Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

 In this assessment, youll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).

To prepare for the assessment, complete the following:

  • Identify the patient, family, or group you want to work with during your practicum The patient you select can be a friend or a family member. Youll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.
  • Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

  • Define a patient, family, or population health problem thats relevant to your practice.
    • Summarize the problem youll explore.
    • Identify the patient, family, or group you intend to work with during your practicum.
    • Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
    • Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.
  • Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem youve defined.
    • Note whether the authors provide supporting evidence from the literature thats consistent with what you see in your nursing practice.
    • Explain how you would know if the data are unreliable.
    • Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem youve defined.
    • Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
    • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
    • Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.
  • Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem youve defined.
    • Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
    • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
    • Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.
  • Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem youve defined.
    • Discuss research on the effectiveness of leadership strategies.
    • Define the role that you anticipate leadership must play in addressing the problem.
    • Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
    • Describe the change management strategies that you anticipate will be required to address the problem.
    • Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.
  • Organize content so ideas flow logically with smooth transitions.
  • Apply APA style and formatting to scholarly writing.
Additional Requirements
  • Format: Format your paper using APA style.  is provided to help you in writing and formatting your paper. Be sure to include:
    • A title page and reference page. An abstract is not required.
    • Appropriate section headings.
  • Length: Your paper should be approximately 5-7 pages in length, not including the reference page.
  • Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
  • Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

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