Chamberlain College of Nursing
NR 451RN Capstone Course Capstone Project Milestone 1:
Practice Issue and Evidence Summary Guidelines
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. (PO #4) CO8: Selects evidence for best practice when planning professional nursing care for
individuals, families, aggregates, and communities. (PO #8) DUE DATES
Milestone #1 consists of the completion of two worksheets (Practice Issue Worksheet) and
(Evidence Summary Worksheet). Submit the completed worksheets to the Dropbox 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). PRACTICE ISSUE WORKSHEET DIRECTIONS
1. Practice Issue Worksheet:
a. Read the guidelines including the grading rubrics below. You will use this
worksheet to document the practice issue presented and approved by your
instructor in the Week 2 Discussions.
i. Your practice issue will be the same for all three Milestone assignments in
this course.
b. Please type your answers directly into the worksheet. EVIDENCE SUMMARY WORKSHEET DIRECTIONS
2. Evidence Summary Worksheet:
a. Read the guidelines including the grading rubrics below. You will use this
worksheet to incorporate your evidence summary into your Week 4 Milestone 2
assignment. NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH 1 Chamberlain College of Nursing
NR 451RN Capstone Course
b. Find a systematic review article in the Chamberlain library on your topic. Your
Systematic Review Article must be peer-reviewed and include a narrative
summary.
i. Go to the Chamberlain Library, click on RNBSN; NR451 Capstone
course. You can find systematic reviews from many databases within the
library, or by searching from the library homepage main search bar. ii. To search, combine the phrase 'systematic review' with your topic using
the Boolean search operator AND. For example, if you are looking for a
systematic review on fall prevention, you would use this Boolean search
phrase: systematic review AND fall prevention.
c. Type in your practice issue in the search tab; choose a systematic review article
with a narrative summary to complete your worksheet.
d. Please type your answers directly into the worksheet. GRADING CRITERIA: PRACTICE ISSUE
Category
Practice issue statement,
scope of practice, practice
area Points
20 %
27% Practice issue identification,
rationale for selections 35 46% Types of evidence to gather,
rationale for selections 20 27% 75
points 100% Total Description
Identifies a Practice issue statement that is an independent
nursing decision.
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.
Identifies how rationale behind how the practice issue was
selected as a practice issue/problem
Documents the practice issue in a logical manner.
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. GRADING RUBRIC: PRACTICE ISSUE
Assignment
Criteria Practice issue
statement, A (100%)
Exceptional B (88%)
Exceeds C (80%)
Meets Outstanding or
highest level of
performance
Practice issue is
identified. Very good or
high level of
performance
Practice Issue is
identified but is Competent or
satisfactory level
of performance
Practice Issue is
identified but is NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 NI (38%)
Needs
Improvement
Poor or failing
level of
performance
Practice Issue is
unclear. GH F (0%)
Developing
Unsatisfactory
level of
performance
Practice Issue is
not identified; 2 Chamberlain College of Nursing
NR 451RN Capstone Course
scope of
practice,
practice area
20 points Practice issue is
an independent
nursing
decision.
Scope of
practice issue is
fully described.
Practice area
identified.
20 points ☐ not clear.
Practice issue is
an independent
nursing
decision.
Scope of
practice issue is
described in
simple terms.
Practice area
identified.
18 points ☐ Practice issue
identification,
rationale for
selections
35 points Documents how
the practice
issue was
identified.
Rationale for
responses is
logical and
described
thoroughly.
35 points ☐ Documents how
the practice
issue was
identified.
Rationale for
responses is
logical and
briefly
described.
33 points ☐ Types of
evidence to
gather,
rationale for
selections
20 points Identifies and
documents
what types of
evidence is
needed for
review.
Thoroughly
describes
rationale for all
checked types
of evidence
selected.
20 points ☐ Identifies and
documents
what types of
evidence is
needed for
review.
Briefly describes
rationale for all
checked types
of evidence
selected.
18 points ☐ not clearly
related to a
nursing practice
issue.
Practice Issue is
not an
independent
nursing
decision.
Scope of
practice issue is
described but is
not logical in
comparison to
Practice Issue
described.
Practice area
identified.
16 points ☐
Documents how
the practice
issue was
identified.
Rationale for
responses is
somewhat
logical and
vaguely
described.
30 points ☐
Identifies and
documents
what types of
evidence is
needed but
includes only a
minimum
description for
rationale for
selected
evidence.
16 points ☐ Practice Issue is
not an
independent
nursing
decision.
Scope of
practice issue is
not described.
Practice area
identified.
8 points ☐ practice issue is
not an
independent
nursing
decision; scope
of practice issue
is not described;
practice area is
not identified.
0 points ☐ Vaguely
describes how
the practice
issue was
identified.
Rationale for
responses is
somewhat
logical and
vaguely
described.
15 points ☐
Does not
document more
than one type of
evidence that is
needed for
review and does
not include
rationale for
selected type of
evidence.
8 points ☐ Does not
document how
the practice
issue was
identified.
Rationale is not
completed.
This section of
the form is
blank.
0 points ☐
Does not
document types
of evidence or
rationale.
0 points ☐ Total Points Possible = 75 points GRADING CRITERIA: EVIDENCE SUMMARY
Category
Practice Problem Points % 10 10% Description
States practice problem in own words, with reference to the
population, setting, and magnitude and in measurable terms. NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH 3 Chamberlain College of Nursing
NR 451RN Capstone Course Source of evidence 20 20% Objectives of the
article/Statement
of questions
Interventions/Main
findings summary 20 20% 30 30% Evidence-based
solutions and
limitations 20 20% 100
points 100% Total 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?
Identifies a source of evidence that is a nursing topic that is the
subject of a systematic review article.
Identifies search terms.
Provides a complete reference for the systematic review article.
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to your practice issue.
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.
Outlines evidence-based solutions to consider for the capstone
project.
Discusses any limitations to the studies included in the systematic
review that you believe may impact use of the evidence provided
in your project. GRADING RUBRIC: EVIDENCE SUMMARY
Assignment
Criteria Practice
Problem
10 points A (100%)
Exceptional B (88%)
Exceeds C (80%)
Meets Outstanding or
highest level of
performance Very good or
high level of
performance -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 -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 Competent or
satisfactory
level of
performance
-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 NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 NI (38%)
Needs
Improvement
Poor or failing
level of
performance Unsatisfactory
level of
performance -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 -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 GH F (0%)
Developing 4 Chamberlain College of Nursing
NR 451RN Capstone Course Source of
evidence
20 points Objectives of
the article/
Statement of
questions
20 points Interventions/
Main findings
summary
30 points measurable
terms.
Met all
objectives as
stated above
10 points ☐
-Source of
evidence is
nursing topic.
-Source is a
Systematic
Review article.
-Search terms
are identified.
-Complete
reference is
given for
Systematic
Review article.
Met all 4
objectives as
above
20 points ☐
-Objectives of
article are
identified.
-Questions
being addressed
by author/s are
thorough.
-Relationship to
your practice
issue is
explained.
20 points ☐
-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 measurable
terms.
Met 3 out of 4
objectives
9 points ☐ measurable
terms.
Met 2 out of 4
objectives
8 points ☐ but not
measurable.
Met only 1 out
of 4 objectives
4 points ☐ terms.
Did not meet
any objectives
0 points ☐ -Source of
evidence is
nursing topic.
-Source is a
Systematic
Review article.
-Search terms
are identified.
-Complete
reference is not
given for
Systematic
Review article.
Met 3 out of 4
objectives
18 points ☐ -Source of
evidence is
nursing topic.
-Source is not a
Systematic
Review article.
-Search terms
are identified.
-Complete
reference is not
given for
Systematic
Review article.
Met only 2 out
of 2 objectives
16 points ☐ -Source of
evidence is not
nursing topic or
Systematic
Review article.
-Search terms
are not
identified.
-Reference is
missing.
No objectives
were met.
0 points ☐ -Objectives of
article are
identified.
-Questions
being addressed
by author/s are
explained but
not thorough.
-Relationship to
your practice
issue is
explained.
18 points ☐
-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 -Objectives of
article are
identified.
-Questions
being addressed
by author/s are
not thorough.
-Relationship to
your practice
issue is vague.
16 points ☐ -Source of
evidence is not
nursing topic.
-Source is a
Systematic
Review article.
-Search terms
are not
identified.
-Complete
reference is not
given for
Systematic
Review article.
Met only 1 out
of 4 objectives
8 points ☐
-Objectives of
article are
identified.
-Questions
being addressed
by author/s is
missing.
-Relationship to
your practice
issue is not
explained.
8 points ☐
-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
outcome.
12 points ☐ -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 -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 NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH -Objectives of
article are not
identified.
-Questions
being addressed
in article and
relationship to
own practice is
not identified.
0 points ☐ 5 Chamberlain College of Nursing
NR 451RN Capstone Course Evidence-based
solutions and
limitations
20 points each main
outcome.
30 points ☐
-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.
20 points ☐ each main
outcome.
27 points ☐
-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.
18 points ☐ most of main
outcomes.
25 points ☐
-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.
16 points ☐ missing.
0 points ☐
-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.
8 points ☐ -Outline of
evidence-based
solutions,
limitations of
studies and
potential impact
to project is
missing.
0 points ☐ Total Points Possible = 100 points NR451 W3 Milestone1 Practice Issue & Evidence Summary Guidelines 2/16/17 GH 6

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