NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary

NR451 Capstone Project Milestone 1: Practice Issue and Evidence Summary
List of Approved Systematic Reviews

NR451 Capstone Project

Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review
will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Promoting breastfeeding

Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., … Bhandari, N. (2015). Interventions to improve breastfeeding outcomes: A systematic
review and meta-analysis. Acta Paediatrica, 104, 114-134. doi:10.1111/apa.13127.

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Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections.
Cochrane Database of Systematic Reviews,(7), CD010140. doi:10.1002/14651858.CD010140.pub2.

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Increasing health insurance coverage for vulnerable populations

Jia, L., Yuan, B., Huang, F., Lu, Y., Garner, P., & Meng, Q. (2014). Strategies for expanding health insurance coverage in vulnerable populations. Cochrane Database of
Systematic Reviews,(11), 1-41. CD008194. doi:10.1002/14651858.CD008194.pub3.

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Preventing teen pregnancy and sexually-transmitted disease

Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted
infections, and pregnancy in adolescents. Cochrane Database of Systematic Reviews, (11),CD006417. doi:10.1002/14651858.CD006417.pub3.

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Reducing hospital readmissions

Mistiaen, P., & Poot, E. (2006). Telephone follow-up, initiated by a hospital-based health professional, for post discharge problems in patients discharged from
hospital to home. Cochrane Consumers and Communication Group. (4), CD004510. doi:10.1002/14651858.CD004510.pub3.

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Capstone Project Milestone 1:

Practice Issue and Evidence Summary Guidelines


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; the 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.


Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

1. Locate the list of systematic reviews in Course Resources. Choose the ONE systematic topic that of most interest to you, or most relevant to your practice

2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

3. Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

4. Your practice issue will be the same for all three Milestone assignments in this course.

5. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

1. Develop an evidence summary by following the grading criteria below.

2. Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.

3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

4. Please type your answers directly into the worksheet.

Grading Criteria: Practice issue





Practiceissue statement, scope of practice, practice area



Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in
the course.

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 lessen or eliminate the falls? This is where you begin your initial search into the problem or practice issue

Identifies the practice area.

Practice issue identification, rationale for selections



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



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.

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