Healthcare and Evidence Based Practice Capstone Paper Order Instructions:
Combine all elements completed in previous weeks (Topics 1-4) into one cohesive evidence-based proposal and share the proposal with a leader in your organization. (Appropriate individuals include unit managers, department directors, clinical supervisors, charge nurses, and clinical educators.)
Obtain feedback from the leader you have selected and request verification using the Capstone Review Form. Submit the signed Capstone Review Form to
RNBSNclientcare@gcu.edu.
For information on how to complete the assignment, refer to “Writing Guidelines” and the “Exemplar of Evidence-Based Practice Capstone Paper.”
Include a title page, abstract, problem statement, conclusion, reference section, and appendices (if tables, graphs, surveys, diagrams, etc. are created from tools required in Topic 4).
Prepare this assignment according to the APA guidelines 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Note: All Capstone Projects are to be submitted to the College. Please submit the Capstone Project Copyright and Distribution Form as well as an electronic copy of the Capstone Project itself to this e-mail address: CapstoneRNBSN@gcu.edu
NRS441V.R.CapstoneReviewForm_1-27-14.docx NRS441V.11.0_Capstone_Consent_Form.docx 8 NRS 441v.10R.Exemplar of Evidenced-Based Practice.docx 7 NRS 441v.10R.Writing guidelines.docx
Constructing the Written Evidence-Based Proposal: Final
1
Unsatisfactory 0-72%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content
5.0 %Abstract
No abstract was provided.
The abstract was provided but was missing criteria as indicated in the writing guidelines.
Abstract meets all criteria of writing guidelines.
Abstract meets all criteria of writing guidelines in a detailed and comprehensive manner.
Abstract meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
10.0 %
Healthcare and Evidence Based Practice Capstone Paper Problem Description
No problem description was provided.
Problem description was provided but was missing criteria as indicated in the writing guidelines.
Problem description meets all criteria of writing guidelines.
Problem description meets all criteria of writing guidelines in a detailed and comprehensive manner.
Problem description meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
15.0 %Solution Description
No solution description was provided.
Solution description was provided but was missing criteria as indicated in the writing guidelines.
Solution description meets all criteria of writing guidelines.
Solution description meets all criteria of writing guidelines in a detailed and comprehensive manner.
Solution description meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
15.0 %Implementation Plan
Implementation plan abstract was provided.
The implementation plan was provided but was missing criteria as indicated in the writing guidelines.
Implementation plan meets all criteria of writing guidelines.
Implementation plan meets all criteria of writing guidelines in a detailed and comprehensive manner.
Implementation plan meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
15.0 %Evaluation Plan
No evaluation plan was provided.
The evaluation plan was provided but was missing criteria as indicated in the writing guidelines.
Evaluation plant meets all criteria of writing guidelines.
Evaluation plan meets all criteria of writing guidelines in a detailed and comprehensive manner.
Evaluation plan meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
10.0 %Dissemination Plan
No dissemination plan was provided.
Dissemination plan was provided but was missing criteria as indicated in the writing guidelines.
Dissemination plan meets all criteria of writing guidelines.
Dissemination plan meets all criteria of writing guidelines in a detailed and comprehensive manner.
Dissemination plan meets all criteria of writing guidelines in a detailed and comprehensive manner while demonstrating a deeper understanding by incorporating prior learning or thoughtful reflection.
15.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis/ main claim is insufficiently developed and/or vague; the purpose is not clear.
Thesis/main claim is apparent and appropriate to the purpose.
Thesis/ main claim is clear and forecasts the development of the paper. It is descriptive and reflective of the arguments, and appropriate to the purpose.
Thesis/ main claim is comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. An argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. The argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
The argument is orderly but may have a few inconsistencies. The argument presents a minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
The argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from the introduction to conclusion. Most sources are authoritative.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
The writer is clearly in command of standard, written, academic English.
5.0 %Format
5.0 %Paper Format (Use of appropriate style for the major and assignment)
The template is not used appropriately, or documentation format is rarely followed correctly.
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Appropriate template is fully used. There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style)
No reference page is included. No citations are used.
The reference page is present. Citations are inconsistently used.
The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present
The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.
In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage
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Healthcare and Evidence Based Practice Capstone Paper Sample Answer
Student’s Name
Institutional Affiliation
Abstract
The quality of health care offered in a medical institution dictates the speed of recovery of the patient, and consequently, the level of patient satisfaction. Since patient care involves a series of medical interventions by different personnel, communication is vital in ensuring efficient service delivery. Nurses especially have close contact with the patients than a majority of other medical staff. Therefore a good interpersonal relationship should be nurtured between them, to enable pthe assing of information from the patient top the medical staff, and vice versa. Nurses hence form a vital link for relaying of information. Communication systems should be available to allow for the passing of this information. Nurses too should have excellent communication skills to facilitate receiving, processing, and pass of information. Over the years these channels and abilities of nurses to communicate effectively have been noted to exist, resulting in communication breakdown, and poor quality of health care.
This paper discusses the problem of poor communication and how this has contributed to the poor delivery of services, offering a possible means of intervention to the issue.
Healthcare and Evidence Based Practice Capstone Paper Problem Description
The lack of proper communication and active channels of disseminating information has been a major concern to the nursing community (Kourkouta & Papathaniasiou, 2014). Inefficient communication channels have led to poor quality of service to the patients and consequently patient dissatisfaction. Lack of a clear defined communication system between nurses and other medical professionals, and to patients has led to a reduction in the quality of health care offered in medical institutions in the United States. Identification of the gap has led to intervention by various stakeholders in the industry in a bid to rectify the problem and improve the quality of health care.
Physicians rely on information provided by the nurses. In a strained communication relations between these parties can be fatal, as incorrect information can be passed.
Healthcare and Evidence Based Practice Capstone Paper Solution Description
Strategies have to be initiated by the nursing fraternity to facilitate for the disjointed communication between nurses, other medical practitioners, and the patients. Efficient interpersonal communication amongst them will facilitate for this extensive communication network. The strategies set by a combined body of nurses, and incorporating other medical professionals will alleviate existing pressure between the involved parties. Better communication between the various medical personnel will result in better services coordination, and consequently, better services will be offered to the patient (Lombardo, 2013).
Enactment of relevant policies and close monitoring to ensure they are adequately followed will eliminate the barriers of communication. Policies facilitating for a patient-centred service delivery go a long way in improving the nurse- patient relationship and accordingly, better communication.
Healthcare and Evidence Based Practice Capstone Paper Literature Review
Communication in the healthcare industry is critical. Information obtained from a patient is passed over from one personnel to another. Therefore proper flow of this information should be maintained for the provision of quality health care to patients. Lack of good communication systems between the various groups of health care personnel has hindered this, resulting in an inadequate health care service. A medical institution offering substandard care leads to patient dissatisfaction and increased mortality rates may be reported.
Enacting of proper policies dictating the design of communication and interaction will reduce instances of communication breakdown in the sector. The nursing fraternity lacks the appropriate mechanisms for promoting better health care services. Nurse training programs, both pre-service and in-service, do not emphasize on installing strong communication skills to the trainees. The ignorance is subsequently passed on into the work field.
Despite the nation devising measures for improving provider-patient interaction and communication, no significant change has been noted. This, therefore, calls for the need to design further steps to achieve success. The nursing body, in collaboration with trainers, should develop ways to instil the desired patient interaction and communication skills early, most preferably during training.
Bizarre instances have been reported to occur due to lack of enactment of proper communication. Various inefficiencies have been attributed to a breakdown in communication. These include; medical errors, lack of or inadequate treatment and rising of additional, unnecessary costs have been caused by the breakdown in communication. These errors underline the necessity of devising proper communication systems to avoid similar misgivings. The nurse on duty, for example, may end up administering wrong medication to the patient due to misinformation.
Improper coordination by different bodies of the nursing bodies is attributed to inefficiencies in meeting the bio-psychological needs of the patients. Oral communication is considered a fundamental aspect of the achievement of the well-being of the patient. This is not available in the nurse-patient interaction, making the achievement of quality health care unattainable. As nurses are unable to express their sincerity and commitment towards the betterment of the patient’s health, doubt is set in the mind-set of the patient on the willingness of the healthcare provider intention to help. Nurses’ failure to communicate with each other properly also led to inadequate patient care. Lack of understanding amongst the team may result in the passing of contradicting information by the nurses to the patient, and possibly undermine the overall safety of the patient.
The nursing profession is a delicate sector and a pillar of the health care system. Mismatch in relaying of information may lead to adverse effects to the patient, including the possibility of death. Families and friends of the patients are also affected when information does not flow properly (Unluturk, M. S., Ozcanhan, & Dalkilic, 2015). Misrepresentation of the patients’ progress results may occur due to errors in relaying of information by the health care providers.
Patients over time become irritated by the unacceptable mistakes caused by the breakdown in communication. However, the inefficient communication systems and other barriers of nurse-patient communication bar the patient from notifying the health care personnel, worsening the condition. In collaboration with other factors, this may lead to reduced recovery speed of the patient, bringing prolonged stay and additional expenses.
The setting of appropriate strategies for the involved parties to provide for efficient relaying of information significantly improves the quality of health care. If the plan is keenly followed, cases of errors of assumption will be reduced, resulting in better service delivery. Patient satisfaction in the short and long run will be achieved as a consequence of a free flow of information, ideas and suggestions to, and from the patients.
Coordination between all stakeholders is vital for the achievement of a complete, efficient running of the health care industry. The nurses should also ensure a proper system of communication with physicians and other medical professionals is established. A favourable working relationship which is essential for the optimum performance of personnel will thrive in this environment, consequently resulting in better care.
Healthcare and Evidence Based Practice Capstone Paper and Implementation Plan
Evaluation method helps in identifying the objectives and manner in which a particular data had been evaluated .collected and analysed. When having a defined project evaluation plan will guide the activities and will ensure there are best service and success in the project. The assessment plan is paramount for the quality delivery of Medicare to patients by nurses and doctors. There have been problems in the health sector on the provision of the healthcare which affects the patients who are the recipient of Medicare. Because of that problem I have been forced to give a proposal for a project which will cater for the patient’s welfare since they are the ones targeted. The only solution is to have a patient-centred Medicare which will reduce all the problems which have been there for mortality rate and the readmission because of the relapse of the problems.
The patient –centred Medicare will take the services close to the patients, and there will be an observation by the head of centres to ensure it is efficient and satisfying to family members. Readmission rate is the challenging issue which would be solved by the proposal. Before the implementation of the plan, there has been lengthy hospitalization of patients which led to high cost of Medicare. Readmission has caused the patient’s speed a lot of money and in return get inadequate healthcare. To do away with all those challenges the patient –centred Medicare will extend the medication even after discharge. This proposal has reduced the rate of readmission from 30% to 20% which shows the effectiveness. Patient –centred care is aiming to lower the cost of healthcare and the pattern of admission among patients.
Evaluation plan for Healthcare and Evidence Based Practice Capstone Paper
There have been many cases of poor medication which lead to the death of the patients, and the issue has raised an alarm. The biggest problem has been the communication where the doctors fail to involve the patients in the progress of their Medicare (Grol, Wensing, Eccles, & Davis, 2013). The patients have little or no information about how they are doing and that make it difficult for them to recover from illnesses. By employing the patient-centred heal care, the mortality rates will reduce because the patients will be involved in the decision-making. The research shows that the satisfaction level has risen to over 50% after initiating the change.
The variables of assessing the project are the mortality rates among patients and reduction off the injuries which give the proposal credit. The patients will have a short stay in the hospital and the rate of readmission still can useful in evaluating the project. The families of the patient still can be used to assess the project because there will be lower medication cost and insurance.
The questionnaires will be tools used to evaluate the project outcome which will be filled by the nurses and practitioners. The survey will also be conducted in different hospitals which will be followed by seminars and training sessions (Grol, Wensing, Eccles, & Davis, 2013).
Healthcare and Evidence Based Practice Capstone Paper and Disseminating Evidence
The main aim of every project is arguably the presentation and implementation of the resultant strategy (Mitton, Adair, & McKenzie, E., 2007). Information obtained from this study will be presented to health care stakeholders over a 3-month timeframe. Hospital CEO, NICU Nurse Manager, Director of Paediatrics, and other relevant officials will receive the publication to consider incorporating the strategy into the system. Conferences and workshops will be arranged in due course to ensure a high-profile implementation of the project. A two-way interactive process will be established allowing for feedback from the NICU to the project implementers on the implementation progress and any changes required. Publication of the plan in pamphlets and online sources will also help cover a wider audience, allowing for utilization of other health care facilities (Lomas, 2013).
Healthcare and Evidence Based Practice Capstone Paper References
Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013). Improving patient care. John Wiley & Sons.
Kourkouta, L., & Papathaniasiou, I. (2014). Communication in nursing practice. Journal of the Academy of Medical Science, 26(1), 65-67.
Lomas, J. (2013). Diffusion, dissemination, and implementation: who should do what? Acad Science, 226-235.
Lombardo, C. (2013). Nursing’s role in achieving excellence in care delivery across the continuum of health for new mothers with hypertension. Journal of Obstetric, Gynecologic and Neonatal Nursing, 42.
Mitton, C., Adair, C., & McKenzie, E. (2007). Knowledge transfer and exchange: review and synthesis of the literature (Vol. 85). Milbank.
Unluturk, M. S., Ozcanhan, M., & Dalkilic, G. (2015). Improving communication among nurses and patients. Computer Methods and Programs in Biomedicine, 120(2), 102-112.
