Clinical Application Project Instructions and Rubric

The Clinical Application Project (CAP) is an opportunity for the BSN student to identify a quality improvement (QI) project or clinical issue that is relevant to the unit/department the student has been assigned for their Role Transition clinical placement. The student will collaborate with unit leaders/educators to determine a QI project that will help improve some aspect of nursing practice. The student will examine the research related to their topic and investigate the literature for a solution/intervention to improve the identified issue. The student then creates a final project which includes a discussion of the identified problem and the intervention/solution that will be implemented on the unit. Students will present their work in a professional paper and electronic poster which will be presented to their peers and faculty/staff in Week 7 of the term (a task associated with the Clinical Competence Exams).

Step-by-step directions :

1. Identify a quality improvement problem or clinical issue for improvement relevant to your clinical setting. Consult with your RN preceptor, unit leadership/educators and Oak Point clinical faculty regarding your topic. This QI problem must be approved by the unit leadership as well as potential solutions/interventions to be implemented. Interventions must be approved by unit leadership before undertaking the writing of either the first or second drafts of the paper. Your clinical faculty must approve the topic before work is initiated.

2. Educate yourself about the importance of your QI project to nursing practice as it is related to your particular clinical placement. You should clearly identify the problem broadly in the first draft. Include facts, statistics etc. that are relevant to defining the topic with evidence found in current or recent literature. Refer to Leadership and Management (week 5) course documents reviewed that will assist with your search for evidence-based identification and proposed interventions/solutions (TJC, AHRQ, Leapfrog, AHRQ, CMS, Illinois Hospital Report Card, HCAHPS, etc.)

3. Critically analyze the literature related to the area of concern. The rubric clearly identifies the details required for this section.

4. Identify possible interventions/solutions to the selected area of study, based on the evidence in the literature. These interventions will be thoroughly reviewed and approved by unit leaders/educators before writing about them or attempting implementation. These steps will also be discussed and approved by your clinical faculty.

5. Review each intervention for its strengths, weaknesses, and practicality.

6. Select one solution for implementation that has been approved by unit leadership/educators. Discuss what the scope of the project will include and what the student will be able to implement during the clinical hours on the unit.

7. Engage in the necessary work for this quality improvement project (e.g., develop a new form and identify approvals required for its use). Although students may not have enough time to actually implement their entire project or quality improvement activity, the final work product should clearly outline the plan for implementation, including a timeline. Students will provide evidence of their work by submitting the product of their (e.g., educational program outline, instructional pamphlet, nursing form, pocket resource, new policy, patient or family focused education, etc.).

8. The student will create an electronic poster which visually represents the clinical application project. The e-poster displays similar components as the paper, but in a very concise and visually pleasing format. Further guidelines and instructions for the e-poster are included in the rubric entitled “Grading Criteria for e-Poster ”.

9. The final paper and electronic poster are graded according to the specifics contained in the following grading rubric. Presentations of the e-poster will take place on campus during the CCE (Week 7/Term 2) to peers and faculty/staff. See Instructions and Grading Rubric for CAP Presentations.

Clinical Application Project Instructions and Rubric

Grading criteria for PAPER

Points

Comments

Introduction

· Introduces QI problem and provides overview of the issue/topic (2 pts.)

· Discusses why this problem is pertinent to the particular unit/organization and what led student to choose the topic (2 pts.)

· Identifies unit, unit leader/educator with credentials, etc. support for the project (1 pt.)

· Identifies how the project will specifically benefit the unit/organization (1 pt.)

· Includes a title page with project title identified and reference page using APA format (1 pt.)

/7

Literature review: topic/issue

· Includes at least two recent articles (less than 5-7 years) from professional nursing or health sciences journals (2 pts.)

· Article supports the evidence necessary for the problem

· For each article: provides brief summary of the article and discusses how the article is pertinent and relevant to the topic/issue (4 pts./each article=8 total)

/10

Literature review: solution/intervention

· Includes at least two recent (less than 5-7 years) articles from professional nursing or health sciences journals (2 pts.)

· For each article: provides brief summary and discusses how the article is pertinent and relevant to the solution or interventions (4 pts./each article=8 total)

· Articles support the student’s chosen solution or intervention with clear evidence-based facts(2 pts.)

/12

Implementation/intervention

· Clearly describes final project and intervention (2 pts.)

· Outlines specific steps to implement final project/solution, including timeline for how the project could be “rolled out”. Discusses implementation student contributed on unit if done (4 pts.)

· A clear description of the implementation (in-service handouts, pamphlet, form, pocket card, for example) and sample MUST be included with paper

· Discusses how the project will address/improve the clinical issue (2 pts.)

· Discusses future follow-up, evaluation, and/or measurement of the impact of the project (3 pts.)

/11

Paper mechanics

· Incorporates required content in a 4-5-page paper (not including title page and reference page) (2 pts.)

· Follows correct APA:

· Proper title page (1 pt.)

· Appropriate text spacing, font size, headings, and in-text citations (2 pts.)

· Formatted reference page (2 pts.)

· Use Oakpoint Library Guides and resources for APA formatting (7th edition)

· Writes clearly; uses correct grammar, spelling, and punctuation; avoids first person voice (3 pts.)

/10

Grading criteria for e-POSTER

Points

Comments

Topic/issue

· Clearly defines the QI problem or issue (2 pts.)

· Includes clarifying information about the topic or issue

(2 pts.) *

· Communicates specifics about why it is pertinent to the particular unit or organization (2 pts.) *

· States institutional support—names/credentials (1 pt.)

*If applicable, poster uses appropriate graphic or visual which conveys national or local data, trends, organization or unit statistics, etc.

/7

Literature review of the topic/issue

· Includes literature support of the topic or issue (1 pt.)

· Summarizes most important point(s) of each article (4 pts.)

· Clearly connects authors with literature points (1 pt.)

/6

Solution/intervention

· Clearly defines feasible intervention/solution (3 pts.)

· Includes literature support of chosen solution (2 pt.)

· Clearly connects authors with solution literature (1 pt.)

/6

Implementation

· Identifies and explains final project and attaches a copy of “work product” (in-service handouts, pamphlet, form, pocket card, for example) (4 pts.)

· Specifically describes how the final project would be implemented, including timeline for “roll-out” (2 pts.)

· Describes how the impact of the project could be measured or evaluated (2)

· Addresses the future implications of the project for the unit and/or nursing in general (2 pts.)

/10

e-Poster mechanics

· Professional looking: follows elements of e-poster construction; organized and clear layout that flows well (2 pts.)

· Visually appealing: words and graphics are easy to see; appropriate use of color (1 pt.)

· Student’s name, Oak Point University and project site are clearly identified (1 pt.)

· Reference page is complete, in proper APA format, and submitted with the e-poster (1 pt.)

· Appreciation/thanks for project site personnel are cited (1 pt.)

/6

TOTAL /85

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