...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...My Reflection on Application of Analytic Methods Course Nursing profession of today’s world has called for the elevation of the advanced nursing education to a higher degree for a better patient health outcome (Cronenwett, et al., 2011). To this effect, in 2004 the American Association of Colleges of Nursing (ANCN) endorsed that the Advanced Practice Registered Nurses (APRN) receive training to the Doctor of Nursing Practice (DNP) degree. In reference to the APRN approval for a higher degree, I went back to school to earn a DNP degree. Looking back at my journey towards obtaining a DNP degree at Chamberlain College of Nursing, I will proudly say that I have completed a sixteen week of my DNP journey that the ANCN has advocated for. Hence, the following account is a self-reflection of my experience in the application of analytical methods course. Over that...
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...Problem Statement 4 Objectives 4 Summary of Key Objectives: 5 Alternatives 6 Description of Alternatives: 6 Selection 6 Consequence Table with Original Values: Title 7 Weighted Scoring Model: Title 8 Consequences 9 Risk Profile: Title 9 Implementation, Monitoring and Control 10 Timeline: 10 Summary 11 Works Cited 12 Executive Summary I am nearing the end of my graduate studies for a master’s in nursing administration. I was presented with the option to continue for another year at my present academic institution for a master’s in business administration. However, an additional option was presented from another academic institution, to pursue a doctorate degree in nursing practice. The program is two years. Should I pursue another master’s degree but in business administration or move on with my master’s in nursing administration and go right for my doctorate in nursing practice? My true goal is to stay true my nursing core values. I would like to be prepared for a role as a Chief Nursing Officer (CNO). Introduction – Overview of Decision Problem Problem Statement The nature of the decision correlates to pressure as I am quickly approaching the end my current graduate studies. I decided to pursue my masters in nursing with a specialty in nursing administration. My current educational institution provided me the option to continue one additional year for the purposes of obtaining a masters degree in business administration. It is called...
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...Summary of Research Accomplishments I am a Doctor of Nursing Practice (DNP) student at the University of Wisconsin-Madison with an anticipated graduation in August 2018. As a part of my DNP degree requirements, I decided to focus my scholarly project on the graduate clinical education. Majority of advanced practice nursing (APN) programs rely heavily on one-to-one preceptor-student model to provide clinical education. Nationally, there is inadequate number of clinical sites and clinical preceptors. And many APN programs are facing challenge to retain and recruit graduate clinical preceptors especially in the primary care including the DNP program at the UW-Madison. Beside a high demand, preceptors available to precept have to overcome several barriers to provide a high quality clinical education including a lack of any formal training in an educator role....
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...the health of older adults. Hummel and Prizada (1994) found that compared to the cost of physician-only teams, the cost of a physician-NP team long term care facility were 42% lower for the intermediate and skilled care residents and 26% lower for those with long-term stays. NP-managed care within acute-care settings is also associated with lower costs. Chen, McNeese-Smith, Cowan, and Upenieks (2009) found that NP-led care was associated with lower overall drug costs for inpatients. The introduction of an NP model in a health system’s neuroscience area resulted in over $2.4 million savings the first year and a return on investment of 1600 percent; similar savings and outcomes were demonstrated as the NP model was expanded in the system (Larkin, 2003). Boling (2009) cites an intensive short-term transitional care NP program documented by Smigleski et al through which healthcare costs were decreased by 65% or more after enrollment, as well as the introduction of an NP model in a system’s cardiovascular area associated with a decrease in mortality from 3.7% to 0.6% and over 9% decreased cost per case (from $27,037 to $24,511). In addition to absolute cost, other factors are important to health care cost-effectiveness. These include illness prevention, health promotion, and outcomes. Where can Nurse Practitioners work without the supervision of a Physician? Since the inception of the first Nurse Practitioner education program in 1965, men and women in the profession have experienced...
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...Nursing is a profession of humanistic service that requires empathy and compassion to manage the mental and physiological welfare of others. Accordingly, the profession demands quality, safety, and efficiency in the provision of services that are acquired via expert knowledge. Hence, nursing knowledge, regardless of specialty focus, should not be viewed from a singular vernacular but rather from a dimensional perspective that addresses social, cultural, economic, political, and technological factors that encompass healthcare delivery (McEwen & Ellis, 2011). Nursing is kaleidoscopic and requires adaptation that can be derived via exercising awareness and developing skills to meet the demanding needs of an ever-changing society. Thus, the...
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...Canyon University Nursing History, Theories, and Conceptual Model NRS-430V Lorilee McAfee October 31, 2015 Changing for the Better The 2010 Affordable Care Act has changed the way health care needs will be delivered to the American people. It requires transforming the health care system to meet new challenges such as, quality, affordable and safe care that will require the roles of health care professionals, including nurses, roles to be reevaluated ("Health Care Reform," 2015). With that said, the Institution of Medicine (IOM) released a report in 2010 that states, “nurses’ roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America’s increasingly complex health system” ("Health Care Reform," 2015, p. 1). The 2010 IOM report has great impact in the nursing field that will promote positive changes. In this paper I will discuss the impact of the IOM report on nursing education, nurse’s role as a leader, and nursing practice, particularly in primary care. Lastly, an explanation of how one can change their current practice to meet the goals of the IOM report will be discussed. The IOM report calls for nurses to achieve higher levels of education. One of the impacts to nursing education is the goal of increasing the percentage of nurses with a bachelor’s of science in nursing (BSN) to 80 percent by 2020 ("The Future of Nursing," 2011). In order to...
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...level of nursing practice, leadership and nursing applies research with the scope of the doctoral practicum. The leadership role in the doctoral prepared nurse educator applies complex knowledge to rapid changes in the healthcare field. These challenges can be utilized as knowledge to improve teaching methods and practices. Role of the Doctoral Prepared Nurse as Educators The role of the doctoral prepared nurse as an educator varies depending on the track in which the educator is teaching. The doctoral prepared nurse is always in a leader role. The doctoral prepared nurse is also a role model because students look up to their teachers. As a doctoral prepared nurse educator, “I believe that the role is tailored to the need of each student, which is interchangeably” Purpose of Interview The purpose of this interview is to become familiar with the role of the doctoral prepared nurse as an educator. In interviewing, Ms. J Thomas, she stated that her motivation came from the love that she has for nursing. Nursing has many great aspects such as, job security and versatility- you can change jobs but remain in the same career field. Importance of a Doctoral in Education The importance of doctoral education is that it provides a higher level of education in specialty areas. According to Penn (2008), the groundswell of support for the Doctor of Nursing Practice (DNP) degree is a good indication that by the year 2015, the majority of specialty practice education will occur in DNP rather...
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...Are a Physician Assistant PA. Both nursing practitioner and physic assistant can play the roles in healthcare practices. Patient is in good hand, weather we are treated by a PA or a NP. The different between a nursing practitioner and a physician assistant NP favor the nursing model while the PA favor the medical model. Education to become a nurse practitioner (NP) requires coursework and clinical rotations beyond that required of the RN. Curriculum includes, but is not limited to, courses in epidemiology; nursing theory; health promotion; pathophysiology; physical assessment; pharmacology; differential diagnosis and laboratory/radiography diagnostics; statistics and research methods; health policy; role development and leadership; acute and basic chronic disease management (e.g., adults, children, women's health, geriatrics, etc.); and, clinical rotations, which varies depending on the program. MSN programs also require a clinical research project. There are a variety of paths to becoming a licensed nurse practitioner in the United States. Typically, the process begins with obtaining a Bachelor of Science in Nursing (BSN, usually 4 years), followed by a Master’s of Science in Nursing (MSN, usually 50 credits). The flexibility of the MSN degree allows students to work full-time as a bedside nurse while completing the coursework - a task that would be impossible in the rigorous medical training to become a physician or physician assistant. DNP programs are similar to the MSN programs...
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...Bedside Report from the Emergency Department. Translational Research March 31, 2016 The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to...
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...of the Institute of Medicine Report on Nursing Amy Nikrasch Grand Canyon University: NRS-430V 01 December 2013 The Institute of Medicine's Impact on Nursing The United States government has identified that a health care reform is needed to ensure that all individuals have access to health care. In March 2010 President Obama signed the Affordable Care Act (ACA) to ensure all individuals in the United States will have access to quality health care ("Key Features Affordable Care ", 2013). Many organizations, including the Institute of Medicine (IOM), recognize that changes need to be made to the current health care system in order for Affordable Care Act to be successful. In 2010 the IOM issued a report reflecting changes needed in health care including: nursing education, nursing practice, and nursing roles as leaders (“Future Nursing”, 2010). Changes in Education According to the IOM report, nursing education is one area of health care that requires changes. Currently entry nursing is comprised of nurses with diplomas, associate degrees, baccalaureate degrees, and master's degrees. The IOM's goal is to have 80% of nurses with a minimum of a baccalaureate degree and allow them to practice to the fullest of their education and training by 2020. Health care will be shifting to more patient centered care, focusing on health promotion and preventative care with less acute and specialty care. Associate level nursing curriculums do not prepare nurses with this...
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...the present trends in the leadership and role theories. We also discussed about different types of leadership and their attributes, and the DNP prepared nurse leaders prospective in reference to patient safety and positive health outcomes. As the class progresses, I learn different types of leadership but the most fascinating one is the transformational leadership. As echoed by Tinkham (2015), this type of leadership, which is the process whereby the leader attend to the needs and the motive of the followers. Transformational leadership has good qualities that one should aspired for because the transformational leaders are this type of leaders are guided by inspiring their...
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...Developments in Professional Nursing Grace Varghese Grand Canyon University NRS-430 Professional Dynamics June 16th, 2013 In the health care system nurses are taking the important role. Bed side nurses, school health nurse, nurses in different leadership positions etc. We can see many obstacles in the fast changing health care systems. To prevent these obstacles, institution such as IOM (Institute of Medicine) and RWJF (Robert wood Johnson Foundation), introduced a two year plan to make some changes to remodel and repair the nursing profession. The nurses have to provide a high quality nursing care to the patients and in order to achieve this, they have to attain high education, training and attend health care conferences and mandatory classes along with healthcare team including the physicians. This participation will bring a great change in reformation of the health care system in the future. This is also known as required effective work force (IOM Future of Nursing Report). The future of nursing is going to face many challenges. In order to overcome these challenges, the health care system has found some new solutions. Those solutions are: to advance the nursing profession to higher level degrees to perform safe and quality nursing care teaching, leadership, evidence based practice, and expand nursing schools Why we are in need of higher education in the future? Because the competencies are very essential to spread the nursing profession and nurses are in a great...
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...unique. This respect and trust are also achieved by “Inspirational motivation”, where the leader articulates and shares a clear vision, which allows followers to become passionate and motivated to have the same vision and, finally by “Idealized influence”, where they serve as a role model. (Bass, 1985) (Riggio, 2009) With these unique skill sets in leadership, transformational leaders can effect changes in healthcare organizations, and help organizations survive and achieve interdisciplinary collaboration and community partnership singular solutions do not adequately address the kinds of complex problems presented to patient-care decision makers In order to form, interdisciplinary teams there must consistency, a willingness to be part of a team and strong relationship with followers and the organization. To create this collaborative environment, the transformational leader must be able to engage and empower followers. According to (Lussier & Achua, 2010) transformational leaders face major challenges: Identifying the need for change, leading the transition and sustaining change. Identify change According to The American Association of Colleges of Nursing (AACN), (2006) DNP Essential II, the DNP graduate, is able to understand the principles of management and be able assess the need for change, and formulate strategies to implement them. The need for improved care and cost productive care may be essential for improving practice. However, some, worker or ...
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...Waynesburg University NUR 518 I began my journey to become a nurse in 2006 when I graduated high school and entered a nursing school in Akron, Ohio. Thankfully, upon graduation in 2010 from Robert Morris University I was able to quickly find a job that would lead me to wanting to advance my career further and get my masters degree in nursing. Without the many programs made available because of willing nurses to become educators, a lot of us would not be where we are today, myself included. Many people think about the nursing shortage when it comes to bedside nursing and nurses in hospitals. Few rarely think that in order for a person to become a nurse they actually need other nurses that are willing to teach them. As the baby boomer generation gets older, we have to keep in mind that this is also a lot of our nurses in the field right now. According to the Administration on Aging by 2030 there will be 72.1 million people in the United States age 65 and older, which will be about 19% of the population. This number is compared to just 12.4% of the population in the year 2000. Again, not only do these numbers show the advancing age of our population, it shows that a lot of the nurses that we have in the work force right now are going to be retiring within the next 10-15 years. According to the National League for Nursing, in 2007, one out of five nurse educators planned to retire within 3 to 5 years. Unfortunately, projected retirements are expected to...
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