nrs490 full course latest 2018 february

Week 1
discussion

DQ1

Identify two GCU Library scholarly databases that will help
you find the best research articles to support your EBP proposal. Discuss why
these two databases are better than Google Scholar or a general Internet
search.

DQ2

The Institute of Medicine has stated a goal that 90% of
practice be evidence-based by 2020. According to HealthyPeople.gov, the United
States is currently at approximately 15%. Discuss two barriers that might hold
nursing practice from achieving this goal, and suggest ways in which identified
barriers may be addressed.

Week 2
discussion

DQ1

During your practicum, determine what clinical problem or
issue the organization is facing. Discuss two implications for nursing.

DQ2

What is the main issue for your organization in addressing a
solution to evidence-based nursing practice? Discuss what might be the first
step in addressing and resolving this issue.

Week 3
discussion

DQ1

Submit a summary of six of your articles on the discussion
board. Discuss one strength and one weakness to each of these six articles on
why the article may or may not provide sufficient evidence for your practice
change.

DQ2

Name two different methods for evaluating evidence. Compare
and contrast these two methods.

Week 6
discussion

DQ1

Why is understanding the health care system at the local
level important to consider when planning an EBP implementation? Conduct
research and solicit anecdotal evidence from your course mentor that you will
take into consideration for your own change project.

DQ2

Compare and contrast two change theories, and determine
which theory makes the most sense for implementing your specific EBP project.
Why? Has your mentor used either theory, and to what result?

Week 7
discussion

DQ1

Stakeholder support is necessary for a successful change
proposal project implementation. Consider your internal stakeholders, such as
the facility, unit or health care setting where the change process is situated,
and your external stakeholders, like an individual or group outside the health
care setting. Why is their support necessary to the success of your project,
and how you will go about securing that support?

DQ2

Technology is integral to successful implementation in many
projects, through either support or integration or both. Name at least one
technology that could improve the implementation process and the outcomes of
your EBP project. Do you plan to use this technology? If not, what are the
barriers that prevent its use?

Week 8
discussion

DQ1

After discussion with your mentor, name one financial
aspect, one quality aspect, and one clinical aspect that need to be taken into
account for developing the evidence-based practice project. Explain how your
proposal will directly and indirectly impact each of the aspects.

DQ2

Now that you have completed a series of assignments that
have led you into the active project planning and development stage for your
project, briefly describe your proposed solution to address the problem, issue,
suggestion, initiative, or educational need and how it has changed since you
first envisioned it. What led to your current perspective and direction?

Week 9
discussion

DQ1

Describe one internal and one external method for the
dissemination of your EBP project results. For example, an internal method may
be the hospital board, and an external method may be a professional nursing
organization. Discuss why it is important to report your results to both of
these groups. How will your communication strategies change for each group?

DQ2

In order to evaluate an evidence-based practice project, it
is important to be able to determine the effectiveness of your change. Discuss
one way you will be able to evaluate whether your project made a difference in
practice.

Week 10
discussion

DQ1

Based on how you will evaluate your EBP project, which
independent and dependent variables do you need to collect? Why?

DQ2

Not all EBP projects result in statistically significant
results. Define clinical significance, and explain the difference between
clinical and statistical significance. How can you use clinical significance to
support positive outcomes in your project?

Week 11
discussion

DQ1

Discuss one personal strength and one weakness you have
regarding professional presentations. Name one method for improvement for each
of these, and discuss why it is important for you to work on these skills if
you want to present your findings in a more formal setting.

DQ2

Sustaining change can be difficult, as there are many
variables that can affect implementation. One critical component of EBP is to
ensure that practice change is part of an organization’s culture so it will
continue to impact outcomes over time. Name two potential barriers that may
prevent your EBP change proposal from continuing to obtain the same desired results
6 months to a year from now, and your strategies for overcoming these barriers.

Week 12
discussion

DQ1

Dissemination of EBP and research, such as presenting
results at a conference or writing an article for a journal, is an important
part of professional practice. Identify one professional journal and one
nursing or health care conference where you might present your project. Discuss
why each of your choices is the best option for you to disseminate your new
knowledge.

DQ2

Discuss why EBP is an essential component of the practice of
a BSN-prepared RN. Identify two ways in which you will continue to integrate
evidence into your practice and encourage it within your work environment. What
obstacles could challenge this plan, and what steps will you take to minimize
their impact?

Week 1 assignment

Individual Success
Plan (ISP)

Planning is the key to successful completion of this course
and your overall program of study. The Individual Success Plan (ISP) assignment
requires early collaboration with the course faculty and your course mentor.
You will need to establish a plan for successful completion of (1) deliverables
associated with weekly course objectives, (2), required practice immersion
hours, and (3) deliverables associated with your capstone project.

Access the “Individual Success Plan” resource in
the Topic Materials. Read the information in the resource, including student
expectations and instructions for completing the ISP document.

Use the “Individual Success Plan” to develop a
personal plan for completing your practice hours and how topic objectives will
be met. Include the number of hours you plan to set aside to meet your goals.

A combination of 100 supervised clinical hours in community
health and leadership areas will be obtained through the application of the
objectives listed in the Guidelines for Undergraduate Field Experiences manual.

Practicum immersion experiences are required in a community
health setting. Community-based settings should encourage community integration
and involvement; expand accessibility of services and supports; promote
personal preference, strengths, dignity; and empower people to participate in
the economic mainstream.

According to HealthyPeople.gov, educational and
community-based programs and strategies are designed to reach people outside of
traditional health care settings. These settings may include schools,
worksites, health care facilities, and communities. Community health and
leadership practice immersion can occur in the same site and in conjunction
with the evidence-based project in the NRS-490 course.

If you are a registered nurse in Washington, your practicum
experience must include a minimum of 50 hours in a community health setting.

Students should apply concepts from prior courses to
critically examine and improve their current practice. Students should also
integrate scholarly readings to develop case reports that demonstrate
increasingly complex and proficient practice

Consider the challenges you expect to encounter as you continue
the practice hour and competency requirements throughout this course. How might
you overcome these challenges?

You can renegotiate these deliverables with your faculty and
mentor throughout this course and update your ISP accordingly.

Once your ISP has been developed and accepted by your course
faculty, you will have your course mentor sign it at the beginning of, and upon
completion of, each assignment that incorporates practice immersion hours. You
will track all course practice immersion hours in the ISP.

APA format is not required, but solid academic writing is
expected.

You are not required to submit this assignment to Turnitin.

P R A C T I C E I M M E R S I O N	Complete Contact Information
Student Information	GCU
Name:
E-mail:
Phone Number:
Course Faculty Information	GCU
Name:
E-mail:
Phone Number:
Practicum Mentor Information	Practice Setting
Name:
E-mail:
Phone Number:
MOU signed & uploaded to Instructor in LoudCloud via Individual Forum	Yes ??	No ?? If no, is an existing Affiliation Agreement on file? _____

ISP Instructions

Use this form to develop your Individual Success Plan (ISP)
for NRS-490, the Professional Capstone and Practicum course. An individual
success plan maps out what you, the RN-to-BSN student, needs to accomplish in
order to be successful as you work through this course and complete your
overall program of study. You will also share this with your mentor at the
beginning and end of this course so that he or she will know what you need to
accomplish.

Application-based learning assignments are listed in the
course syllabus with a Practice Portfolio Statement requirement element noted
within the assignment itself. In order for you to successfully complete and
graduate from the RN-to-BSN Program you must meet the following programmatic
requirements: (1) completion of 100 practice immersion hours, and (2)
completion of work associated with all program competencies.

In this ISP, you will identify all of the objectives, tasks,
and/or assignments relating to the 100 practice immersion hours you need to
complete by the end of this course. Specify the dates by which you will
complete each tasks and/or assignments. Your plan should include a
self-assessment of how you met all applicable GCU RN-to-BSN Domains &
Competencies (see Appendix A).

ALL course assignments listing a “Practice Hours
Portfolio” statement must be included in the ISP and are worth and
recorded here as approximately 10 hours each. Actual clock hours must be recorded
on this time log.

General Requirements

Use the following information to ensure successful
completion of each assignment as it pertains to deliverables due in this
course:

• Use the
Individual Success Plan to develop a personal plan for completing your practice
immersion hours and self-assess how you will meet the GCU RN-to-BSN University
Mission Critical Competencies and the Programmatic Domains & Competencies
(Appendix A) related to that course.

Show all of the major deliverables in the course, the
topic/course objectives that apply to each deliverable, and lastly, align each
deliverable to the applicable University Mission Critical Competencies and the
course-specific Domains and Competencies (Appendix A).

Completing your ISP does not earn practice hours, nor does
telephone conference time, or time spent with your mentor.

• Within
the Individual Success Plan, ensure you identify all course assignments which
may include the following: Memorandums of Understanding (MOU)(if Affiliation
Agreement is not required); comprehensive log of practice immersion hours
applied to baccalaureate level learning outcomes; evaluations from faculty and
mentors; your evaluations of your mentor; scholarly activity report; competency
self-assessment (part of your ISP); reflective journal (Submitted in Week 10
but covering all weeks in the course); course goals and plan for how
competencies and practice immersion hours will be met; and both faculty and
mentor approvals of course goals and documented practice immersion hours.

Application-based Learning Course Assignments	List of Current Course Objectives	Number of Clock Hours Associated with Each Assignment	Assignment Date Due	Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies and Programmatic Domains & Competencies (see Appendix A)	Date Assignment Completed

By typing in his/her signature below, the student agrees to
have read, understood, and be accountable for the instructions, assignments,
and hours shown above and that all questions have been satisfactorily answered
by the faculty and/or program director.

Mentors will sign upon initial receipt and at the end of the
course to confirm that assignments have been complete with your guidance.

Student Signature

Name:

Date:

Mentor Signature [Upon Initiation of Course]

Name:

Date:

Mentor Signature [Upon Completion of Course]

Name:

Date:

APPENDIX A:

GCU RN-to-BSN Domains & Competencies

A. University’s
Mission Critical Competencies

How does this Individual Success Plan support the GCU
Mission?

MC1: Effective Communication: Therapeutic communication is
central to baccalaureate nursing practice. Students gain an understanding of
their ethical responsibility and how verbal and written communication affects
others intellectually and emotionally. Students begin to use nursing terminology
and taxonomies within the practice of professional and therapeutic
communication. Courses require students to write scholarly papers, prepare
presentations, develop persuasive arguments, and engage in discussion that is
clear, assertive, and respectful.

MC2: Critical Thinking: Courses require students to use
critical thinking skills by analyzing, synthesizing, and evaluating scientific
evidence needed to improve patient outcomes and professional practice.

MC3: Christian Worldview: Students will apply a Christian
worldview within a global society and examine ethical issues from the framework
of a clearly articulated system of professional values. Students will engage in
discussion of values-based decisions made from a Christian perspective.

MC4: Global Awareness, Perspectives, and Ethics: The concept
of global citizenship is introduced to baccalaureate students in the
foundational curriculum. Some courses will focus on the human experience across
the world health continuum. The World Health Organization (WHO) definitions of
health, health disparities, and determinants of health are foundational to
nursing practice.

MC5: Leadership: Students will apply a Christian worldview
within a global society and examine ethical issues from the framework of a
clearly articulated system of professional values. Students will engage in
discussion of values-based decisions made from a Christian perspective.

B. Domains
and Competencies

How does this Individual Success Plan support the Program
Domains and Competencies?

Domain 1: Professional Role

Graduates of Grand Canyon University’s RN-BSN program will
be able to incorporate professional values to advance the nursing profession
through leadership skills, political involvement, and life-long learning.

Competencies:

1.1: Exemplify
professionalism in diverse health care settings.

1.2: Manage
patient care within the changing environment of the health care system.

1.3: Exercise
professional nursing leadership and management roles in the promotion of
patient safety and quality care.

1.4: Participate
in health care policy development to influence nursing practice and health
care.

1.5: Advocate
for autonomy and social justice for individuals and diverse populations.

Domain 2: Theoretical Foundations of Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will
have acquired a body of nursing knowledge built on a theoretical foundation of
liberal arts, science, and nursing concepts that will guide professional
practice.

Competencies:

2.1: Incorporate
liberal arts and science studies into nursing knowledge.

2.2: Comprehend
nursing concepts and health theories.

2.3: Understand
and value the processes of critical thinking, ethical reasoning, and decision
making.

Domain 3: Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will
be able to utilize the nursing process to provide safe quality care based on
nursing best practices.

Competencies:

3.1: Utilize
the nursing process to provide safe and effective care for patients across the
health-illness continuum: promoting, maintaining, and restoring health;
preventing disease; and facilitating a peaceful death.

3.2: Implement
patient care decisions based on evidence-based practice.

3.3: Provide
individualized education to diverse patient populations in a variety of health
care settings.

3.4: Demonstrate
professional standards of practice.

Domain 4: Communication/Informatics

Graduates of Grand Canyon University’s RN-BSN program will
be able to manage information and technology to provide safe quality care in a
variety of settings. In addition, graduates will be able to communicate
therapeutically and professionally to produce positive working relationships
with patients and health care team members.

Competencies:

4.1: Utilize
patient care technology and information management systems.

4.2: Communicate
therapeutically with patients.

4.3: Professionally
communicate and collaborate with the interdisciplinary health care teams to
provide safe and effective care.

Domain 5: Holistic Patient Care

Graduates of Grand Canyon University’s RN-BSN program will
be able to provide holistic individualized care that is sensitive to cultural
and spiritual aspects of the human experience.

Competencies:

5.1: Understand
the human experience across the health-illness continuum.

5.2: Assess for
the spiritual needs and provide appropriate interventions for individuals,
families, and groups.

5.3: Provide
culturally sensitive care.

5.4: Preserve
the integrity and human dignity in the care of all patients.

Week 2 assignment

Capstone Project
Topic Selection and Approval

In collaboration with your approved course mentor, you will
identify a specific evidence-based practice proposal topic for the capstone
project. Consider the clinical environment in which you are currently working
or have recently worked. The capstone project topic can be a clinical practice
problem, an organizational issue, a quality improvement suggestion, a
leadership initiative, or an educational need appropriate to your area of
interest as well as your practice immersion (practicum) setting. Examples of
the integration of community health, leadership, and an EBP can be found on the
“Educational and Community-Based Programs” page of the Healthy People
2020 website.

Write a 500-750 word description of your proposed capstone
project topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational
need that will be the focus of the project

The setting or context in which the problem, issue,
suggestion, initiative, or educational need can be observed.

A description providing a high level of detail regarding the
problem, issue, suggestion, initiative, or educational need.

Impact of the problem, issue, suggestion, initiative, or
educational need on the work environment, the quality of care provided by
staff, and patient outcomes.

Significance of the problem, issue, suggestion, initiative,
or educational need and its implications to nursing.

A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8
peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.

You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.

Week 3 assignment

PICOT Statement Paper

Review the Topic Materials and the work completed in
NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a
particular clinical area and identifies clinical problems or issues that arise
from clinical care. The intervention should be an independent, specified
nursing change intervention. The intervention cannot require a provider
prescription. Include a comparison to a patient population not currently
receiving the intervention, and specify the timeframe needed to implement the
change process.

Formulate a PICOT statement using the PICOT format provided
in the assigned readings. The PICOT statement will provide a framework for your
capstone project.

In a paper of 500-750 words, clearly identify the clinical
problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

Evidence-Based Solution

Nursing Intervention

Patient Care

Health Care Agency

Nursing Practice

Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.

This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.

Week 6
assignment

Literature
Evaluation Table

In nursing practice, accurate identification and application
of research is essential to achieving successful outcomes. Being able to
articulate the information and successfully summarize relevant peer-reviewed
articles in a scholarly fashion helps to support the student’s ability and
confidence to further develop and synthesize the progressively more complex
assignments that constitute the components of the course change proposal
capstone project.

For this assignment, the student will provide a synopsis of
eight peer-reviewed articles from nursing journals using an evaluation table
that determines the level and strength of evidence for each of the eight
articles. The articles should be current within the last 5 years and closely
relate to the PICOT statement developed earlier in this course. The articles
may include quantitative research, descriptive analyses, longitudinal studies,
or meta-analysis articles. A systematic review may be used to provide
background information for the purpose or problem identified in the proposed
capstone project. Use the “Literature Evaluation Table” resource to
complete this assignment.

While APA style is not required for the body of this
assignment, solid academic writing is expected, and in-text citations and
references should be presented using APA documentation guidelines, which can be
found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.

You are not required to submit this assignment to Turnitin.

Week 8
assignment

Literature
Review

While the implementation plan prepares students to apply
their research to the problem or issue they have identified for their capstone
change proposal project, the literature review enables students to map out and
move into the active planning and development stages of the project.

A literature review analyzes how current research supports
the PICOT, as well as identifies what is known and what is not known in the
evidence. Students will use the information from the earlier PICOT Statement
Paper and Literature Evaluation Table assignments to develop a 750-1,000 word
review that includes the following sections:

Title page

Introduction section

A comparison of research questions

A comparison of sample populations

A comparison of the limitations of the study

A conclusion section, incorporating recommendations for
further research

Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.

This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.

Week 11 assignment

Benchmark – Capstone
Project Change Proposal

In this assignment, students will pull together the change
proposal project components they have been working on throughout the course to
create a proposal inclusive of sections for each content focus area in the
course. At the conclusion of this project, the student will be able to apply
evidence-based research steps and processes required as the foundation to
address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes
the following information as it applies to the problem, issue, suggestion,
initiative, or educational need profiled in the capstone change proposal:

Background

Problem statement

Purpose of the change proposal

PICOT

Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation,
and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational
materials, etc. are created

Review the feedback from your instructor on the Topic 3
assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review.
Use the feedback to make appropriate revisions to the portfolio components
before submitting.

Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.

This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.

Week 12 assignment

Benchmark – Professional Capstone and
Practicum Reflective Journal

Students are required to maintain weekly reflective narratives
throughout the course to combine into one course-long reflective journal that
integrates leadership and inquiry into current practice as it applies to the
Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge
and skills gained throughout this course. The journal should address a variable
combination of the following, depending on your specific practice immersion
clinical experiences:

New practice approaches

Intraprofessional collaboration

Health care delivery and clinical systems

Ethical considerations in health care

Population health concerns

The role of technology in improving health care outcomes

Health policy

Leadership and economi

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.