Develop an evidence summary by following the grading criteria below.
Capstone Project Milestone 1:
Practice Issue and Evidence Summary 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; 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.
Points
Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).
Practice Issue Worksheet Directions
- 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 situation.
- Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
- Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
- 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
- Develop an evidence summary by following the grading criteria below.
- Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.
- You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
- Please type your answers directly into the worksheet.
Grading Criteria: Practice issue
| Category | Points | % | Description |
| Practice issue statement, scope of practice, practice area | 20 | 27% | 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 identified. Identifies the practice area. |
| Practice issue identification, rationale for selections | 35 | 46% | Identifies how rationale behind how the practice issue was selected as 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.
Describes rationale 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 |
| Practice issue statement, scope of practice, practice area
20 points |
Practice issue is identified based on the systematic review topic chosen.
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, however it is based on the systematic review topic chosen.
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, however it is based on the systematic review topic chosen.
Practice issue is not 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 issue is not based on the systematic review topic. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified. 8 points ☐ |
Practice issue is not 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 is logical and described thoroughly. 35 points ☐ |
Documents how the practice issue was identified.
Rationale for responses is logical and briefly described. 33 points ☐ |
Documents how the practice issue was identified.
Rationale for responses is somewhat 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 issue was 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.
Thoroughly describes 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 needed for review and does not include rationale for selected type of evidence.
8 points ☐ |
Does not document types of evidence or 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.
Provides a complete reference for the systematic review article that was chosen from the list provided. |
| 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 the chosen practice issue. |
| Interventions/Main findings summary | 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 he/she believes may impact use of the evidence provided in their 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 -Magnitude of 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 is a Systematic Review article chosen from the approved list.
-Complete APA formatted reference is given for Systematic Review article with no errors. -The source must be relevant to the practice issue identified. 20 points ☐ |
-Source is a Systematic Review article chosen from the approved list.
-A reference is given, but it has APA formatting errors. -The source must be relevant to the practice issue identified. 18 points ☐ |
-Source is a Systematic Review article chosen from the approved list.
-No reference is provided. -The source must be relevant to the practice issue identified.
16 points ☐ |
-Source of evidence is a research article or systematic review no on the approved list.
-A reference for the article or systematic review is given. -The source is not relevant to the practice issue identified. 8 points ☐ |
-Source of evidence is not provided, or is not a research article or systematic review.
-Reference is missing. 0 points ☐ |
| Objectives of the article/ Statement of questions
20 points |
-Objectives of article are identified.
-Questions addressed by author/s are thorough. -Relationship to your practice issue is explained. 20 points ☐ |
-Objectives of article are identified.
-Questions addressed by author/s are explained but not thorough. -Relationship to your practice issue is explained. 18 points ☐ |
-Objectives of article are identified.
-Questions addressed by author/s are not thorough. -Relationship to your practice issue is vague. 16 points ☐ |
-Objectives of article are identified.
-Questions addressed by author/s is missing. -Relationship to your practice issue is not explained. 8 points ☐ |
-Objectives of article are not identified.
-Questions 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.
-Vaguely summarized 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 considered for 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, limitations of studies and potential impact to project is missing.
0 points ☐ |
| Total Points Possible = 100 points | |||||