Discuss any limitations to the studies included in the systematic review that you believe may impact use of the evidence provided in your project.

CapstoneProject Milestone 1:
Practice
Issue and EvidenceSummary 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
Practice
Issue Worksheet: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.
Please type your answers
directly into the worksheet.

Evidence Summary Worksheet Directions
Evidence
Summary Worksheet:

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.
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.
Please type your answers
directly into the worksheet.

Grading Criteria: Practice issue

Category

Points

%

Description

Practiceissue statement, scope of practice, practice
area

20

27%

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 lessenor eliminatethe
falls?Thisis where you begin your initial searchinto the problem or practice
issue identified.
Identifies
the practice area.

Practice
issue identification, rationale for selections

35

46%

Identifies
how rationale behind how the practice issue was selectedas a
practice issue/problem
Documents the
practice issue in a logical manner.

Types of evidence to gather, rationale for selections

20

27%

Identifies and documents
types of evidence that must be gathered for review of the Practice Issue.
Describesrationale for each type of evidence that is selected.

Total

75 points

100%

Grading
Rubric: Practice Issue

Assignment
Criteria

A (100%)
Exceptional

Outstanding or
highest level of performance

B (88%)
Exceeds

Very good or
high level of performance

C (80%)
Meets

Competent or
satisfactory level of performance

NI (38%)
Needs
Improvement
Poor or failing
level of performance

F (0%)
Developing

Unsatisfactory
level of performance

Practiceissue statement, scope of practice, practice
area
20 points

Practice issue
is identified.
Practice issue is
an independent nursing decision.
Scope of practice
issue is fully described.
Practice area
identified.
20 points ?

Practice Issue
is identified but is 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
is identified but is not clearly related to a nursing practice issue.
Practice Issue
isnot 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 ?

Practice Issue is
unclear.
Practice Issueis
not an independent nursing decision.
Scope of practice
issue is not described.
Practice area
identified.
8 points ?

Practice Issueisnot
identified; practice issue is not an independent nursing decision; scope of
practice issue is not described; practice area is not identified.
0 points ?

Practice issue identification, rationale for selections
35 points

Documents how
the practice issue was identified.
Rationale for
responses islogical anddescribed thoroughly.
35 points ?

Documents how
the practice issue was identified.
Rationale for
responses islogical and brieflydescribed.
33 points ?

Documents how
the practice issue was identified.
Rationale for
responses issomewhat logical and vaguely described.
30 points ?

Vaguely
describes how the practice issue was identified.
Rationale for
responses is somewhat logical and vaguely described.
15 points ?

Does not
document how the practice issuewas identified.
Rationale is
not completed.
This section of
the form is blank.
0 points ?

Types of evidence to gather, rationale for selections
20 points

Identifies and documents
what types of evidence is needed for review.
Thoroughlydescribes
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 ?

Identifies and
documents what types of evidence is needed but includes only a minimum
description for rationale for selected evidence.
16 points ?

Does not document
more than one type of evidence that is neededfor reviewand does not include
rationale for selected type of evidence.
8 points ?

Does not
document types of evidenceor rationale.
0 points ?

Total Points Possible = 75 points

Grading
Criteria: Evidence Summary

Category

Points

%

Description

Practice Problem

10

10%

States practice
problem in own words, with reference to the population, setting, and
magnitude and in measurable terms.
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?

Source of evidence

20

20%

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.

Objectives of
the article/Statement of questions

20

20%

Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to your practice issue.

Interventions/Main
findingssummary

30

30%

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.

Evidence-based
solutions and limitations

20

20%

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.

Total

100 points

100%

Grading Rubric: Evidence Summary

Assignment
Criteria

A (100%)
Exceptional

Outstanding or
highest level of performance

B (88%)
Exceeds

Very good or
high level of performance

C (80%)
Meets

Competent or
satisfactory level of performance

NI (38%)
Needs
Improvement
Poor or failing
level of performance

F (0%)
Developing

Unsatisfactory
level of performance

Practice Problem
10 points

-Practice problem is in own words, with reference
to the population of interest.
-Setting of the problem is identified
-Magnitudeof problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points ?

-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 measurable
terms.
Met 3 out of 4 objectives
9 points ?

-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 measurable
terms.
Met 2 out of 4 objectives
8 points ?

-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 but not measurable.
Met only 1 out of 4 objectives
4 points ?

-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
terms.
Did not meet any objectives
0 points ?

Source of evidence
20 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.
Metall 4 objectives as above
20 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 isnot 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.
-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 ?

-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
the article/ Statement of questions
20 points

-Objectives of article are identified.
-Questions being addressed by author/s are
thorough.
-Relationship to your practice issue is explained.
20 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 ?

-Objectives of article are identified.
-Questions being addressed by author/s are not
thorough.
-Relationship to your practice issue is vague.
16 points ?

-Objectives of article are identified.
-Questions being addressed by author/s is missing.

-Relationship to your practice issue is not explained.

8 points ?

-Objectives of article are not identified.
-Questions being addressed in article and
relationship to own practice is not identified.
0 points ?

Interventions/
Main findings summary
30 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 each main
outcome.
30
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 each main
outcome.
27
points ?

-Vaguely summarized (in their own words) the
interventions the author(s) suggest to improve patient outcomes.
-Vaguelysummarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25
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
missing.
0 points
?

Evidence-based
solutions and limitations
20 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 ?

-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
?

-Outline of evidence-based solutions consideredfor
project is documented but not clear.
Discussed most limitations to the studies
performed.
Documents limitations believed may impact use in
project.
16
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,
limitationsof studies and potential impact to project is missing.
0 points
?

Total Points Possible = 100 points

CapstoneProject Milestone 1:Practice
Issue and EvidenceSummary GuidelinesPurposeClear
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
OutcomesThis
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 DatesMilestone
#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.PointsMilestone
#1 is worth 175 points (75 points
for the Practice Issue and 100 points for the Evidence Summary).Practice Issue Worksheet Directions
i. Your practice issue will be the same
for all three Milestone assignments in this course.Evidence Summary Worksheet Directionsb. 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. Grading Criteria: Practice issueCategoryPoints%DescriptionPracticeissue statement, scope of practice, practice
area2027%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 lessenor eliminatethe
falls?Thisis where you begin your initial searchinto the problem or practice
issue identified.Identifies
the practice area.Practice
issue identification, rationale for selections3546%Identifies
how rationale behind how the practice issue was selectedas a
practice issue/problemDocuments the
practice issue in a logical manner.Types of evidence to gather, rationale for selections2027%Identifies and documents
types of evidence that must be gathered for review of the Practice Issue.Describesrationale for each type of evidence that is selected.Total75 points100%Grading
Rubric: Practice IssueAssignment
CriteriaA (100%)ExceptionalOutstanding or
highest level of performanceB (88%)ExceedsVery good or
high level of performanceC (80%)MeetsCompetent or
satisfactory level of performanceNI (38%)Needs
ImprovementPoor or failing
level of performanceF (0%)DevelopingUnsatisfactory
level of performancePracticeissue statement, scope of practice, practice
area20 pointsPractice issue
is identified.Practice issue is
an independent nursing decision.Scope of practice
issue is fully described.Practice area
identified.20 points ?Practice Issue
is identified but is 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
is identified but is not clearly related to a nursing practice issue.Practice Issue
isnot 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 ?Practice Issue is
unclear.Practice Issueis
not an independent nursing decision.Scope of practice
issue is not described.Practice area
identified.8 points ?Practice Issueisnot
identified; practice issue is not an independent nursing decision; scope of
practice issue is not described; practice area is not identified.0 points ?Practice issue identification, rationale for selections35 pointsDocuments how
the practice issue was identified.Rationale for
responses islogical anddescribed thoroughly.35 points ?Documents how
the practice issue was identified.Rationale for
responses islogical and brieflydescribed.33 points ?Documents how
the practice issue was identified.Rationale for
responses issomewhat logical and vaguely described.30 points ?Vaguely
describes how the practice issue was identified.Rationale for
responses is somewhat logical and vaguely described.15 points ?Does not
document how the practice issuewas identified.Rationale is
not completed.This section of
the form is blank.0 points ?Types of evidence to gather, rationale for selections20 pointsIdentifies and documents
what types of evidence is needed for review.Thoroughlydescribes
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 ?Identifies and
documents what types of evidence is needed but includes only a minimum
description for rationale for selected evidence.16 points ?Does not document
more than one type of evidence that is neededfor reviewand does not include
rationale for selected type of evidence.8 points ?Does not
document types of evidenceor rationale.0 points ?Total Points Possible = 75 pointsGrading
Criteria: Evidence SummaryCategoryPoints%DescriptionPractice Problem
1010%States practice
problem in own words, with reference to the population, setting, and
magnitude and in measurable terms.Describes
practice setting in measureable termsExample: 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?Source of evidence2020%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.Objectives of
the article/Statement of questions2020%Identifies the objectives of the article.Identifies questions being addressed by author/s.Explains relationship to your practice issue.Interventions/Main
findingssummary3030%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.Evidence-based
solutions and limitations2020%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.Total100 points100%Grading Rubric: Evidence SummaryAssignment
CriteriaA (100%)ExceptionalOutstanding or
highest level of performanceB (88%)ExceedsVery good or
high level of performanceC (80%)MeetsCompetent or
satisfactory level of performanceNI (38%)Needs
ImprovementPoor or failing
level of performanceF (0%)DevelopingUnsatisfactory
level of performancePractice Problem10 points-Practice problem is in own words, with reference
to the population of interest.-Setting of the problem is identified-Magnitudeof problem is discussed.-The practice issue is stated in measurable terms.Met all objectives as stated above10 points ?-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 measurable
terms.Met 3 out of 4 objectives9 points ?-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 measurable
terms.Met 2 out of 4 objectives8 points ?-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 but not measurable.Met only 1 out of 4 objectives4 points ?-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
terms.Did not meet any objectives0 points ?Source of evidence20 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.Metall 4 objectives as above20 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 objectives18 points ?-Source of evidence is nursing topic.-Source isnot a Systematic Review article.-Search terms are identified.-Complete reference is not given for Systematic
Review article.Met only 2 out of 2 objectives16 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 objectives8 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
the article/ Statement of questions20 points-Objectives of article are identified.-Questions being addressed by author/s are
thorough.-Relationship to your practice issue is explained.20 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 ?-Objectives of article are identified.-Questions being addressed by author/s are not
thorough.-Relationship to your practice issue is vague.16 points ?-Objectives of article are identified.-Questions being addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points ?-Objectives of article are not identified.-Questions being addressed in article and
relationship to own practice is not identified.0 points ?Interventions/
Main findings summary30 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 each main
outcome.30
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 each main
outcome.27
points ?-Vaguely summarized (in their own words) the
interventions the author(s) suggest to improve patient outcomes.-Vaguelysummarized main findings of the author/s.-Included strength of evidence for most of main outcomes.25
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
missing.0 points
?Evidence-based
solutions and limitations20 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 ?-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
?-Outline of evidence-based solutions consideredfor
project is documented but not clear.Discussed most limitations to the studies
performed.Documents limitations believed may impact use in
project.16
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,
limitationsof studies and potential impact to project is missing.0 points
?Total Points Possible = 100 points

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