Chamberlain College of Nursing NR451: RN Capstone Course Capstone Project Milestone  2:  Design for Change  Proposal  Guide lines Purpose You are to create a Design for Change proposal inclusive of your  P ractice  I ssue  and Evidence Summary  worksheet  from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.  Course Outcomes This assignment enables the student to meet the following course outcomes.  •  CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1) •  CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2) Due Date Milestone  2 consists of the proposal for your Design for Change  Capstone Project. Submit this assignment  to the Dropbox by the end of  Week 4 . Points Milestone  2 is worth  225 points . Directions 1.  Create a proposal for your Design for Change Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course Resources  to create your paper . You will include  the information from Milestone  1, your  practice issue  and evidence summary  worksheet s , as you compose this proposal. Your plan is to convince your management team of a  practice  problem you have uncovered  that  is significant enough to change  current practice .  2.  The format for this proposal will be a paper following the  Publication manual of APA  6 th edition. 3.  The paper is to be four- to six-pages excluding the Title page and Reference page. 4.  As you organize your information and evidence, include the following topics. a.  Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the  Publication manual of the American Psychological Association  (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution. b.  Change  Model Overview:  Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.  c.  Evidence:  Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.  d.  Translation:  develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.  e.  ...

1. Chamberlain College of Nursing
NR451:
RN Capstone Course
Capstone Project Milestone
2:
Design for Change
Proposal
Guide
lines
Purpose
You are to create a Design for Change proposal inclusive of
your
P
ractice
I
ssue
and Evidence Summary
worksheet
from your Capstone Project Milestone #1. Your plan is to
convince your management team of a nursing problem you have
uncovered and you feel is significant enough to change the way
something is currently practiced. In the event you are not
currently working as a nurse, please use a hypothetical clinical
situation you experienced in nursing school, or nursing
education issue you identified in your nursing program.
Course Outcomes
This assignment enables the student to meet the following
course outcomes.
•
CO1: Applies the theories and principles of nursing and related
disciplines to individuals, families, aggregates, and
communities from entry to the healthcare system through long-
term planning. (PO #1)
•

2. CO2: Proposes leadership and collaboration strategies for use
with consumers and other healthcare providers in managing care
and/or delegating responsibilities for health promotion, illness
prevention, health restoration and maintenance, and
rehabilitative activities. (PO #2)
Due Date
Milestone
2 consists of the proposal for your Design for Change
Capstone Project. Submit this assignment
to the Dropbox by the end of
Week 4
.
Points
Milestone
2 is worth
225 points
.
Directions
1.
Create a proposal for your Design for Change Capstone Project.
Open the
NR451_Milestone2_Design_Proposal_
template in Course Resources
to create your paper
. You will include
the information from Milestone
1, your
practice issue
and evidence summary
worksheet
s
, as you compose this proposal. Your plan is to convince your
management team of a
practice
problem you have uncovered
that

3. is significant enough to change
current practice
.
2.
The format for this proposal will be a paper following the
Publication manual of APA
6
th
edition.
3.
The paper is to be four- to six-pages excluding the Title page
and Reference page.
4.
As you organize your information and evidence, include the
following topics.
a.
Introduction:
Write an introduction but do not use “Introduction” as a heading
in accordance with the rules put forth in the
Publication manual of the American Psychological Association
(2010, p. 63).
Introduce the reader to the plan with evidence-based problem
identification and solution.
b.
Change
Model Overview:
Overview of ACE Star model; define the scope of the EBP;
identify the stakeholders, and determine the responsibility of
the team members.
c.
Evidence:
Conduct internal and external searches of evidence; integrate
and summarize the evidence summary worksheet from Milestone
1; develop a recommendation for change.
d.

4. Translation:
develop a hypothetical action plan; include measurable
outcomes, reporting to stakeholders; identify next steps and
disseminate the findings.
e.
Conclusion:
Provide a clear and concise summary, inclusive of the p
roblem issue
,
the
five points of the ACE Star change model
;
and ways to maintain the change plan.
5.
Citations and References
must be included
to support the information within each topic area. Refer to the
APA manual, Chapter 7, for examples of proper reference
format. In-text citations are to be noted for all information
contained in your paper that is not your original idea or thought.
Ask yourself, “How do I know this?” and then cite the source.
Scholarly sources are expected, which means using peer-
reviewed journals and credible websites.
6.
Tables and Figures may be added
as appropriate to the project. They should be embedded within
the body of the paper (see your APA manual for how to format
and cite). Creating tables and figures offers visual aids to the
reader and enhances understanding of your literature review and
design for change.
Grading Criteria:
Design for Change
Capstone P

5. roject
Category
Points
%
Description
Introduction
25
11%
Introduction to the plan is nursing focused, with evidence-based
problem identification and potential solutions clearly identified.
Change
Model Overview
50
22%
P
ractice
issue
is
identified and is
nursing focused.
An overview of the ACE Star model is given.
The need for change is evident.
S
takeholders
are identified.
Practice area
, team members and their role are identified and discussed.
Scope of the problem is identified.
State
how
nurses should use this model as a guide to facilitate change
.
Evidence
50
22%
Evidence is provided thru statistical information that indicates a

6. change is needed. For example, there have been 6 urinary tract
infections over the last two months and there were none present
the last two years at the same time period. What are some of
the
evidence-based
interventions you discovered in your Evidence Summary that do
you plan to use?
Translation
50
22%
Activities to achieve the final steps of change are fully
described. What is needed to achieve. How do you translate
what information you have gathered into practice? How do you
inform staff? What is your plan of action to pilot the plan?
What is the timeline?
Conclusion
25
11%
Clear, solid summary summarizing the key points and steps of
the change plan is included; ways to
sustain
the change plan are described.
APA Format
25
11%
Minimal errors.
Total
225 points
100%
Grading Rubric:
Capstone Project Milestone #2
Assignment Criteria
A (100%)
Exceptional

7. 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
Introduction
25 points
Introduction to the plan is nursing focused,
and
evidence-based
.
P
otential
interventions
clearly identified.
25
points
☐
Introduction to the plan is nursing focused,
and
evidence-based solutions
identified but not clear.
22
points
☐

8. Introduction to the plan is provided; however,
the plan is not nursing focused and
evidence
-based
solution
s
are
not convincing.
2
0 points
☐
Introduction lacks evidence to support need for change and/or
potential solution is not
evidenced-based.
10 points
☐
Introduction
is missing
.
0 points
☐
Change
Model Overview
50 points
P
ractice
issue
is nursing focused.
O
verview of the ACE Star model is given.
Rationale for change is present.
S
takeholders
are identified.

9. Practice area
, team members and role are discussed.
Scope of problem is identified.
5
0 points
☐
P
ractice
issue
is nursing focused.
Overview of the ACE Star model is given. Rationale for change
is not present.
S
takeholders
are identified.
Practice area
, team members and role are discussed.
Scope of problem is identified.
44
points
☐
P
ractice
issue
is nursing focused.
Overview of the ACE Star model is given. Rationale for change
is not present.
S
takeholders
are not identified.
Practice area
, team members and role are discussed
but without detail
.
Scope of problem is identified.
4

10. 0 points
☐
P
ractice
issue
is nursing focused.
Overview of the ACE Star model is given. Rationale for change
is not present.
S
takeholders
are not identified.
Practice area
, team members and role are not discussed.
Scope of problem is identified.
19
points
☐
Change Model Overview is missing
0 points
☐
Evidence
50 points
Evidence is
thoroughly
provided thru statistical information
of the current problem
in the
work
setting indicating a change is needed.
I
nterventions discovered in Evidence Summary
are
used in planning for change.
5
0 points
☐

11. Evidence is
briefly provided thru statistical information of the current
problem in the work setting indicating a change is needed.
Some of t
he interventions discovered in Evidence Summary
are
used in planning for change.
44
points
☐
Evidence is
vaguely provided thru statistical information of the current
problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are
used in planning for change.
4
0 points
☐
Evidence is provided thru statistical information of the current
problem but is not convincing.
I
nterventions discovered in Evidence Summary
are not
used in planning for change.
19
points
☐
Evidence is not provided thru statistical information of the
current problem; there is no indication of change; there no
interventions lis
ted from the Evidence Summary.
0 points
☐
Translation
50 points
Activities to achieve final steps of change are fully described.

12. Ways
to
translate
evidence
into practice
is discussed.
Methods to inform staff, activities planned for plan of action
and timeline are discussed.
5
0 points
☐
Activities to achieve final steps of change are fully described.
How
to
translate
evidence
into practice
is
discussed but is not clear
.
Methods to inform staff, activities planned for plan of action
and timeline are discussed.
44
points
☐
Activities to achieve final steps of change are fully described.
How
to
translate
evidence
into practice
is not discussed.
Methods to inform staff, activities planned for plan of action
but timeline is not mentioned.
4

13. 0 points
☐
Activities to achieve final steps of change are described
but not in detail
.
How
to
translate
evidence
into practice
is not discussed.
Methods to inform staff, activities planned for plan of action
but timeline is not mentioned.
19
points
☐
Activities for final change plan is missing
.
Translation of evidence into practice is missing.
0 points
☐
Conclusion
25 points
Detailed
summary
of main points.
W
ays to
sustain
plan are
thoroughly
described.
25
points
☐

14. S
ummary
of main points
is
brief.
W
ays to
sustain
plan are
briefly
described.
22
points
☐
S
ummary
of main points
is
vague.
W
ays
to
sustain
plan
are
vaguely
described.
2
0 points
☐
S
ummary
of main points is

15. vague.
W
ays to
sustain change
are not described
.
1
0 points
☐
Summary
is
missing.
There is no plan to
s
ustain change.
0 points
☐
APA formatting, scholarly writing
25 points
APA format sixth edition
.
Grammar
, sentence
s
tructure, punctuation, and spelling
correct.
References, citations correct.
Paper formatted in APA format.
No errors to one error.
25
points
☐
Two to three errors.
22

16. points
☐
Four to five errors.
2
0 points
☐
Six to seven errors.
1
0 points
☐
More than seven errors.
0 points
☐
Total Points
NR451 W4
Milestone
2
Guidelines
2
/1
6
/17
GH
5
Running h
ead:
TYPE

17. SHORT TITLE
IN ALL CAPS
1
Title
Your Name
Chamberlain College of Nursing
NR451
RN
Capstone Course
Term and Year
TYPE
SHORT TITLE
IN ALL CAPS
2
Your title here
This paragraph(s) is to introduce the paper. State the problem
and potential solutions backed by evidence. Briefly, introduce
the nursing focused plan. Remember this is a scholarly APA
assignment so
you cannot use first person
.
Remember
also
that you will keep all the bolded headings and just remove the
non-bolded content when you start your paper.
Chan

18. ge
Model Overview
In this first paragraph, provide an overview of the
ACE Star model
Evidence-Based Practice Process. Feel free to state why nurses
should use this model as a guide to facilitate change. Under
each of the second level headers listed belo
w, you
now link your identified topic to the
ACE Star model
EBP Process.
Define the Scope of the EBP
Restate your
practice issue
. Why is this a problem? Give statistics and information to back
the scope of the problem
at your facility/work area
.
How does this
problem impac
t healthcare on a broader scale?
Stakeholders
You will be the leader of the team since this is your project.
Who will you also include in your team? Make sure you choose
relevant stakeholders. You should have no more than eight
members. Do not list your team members by name but instead
by position (pharmacists, charge nurse
,
etc
.
).
Determine
R
esponsibility of
T
eam

19. M
embers
Why are the members chosen important to your project?
What are their roles?
Evidence
Conduct
i
nternal
/
e
xternal
s
earch for
e
vidence
.
Wha
t type of evidence did you find
in addition to you Evidence Summary
? EBP guidelines?
Quality
improvement data? Position statements?
Clinical Practice Guidelines?
Briefly discuss the strength of this research.
This is
not
where you describe the results of your studies. This is done in
the following steps.
Summarize the
E
vidence
In this section, you
need to
synthesize the information from the
systematic review

20. article.
What are some of the evidence-based interventions you
discovered in your Evidence Summary that do you plan to use?
Be sure and cite all of your references, in proper APA format,
from
any and all
a
rticles into this one paragraph.
Develop
R
ecommendations for
C
hange
B
ased on
E
vidence
W
hat is your recommendation based on the research? Ideally, you
will have found enough support in your evidence to
proceed
with implementing your pilot program.
Translation
Action
P
lan
You
have not implemented your p
roject yet,
therefore
,
this section will be
hypothetical. Develop your plan for implementation. What are
the specific steps you will take to implement your pilot study?

21. What is the timeline for your plan? Make sure you include a
plan for evaluation of outcomes and method to report the
results.
Process, Outcomes
E
valuati
on and
R
eporting
What are the desired outcomes? How will they be measured?
How will you report the results to the key stakeholders?
Identify
N
ext
S
teps
How
will you implement the plan on
a larger scale? Will this be applicable to other units or the
facility as a whole?
What will you do to en
sure that the implementation
becomes permanent?
Disseminate
F
indings
How will you communicate your findings internally (within
your organization) and externally (to others outside of your
organization)?
Conclusion
Provide a clear and concise summary. Review the key as
pects of the problem as well as the change model. Be sure to
include important aspects of the
five points
of
the ACE Star

22. change
model
EBP process
and ways to maintain the change plan.
References