Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention.
Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4.
Introduction
In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.
Preparation
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:
· Creating an educational brochure.
· Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
· Creating a teaching plan for your patient, family, or group.
· Recommending work process or workflow changes addressing your topic.
Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.
In addition, you may wish to complete the following:
· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
· Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.
Note: As you revise your writing, check out the resources listed on the Writing Center’s
Writing Support
page.
Instructions
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:
· Leadership.
· Collaboration.
· Communication.
· Change management.
· Policy.
· Quality of care.
· Patient safety.
· Costs to the system and individual.
· Technology.
· Care coordination.
· Community resources.
Part 2
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 5–7 page analysis of your intervention.
· Summarize the patient, family, or population problem.
· Explain why you selected this problem as the focus of your project.
· Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
· Define the role of leadership and change management in addressing the problem.
- Explain how leadership and change management strategies influenced the development of your proposed intervention.
- Explain how nursing ethics informed the development of your proposed intervention.
- Include a copy of the intervention/solution/professional product.
. Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
- Identify the patient, family, or group.
- Discuss the benefits of gathering their input to improve care associated with the problem.
- Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
. Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
- Cite the standards and/or policies that guided your work.
- Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
. Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
- Cite evidence from the literature that supports your conclusions.
- Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
. Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
- Cite evidence from the literature that supports your conclusions.
. Write concisely and directly, using active voice.
. Apply APA formatting to in-text citations and references.
Additional Requirements
. Format: Format the written analysis of your intervention using APA style.
APA Style Paper Tutorial [DOCX]
is provided to help you in writing and formatting your paper. Be sure to include:
- A title page and reference page. An abstract is not required.
- Appropriate section headings.
. Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
. Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
. Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.
Portfolio Prompt: Save your intervention to your
ePortfolio
. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
. Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
- Define the role of leadership and change management in addressing a patient, family, or population health problem.
. Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
- Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
. Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
- Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
. Competency 5: Analyze the impact of health policy on quality and cost of care.
- Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
. Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
- Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
. Competency 8: Integrate professional standards and values into practice.
- Write concisely and directly, using active voice.
- Apply APA formatting to in-text citations and references.
The Capstone in a nutshell
NURS4900
What is the capstone?
An original product created by you during this final course of your BSN degree
Culmination of all you have learned, applied to this final project
You will use 4 assessments to research and create your original product
You will use 1 final assessment to discuss the impact of your product
Each assessment must be done in order
Your instructor will work with you and must approve your product before you can implement it
You will devote at least 9 hours of clinical practicum to the development and implementation of your product
These hours will be spent with experts, peers, and target population. The hours will be logged into CORE ELMS
What is the product?
Your product can consist of many things
Some possible ideas
A disease specific educational intervention
A policy intervention and change
A community outreach
This Photo by Unknown Author is licensed under
CC BY
How do I start?
First choose a topic of interest
What am I interested in?
Is there a health care issue that I would like to learn more about?
Is there a health care issue that I think others should learn more about?
Second choose a target population
Is there a particular patient that I would like to work with?
Could my peers use some guidance on a health care topic?
Is there a community resource or gathering site that I could help teach a health topic to?
This will be the focus of assessment 1
First you will explore your topic of interest and your target population
You will review the latest evidence on your topic of interest and the implications for nursing practice
You will explore your state board nurse practice act to determine your legal duties in regards to this health problem
You will review leadership strategies which you can undertake to have an impact on the health care issues of your choosing
I have my topic and target population, now what?
This will be the focus of assessment 2
Every health care professional must know the impact of any health care issue
The safety impact
The cost impact
The quality impact
How can you, as a professional nurse make a difference?
What does your state board say?
How does your chosen topic of interest impact
Your patient?
Your peers?
Your community?
What are some EB strategies that you can do to have an impact on these elements?
The key word here is YOU
The strategies discussed must be something you can actually do
Next up: Technology
Technology is an ever advancing science
As professional nurses, it is your responsibility to stay on top of the technological advances in health care
This is the focus of assessment 3
You have defined your problem of interest, determined its impact on your target population, discussed possible strategies to make a positive difference, now…
What technology is in existence that will help your make a difference in your health care issue for your target population?
Examples:
Diabetes: is there something new you could teach a patient about
Community Health awareness: is there some new free apps or websites that you could inform the community about?
Is there some technology that you could use to speak to the masses? Or create an educational in-service?
How can YOU use this technology in YOUR product?
The product
You have told me the problem of interest and the target in A1
You have determined the impact of your problem in terms of safety, cost and quality in A2
You have discussed current technology that you could use to impact this problem in A3
So, what are you going to do?
This is the focus of A4
You will now tell your instructor what you plan to create for your target population and how you plan to implement in.
You will create your product and submit it with this assessment 4 so that you instructor may review it and approve it
Tell your instructor the leadership strategies you will undertake to see this product implemented
Propose your plan and use of tech to implement it.
Discuss the state board policies of your state and governmental policies that must be considered in the creation and implementation of your product
After the product
Once your instructor approves your product, you may implement it
You will take care in maintaining HIPPA laws if you work with an individual patient
You will explore the impact of your product by asking questions and having your target population evaluate your product
You will discuss all of this in assessment 5
After you implement and evaluate your product, you will reflect on all you have learned in this course and others in assessment 5
This Photo by Unknown Author is licensed under
CC BY-NC-ND
Tips for success
Speak with your peers, supervisors and experts to develop your product
Speak with your instructor whenever you are unsure
Log your time into CORE ELMS before you submit any assessment
Thoroughly review your scoring guide before you submit any assessment
Be sure each assessment follows ALL APA rules for formatting
Be creative!!!
This Photo by Unknown Author is licensed under
CC BY-SA
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