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Nursing Capstone and Leadership for Baccalaureate Practice

TOPIC - Enhanced Postoperative Mobility Protocol for Bariatric

CAPSTONE CHANGE PROJECT PLAN

PICOT Question - In postoperative bariatric patients (P), does the implementation of an enhanced mobility protocol (I), compared to standard mobility practices (C), reduce the incidence of complications such as DVT and PE (O) within 30 days postoperatively (T)?

Purpose: Synthesize and apply nursing leadership and capstoneconcepts learned in the course and program to bring about change. The project should be an actual change that could be implemented within your own facility or community(real setting, not fictitious) and relate to management concepts. The change should be written as though it will be implemented sometimewithin the next year - not a change that is currently being implemented or has already been implemented.Your topic, setting, and change theory must be approved by the course professor. The topic must be within the scope of nursing practice and be directly related to the baccalaureate nursingrole.

Choosing a Topic: As you brainstorm a topic for your capstone change project, consider the following:

Question 1. The topic must relate to a nursing practice issue or problem; ask yourself if you can explain how the change affects nursing or patient care outcomes. Get Expert Assignment Help, Top-Rated and Fast!

Question 2. Spend time in the online library identifying peer-reviewed evidence-based articles that study your identified problem and/or proposed change. Chosen articles should represent the most recent research evidence on your topic. Apply your skills (from N320 EBP) to consider the strength of each study; is there enough strength of evidence to support a practice change? From here, you will design your PICO(T) question.

Question 3. Review the current policies and procedures in place, within the selected setting, that pertain to your change idea. Is there already a policy/procedure that discusses your change? If so, this is not an appropriate topic. Try to think of similar ideas that are not addressed in that policy such as ways to improve compliance.

Question 4. Complete the Capstone Proposal Form (find linked above or in the content area of D2L).You will need to provide enough information so the change you are wanting to make can be visualized. View this part of the request as providing evidence that the change is needed.

Ideas for Capstone Project Plan Topics:include but are not limited to the following:
- Developing staff training or educational programs
- Introducing a change on a unit such as one to be in compliance withThe Joint Commission
- Developing and implementing new procedures/policies
- Developing a specific protocol or policy with staff education
- Developing a parish nurse program
- Developing a community health fair
- Implementing a new piece of equipment
- Implementing a best practice or quality improvement plan
- Creating a new leadership structure
- Improving conflictresolution among healthcare team
- Improving patient de-escalation skills for violence prevention

Topics to Avoid (not choose):(found in past example papers)
• Anything already in practice/policy at your facility
• Implementing bedside shift report
• I-PASS Handoff
• Newborn Blood Glucose Monitoring
• Ventilator Acquired Pneumonia (VAP) prevention
• Central line catheter infection prevention
• Urinary catheter infection prevention
• Nurse/patient ratios
• Fall prevention strategies

Choose and Describe the Healthcare Setting:

• Describe the setting where the change will take place. Identify the context in which the change will occur. It can be any healthcare setting, such as a clinic, community agency, long-term care facility, hospital, etc., as long as it is a real setting within your community. Your proposed change can pertain to the system or a unit within the system, a group of workers within the system, a shift within the system, etc.

• Try to describe in as much detail as you can, factors that are pertinent to your proposed change, such as
o number of employees impacted,
o size and location of the unit,
o mission/philosophy of the organization,
o organizational structure,
o health care delivery system used,
o demographics of the geographical area, etc.

Choose and apply a change theory:From your textbook or the Planned Change Quality Control Modules, e.g. the PDSA Cycle, Lewin's Change Theory, Lippitt's Change Model, Roger's Stages of Innovation.

Basic Assignment Requirements:

• Anticipated length of the paper is 7-8 pages (excluding cover page and references) Note: If you go over this limit, your paper is subject to up to a 10%-point deduction depending on the number of pages over 8.
• Written in the third person (the leader, the writer, or change agent).

Skills & Knowledge/Course Outcomes:

1. Apply leadership theories and strategies within dynamic healthcare systems to provide high-quality, safe and equitable care to diverse populations.
2. Examine healthcare policy, finance, and regulatory environments, including local, national, and global trends.
3. Demonstrate accomplishment of all program outcomes through the written capstone project and reflection journal.
4. Synthesize the underpinnings of baccalaureate nursing education practice and leadership concepts to improve health outcomes of diverse populations.

Objectives, Learners Will:
• Synthesize Knowledge for Nursing Practiceto support and provide justification for the change.
• Employ Quality and SafetyPrinciples to enhance quality and minimize the risk of harm to patients and providers.
• Create Population Health interventions (the change plan) to promote equitable population health outcomes.
• Demonstrate Person-Centered Care for stakeholders.
• Apply communication strategies including Interprofessional Partnershipsand use of Information and Healthcare Technologiesto effectively manage and improve the delivery of safe, high-quality, efficient and equitable healthcare. 
• ApplyScholarship for Nursing Practice (leadership and change theories) to improve health and transform healthcarethrough the creation and implement a change project plan.
• Apply knowledge ofSystems-Based Practice to provide safe, quality and equitable care in the organization. 
• Demonstrate Professionalism to reflect nursing's identity, characteristics and values.
• Apply Personal, Professional, and Leadership skills to promote self-care, nursing expertise and leadership.
• Describe how the change project plan results will be evaluated and disseminated to the interprofessional team.