The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based b

Nov 11, 2024, 8:48 PM

Applied Evidence-Based Project and Practicum NRS-465 6 Credits Nov 11, 2024 – Jan 26, 2025

Course Description The final course in the program is writing-intensive. It will integrate the academic and practical knowledge students have acquired throughout the program’s curriculum. Students participate in planned clinical experiences that refine professional competencies at the baccalaureate level and enable them to integrate new knowledge and enhanced skills to advance nursing practice. Clinical practice hours are dedicated to learning objectives in leadership and community health. The evidence-based project provides students an opportunity to identify a clinical nursing practice issue and propose a possible solution. Students, under the guidance of faculty and approved preceptors, identify and analyze a nurse practice issue, develop a change project, and propose an evidence-based solution that reflects synthesis and integration of course content and professional practice. The evidence-based project development is guided by the baccalaureate program learning outcomes. Clinical hours: 100. 50 hours in leadership and 50 hours in community health. Prerequisite: NRS-415, NRS-420, NRS-425, HLT-362V, NRS-445, PHI-413V, NRS-450, NRS-455, NRS-460.

Instructor Contact Information Leslie Greenberg [email protected]

Class Resources

Clinical Practice Experience Objectives (REQUIRED)

The following are the objectives for the clinical practice experience:

Develop a needs assessment of the community related to the organization's relationship with the 1. community. Design an evidence-based nursing practice intervention based on the needs assessment of the organization 2. and community. Formulate an evidence-based clinical practice change proposal that will impact patient outcomes in the 3. community. Present a professional presentation of an evidence-based clinical practice change proposal to organization 4. leaders and members of the interprofessional team. Demonstrate interprofessional collaboration throughout the creation of the capstone project change 5. proposal.

Requirements for Successful Course Completion (REQUIRED)

In order to receive a final letter grade in this course, students are required to submit all assigned deliverables, assessments, and evaluations including documentation of 100 clinical hours approved by an assigned preceptor. Failure to submit all assignments and evaluations will result in an "incomplete" or a failing grade.

Practice Experience Hours (REQUIRED)

Students are required to complete 100 direct clinical practice experience hours and 25 indirect care experience hours. Of the required 100 direct clinical hours, 50 hours are specifically community and 50 hours are specifically leadership.

Expectations for Clinical Practice Experiences (REQUIRED)

Clinical practice experiences make up an essential component of the post-licensure BSN program.

Page 1 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

The American Association of Colleges of Nursing (AACN, 2012) defines nursing and the achievement of baccalaureate standards as follows:

"Nursing is a practice discipline that includes both direct and indirect care activities that impact health outcomes. Baccalaureate programs provide opportunities for practice experiences designed to assist graduates to achieve The Essentials of Baccalaureate Education for Professional Nursing Practice. All baccalaureate programs, including RN-BSN programs, must provide practice experiences for students to bridge to baccalaureate-level professional nursing practice" (AACN, 2012).

To meet course and program outcomes, students enrolled in the RN-BSN program are expected to participate in planned, clinical practice experiences that refine professional competencies at the baccalaureate level and enable students to integrate new knowledge and higher-level skills reflective of educational preparation at the baccalaureate degree level. All students, regardless of licensure status, must complete clinical practice experiences that build upon prior learning as a part of a pre-licensure program (diploma or associate nursing).

Professional growth to meet RN-BSN program outcomes are identified and documented using the Individual Success Plan (ISP). Students develop an Individual Success Plan to achieve specific learning goals with their assigned faculty member and in collaboration with a preceptor identified by the student from the practice setting in which the clinical practice experience is planned.

Direct Care/Indirect Care (REQUIRED)

The American Association of College of Nursing (AACN) in its 2012 "White Paper: Expectations for Practice Experiences in the RN to Baccalaureate Curriculum," explained the difference between direct and indirect care:

"Direct care refers to nursing care activities provided at the point of care to patients or working with other health care providers that are intended to achieve specific health goals or achieve selected health outcomes. Indirect care refers to nursing decision, actions, or interventions that are provided through or on behalf of patients. These decisions or interventions create the conditions under which nursing care or self-care may occur. Nurses might use administrative decisions, population or aggregate health planning, or policy development to affect health outcomes in this way" (AACN, 2012, p. 3).

In all cases, students should ask the organization or department to share existing practice problems as a means to identify an evidenced-based solution (nursing practice intervention) that would be supported by the organization or department. Worksite settings that do not meet the leadership and community course objectives are not permitted.

Expectations for the Professional Capstone Project Change Proposal (REQUIRED)

The capstone project change proposal is a clinical practice experience assignment that offers students an opportunity to research and propose an evidence-based nursing intervention to address an issue significant to nursing practice within a clinical environment. Students must identify a specific patient population, or clinical department, within their chosen practicum environment to design and propose an evidence-based solution. Faculty must approve capstone project change proposal topics. Faculty and preceptors support students toward project completion.

Examples of appropriate clinical practice experience assignments are listed in the Class Resources and in Appendix A of the AACN document titled: "White Paper: Expectations for Practice Experiences in the RN to Baccalaureate Curriculum."

https://www.aacnnursing.org/Portals/42/News/White-Papers/RN-BSN-Expectations-White-Paper.pdf

NRS-465 Capstone Project Change Proposal Deliverables Table (REQUIRED)

The "NRS-465 Capstone Project Change Proposal Deliverables Table" is a list of items that must be completed Page 2 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

and submitted by the student. Included in the deliverables table are assignments, direct clinical hours, and indirect care experience hours broken down by week. This table is meant to assist the student in constructing the capstone project change proposal successfully.

NRS-465-RS-CapstoneProjectChangeProposalDeliverablesTable.docx

Lopes Activity Tracker (REQUIRED)

The Lopes Activity Tracker (LAT) is used to track all direct clinical practice experience hours. All direct clinical practice experience hours are entered into the LAT by the student after each clinical experience. Preceptors will enter ThunderTime (the preceptor LAT portal equivalent) to verify the hours submitted by the student. All direct clinical practice experience hours will be reviewed and approved by the faculty.

To record clinical practice experience hours, use the LAT app, located in your student portal. Once you have opened the app, click on the link for your class.

For assistance in adding the LAT to your student portal, review the "Adding Lopes  Activity Tracker to the Student Portal" document.

PCE-RS-LopesActivityTrackerPDFInstructions.pdf

Capstone/Practicum Programmatic Assessments (REQUIRED)

The Individual Success Plan (ISP) requires collaboration with the course faculty in the first week to establish a plan for successful completion of mutually identified goals and specific deliverables to meet course and programmatic requirements. The ISP is intended to guide students in developing their learning plan over the 10-week course. Programmatic requirements are: (1) completion of required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect care experience hours; (2) completion of work associated with program competencies; and (3) work associated with completion of the student's capstone project. ISPs are submitted to the digital classroom.

Clinical Practice Experience Roles (REQUIRED)

Faculty are responsible for working directly with students to select a clinical practice experience and setting deemed appropriate to meet learning objectives of the course as well as guide students in identifying an appropriate scholarly capstone project change proposal to demonstrate application of knowledge in the areas of research, leadership, and community/public health. Practice experiences, settings, preceptors, and projects must be approved by the faculty.

Preceptors support student learning objectives and oversee the clinical practice experience in the practice setting. For program faculty to approve preceptors identified by students, preceptors must:

Possess a current , active, unencumbered RN license in the state in which the clinical practice experience is 1. taking place; or possess a current, active, unencumbered multistate license in either a compact or enhanced Nurse Licensure Compact (eNLC) state. Hold a bachelor's degree in nursing (BSN) or higher.2. Have a minimum of 3 years of practice experience in direct client care.3. Not be a relative or personal friend of the student.4. Be available to the student to serve as a resource during the clinical practice experience.5. Be available to participate in the pre-conference, mid-conference, and post-conference.6. Be available to participate in the evaluation process by providing feedback to the student and the faculty 7. member and completing the final evaluation of the student.

Clinical Practice Experience Settings (REQUIRED)

Clinical practice experience settings may include :

Page 3 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

Hospital-based clinic1. Acute care hospital, but only when paired with Infection Control Nurse, Nurse Case Manager, Case Manager in 2. Utilization Review, Emergency Department Navigator, Chief Nursing Officer, Director of Nursing, or Charge Nurse as preceptor Occupational health setting3. Insurance company, but only when paired with nurse case manager4. Public health department5. Indian Health Services 6. Community health center or clinic7. University or school health center8. Outpatient /community health/clinics/urgent care working with a preceptor who is a nurse practitioner, 9. home health nurse, hospice care/palliative care nurse, transitional care manager, nurse navigator, ambulatory surgical nusre, dialysis center nurse, school health nurse, or prision/correctional nurse

Clinical Practice Experiences (REQUIRED) Perform direct assessments of a community or population of interest.1. Develop a health promotion/wellness intervention to address specific health issues/needs of a community 2. as identified in the direct assessment. Perform a direct assessment of organizational needs pertaining to the detection of at-risk or vulnerable 3. populations. Using assessment results, influence the delivery of care, deployment of resources, or the development of 4. policies to promote health and prevent disease. Possible categories for community clinical practice: (a) Primary prevention: health promotion education; (b) 5. Secondary prevention: screenings for vulnerable population; (c) bioterrorism: disaster preparedness education; or (d) environmental issue detection and staff training. Possible categories for leadership clinical practice: (a) develop a new policy or update and outdated policy; 6. (b) implement a quality improvement initiative; (c) improve communication between patient care units; (d) implement a new procedure; (e) evaluate patient outcomes after a new nursing practice was implemented; (f) create education for safe and effective use of new technology. Develop and implement an education initiative to address detection of at-risk or vulnerable populations 7. (may be completed with a nurse leader or infection control nurse as a preceptor).

Student, Faculty, and Preceptor Meetings (REQUIRED)

Pre-conferences, mid-conferences, and post-conferences between the students, faculty, and preceptors are mandatory. Conferences may be conducted face-to-face or via synchronous technology, such as Skype, Zoom, or Go-to-Meeting. All parties must be present at each of the three mandatory conferences.

A Practice Experience Conference (Pre-Conference) will occur during the first week of the practicum experience. This meeting is intended for students, faculty, and preceptors to review course and program learning objectives, the Individual Success Plan (ISP), the proposed capstone project change proposal, and the roles/ responsibilities/expectations of students, faculty, and preceptors. Preceptors, in particular, will be oriented to the written role expectations of faculty, preceptor, and student.

The student, faculty, and preceptor sign an attestation (using the "Practice Experience Conference Form") which indicates completion of the preconference and provides detailed notes, comments, and recommendations. 

A Practice Experience Conference (Mid-Conference) will occur at the midpoint of the course during Topic 5. This meeting is intended for the student, faculty, and preceptor to discuss student progress toward meeting the learning goals contained in the Individual Success Plan (ISP) and course learning objectives. Progress toward completing the written capstone project change proposal will also be discussed with faculty recommendations for project development and the Clinical Evaluation Tool (CET) will be reviewed. The CET is completed by the student and the preceptor prior to the conference and will be discussed with the faculty during the conference. Students who are not meeting expectations for the CET will be required to complete remediation

Page 4 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

work for each section of the CET that does not meet expectations. After the conference, the CET is submitted to the digital classroom for final grading by faculty. The faculty may contact the preceptor after the mid- conference for further input on the CET,  if required.

The student, faculty, and preceptor sign an attestation (using the "Practice Experience Conference Form") which indicates completion of the mid-conference and provides detailed notes, comments, and recommendations.

A Practice Experience Conference (Post-Conference) will occur during the final week of the course in Topic 10. This meeting is intended for the student, faculty, and preceptor to discuss achievement of goals and evaluation of course-specific competencies and requirements identified in the clinical practice experience clinical evaluation tools (evaluation of student, student evaluation of preceptor, and evaluation of practice setting).

The Clinical Evaluation Tool (CET) is completed by the student and the preceptor prior to the post-conference experience and will be reviewed during the post-conference experience with the faculty. The student must achieve "Meets Expectations" on each of the criteria on the CET in order to pass the course. After the conference, the CET is submitted to the online classroom for final grading by faculty. The faculty may contact the preceptor after the post-conference experience for further input on the CET, if required. 

The student, faculty, and preceptor sign an attestation (using the "Practice Experience Conference Form") which indicates completion of the post-conference and provide detailed notes, comments, and recommendations.

Clinical Evaluation Tool (CET) (REQUIRED)

Students will need to take a paper copy of the attached "Clinical Evaluation Tool" (CET) to their preceptor during the first week of their practicum experience to discuss the expectations and competencies that must be met. The CET  will be completed in Topics 5 and 10 by the preceptor via ThunderTime and will be visible in Lopes Activity Tracker upon completion by the preceptor. It is used as a rubric during your Midterm and Final Evaluations of Student by Preceptor in Topics 5 and 10 respectively. 

NRS-465-R-ClinicalEvaluationTool.docx

Interprofessional Collaborative Practice (REQUIRED)

The Commission on Collegiate Nursing Education (CCNE) in its 2024 "CCNE Standards for Accreditation of Baccalaureate and Graduate Nursing Programs," explained the expectations for planned experiences embedded within nursing programs to foster interprofessional collaborative practice:

Nursing programs provide "experiences that prepare students to engage in interprofessional collaborative practice. The program affords opportunities for students to collaborate with a variety of individuals and/or organizations that enable students to develop the necessary communication and negotiation skills to enhance patient outcomes" (p. 18-19).

Throughout the practicum experience students are provided with opportunities to engage in interprofessional collaborative practice in order to develop the capstone project change proposal. Faculty and preceptors will help guide students throughout this process. 

Guidelines for Undergraduate Field Experiences (REQUIRED)

Review the Guidelines for Undergraduate Field Experiences, located in the Student Success Center. This material contains important information for your clinical experience and the evaluation process.

https://ssc.gcu.edu/#/page/conhcp/3195

Page 5 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

GCU Library Nursing and Health Sciences Research Guide (REQUIRED)

Refer to the "Nursing and Health Sciences" Research Guide, located on the GCU Library website, for library resources and information pertaining to nursing and health sciences.

This is a discipline-specific research page to assist you with your research. In particular, seek out the "Evidence- Based Practice (EBP)" tab in the library guide for highly specific information pertinent to the capstone project.

http://libguides.gcu.edu/Nursing

Evaluating Websites Tutorial (REQUIRED)

View the "Evaluating Websites Tutorial," located on the Grand Canyon University website.

This tutorial will explain how to evaluate websites for content that you can trust.

https://lc.gcumedia.com/mediaElements/evaluating-websites-tutorial/v2.1/

LopesWrite (REQUIRED)

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

https://support.gcu.edu/hc/en-us/articles/201277380-LopesWrite

GCU Technical Support: Lopes Activity Tracker (REQUIRED)

Visit the GCU Technical Support page to view tutorials and screenshots on how to use the Lopes Activity Tracker.

https://support.gcu.edu/hc/en-us/articles/360036640353-Lopes-Activity-Tracker

RN-BSN FAQs (REQUIRED)

The attached document provides an overview on securing a preceptor as well as expectations of the practicum experience and defines community and leadership hours categories.

RN-BSN FAQs.pdf

NRS-465-RN-BSN DQ Rubric (REQUIRED) NRS-465-RN-BSN-RS-DQ Rubric.pdf

NRS-465 RN-BSN Participation Rubric (REQUIRED) NRS-465-RN-BSN-RS-Participation Rubric.pdf

Optional: Publication Manual of the American Psychological Association (OPTIONAL)

For additional information, the following is recommended:

Current version of the Publication Manual of the American Psychological Association.

GCU has made APA templates and other resources available within the Student Success Center, as well as in the GCU Library. However, be aware that a more complete APA style manual can be purchased at your own expense. To order the APA manual, please visit the American Psychological Association website.

Optional: GCU Library Webinars (OPTIONAL)

For additional information, the following is recommended:

Page 6 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

Review the webinar information offered by the GCU Library. From the "Webinars and Workshops: Webinar Calendar" page, select the "Category" tab and scroll down to the Nursing and Health Sciences selection. Webinar participation is optional.

http://libguides.gcu.edu/webinars

Topic 1: Identification of Issue Significant to Nursing Practice I Nov 11, 2024 – Nov 17, 2024 Max Points: 81

Objectives:

Create a plan for successful course completion.1. Propose possible topics for a capstone project change proposal based on a community needs assessment.2. Collaborate with a preceptor on a capstone project change proposal.3.

Resources

Evidence-Based Practice: Are Nurses Ready? (REQUIRED)

Read "Evidence-Based Practice: Are Nurses Ready?" by Paler and Arganza Cachaper, from Journal of Nursing Practice Applications and Reviews of Research (2021).

This article provides an overview of nurses' readiness for evidence-based practice (EBP) implementation and is helpful in addressing DQ 1. 

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=cul&AN=151936166&site=ehost- live&scope=site&custid=s8333196&groupid=main&profile=ehost

NEEDS ASSESSMENT Supporting Evidence (REQUIRED)

Review "NEEDS ASSESSMENT Supporting Evidence," from the Brigham Health Center of Nursing Excellence (2020).

This resource provides an overview of conducting a needs assessment and includes examples of application to nursing practice.

https://www.brighamandwomens.org/assets/BWH/medical-professionals/nursing/pdfs/nursing-needs- assessment.pdf

Guidelines for Undergraduate Field Experiences (REQUIRED)

Review the Guidelines for Undergraduate Field Experiences, located in the Student Success Center. This material contains important information for your clinical experience and the evaluation process.

https://www.gcumedia.com/lms-resources/student-success-center-content/documents/conhcp/conhcp- guidelines-for-undergraduate-field-experiences.pdf

Don't Roll Your Eyes, Roll Out Change (REQUIRED)

Read "Don't Roll Your Eyes, Roll Out Change," by McClay and Mileski, from Nursing Made Incredibly Easy! (2019).

This article summarizes the steps needed to make a practice change and provides a good overview of what the process for the evidence-based change project will look like overall throughout this course.

https://oce-ovid-com.lopes.idm.oclc.org/article/00152258-201911000-00010/HTML

Page 7 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

Clinical Practice Experience Documentation (REQUIRED)

Students are not permitted to initiate work on clinical practice experience assignments until after the pre- conference.

Students will make an appointment to meet with their preceptor to review the course objectives, the Individual Success Plan (ISP), and Clinical Evaluation Tool (CET), and  to schedule a preconference with the course faculty member/instructor. The pre-conference must include the instructor, preceptor, and student; all three must be present for the mandatory pre-conference.

Institutional Challenges and Solutions to Evidence-Based, Patient-Centered Practice: Implementing ICU Diaries (REQUIRED)

Read "Institutional Challenges and Solutions to Evidence-Based, Patient-Centered Practice: Implementing ICU Diaries," by Rogan, Zielke, Drumright, and Boehm, from Critical Care Nurse (2020).

This article addresses how two U.S.-based facilities worked to overcome challenges to evidence-based practice implementation, which can be helpful in thinking about the discussion forum prompts for this week.

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=a9h&AN=146467015&site=ehost- live&scope=site&custid=s8333196&groupid=main&profile=ehost

Problem Identification: The First Step in Evidence-Based Practice (REQUIRED)

Read "Problem Identification: The First Step in Evidence-Based Practice," by Stannard, from AORN Journal (2021).

This article reviews the definition and steps of evidence-based practice.

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi? T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000703-202104000-00008&LSLINK=80&D=ovft

Needs and Resources Assessment (REQUIRED)

Read "Step 01. Needs and Resources Assessment" from Getting to Outcomes Guide for Community Emergency Preparedness, by Ebener, Hunter, Adams, Eisenman, Acosta, and Chinman (2017), available on the RAND Corporation website.

This resource provides an overview of conducting a needs assessment and will be helpful in developing the capstone change project topics in this week's assignment. 

https://www.rand.org/pubs/tools/TL259/step-01.html

Assessments

Summary of Current Course Content Knowledge Start Date & Time Due Date & Time Points

Nov 11, 2024, 12:00 AM Nov 11, 2024, 11:59 PM 0

Assessment Description

Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses.  Through interaction with your instructor and

Page 8 Grand Canyon University 2024 © Prepared on: Nov 11, 2024, 8:48 PM

classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery.  To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction. 

Which weekly objectives do you have prior knowledge of and to what extent?1. Which weekly objectives do you have no prior knowledge of?2. What course-related topics would you like to discuss with your instructor and classmates?  What questions 3. or concerns do you have about this course? 

Class Introductions Start Date & Time Due Date & Time Points

Nov 11, 2024, 12:00 AM Nov 13, 2024, 11:59 PM 0

Assessment Description Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

Topic 1 DQ 1 Start Date & Time Due Date & Time Points

Nov 11, 2024, 12:00 AM Nov 13, 2024, 11:59 PM 5

Assessment Description

The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based by 2020. A recent systematic review of the published literature indicates that evidence-based practice (EBP) implementation remains deficient despite an ongoing effort to increase implementation. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which the identified barriers may be addressed.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Topic 1 DQ 2 Start Date & Time Due Date & Time Points

Nov 11, 2024, 12:00 AM Nov 15, 2024, 11:59 PM 5

Assessment Description

In preparation for your assignment this week, brainstorm two to three clinical practice problems or issues you can develop into a nursing practice change. What indicates these as clinical issues in nursing practice? Support your discussion with two peer-reviewed journal articles.

Page 9 Grand Canyon Unive

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.