The majority of the material is attahced as a file for your reference and instructors feedback for correction.
I’ve been using ‘Apprentice model” of teaching in class”( where the student presents the lecture).
So far in the past 15 weeks, we have seen positive results and noticed that students grades improved.
Culminating Experience Evidence-Based Change Project Paper
Your final paper will encompass all assignments you have completed thus far. At
this point you will have submitted each section and received feedback. Your
culminating experience is designed to be an experiential continuum of successful
execution of your change project designed and implemented throughout both
courses. The final paper should be edited and professionally presented. An
attempt to incorporate all previous assignment feedback should be evident.
The final evidence-based change project paper should include the following
headings :
• Introduction and Background: You will begin to explain what your change
project topic is. Include background information you have obtained. Make
sure to discuss the importance of your topic and why there is a need for it
to be researched and implemented in your assigned facility or in advanced
practice nursing in general.
• Problem Identification and Description Using PICOT Format: Identify and
describe the problem in clear and concise language. Describe the
significance of the evidence-based project that can be implemented in the
selected setting to the nursing profession. Give a clear and explicit
statement of the problem and target population as well background of the
specific problem relative to the clinic or hospital setting.
• Critical Appraisal/Integrative Literature Review: Write a literature review
using peer-reviewed articles and books, as well as non-research literature
such as evidence-based guidelines, toolkits, and standardized
procedures. Provide reference(s) to recent literature related to your
specific unit. Identify and cite all sources of data according to APA
guidelines. The goal is to review and analyze the most current research to
support your project. Summarize the key findings, and provide a transition
to the methods, intervention, or clinical protocol section of the paper.
Describe any gaps in knowledge that you found and the effects this may
have on nursing practice as it relates to your change project topic. The
discussion of the literature review should be a synthesis of how each
article relates to your project.
• Project Aims, Values, and Desired Outcomes:
o Describe the project aim: The project aim should include examples
of features and functions that will occur as a result of implementing
your change project.
o Describe the project value: The value should describe the benefits
of the change project implementation to the stakeholders, the
organization, and the nursing profession.
o Describe the desired outcomes: Specifically, state the purpose,
quality focus, and viewpoint of the project as well as its expected
accomplishments. A project goal should reference the project’s
business benefits in terms of cost, time, and/or quality that address
individual and family healthcare needs or changes, results, impacts,
or consequences that the project has on people, programs, or
institutions. Goals and objectives should be measurable, shared,
and agreed on by all key stakeholders. They are directly linked to
the concept of project success factors.
• Theoretical Framework: Identify at least two independent theories or
conceptual models that relate directly to the planned project in addition to
the Plan Do Study Act (PDSA) cycle. Including a discussion of how each
theory or model applies to the individual project is essential.
• Proposed Evidence-Based Project Plan: Develop the project plan based
on your theoretical framework and the literature review, and include an
environmental assessment of the readiness for change.
o Develop the strategy or strategies for meeting the desired
outcomes that includes a work breakdown structure (timeline/task
list/Gantt Chart)—a hierarchical definition of the tasks and activities
of a project that normally begins with the highest-level activities and
works downward into the individual tasks.
o Include a project budget (table or spreadsheet) for the project that
addresses the needed personnel, equipment, and/or supplies that
may have associated costs.
o Plan the design and methodology used.
o Evaluation methodologies
• Actual Outcomes/Evaluation: Measureable evaluation methods
(indicators/metrics) are cost savings, improved efficiencies, access to care
(visits/procedures/admissions), patient/family satisfaction, associate
satisfaction, associate engagement, retention, clinical outcomes, injury
prevention, risk reduction, etc.
• Summary and Conclusions: Includes the following but is not limited to a
summary of the project, a summary of main points and findings, the
significance of project to the nursing profession, and any
recommendations for future research.
• References
• Appendices
The paper should be between 20 and 30 pages in length, not including the cover
page, references, or any appendices. It must follow APA Manual (6th ed.).
Paper Grading Criteria:
1. Introduction and Background
The change project topic is introduced. All background information is included. Project importance within the field or significance for the assigned facility is described.
2. Problem ID and Description in PICOT Format
Presents a thorough and insightful analysis of the chosen topic/problem. Describes the problem thoroughly, including the target population and history/background information at the assigned clinic or hospital. The significance and applicability to nursing is included and well presented. Includes an appropriate topic identification related to an advanced practice nursing issue or practice problem of concern. Population is fully defined and present in the research question. Includes specific interventions, identifies comparisons, and presents appropriate outcomes in a timely manner for the question. Overall, a well-built question using the PICOT format.
3. Critical Appraisal/Literature Review
A minimum of 10 Peer-reviewed articles, books, or limited non-research literature (tool kits or standardized procedures) are present. Literature is supported by scientific evidence that is credible and timely. Subtopics are used to support the main topic. In-text citations are present and correctly formatted. Presents a thorough and insightful analysis of significant findings related to the change project topic. Ideas are synthesized and professionally sound and creative. Insightful and comprehensive conclusions and solutions are present
4. Project Aims, Values, and Desired Outcomes
The project, aims, values, and desired outcomes are well-developed. They are clear and thorough, and there is evidence that a clinical microsystems approach is used. Aims include examples of projected features and functions. Values include implementation benefits for specific stakeholders. Desired outcomes state the purpose, have a quality focus, and describe the benefits that will occur as a result of implementation.
5. Theoretical Framework. Identifies two independent theories or conceptual models that relate to the change project topic and describes how they will be applied to the change project. Presents evidence of the use of the Plan Do Study Act (PDSA) cycle that includes a description of the study, study design, rationale, and inclusion of sampling information that is being used.
6. Proposed Evidence-Based Project Plan
The proposed evidence-based change project plan is specific to the environment in which the change project will be implemented. It includes a work breakdown structure, a budget, and a measurement tool. A detailed analysis of the environmental assessment has occurred. A work breakdown structure is present and formatted for ease of use (for example, a Gantt Chart). There is a proposed budget in the form of a table or spreadsheet with all project needs included. A measurement tool is included with a description of all items applicable to the project: cost savings, improved efficiencies, access to care, patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.
7. Actual Outcomes/Evaluation. The actual outcomes/evaluation section includes results obtained from the designed measurement tool. Discussion of all applicable items such as cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction are included.
8. Summary and Conclusions
The summary and conclusions section includes an overall summary of the project’s main points and findings, the significance of the project to the nursing profession, and recommendations for future research. Lessons learned from implementation, including successes, challenges, and obstacles for future similar clinical situations are discussed.
9. References and Appendices
Reference page included, complete, and formatted using correct APA format. Appendices include an appropriate informed consent form, a survey form if needed, and appropriate tables if applicable.
10. Mechanics and APA
Written in a clear, concise, formal, and organized manner. Information is well organized and clearly communicated. Assignment is free of spelling and grammatical errors. Follows all the requirements related to format, length, source citations, and layout.
Cumulative Feedback from the teacher throughout the semester:
Week 2 I provided a lot of feedback directly on your paper. Make sure you click on the boxes and read them. Work on the feedback I presented directly on your paper as you revise this for your final paper; This change project needs completion in the next 5 weeks
You did not fully complete what each of the PICOT is for your project as seen below. This needs to continue to be clear for the reader. so please rework this for your final paper as appropriate.
Overall, I enjoyed reading your paper. You wrote a clear and concise paper identifying and describing the chosen problem you have decided to address through your change project however left out some of the needed information. You described the significance of the evidence-based project that can be implemented in the selected setting to the nursing profession. It included an appropriate topic identification related to an advanced practice nursing issue or practice problem of concern. Population is NOT fully defined and present in the research question.
Included were:
1. background information relative to the specific problem at your assigned clinic or hospital setting
2. specific interventions
3. identified comparisons
4. appropriate outcomes were not indicated in a timely manner for the question which is also not clear. I do not know what you are actually doing for your change project??
Your paper did NOT include the research question set up in PICOT format that will drive your change project throughout the course to include: WHAT IS THE QUESTION? BE CLEAR.
• Missing Population/Patient Problem: Who is your patient? Get more specific here.
• Intervention: What do you plan to do for the student?
• Comparison: What is the alternative to your plan?
• Outcome: What outcome do you seek?
• MISSING;Time: What is the time frame? This needs to be more specific for your study
Please make sure to use headings and subheadings in your paper. This helps with clarity and flow and also makes sure you did not leave any key components out of the paper.
• Included should be:
• INTRODUCTION
• BACKGROUND
• PICOT
• IMPLEMENTATION
• CONCLUSION
Overall your paper presents a thorough and insightful analysis of the chosen topic/problem but lacks clarity. The significance and applicability to nursing is included and well presented. APA was not adhered to, additionally the information is not well organized and is not clearly communicated. Please work on the feedback and comments I provided for your final paper.
See rubric for additional feedback
I provided a lot of feedback directly on your paper. Make sure you click on the boxes and read them. Work on the feedback I presented directly on your paper as you revise this for your final paper; This change project needs completion in the next 5 weeks
You did not fully complete what each of the PICOT is for your project as seen below. This needs to continue to be clear for the reader. so please rework this for your final paper as appropriate.
Overall, I enjoyed reading your paper. You wrote a clear and concise paper identifying and describing the chosen problem you have decided to address through your change project however left out some of the needed information. You described the significance of the evidence-based project that can be implemented in the selected setting to the nursing profession. It included an appropriate topic identification related to an advanced practice nursing issue or practice problem of concern. Population is NOT fully defined and present in the research question.
Included were:
1. background information relative to the specific problem at your assigned clinic or hospital setting
2. specific interventions
3. identified comparisons
4. appropriate outcomes were not indicated in a timely manner for the question which is also not clear. I do not know what you are actually doing for your change project??
Your paper did NOT include the research question set up in PICOT format that will drive your change project throughout the course to include: WHAT IS THE QUESTION? BE CLEAR.
• Missing Population/Patient Problem: Who is your patient? Get more specific here.
• Intervention: What do you plan to do for the student?
• Comparison: What is the alternative to your plan?
• Outcome: What outcome do you seek?
• MISSING;Time: What is the time frame? This needs to be more specific for your stud
Week 6 comments
Goals: You did not reference your projects goal with the projects business benefits in items of cost, time, and/or quality that address individual and family healthcare needs or changes, results, impacts, or consequences that the project has on people, programs or institutions. Your project goals and outcomes are measurable but not stated.
what is the microsystem chosen and how does it fit? what is your change and/or nursing theory and how does it fit
how will you measure each of these outcomes listed?? what tools are you going to use?? what data will you collect?? what is the timeframe??
Week 7 comments
Week 8 comments.
I am not exactly sure what you were following for this assignment but it does not follow your PDSA cycle etc…
Your project plan should follow the PDSA cycle including a discussion of how each one applied to your project aims, goals and outcomes. This should follow your discussion of measureable evaluation of methods including cost savings, improved efficiencies, access to care patient/family satisfaction, associate satisfaction and/or engagement, retention, clinical outcomes injury prevention/risk reduction and/or others in your evaluation and outcomes. Work on this for final paper.
Your project plan should follow the PDSA cycle including a discussion of how each one applied to your project aims, goals and outcomes. This should follow your discussion of measureable evaluation of methods including cost savings, improved efficiencies, access to care patient/family satisfaction, associate satisfaction and/or engagement, retention, clinical outcomes injury prevention/risk reduction and/or others in your evaluation and outcomes. Work on this for final paper.
You did not include an analysis of the environmental assessment work breakdown structure including; timeline/task and/or list/Gantt chart, and did not speak to the hierarchical definition of the planned tasks and actives of the project beginning with the highest level actives down to the individual tasks in detail.
You also did not include a proposed project budget in a table or spreadsheet format; including needed personnel, equipment, and supplies, other facility associated costs. Additionally you did not include your measurable evaluation methods (indicators/metrics) including your measurement tool you plan to use and summarize a description of applicable items to your project such as; cost savings, improved efficiencies, access to care, patient; family satisfaction, associate engagement, retention, clinical outcomes, injury prevention and risk reduction…needs improvements.
