Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
In a 5–7 page written assessment, define the patient, family, or population health
problem that will be the focus of your capstone project. Assess the problem from a
leadership, collaboration, communication, change management, and policy
perspective. Plan to spend approximately 2 direct practicum hours meeting with a
patient, family, or group of your choice to explore the problem and, if desired,
consulting with subject matter and industry experts. Document the time spent (your
practicum hours) with these individuals or group in the Capella Academic Portal
Volunteer Experience Form.
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Introduction
This assessment lays the foundation for the work that will carry you
through your capstone experience and guide the practicum hours
needed to complete the work in this course. In addition, it will enable you
to do the following:
Develop a problem statement for a patient, family, or population that’s
relevant to your practice.
Begin building a body of evidence that will inform your approach to
your practicum.
Focus on the influence of leadership, collaboration, communication,
Preparation
In this assessment, you’ll assess the patient, family, or population health
problem that will be the focus of your capstone project. Plan to spend
7/5/23, 11:53 AM Assessment 1 Instructions: NURS-FPX4900 – Spring 2023 – Section 54
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approximately 2 hours working with a patient, family, or group of your
choice to explore the problem from a leadership, collaboration,
communication, change management, and policy perspective.During this
time, you may also choose to consult with subject matter and industry
experts about the problem (for example, directors of quality or patient
safety, nurse managers/directors, physicians, and epidemiologists).
To prepare for the assessment, complete the following:
Identify the patient, family, or group you want to work with during your
practicum The patient you select can be a friend or a family member.
You’ll work with this patient, family, or group throughout your
capstone project, focusing on a specific health care problem.
Begin surveying the scholarly and professional literature to establish
your evidence and research base, inform your assessment, and meet
scholarly expectations for supporting evidence.
In addition, you may wish to complete the following:
Review the assessment instructions and scoring guide to
ensure that you understand the work you’ll be asked to
complete and how it will be assessed.
Practicum Focus Sheet: Assessment 1 [PDF]
(https://courseroom.capella.edu/courses/4371/files/689780?
wrap=1)
Instructions
Complete this assessment in two parts.
Part 1
Define the patient, family, or population health problem that will be the
focus of your capstone project. Assess the problem from a leadership,
collaboration, communication, change management, and policy
perspective and establish your evidence and research base to plan,
implement, and share findings related to your project.
Part 2
Connect with the patient, family, or group you’ll work with during your
practicum. During this portion of your practicum, plan to spend at least 2
hours meeting with the patient, family, or group and, if desired, consulting
7/5/23, 11:53 AM Assessment 1 Instructions: NURS-FPX4900 – Spring 2023 – Section 54
https://courseroom.capella.edu/courses/4371/pages/assessment-1-instructions?module_item_id=237079 3/6
with subject matter and industry experts of your choice. The hours you
spend meeting with them should take place outside of regular work
hours. Use the Practicum Focus Sheet [PDF]
(https://courseroom.capella.edu/courses/4371/file_contents/course%20files
Requirements
The assessment requirements, outlined below, correspond to the scoring
guide criteria, so be sure to address each main point. Read the
performance-level descriptions for each criterion to see how your work
will be assessed. In addition, note the additional requirements for
document format and length and for supporting evidence.
Define a patient, family, or population health problem that’s relevant
to your practice.
Summarize the problem you’ll explore.
Identify the patient, family, or group you intend to work with during
your practicum.
Provide context, data, or information that substantiates the
presence of the problem and its significance and relevance to the
patient, family, or population.
Explain why this problem is relevant to your practice as a
baccalaureate-prepared nurse.
Analyze evidence from peer-reviewed literature and professional
sources that describes and guides nursing actions related to the
patient, family, or population problem you’ve defined.
Note whether the authors provide supporting evidence from the
literature that’s consistent with what you see in your nursing
practice.
Explain how you would know if the data are unreliable.
Describe what the literature says about barriers to the
implementation of evidence-based practice in addressing the
problem you’ve defined.
Describe research that has tested the effectiveness of nursing
standards and/or policies in improving patient, family, or
population outcomes for this problem.
Describe current literature on the role of nurses in policy making
to improve outcomes, prevent illness, and reduce hospital
readmissions.
7/5/23, 11:53 AM Assessment 1 Instructions: NURS-FPX4900 – Spring 2023 – Section 54
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Describe what the literature says about a nursing theory or
conceptual framework that might frame and guide your actions
during your practicum.
Explain how state board nursing practice standards and/or
organizational or governmental policies could affect the patient,
family, or population problem you’ve defined.
Describe research that has tested the effectiveness of these
standards and/or policies in improving patient, family, or
population outcomes for this problem.
Describe current literature on the role of nurses in policy making
to improve outcomes, prevent illness, and reduce hospital
readmissions.
Describe the effects of local, state, and federal policies or
legislation on your nursing scope of practice, within the context of
Additional Requirements
Format: Format your paper using APA style. APA Style Paper
Tutorial [DOCX] (https://campustools.capella.edu/redirect.aspx?
linkid=4243) is provided to help you in writing and formatting your
paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5–7 pages in length, not
including the reference page.
Supporting evidence: Cite at least five sources of scholarly or
professional evidence that support your central ideas. Resources
should be no more than five years old. Provide in-text citations and
references in APA format.
Capella Academic Portal
Context
Nurses in all professional roles work to effect positive patient outcomes
and improve organizational processes. Professional nurses are leaders
in problem identification, planning, and strategy implementation—skills
that directly affect patient care or organizational effectiveness.
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Too often, change agents jump to a conclusion that an intervention will
promote the envisioned improvement. Instead, the ideal approach is to
determine which interventions are appropriate, based on an assessment
and review of credible evidence. Interventions could be patient-facing or
involve a change in policy and process. In this assessment, you’ll identify
and make the case for your practicum focus area, then explore it in depth
from a leadership collaboration communication change management
Competencies Measured
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and scoring guide
criteria:
Competency 1: Lead people and processes to improve patient,
systems, and population outcomes.
Define a patient, family, or population health problem that’s
relevant to personal and professional practice.
Competency 2: Make clinical and operational decisions based upon
the best available evidence.
Analyze evidence from peer-reviewed literature and professional
sources that describes and guides nursing actions related to a
defined patient, family, or population problem.
Competency 5: Analyze the impact of health policy on quality and
cost of care.
Explain how state board nursing practice standards and/or
organizational or governmental policies could affect a defined
patient, family, or population problem.
Competency 7: Implement patient-centered care to improve quality of
care and the patient experience.
Propose leadership strategies to improve outcomes, patientcentered care, and the patient experience related to a defined
patient, family, or population problem and document the practicum
hours spent with these individuals or group in the Capella
Academic Portal Volunteer Experience Form
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