Fluent Essays

see attached Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments Introduction Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented. Congratulations! The finish line is in sight for both the capstone project you have been working on all quarter and your Masters of Science in Nursing program. Take a moment to appreciate all you have accomplished and give yourself a pat on the back; you have earned it! Your final submission for your capstone project will bring together all of the sections you have worked on throughout this course, as well as the relevant revisions you have made to those sections based on feedback from your instructor, as well as feedback you have received or observations you may have made during your practicum experience. True professionals can learn to strive for continuous improvement in their work and incorporate feedback from colleagues and leaders to help scaffold improvement efforts. As a masters-level nurse you will be expected to create and implement plans and evaluate their outcomes. Being able to envision a pathway for a project to move from the idea phase all the way through the evaluation phase is a critical skill. By successfully synthesizing the various sections of this project together into one final artifact, you will have demonstrated your competence in this essential skill. Preparations · Read  Guiding Questions: Final Project Submission [DOC] . This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment. · As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. . What is the most useful skill or concept you learned while pursuing your MSN degree? . How will you leverage your degree to help you reach your ideal practice career path? . How will you be able to apply the work you have done on your capstone project to improve your personal practice? Instructions Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented. For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction. This final submission will be graded using the seven program outcomes (POs) for the Masters of Science in Nursing program. As a reminder they are: 1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care. 2. Evaluate the best available evidence for use in clinical and organizational decision making. 3. Apply quality improvement methods to impact patient, population, and systems outcomes. 4. Design patient- and population-centered care to improve health outcomes. 5. Integrate interprofessional care to improve safety and quality and to decrease cost of care. 6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care. 7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care. In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion: · Integrate writing feedback to improve the clarity and quality of final product. You will also be assessed on the completion of hours toward your practicum experience. · Demonstrate completion of hours toward the practicum experience. See the scoring guide for specific grading criteria related to these requirements. Please carefully review the outline below to see which parts of the final submission will align to which program outcomes. (Note: The bullet points in the outline correspond to the grading criteria from your previous assessments. It may be worth putting in some extra revisions on the material related to criteria on which you did not previously score as well as you would have liked. You may also wish to read the Guiding Questions: Final Project Submission document to better understand how each aspect of your submission will be assessed.) It is important to remember that if you do a quality job addressing the points below, you will meet all of the program outcomes. The alignment is provided for transparency, but do not become preoccupied with how each point will feed into the scoring guide. Abstract · Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1). Introduction · Summarize your need, target population, and setting (PO #1). · Provide a high-level overview of your intervention plan (PO #4). · Justify the importance of your need and intervention plan (PO #1). · Provide a high-level overview of your implementation plan (PO #4). · Provide a high-level over view of your evaluation plan (PO #4). Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement. Part 1: Problem Statement Need Statement · Analyze a health promotion, quality improvement, prevention, education or management need (PO #1). Population and Setting · Describe a target population and setting in which an identified need will be addressed (PO #4). Intervention Overview · Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3). Comparison of Approaches · Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5). Initial Outcome Draft · Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4). Time Estimate · Propose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1). Part 2: Literature Review · Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2). · Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7). PART 3: INTERVENTION PLAN Intervention Plan Components · Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4). · Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4). Theoretical Foundations · Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6). · Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2). Stakeholders, Policy, and Regulations · Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7). Ethical and Legal Implications · Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1). Part 4: Implementation Plan Management and Leadership · Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5). · Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1). Delivery and Technology · Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3). · Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6). Stakeholders, Policy, and Regulations · Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5). · Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7). Timeline · Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1). Part 5: Evaluation of Plan · Define the outcomes that are the goal of an intervention plan (PO #4). · Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3). Part 6: Discussion Advocacy · Analyze the nurses role in leading change and driving improvements in the quality and experience of care (PO #1). · Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5). Future Steps · Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6). Reflection on Leading Change and Improvement · Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1). · Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3). Address Generally Throughout · Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2). · Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6). · Integrate writing feedback to improve the clarity and quality of final product. MSN-FP6030 Assessment 5 MSN-FP6030 Assessment 5 Guiding Questions Final Project Submission This document is designed to give you questions to consider and additional guidance to help you successfully complete the Final Project Submission assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission. Remember, as laid out in the assessment description, the grading criteria will be the program outcomes (POs) for the Master’s of Science in Nursing program. They are reiterated below, and the parts of the final project that correspond to each are indicated throughout. MSN Program Outcomes 1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care. 2. Evaluate the best available evidence for use in clinical and organizational decision making. 3. Apply quality improvement methods to impact patient, population, and systems outcomes. 4. Design patient- and population-centered care to improve health outcomes. 5. Integrate interprofessional care to improve safety and quality and to decrease cost of care. 6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care. 7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care. Abstract Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1). · What is the purpose of your capstone project? · What need are you trying to address, and for whom? · How, in general, did you approach trying to achieve your purpose? · What were the 1–2 most important results or findings of your capstone project? Introduction Summarize your need, target population, and setting (PO #1). · What is the need you are trying to address with your capstone project? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. · What is your target population for your capstone project? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. · What is the setting in which your capstone project will be carried out? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. Provide a high-level overview of your intervention plan (PO #4). · What are the major components of your intervention plan? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. Justify the importance of your need and intervention plan (PO #1). · Why is it important to pursue your intervention plan in the context of addressing your identified need for you capstone project? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. Provide a high-level overview of your implementation plan (PO #4). · What are the major components of your implementation plan? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. Provide a high-level overview of your evaluation plan (PO #4). · What are the major components of your evaluation plan? · Remember, this in an introduction, so this should only be 1–2 sentences, at most. Part 1: Problem Statement (PICOT) Need Statement Analyze a health promotion, quality improvement, prevention, education, or management need (PO #1). · What type of need is your project trying to address? · Why is addressing this need important? · What are one or more key pieces of evidence that support the urgency of the need? Population and Setting Describe a target population and setting in which an identified need will be addressed (PO #4). · What is the population you will be targeting with your project? · Why is it important to address your identified need within this population? · What is the setting you will be targeting with your project? · Why is it important to address your identified need and target population within this setting? Intervention Overview Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3). · What interventions could be applied to your identified need? · How well do the interventions fit your target population? · How well do the interventions fit your target setting? · How well do the interventions address your identified need? Comparison of Approaches Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting (PO #5). · Discuss one or more alternatives to the intervention(s) presented in your Intervention Overview. · How do the alternatives encourage interprofessional care approaches compared to the interventions in your overview? · How well do the alternatives fit your target population compared to the interventions in your overview? · How well do the alternatives fit your target setting compared to the interventions in your overview? · How well do the alternatives address your identified need compared to the interventions in your overview? Initial Outcome Draft Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #4). · What is one outcome (or goal) that you want to achieve with your intervention and project? · How does this outcome illustrate the purpose of your intervention and project? · How does this outcome illustrate what you hope to accomplish with your intervention and project? · How does this outcome establish a framework that can be used to achieve an improvement in the quality, safety, or experience of care? Time Estimate Propose a rough time frame for the development and implementation of an intervention to address an identified need (PO #1). · What is a rough time frame for developing your intervention? · Is this time frame realistic? · What potential challenges may impact this time frame? · What is a rough time frame for implementing your intervention? · Is this time frame realistic? · What potential challenges may impact this time frame? Part 2: Literature Review Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2). · How does the evidence validate your identified need? · How does the evidence support the appropriateness of attempting to address your identified need within your target population? · How does the evidence support the appropriateness of attempting to address your identified need within your target setting? Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7). · What health policy exists that is relevant to your identified need? · How will this health policy impact the way to try to address your identified need? · In other words, are there considerations that you need to be sure you include or approaches that will be unavailable to you based on policy, as you continue to develop your project? · Remember: In this literature review you are expected to have addressed 10–15 unique resources. Part 3: Intervention Plan Intervention Plan Components Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4). · What are the major components of your intervention plan? · How will these components lead to improvements related to your identified need? · Why are these components the best option to address your identified need? Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4). · What are the cultural needs and characteristics of your target population for this project? · How will the cultural needs of the population impact the development of your intervention plan components? · What aspects of the target population’s cultural characteristics impact the development of your intervention plan components? · What are the cultural needs and characteristics of your setting for this project? · How will the cultural needs of the setting impact the development of your intervention plan components? · What aspects of the setting’s cultural characteristics impact the development of your intervention plan components? Theoretical Foundations Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO # 6). · What theoretical nursing models are relevant to your intervention plan? · Which of these models will most impact the design of the intervention plan components? · What strategies from other disciplines are relevant to your intervention plan? · Which of these strategies will most impact the design of the intervention plan components? · What health care technologies are relevant to your intervention plan? · Which of these technologies will most impact the design of the intervention plan components? Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2). · How will the theoretical nursing models you referenced help justify your design decisions regarding intervention plan components? · How will the strategies from other disciplines you referenced help justify your design decisions regarding intervention plan components? · How will the health care technologies you referenced help justify your design decisions regarding intervention plan components? Stakeholders, Policy, and Regulations Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7). · Who are the relevant stakeholders? · How will the needs of these stakeholders impact your intervention plan components? · What are the relevant health care policies? · How will these health care policies impact your intervention plan components? · What are the relevant health care regulations? · How will these health care regulations impact your intervention plan components? · What are the relevant governing bodies? · How will these governing bodies impact your intervention plan components? Ethical and Legal Implications Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1). · What are the relevant ethical issues related to your project? · How will these ethical issues affect the health care practice considerations that are relevant to your intervention plan? · How will these ethical issues affect any organizational change considerations that are relevant to your intervention plan? · How will these ethical issues affect one or more specific components of your intervention plan? · What are the relevant legal issues related to your project? · How will these legal issues affect the health care practice considerations that are relevant to your intervention plan? · How will these legal issues affect any organizational change considerations that are relevant to your intervention plan? · How will these legal issues affect one or more specific components of your intervention plan? Part 4: Implementation Plan Management and Leadership Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5). · What leadership strategies are most relevant to successfully implementing your intervention plans? · How will these strategies help to ensure interprofessional collaboration? · What management strategies are most relevant to successfully implementing your intervention plan? · How will these strategies help to ensure interprofessional collaboration? · What professional nursing practices are most relevant to successfully implementing your intervention plan? · How will these practices help to ensure interprofessional collaboration? Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1). · How will your proposed leadership strategies change the care setting in which your intervention plan will be implemented? · How will these changes impact the quality of care? · How will these changes impact the experience of care? · How will these changes help to control the costs of care? · How will your proposed management strategies change the care setting in which your intervention plan will be implemented? · How will these changes impact the quality of care? · How will these changes impact the experience of care? · How will these changes help to control the costs of care? · How will your proposed professional nursing practices change the care setting in which your intervention plan will be implemented? · How will these changes impact the quality of care? · How will these changes impact the experience of care? · How will these changes help to control the costs of care? Delivery and Technology Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3). · What delivery methods are appropriate for implementing your intervention plan? · Why are the proposed methods appropriate for implementing your intervention plan? · How will the proposed methods improve the quality of your project? Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6). · What are the current technological options that are relevant to support and improve your proposed delivery methods? · How will these current technological options help make your delivery methods more effective? · Which of the current relevant technological options will likely have the largest positive impact? · What are the emerging technological options that are relevant to support and improve your proposed delivery methods? · How might these emerging technological options help make your delivery methods more effective? · Which of the emerging relevant technological options could have the largest positive impact? Stakeholders, Policy, and Regulations Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5). · Who are the relevant stakeholders? · How will the needs of relevant stakeholders impact the implementation of your intervention plan? · What are the relevant health care regulations? · How will health care regulations impact the implementation of your intervention plan? · What other support considerations are relevant to implementing your intervention plan? · How will these additional considerations impact the implementation of your intervention plan? Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7). · What are the existing policy considerations that would support the implementation of your intervention plan? · How will the existing policy positively impact your implementation efforts? · What are one or more new policy considerations that could support the implementation of your intervention plan? · How would the new policy considerations positively impact your implementation efforts? Timeline Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1). · What is the time frame for implementing your intervention? · Is this time frame realistic? · What are the specific factors that will impact the timing of implementation? · To what degree will these factors impact the timeline? Part 5: Evaluation Plan Define the outcomes that are the goal of an intervention plan (PO #4). · What are the outcomes that you are attempting to achieve with your intervention and project? · How do the outcomes illustrate the purpose of your intervention and project? · How do the outcomes illustrate what you hope to accomplish your intervention and project? · How do the outcomes establish a framework that can be used to achieve an improvement in the quality, safety, and experience of care? Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3). · How are you going to measure and evaluate the degree to which you achieved your outcomes? · What data do you need to fully evaluate the outcomes? · How will you collect the needed data? · What tools or technology will you use to aid in data collection? · What strategies will you use to analyze and evaluate the collected data? · What tools or technology will you use to aid in data analysis? · How will the evaluation plan illustrate the impact that your intervention plan had, or will have? Part 6: Discussion Advocacy Analyze the nurses role in leading change and driving improvements in the quality and experience of care (PO #1). · How does the nurse help to lead change in professional practice and interprofessional teams? · How does the nurse help to drive improvements in the quality and experience of care in professional practice and interprofessional teams? Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5). · How does your intervention plan affect the nursing profession and role? · In other words, how does your intervention plan improve the nursing profession and practices? · How does your intervention plan affect interprofessional collaboration related to improving outcomes for the target population and setting of your intervention plan? · What are other gains and benefits to the health care field in general from your intervention plan and project? Future Steps Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6). · How could your intervention plan and project be revised to create improved or broader reaching impacts for your target population? · How could your intervention plan and project better take advantage of emerging technology to improve performance related to the outcomes of the intervention plan? · How could your intervention plan and project better take advantage of emerging care models to improve achievement of the project’s outcomes, as well as improve patient safety? Reflection on Leading Change and Improvement Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1). · How has your work on your capstone project impacted your ability to lead change in your personal practice and current care setting? · How has your work on your capstone project impacted your ability to lead change in any future leadership positions you may have? Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3). · How can the work you have undertaken with your capstone project be transferred into your current practice and care setting? · How can the work you have undertaken with your capstone project be transferred into other care settings and contexts? Address Generally Throughout Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2). · Do the resources cited support all aspects of your capstone project? · Do your resources come from a diversity of sources? · For example: the literature, professional standards, existing health care policy, relevant health care laws, et cetera. · Do you cite a minimum of 12–18 resources? · Does your submission conform to current APA style standards? Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6). · Is your writing clear and professional? · Does your writing effectively communicate the health care need, population, and setting of your capstone project? · Does your writing effectively communicate the important stakeholders and supporting evidence for you project? · Does your writing effectively communicate your intervention and how it will be evaluated? · Is your writing free from errors? · Is your submission 20–25 pages? · Does your submission conform to current APA style standards? Integrate writing feedback to improve the clarity and quality of final product. · Did you integrate feedback received on previous assessments? · Did you integrate the feedback in such a way that the clarity of your writing was improved? · Did you integrate the feedback in such a way that the quality of your writing was improved? 1 11 The population that I will working with will be 18 and older patients (inpatient facility) and the typically length of stay 7-10 days. Issues with placement or resistance to treatment can stay longer and a court hearing will be needed for these patients. Supporting family caregivers, assessing the needs of the family caregiver is important in this setting. Teaching essential skills to family caregivers ( nonverbal signals to look for or at , health care literacy, understanding the disorder, treatment plan, teachable moments that are useful to the caregiver)  Communicating with family caregivers (sharing information, discussion of common goal, family meetings, communication strategies, caregiver education).  The physical, emotional and financial stress on the caregiver being some patients can’t work and be self-sufficient .Caregiver strengths and limitations so nursing interventions can be put in place to support the limitations. Caregivers cognitive and health status (they have to be healthy themselves to care for others)  Modifying care plans with collaboration of caregivers (care plans have to be completed with caregiver input and capabilities in place). Working with nurses and social workers to find proper resources for caregiver support. The top five diagnosis on the unit at Jersey City Medical center is Schizophrenia, Bipolar Disorder, Major Depression, and Borderline Personality Disorder & Psychosis NOS My plan is to attend virtual family support sessions with social worker 3days a week in the evening, (will see the type of issues the family is having and want to discuss). I will engage in pre-court family prep sessions with nursing leadership (where patients are in court and being committed involuntary against their will) 32 bed facility only involuntary goes to court the unit has 21 beds for involuntary patients and 15 beds for voluntary patients.  Judge can order long term commitment in a longer facility, discharge home, continues the stay in the inpatient unit at Medical Center.  I will interview the family support person regarding common themes, etc. Family support person that navigates the family through this process. In my healthcare history I’ve since how stressful caregivers have been to the point where they’ve actually people the patients in live in facilities because of the behaviors. They weren’t capable of taking care of the needs of them. They would be okay but would attack the family, destroy the home, and just were very hard to handle in the home setting. The inpatient unit offer Individual support support groups, network with other families for support