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.

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 foryour 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 oftwoworksheets (Practice Issue Worksheet) and (Evidence Summary Worksheet). Submit the completed worksheetsto the Dropbox by Sunday 11:59 p.m. MT at the end ofWeek 3.
Points
Milestone #1 is worth175 points(75 points for the Practice Issue and 100 points for the Evidence Summary).
Practice Issue WorksheetDirections
1.Practice Issue Worksheet:
a.Read the guidelines including the grading rubrics below.You will use this worksheet todocument 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.
b.Please type your answers directly into the worksheet.
Evidence Summary WorksheetDirections
2.Evidence Summary Worksheet:
a.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 bepeer-reviewedand include anarrative 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’ withyour 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 anarrative summaryto complete your worksheet.
d.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 isan independent nursing decision.
Describes thescope ofpractice issues.
Example: The number of falls in your facilityhas been increasingespecially during shift change.What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenoreliminatethe falls?Thisis where you begin your initialsearchinto the problem or practice issue identified.
Identifies the practice area.
Practice issue identification rationaleforselections
35
46%
Identifies howrationale behind howthepractice issue was selectedas apractice issue/problem
Documents the practice issue in a logical manner.
Types of evidenceto gather rationaleforselections
20
27%
Identifies anddocumentstypes of evidence that must be gatheredforreviewof 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%)

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