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Harvard University Nursing Effects of Longer Work Shifts Capstone

 

TOPIC: The effects of longer work shifts and productivity among registered nurses in busy hospitals.

The form attached is the focus practice sheet that is mentioned in the text and please follow all the instructions that are written in the prompt.

In a 6 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.

INTRODUCTION

In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.

This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:

  • Develop a problem statement for      a patient, family, or population that’s relevant to your practice.
  • Begin building a body of evidence      that will inform your approach to your practicum.
  • Focus on the influence of      leadership, collaboration, communication, change management, and policy on      the problem.

PREPARATION

In this assessment, you’ll 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. You’ll 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.

In addition, you may wish to complete the following:

  • Review the assessment      instructions and scoring guide to ensure that you understand the work      you’ll be asked to complete and how it will be assessed.
  • Review the Practicum      Focus Sheet: Assessment 1 [PDF], which provides guidance for      conducting this portion of your practicum.

INSTRUCTIONS

Complete this assessment in two parts.

Part 1

Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.

Part 2

Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.

REQUIREMENTS

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 that’s relevant to your practice.
    • Summarize the problem you’ll       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 you’ve defined.
    • Note whether the authors       provide supporting evidence from the literature that’s 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 you’ve 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 clinical practicum.
  • Explain how state board nursing      practice standards and/or organizational or governmental policies could      affect the patient, family, or population problem you’ve 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 you’ve 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.