Capstone Project Milestone 2:
Design for Change Proposal Guidelines
Purpose
You are
to create a Design for Change proposal inclusive of your Practice Issue 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 worksheets, 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 6th edition.
3.
The paper is to be FIVE 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 the ACE Star model (the model we have been
discussing this session); 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.
Conclusion:
Provide
a clear and concise summary, inclusive of the problem 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 Project

Program Development Case StudyHappy Valley Hospital is a community-based facility with 288 acute care beds, a twelve suite family-oriented birthing center, a forty four bed long-term care inpatient facility, and a fourteen bed inpatient rehabilitation unit. Happy Valley has a major competitor, GH, which has two hundred beds, a small cancer center, and a kidney dialysis unit.Happy Valley’s director of internal medicine, along with the director of nursing for that department, are considering establishing a new hemodialysis service. GH has a small hemodialysis unit, but they do not have enough beds to properly accommodate the needs of this community.The Happy Valley medical director has surveyed the six nephrologists with staff privileges at the hospital and has determined that all six agree that there is a need for more hemodialysis beds in the community. Moreover, these nephrologists all have staff privileges at both Happy Valley and GH and would prefer that the new beds be added to the GH unit. GH, however, has no plans to expand their unit for at least the next five years, and presently, new patients are being referred to a dialysis unit in another community thirty minutes south of Happy Valley Hospital. Those patients as well as their families find this alternative site and location to be unacceptable.Based on your understanding of the above case, express your views on the following:How should the medical director at Happy Valley try to convince patients now being referred to the dialysis unit thirty minutes to the south to switch their care to Happy Valley Hospital?What steps should the Happy Valley medical director take to ensure that patients will get the proper care and facilities at the Happy Valley Hospital hemodialysis unit, when it is established?Is the approach of GH for not having any expansion plans for the next five years for their unit justified, keeping in mind the interest of the community? Why or why not?APA format