I havie a formal proposal due in 20 hrs. I have uploaded all of the necessary documents needed to complete

I am doing a capstone project on Reducing stroke readmissions in the acute care setting. I will need you to complete my formal proposal. I have attached the rubric, reading materials, and sample proposal

P- The population targeted is the nurses who will be providing the education to patients

I – Education and Community resources- I will do a power point presentation of stroke risk factors, signs and symptoms of stroke, lastly, how to decrease chances of stroke.

C- comparison will be those nurses who participated in the education offering versus those who did not). I can compare through a survey that you can do before and after your intervention.

O- Positive patient outcomes

*Providing education to the nurses can optimize education for the patients.

Rubric for Formal Proposal

100 Excellent — Quality information with all “required elements included”.  Quality denotes completeness, precision, clarity, thoroughness, significance, relevance, accuracy, exhibits full span of knowledge of a subject and specific topics are focused upon, amplified and explored.

92 Good — All “required elements” included.  Information is complete, precise, clear, thorough, significant, relevant and accurate.

84 Average — Accurate and complete information with all “required elements” included.

77 Poor — Information is inaccurate and/or incomplete with 1 or more required elements omitted. Needs improvement.        

0 Not done — Did not do the required elements or characteristics or submitted more than 3 days late.

Runninghead: CAPSTONE PROJECT TITLE

1

Capstone Project Title

Your Name

Sentara College of Health Sciences

CAPSTONE PROJECT TITLE 2

In this section, address the internal and external factors that are influencing the project and

profession. Elaborate why your problem is of pressing concern and include foundational

research. Provide a general description of the ACE star model and how it will be used in your

project.

Purpose

Purpose of the project-clearly stated

Significance – explanation of why the project is important for your setting. Also discuss the

evidence base for the strategies you are considering.

Personal Reflections

Why did you select this issue?

Activities

Comprehensive list of actions you will need to do to accomplish the project. Include all types of

activities needed to support the purpose.

Think of this as a five or six step plan: Provide a comprehensive list of actions you will need to

do to accomplish the project, include all types of activities needed to support the purpose , use

PICO as a guide, what is the timeline for the project? How do you plan to collect data? How do

you plan to implement your project?

Outcomes: Planned

What are you proposing will happen at the end of the project? Use rationale to support your

scholarly evidenced based practice (EBP) outcomes

Use resources no more than 5 years old

Use the literature review information to support this section

Are there any specific clinical requirements?

CAPSTONE PROJECT TITLE 3

What is the agency doing to support the project? Support from preceptor, other team members,

staff involvement

Adherence to quality guidelines/quality outcomes

Policies written/rewritten; administrative support, patient protection, ethical concerns, and

confidentiality

Address this area with the preceptor to gain additional insight for the requirements

Supported with intext scholarly peer reviewed sources

Outcome: Evidence-based research

Give supportive rationale for why you choose your outcomes using scholarly references

Provide information from peer-reviewed resources that provides a detailed explanation of the

desired outcomes. Also include the strategies that can be used to accomplish the outcome. Be

sure to include specific, cited information from the literature supporting your discussion.

Special clinical requirements of the agency

For this section, address any special clinical requirements for the project

Proposed schedule/timeline

Timeline for the project over the 16 weeks?

Proposed schedule/timeline: Collaboration with Preceptor

Reviewed/collaborated with your preceptor prior to submitting this proposal (the preceptor

agreement must be submitted with this proposal- see the rubric; worth 15%)

Proposed evaluative criteria

State your evaluation of the project in this section

Discuss the evaluative criteria

Supportive rationales discussed

Use scholarly references to support discussion

Evaluative criteria discussed

Supportive rationales discussed

CAPSTONE PROJECT TITLE 4

Conclusion

Summarize your proposal here

References

Start on a separate page

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Star Model Research

The Star Model provides a focal point for evidence-based practice activities, including education and interdisciplinary research projects. Projects and investigations are concentrated on two objectives: (a) basic and professional level workforce development for EBP; and (b) the study of the processes and outcomes within evidence-based quality improvement. We study evidence synthesis, translation of evidence into practice, and healthcare provider and organizational change. A short description of representative projects and research follows.

Current Research Topics

List of Topics

Star Model Translational Research
This ongoing program expands and tests a model for understanding evidence-based practice. The study of EBP is essentially the study of transforming knowledge produced through primary studies and moving it through adoption into clinical decision-making. 

Using the Star Model as a framework, our program of translational research investigates phenomena associated with EBP, including summarizing evidence, clinical guideline development and uptake, organizational culture, and outcome measures.  The initial project in this timely program of research was Evaluation of Systematic Reviews Published in Nursing Literature: A Replication, that pointed to the need for more rigorous systematic reviews in nursing.  Subsequent projects investigate factors associated with uptake of clinical practice guidelines, innovation, and system culture change.

Top of Topics

• Star Model of Knowledge Transformation
  Developed in 2004, the Star Model is configured as a simple 5-point star; and it explains how knowledge is transformed at five major stages, starting from primary research, and continuing through the stages of evidence summary, translation, integration, and evaluation.  This model places nursing’s previous scientific work within the context of EBP and is proving useful for examining the EBP process, roles in EBP, and research methods with which to investigate EBP. 

  Adopted by scores of hospitals across the nation as part of their journey to excellence, the Star Model forms a foundation for developing workforce competencies, organizing projects, and employing EBP in clinical settings. Influenced by Imogene King, we continue to evolve the Star Model as a theory, combining concepts of knowledge transformation with elements of communication, mutual goal setting, and systems theory.

Top of Topics

• Improvement Science Research Network
  While quality improvement activities are highly encouraged in acute care settings, hospitals and improvement scientists are not well connected.  The lack of established research teams, limited access to the clinical care laboratory, and small sample sizes hamper attempts to produce rigorous and externally valid quality improvement studies at a time when these are a national priority in healthcare.  The research partnerships promoted by national advisors (e.g., IOM, 2004) and structured through the National Institutes of Health, Clinical and Translational Science Awards (CTSAs) provide tremendous opportunity to engage academic and clinical scientists and clinicians across multiple agencies in a network that is focused on improvement and translational science.  The purpose of this series of projects is to build a national Practice-Based Research Network for Improvement Science in acute care settings. To learn more about conducting research through ISRN, visit www.ISRN.net.
  Funded: National Institute for Nursing Research, NINR/NIH; Delta Alpha Sigma Theta Tau International; national funded.

Top of Topics

• AHRQ Health Care Innovations Exchange
  The Star Model is a partner in the development of the AHRQ Health Care Innovations Exchange.  Participating as part of the Westat, Inc. project team, we are building this comprehensive online program to accelerate development and adoption of innovations in health care delivery.  The Innovations Exchange aims to increase awareness of innovative strategies and activities among health care providers in a timely manner through offering a set of searchable innovation profiles, quality tools, learning opportunities to enhance rapid adoption, and networking opportunities.

  Funded: Agency for Healthcare Research and Quality

• Building Team Performance for Patient Safety: TeamSTEPPS™
  TeamSTEPPS™ is the standardized federal program for healthcare team training. The new teamwork system optimizes team performance in order to resolve communication breakdowns, known to be a major contributing factor to sentinel events in patient safety.

  Seen as a premier example of moving evidence into practice, this evidence-based teamwork system advances quality, safety, and efficiency of patient care by improving communication and other teamwork skills among healthcare professionals. As part of the National Implementation of TeamSTEPPS project, the Department of Defense (DoD), the Agency for Healthcare Research and Quality (AHRQ), and the Star Model have partnered to build a national support network to move this effective system into healthcare agencies and professional education and to study its impact.
  Funded: Implementation projects have been funded from multiple sources.

Top of Topics

• Small Troubles, Adaptive Responses: Fostering a Quality Culture in Nursing
  This study aims to improve nursing units’ quality and efficiency.  The study will investigate whether a program designed to address small problems encountered by nurses in patient care will drive large improvements in safety, quality, and efficiency.  The analysis applies a logic model specifying the pathway from inputs to actions to intermediate outcomes such as new problem solving strategies to ultimate outcomes such as improved nursing quality benchmarks and reduced adverse events.
  Funded:  This 2-year intervention study is funded through the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative (INQRI). Co-PIs Kathleen R. Stevens, EdD, RN, ANEF, FAAN and Robert L. Ferrer, MD, MPH.

Top of Topics

• Consensus on EBP Competencies in Practice & Education
  The purpose of this project is to establish a national basis for developing competencies in EBP for nurses.  Through multiple iterations, panels of experts engaged in consensus formation regarding EBP competencies that should be integrated into nursing education and practice roles. The consensus is published in Essential Competencies for Evidence-Based Practice in Nursing.(2nd ed. Stevens, 2009)

  The initial 3-year project established 20 to 30 competencies for basic (UG), intermediate (MS), and advanced (Doctoral) preparation in nursing. These competency statements are organized into five stages of knowledge transformation, based on the ACE Star Model (Stevens, 2004). Core competency statements are presented at a detailed level in order to guide curriculum revisions. This work guides incorporation of EBP skills and content into nursing positions and into nursing education programs. Consensus work was extended by Dr. Paula Clutter to create competencies for ADN education. The project continues to verify and disseminate the findings.

  This work guides incorporation of EBP skills and content into nursing education programs and into clinical nursing. Health care agencies have used the Essential Competencies as the basis for developing the EBP ‘leg’ of clinical career ladders and performance standards. Extension and evolution of the competencies continues.  Information for purchasing the latest edition of Essential Competencies for Evidence-Based Practice in Nursing 2nd ed.
  is available at acestar@uthscsa.edu .
  Funded: Consensus work has been funded from multiple sources.

Top of Topics

• Ace Evidence-Based Practice Readiness Inventory (ACE-ERI)
  The ACE-ERI was developed through methodologic research studies in response to a national need for assessment approaches in nursing competencies. Using the foundation built in the Essential Competencies work, the self-report instrument was developed and utilized by all levels of nurse clinicians, educators, and students. Psychometrics studies involving over 1,500 participants demonstrated the strength of the ACE-ERI in terms of reliability and validity. Offered primarily as an online survey, the ACE-ERI has been used in hospitals and schools of nursing across the country to benchmark progress in EBP competencies. Its usefulness in further research.

  Funded: Development projects have been funded from multiple sources including National League for Nursing, Delta Alpha Chapter of Sigma Theta Tau, The University of Texas Health Science Center, and resources from collaborating hospitals and schools.

Top of Topics

Collaboration Opportunties for Students, Faculty, and Clinical Agencies

The Star Model provides a focal point for evidence-based practice activities including education and interdisciplinary research projects. A short description of representative areas follows.
Faculty and students are invited to collaborate.

Sample of Completed Research Studies

Quality of Systematic Reviews in the Nursing Literature.
PI: Dr. Kathleen Stevens.
Funded by the Delta Alpha At-Large Chapter of Sigma Theta Tau International, ACE’s first research project in its program of translational research examined the quality of Systematic Reviews – as indexed by CINAHL – in the Nursing literature. For this pilot study, critical appraisal of 10 randomly-selected articles was done using the Overview Quality Assessment Questionnaire (OQAQ) (Oxman, A. D., & Guyatt, G. H., 1991). The study pointed to the need for rigor in systematic reviews and caution in labeling non-systematic reviews.

Top of Studies

• Dissertation: Factors Related to Uptake of Clinical Practice Guidelines. (2006)
  PI: Paula Clutter.
  A study of CPG uptake, this work was accomplished through collaboration with VERDICT to examine factors associated with uptake of evidence-based guideline implementation in healthcare agencies. Partially funded by an award from the Delta Alpha At-Large Chapter of Sigma Theta Tau International.

Top of Studies

• Demonstration Project: Ventilator Associated Pneumonia (VAP): Improving Outcomes Through Best Practice Implementation. (2004)
  Contracted by a TriService Research Grant, ACE, BAMC, and Wilford Hall nurse teams developed, implemented, and evaluated impact of best practice in VAP.

Top of Studies

• Evidence-Based Youth Smoking Cessation. (2000 – 2003)
  PI: Dr. Kathleen Stevens.
  Funded as a Community Health Initiative of the University Health System, this project focused on helping teens quit smoking. About 80% of teens who smoke have tried to quit…only 1.5% are successful without assistance. This points to a great need for teen sensitive smoking cessation programs. In San Antonio and in most other cities, major emphasis of youth tobacco control is on prevention. But many teens ‘slip through’ this safety net…33% of public high school teens in Texas smoke! In 2000, the project partnered with American Lung Association and assembled ‘best evidence’ on intervening with smoking teens. With this research evidence, ACE activated the community and schools through the San Antonio Teen Tobacco Coalition to translate the evidence into best intervention programs. The EBP interventions were implemented and evaluated in high schools using a community partnership approach and achieved the same cessation rates as the longer program.

Top of Studies

• Dissertation: Pregnancy-related Factors and Smoking Stauts in Pregnant Hispanic Adolescents. (2004)
  PI: Dr. Laura Munoz.
  This project examined the structure of factors between pregnancy and smoking in this population.

Top of Studies

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