South Louisiana Community College Personality Discussion Comment

Description

Rough Draft of Section I of the Change Proposal   
get started on your Change Proposal, you will develop a rough draft of Section I, which is the introduction of your problem statement and change proposal. Your problem statement is a description of an issue that you feel needs to be addressed.
Identify a professional practice issue of local, state, or national importance for which you can act as a change agent. Subject to instructor approval, Contact your instructor for approval before submitting your rough draft.
The proposal will need to incorporate multiple aspects of health practice, including strategies to improve quality of care or health outcomes.

Discuss the background and significance of the problem to nursing. Be sure to substantiate your claims with specific examples from research.

This assignment will be graded as complete/incomplete. Your rough draft should be formatted according to the most recent APA guidelines for instructor review and feedback.
Submit your assignment here. Make sure you’ve included all the required elements by reviewing the guidelines and rubric.

This capstone project consists of 5 rough drafts and 3 nursing philosophy.
Please review the rubric carefully.Me: I am interested in doing my capstone topic on Nursing driven foley removal to reduce
CAUDI. Please let me know if this is an approved topic or if you have any concerns. Thank you.
Instructor: What is your plan for implementing the Nurse Driven Protocol? I just want to make
sure you have a plan for the implementation, not just information on what this protocol is.
Me: Thank you for your reply. My plan is to remove Foley catheter asap. Implementation will
be encouraging early ambulation, increasing fluid intake if not contraindicated, pelvic floor
muscles exercising, and of course bladder scanning Q 4 hours if needed and PVR …
Instructor: There is more to a nurse driven protocol. Are you including all aspects?
Me: Yes I will and maybe more, such as patient education, and strict Foley care twice daily
and every time after a bowel movement, prior to removal.
Assignment Information

5/2/23, 1:36 PM

NUR 490 Capstone Project Guidelines and Rubric
Overview
As the final stop in your journey toward your Bachelor of Science in Nursing degree, you will complete a capstone that integrates the knowledge and skills you have developed in previous
coursework. Over the duration of the capstone course, you will create a proposal for change designed to address a specific professional practice issue of local, state, or national importance,
subject to instructor approval
approval. You will also reflect on your journey through the Bachelor of Science in Nursing program and how you plan to position yourself professionally by
developing a brief philosophy of nursing statement. This statement will be an important tool for discussing the knowledge, skills, and abilities that you have gained from the RN-BSN program
and your own nursing values with potential employers or graduate school admissions officers.
Together, these capstone artifacts will set you apart from other workforce and/or graduate school applicants by showcasing your unique abilities and talents. The artifacts will demonstrate
your current knowledge, theoretical foundations, and expertise in the nursing profession and your ability to improve your own performance and that of your organization through thoughtful
reflection on your own practice.
Evaluation of Capstone
This capstone will be assessed somewhat differently than other courses you have taken online at SNHU. There are two separate components that operate together to comprise the whole
capstone experience and are not assessed separately. You will be evaluated on both artifacts as a one cohesive unit in determining whether you have demonstrated proficiency in each
outcome. Your instructor will guide you through this process and will maintain a running narrative of your strengths and areas for development in relation to the outcomes as you progress
through the class. Your work is expected to meet the highest professional standards.
This assessment will evaluate your mastery with respect to the following outcomes:
Apply skills in using patient care technologies, information systems, and clinical decision support tools to promote safe nursing practice and quality patient outcomes
Utilize evidence-based practice in planning, implementing, and evaluating outcomes of care
Formulate strategies to promote health and prevent disease in individuals and populations across the life span
Implement patient safety and quality initiatives within the complex clinical microsystem using leadership and communication skills
Analyze trends in healthcare policy, finance, and regulatory environments and their implications for healthcare access, equity, and affordability
Evaluate life-long learning and nursing engagement to promote personal and professional transformation
Prompt
Your capstone assessment will consist of two components. The first component is a change proposal that comprehensively addresses a professional practice issue of local, state, or national
importance. Your instructor should approve your change proposal topic early in the course. Subject to instructor approval, you may use the same topic, and portions of your literature review
from NUR 440. Because change does not happen in isolation and often has far-reaching impacts, your proposal will need to incorporate multiple aspects of health practice, including strategies
to improve quality of care or health outcomes.
The following concepts will need to be addressed within the change proposal:
Patient and nurse safety
Appropriate use of technology
Health literacy
Policy, regulatory, and financial constraints
Strategies for building support for proposed changes
In addition to the change proposal, you will also create a brief statement that expresses your philosophy of nursing practice. To do this, you will reflect on what you have learned, relevant
theories of nursing practice, and the importance of professional integrity, ethics, and self-reflection in caring for patients. Your goal is to articulate how your philosophy of nursing has evolved
as a result of the experiences and knowledge you gained in the RN-BSN program.
Change Proposal
In the first portion of your capstone, you will create a comprehensive change proposal designed to address a professional practice issue. This artifact will showcase your abilities as a nursing
professional capable of leading change in a complex healthcare environment.
As a practicing RN-BSN, you will be expected to bring clinical expertise to your work and take on a leadership role in continually improving patient care. Your change proposal should be geared
toward convincing an audience of administrative decision-makers that change is needed and that your plan is desirable and viable. It should clearly and concisely lay out the problem you are
seeking to address and suggest specific evidence-based changes, including a plan for implementing and evaluating those changes. You should also specify and approximate a timeframe for
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carrying out your plan and the resources you will need. (Note: You do not need to actually implement the change and evaluate it, just create a plan for how you would do so.)
Remember that in order for your proposal to gain support, it will need to be succinct, clear, and well-supported throughout by credible research and evidence.
Your proposal should contain the following sections:
I. Introduction
A. Identify a professional practice issue of local, state, or national importance for which you can act as a change agent.
B. Discuss the background and significance of the problem to nursing. Be sure to substantiate your claims with specific examples from research.
II. Justification of Practice Change Recommendation
A. Provide a scholarly summary of the research reviewed.
B. Identify the expected outcome from the practice change recommendation.
III. Pre-Implementation Plan
A. Identify a specific change theory that will assist you with planning stages of your change proposal
B. Identify activities needed prior to implementing your change, making theory-to-practice connections with each key element and impact of change to the element
C. Discuss a plan for activities needed to leverage this element to promote change and identify the stakeholders that may be involved in these activities. The activities you propose
must cover multiple aspects of health practice surrounding the problem, including but not limited to:
a. Patient and Nurse Safety
b. Information Management Systems
c. Health Literacy
d. Administrative Policies
e. Ethical Considerations (i.e., equity of access and treatment, etc.)
IV. Implementation Plan
A. Assess the factors that are likely to affect the implementation of your recommended activities
B. Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to
support your rationale:
a. Technological challenges
b. Institutional structures
c. Strategies for building buy-in among different stakeholders, including nurses
d. Financial trends and anticipation of the availability of human resource and project funding
e. Hospital or governmental policy constraints
f. Regulatory requirements
g. Patient diversity
V. Evaluation plan:
A. Propose steps for evaluating your suggested changes based on your change theory and evidence on existing best practices. Include the indicators that you will use to measure
success, both in implementing the change itself and in ensuring quality outcomes for diverse patients.
B. Identify appropriate benchmarks from which to measure the effectiveness of the change.
C. Discuss the processes you will use for gathering feedback from relevant stakeholders—including nurses, patients, and their families—on what is and is not working in order to
support continuous improvement.
VI. Time and resource allocation:
A. Give an approximate timeframe for the different stages and activities in your proposal
B. Estimate the human and other resources that will be needed to carry out your proposal. You do not need to include specific dollar amounts, but you should anticipate what each
activity requires in terms of resources in general terms. For example, you might need a certain number of full- or part-time staff or the services of a contracted firm, specific
software, hospital supplies, laptops, publicity materials, and so forth. You may find it useful to use an Excel spreadsheet or other table for presenting this information.
VII. Conclusion
A. Summarize the proposed change, its significance, and expected outcomes as a result of implementing the proposed change.
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Philosophy of Nursing Statement
For the second and final component of your capstone, you will write a 3–5-page statement in which you construct your own philosophy of nursing practice. This philosophy should include, but
is not limited to, a discussion of the theoretical foundations and assumptions that are foundational to your practice, as well as how your coursework and capstone project impacted your own
philosophy of nursing and contributed to your personal and professional transformation. This reflection is a professional, yet personal, statement of why you think being a nurse is important
and the principles that guide your practice. It is also a valuable tool for sharing the knowledge, skills, and abilities that you have gained from the RN-BSN program and your own nursing values
with potential employers or graduate school admissions officers.
Your philosophy of nursing statement should include the following:
1. Introduction: Open your statement with a few sentences about the importance of a philosophy of nursing practice. How does such a philosophy shape your identity and role as a nurse?
2. Assumptions: Discuss your assumptions about patients, health, environment, and nursing and the relationships among these variables. How does your nursing philosophy guide your
interaction with patients, their families, and other healthcare professionals? How do professional integrity, equity, ethics, and the potential for bias factor into your assumptions?
3. Theoretical Foundation(s): Highlight the theoretical foundations that are important in your philosophy of nursing practice. You may have one or several. How do these foundations
translate into your practice
4. Experiences: Evaluate how new experiences and knowledge shape your nursing philosophy. Specifically, you should address how your RN-BSN coursework, this capstone, and other
experiences have influenced how you view your nursing practice. What role does self-reflection play in personal and professional transformation? How do activities like the change
proposal help you develop as a lifelong learner and act as an agent of change in improving both personal and professional practice? In addition, you may want to discuss challenges that
you have faced and what you would change or do differently in addressing those challenges, since the ability to effectively and creatively solve problems is a highly valued job skill.
5. Conclusion: Reflect on how your nursing philosophy and experiences at SNHU relate to your plans for further education and how this will impact your future nursing practice.
Philosophy of Nursing Timeline:
To help you develop your philosophy of nursing, you will collaborate with your instructor through a series of reflection journals in which you will reflect on your learning and create drafts
related to the sections of philosophy outlines above.
This rubric will be applied to both the Change Proposal and the Philosophy of Nursing assignments as a whole, and neither component will be assessed on its own.
The “Possible Indicators of Success” are examples for you and the instructor of the types of concepts to look for to demonstrate proficiency. They are neither exhaustive nor proscriptive and
should be used as guides for illustrating how your capstone embodies the outcome. All outcomes are weighted equally.
What to Submit
Your change proposal should include a title page and table of contents and should conform to the latest APA writing conventions and citations. It should be approximately 10–15 pages, not
including the reference list or optional appendices, double-spaced, and in 12-point Times New Roman font. Your references must include at least 3 primary research articles from peerreviewed nursing sources. You may include optional illustrations, photographs, graphs and charts, and other non-textual materials as needed to support your proposal.
Your nursing philosophy should be approximately 3–5 pages, double-spaced, and in 12-point Times New Roman font. You will submit both components in one document.
Capstone Project Rubric
Course Outcome
Progress Toward Meeting the Outcome
Value
Apply skills in using patient care technologies, information
systems, and clinical decision support tools to promote safe nursing practice
and quality patient outcomes
Emerging (100%)
Not Evident (0%)
17
Utilize evidence-based practice in planning, implementing, and evaluating
Emerging (100%)
Not Evident (0%)
17
Formulate strategies to promote health and prevent disease in individuals
and populations across the life span
Emerging (100%)
Not Evident (0%)
17
Implement patient safety and quality initiatives within the
complex clinical microsystem using leadership and communication skills
Emerging (100%)
Not Evident (0%)
16
Analyze trends in healthcare policy, finance, and regulatory environments and
Emerging (100%)
Not Evident (0%)
17
Emerging (100%)
Not Evident (0%)
16
outcomes of care
their implications for healthcare access, equity, and affordability
Evaluate life-long learning and nursing engagement to promote personal and
professional transformation
Total:
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100%
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Assignment Information
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Possible Indicators of Success
I. Apply skills in using patient care technologies, information systems, and clinical decision support tools to promote safe nursing practice and quality patient outcomes
Does the capstone demonstrate the student’s ability to assess technological and information infrastructures for their contribution
to patient safety and outcomes?
Does the capstone demonstrate the student’s ability to propose appropriate technology and other tools to support improvements
in nursing practice and patient outcomes?
Does the capstone demonstrate the student’s ability to assess staff’s training, technology, and information needs to ensure quality
patient-centered outcomes?
Does the capstone demonstrate the student’s ability to anticipate and plan for potential technological challenges and limitations
associated with change activities and propose solutions?
Does the capstone demonstrate the student’s ability to suggest appropriate procedures for collecting, recording, and analyzing
information to evaluate the effectiveness of change activities?
Does the capstone demonstrate the student’s ability to select appropriate clinical decision support tools in addressing a specified
health problem?
II. Utilize evidence-based practice in planning, implementing, and evaluating outcomes of care
Does the capstone demonstrate the student’s ability to justify the need for change in the identified area based on clinical and
research-based evidence?
Does the capstone demonstrate the student’s ability to apply a change theory in planning, implementing, and evaluating activities
to improve a targeted aspect of care?
Does the capstone demonstrate the student’s ability to support proposed change proposal activities from planning through
evaluation with credible research and evidence?
Does the capstone demonstrate the student’s ability to draw connections between activities proposed and quality patient
outcomes?
Does the capstone demonstrate the student’s ability to propose appropriate indicators for measuring the effectiveness of change
activities and their impact on patient outcomes based on existing best practices?
Does the capstone demonstrate the student’s ability to describe the underlying theoretical foundation(s) in his or her nursing
practice?
III. Formulate strategies to promote health and prevent disease in individuals and populations across the life span
Does the capstone demonstrate the student’s ability to propose clinical and/or nonclinical strategies that address an identified
concern in meeting the health needs of individuals or target populations?
Does the capstone demonstrate the student’s ability to plan appropriate health literacy activities for diverse populations and age
groups?
Does the capstone demonstrate the student’s ability to assess how differences in health needs across individuals from different
age groups and backgrounds may affect the effectiveness of planned interventions?
Does the capstone demonstrate the student’s ability to support continuous improvement in health promotion and disease
prevention by incorporating patient/family feedback in designing, implementing, and evaluating health initiatives?
Does the capstone demonstrate the student’s ability to specify appropriate resources needed to effectively carry out health
improvement activities?
Does the capstone demonstrate the student’s ability to assess how assumptions and potential for bias may affect care in different
populations?
IV. Implement patient safety and quality initiatives within the complex clinical microsystem using leadership and communication skills
Does the capstone demonstrate the student’s ability to identify relevant clinical guidelines or institutional policies and procedures
in designing quality improvement projects?
Does the capstone demonstrate the student’s ability to exercise leadership by proposing improvements to policy and procedures
designed to ensure safety and promote quality?
Does the capstone demonstrate the student’s ability to accurately identify direct and indirect stakeholders in proposing safety
and/or quality improvements?
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Does the capstone demonstrate the student’s ability to navigate complex stakeholder relationships in suggesting potential
strategies for building buy-in?
Does the capstone demonstrate the student’s ability to address stakeholder concerns in communicating the necessity and
feasibility of proposed activities?
Does the capstone demonstrate the student’s ability to identify institutional structures that help or hinder proposed change?
Does the capstone demonstrate the student’s ability to analyze how relationships between patients, health, environment, and
nursing interact in complex systems to affect care?
V. Analyze trends in healthcare policy, finance, and regulatory environments and their implications for healthcare access, equity, and affordability
Does the capstone demonstrate the student’s ability to assess how the policy environment affects a healthcare organization’s
ability to provide quality care to underserved populations?
Does the capstone demonstrate the student’s ability to analyze complex healthcare environments in identifying opportunities for
improved care?
Does the capstone demonstrate the student’s ability to suggest procedures for guaranteeing affordable and equitable care for
diverse patient groups within the current healthcare context?
Does the capstone demonstrate the student’s ability to anticipate financial trends in the organization and/or the broader
healthcare context that may impact available resources?
Does the capstone demonstrate the student’s ability to analyze how institutional and/or government policy can constrain what
changes are feasible in addressing identified healthcare needs?
Does the capstone demonstrate the student’s ability to suggest changes for improving healthcare access, safety, and delivery that
comply with relevant regulatory requirements?
Does the capstone demonstrate the student’s ability to designate time frames for carrying out activities that comply with
institutional and regulatory requirements?
VI. Evaluate life-long learning and nursing engagement to promote personal and professional transformation
Does the capstone demonstrate the student’s ability to promote personal and professional improvement by working to engage
nurses in developing and carrying out change activities?
Does the capstone demonstrate the student’s ability to incorporate nurse and patient/family feedback in evaluating change and
improving professional care?
Does the capstone demonstrate the student’s ability to articulate ways in which self-reflection contributes to personal and
professional transformation?
Does the capstone demonstrate the student’s ability to distinguish between underlying core values and ideas that evolve with
experience in developing a philosophy of nursing?
Does the capstone demonstrate the student’s ability to promote his or her own future development based on a clearly stated
philosophy of nursing practice?
Does the capstone demonstrate the student’s ability to assess the role of the nurse as an agent of change in improving professional
practice?
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