does not document types of evidence or rationale.

20.0 pts

This criterion is linked to a Learning OutcomePractice Problem Description

States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms. Describes practice setting in measureable terms. Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?

10.0 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is identified -Magnitude of problem is discussed. -The practice issue is stated in measurable terms.

9.0 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is discussed. -The practice issue is stated in measurable terms.

8.0 pts

Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated in measurable terms.

4.0 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated but not measurable.

0.0 pts

-Practice problem is not in own words -There are no references to the population of interest. -Setting and magnitude of problem is not discussed -The practice issue is not stated in measurable terms.

10.0 pts

This criterion is linked to a Learning OutcomeSource(s) of Evidence

Identifies a source of evidence that is a nursing topic and is the subject of a systematic review article. Provides a complete reference for the systematic review article that was chosen from the list, as well as any optional scholarly source in support of the project topic.

20.0 pts

-Source is a Systematic Review article chosen from the approved list (plus optional scholarly article of support). Complete APA formatted reference(s) is given for with no errors. The source (s) must be relevant to the practice issue identified.

18.0 pts

-Source is a Systematic Review article chosen from the approved list (plus optional scholarly article of support). -A reference is given, but it has APA formatting errors. -The source must be relevant to the practice issue identified.

16.0 pts

-Source is a Systematic Review article chosen from the approved list. (plus optional scholarly article of support). -No reference is provided. -The source must be relevant to the practice issue identified.

8.0 pts

-Source of evidence is a research article or systematic review not on the approved list. -A reference for the article or systematic review is given. -The source is not relevant to the practice issue identified.

0.0 pts

-Source of evidence is not provided, or is not a research article or systematic review. -Reference is missing.

20.0 pts

This criterion is linked to a Learning OutcomeArticle Objectives/Statement of Questions

Identifies the objectives of the article. Identifies questions being addressed by author/s. Explains relationship to the chosen practice issue.

20.0 pts

-Objectives of article are identified. -Questions addressed by author/s are thorough. -Relationship to your practice issue is explained.

18.0 pts

-Objectives of article are identified. -Questions addressed by author/s are explained but not thorough. -Relationship to your practice issue is explained.

16.0 pts

-Objectives of article are identified. -Questions addressed by author/s are not thorough. -Relationship to your practice issue is vague.

8.0 pts

-Objectives of article are identified. -Questions addressed by author/s is missing. -Relationship to your practice issue is not explained.

0.0 pts

-Objectives of article are not identified. -Questions addressed in article and relationship to own practice is not identified.

20.0 pts

This criterion is linked to a Learning OutcomeInterventions/Main Findings Summary

Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes. Summarizes main findings of the author/s including strength of evidence for each main outcome. Describes the relevance to the Milestone 2 paper.

30.0 pts

-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Thoroughly summarized main findings of the author/s. -Included strength of evidence for each main outcome.

26.0 pts

-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Briefly summarized main findings of the author/s. -Included strength of evidence for each main outcome.

24.0 pts

-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Vaguely summarized main findings of the author/s. -Included strength of evidence for most of main outcomes.

11.0 pts

-Summary of interventions is not in own words. -Summarized main findings of the author/s is not apparent. -Did not include strength of evidence for any of the main outcomes.

0.0 pts

-Summary of the interventions the author(s) suggest to improve patient outcomes is missing. -Summary of the main findings of the author is missing. -The strength of the evidence for outcomes are missing.

30.0 pts

This criterion is linked to a Learning OutcomeEvidence-based Solutions and Limitations

Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project.

20.0 pts

-Outline of evidence-based solutions considered for project is documented and clear. Discussed any limitations to the studies performed. Documents limitations believed may impact use in project.

18.0 pts

-Outline of evidence-based solutions being considered for project is documented but not clear. Discussed any limitations to the studies performed. Documents limitations believed may impact use in project.

16.0 pts

-Outline of evidence-based solutions considered for project is documented but not clear. Discussed most limitations to the studies performed. Documents limitations believed may impact use in project.

8.0 pts

-Outline of evidence-based solutions being considered for project is not documented. -Discussed most limitations to the studies performed. Documents limitations believed may impact use in project.

0.0 pts

-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.

20.0 pts

Total Points: 175.0

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