Description
PURPOSE
As a master’s-prepared advance practice nurse, you will have many opportunities to lead evidence-based change in practice. The deliverable at the end of this course/program is a completed evidence-based practice quality improvement project prepared for dissemination. In this assignment, students will begin the dissemination process through the scholarly writing of their MSN project manuscript Sections I-III. Please refer to the MSN project template to help guide the development of the evidence-based practice quality improvement project manuscript. You may use your initial work that you started in your project proposal template in NR528 but you will need to include more details, particularly in the literature review and synthesis section.
ASSIGNMENT OVERVIEW
This assignment will assist you with the information needed to complete the MSN project manuscript for dissemination. In this assignment, you will complete all of the sections I-III of the MSN project template. Some of the sections you have already completed in previous assignments so you are allowed to re-use this information. It will be important to make sure you have reviewed and incorporated faculty feedback when adding in these sections to your manuscript from previous coursework. Make sure to adhere to the graduate-level writing style expectations.
ASSIGNMENT INSTRUCTIONS
Abide by the Chamberlain College of Nursing Academic Integrity Policy.
Complete sections I-III of the MSN project template.
Sources older than five years may not be used without the permission of the class professor.
Title page, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the most current edition of the manual.
Rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the most current edition of the APA Manual.
Unformatted Attachment Preview
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[Insert Title here]
“[Insert Name of Author here]”
Chamberlain College of Nursing
NOTE: This is a template and guide. Delete all directions as you build your proposal.
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Executive Summary
[Directions: An executive summary will include a summarization of the main points of
the project. The summary will be one page long with a paragraph highlighting each of the main
elements of the paper, including identification and purpose of the project, project location,
synthesis of the literature and evidence, implementation and dissemination.
Purpose: The purpose of this project was …
Project Location: .……
Synthesis of Literature and Evidence: ………
Implementation: …….
Dissemination: ……
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SECTION 1: INTRODUCTION AND PROBLEM IDENTIFICATION
(Insert Title Here)
Note there is no heading that says Introduction. The paragraph or two following the title
on the first page of your text is assumed to be your introduction. Your introduction follows the
title of your paper (note it is not bolded). You should start your introduction with a powerful
statement or two to stimulate interest. You should identify the purpose of your paper and provide
a preview of what the paper will include. Remember formal papers are in third person so no I,
me, we, etc. Refer to yourself as the MSN scholar or the MSN student. The Introduction must be
1-2 paragraphs.
Problem Statement
Your introduction section should smoothly transition into your problem statement. It
should flow logically from the information you provided. This section of the paper will provide
information about the clinical problem using the Johns Hopkins Question Development Tool
(Appendix B) as the guide. The clinical problem should address a nursing sensitive issue and
discuss why the issue/problem is important to nursing and to healthcare. There should also be a
synopsis of what current practice is related to the practice concern. Explain your approach to the
problem and how your intervention will address it.
Problem Background
The background of the problem is a review of information on why the problem is a
pressing concern and summarizes for the reader what is known about the problem being
investigated. This is accomplished with a general review of foundational research literature and
data from credible sources that report findings related to the topic of interest.
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Stakeholders
What persons/groups or individuals might be impacted by your project? Ensure you think
“outside the box” and consider both internal and external persons/groups, as well as entities.
PICOT Question
A well-developed clinical question using the PICO(T) components will then be
developed. The PICO should be concise, relate to nursing practice and be a nursing sensitive
issue. It should be written so the terms used in the PICO help guide the search strategies. The
Question Development tool will also be used to identify the proposed search terms, the databases
to be searched and any specific search strategies used. Search strategies can include applying
limiters such as language, years to search, peer reviewed, articles limited to certain countries, etc.
Search strategies can also include using Boolean search terms AND, OR and NOT to help refine
the search. In this section the student will also address how the clinical question was or was not
revised to reflect the current evidence. The last part of the question development tool is to
identify the outcome measurement plan with very specific information and metrics related to
who, what, where, how often type questions.
SECTION 2: LITERATURE SUPPORT
Review of Literature
The next area of the paper will address the literature review and provide a discussion of
the evidence-supported interventions. A summary of the literature search parameters and
identification of research and non-research sources of evidence will be provided with a synthesis
and summary of the evidence to support the chosen intervention. The literature support must
directly relate to the intervention stated in the PICO. Once the research articles have been
identified a summary of the information from the studies should be provided using the Johns
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Hopkins Individual Evidence Summary Tool (Appendix G) as a guide. The EBP questions that
will be identified in the literature review summary table will include the complete article
information, author, date, name, type of evidence, sample size and setting of the study, a
summary of the findings that help support the clinical question, what outcome measurements
were used and any limitations of the study. Synthesize at least 8-10 (no more than 5 years old)
primary research studies and/or systematic reviews; do not include summary articles. This
section is all about the scientific evidence rather than someone else’s opinion of the evidence. Do
not use secondary sources; you need to get the article, read it, and make your own decision about
quality and applicability to your question even if you did find out about the study in a review of
the literature. The studies you cite in this section must relate directly to your PICOT question.
This is a synthesis where you address the similarities, differences, and controversies in the body
of evidence.
SECTION III: INTERVENTION DESCRIPTION
Proposed Intervention
Restate the proposed intervention from the PICO in this section of the paper. A
discussion of why this intervention is an important solution to the clinical problem should be
addressed.
Setting
Identify the setting where the project will be implemented including information as to the
organizational culture related to supporting evidence practice change, along with readiness to
change.
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Barriers
In your proposal you will address potential barriers to the project and strategies for
overcoming these barriers. In the final project you will describe what barriers were encountered
during the practicum project. Along with the barriers provide information as to how the barriers
were overcome and what solutions were provided to ensure project success.
Outcomes
Address the benefits of the change in this section as well as the expected outcomes along
with the detailed steps of how these outcomes will be measured.
Action Plan
The action plan should include a synopsis of all of the critical milestones and related
tasks. Include the completed John Hopkins Action Planning tool (Appendix I), as well as, the
financial table completed in Module 6 of NR529 as an Appendix to the Manuscript.
SECTION IV: JOHN HOPKINS NURSING EVIDENCE-BASED PRACTICE MODEL
Introduction to Model
The guiding model for the practicum project and practice change will be the Johns
Hopkins Nursing Evidence-Based Practice Model. You will need to give a thorough description
of the model including the 19 steps.
Use of Model to Support Project
This section should include a discussion of how the model was used to support the
project.
SECTION V: IMPLEMENTATION
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Project implementation is a key step for the MSN-AT student. Based on the evaluation
of the evidence the MSN-AT student will provide a practice recommendation, which includes an
outline of the steps needed to successfully implement the project including the process for
implementing the proposed intervention/solution and the feasibility and fit for the
unit/organization chosen. The implementation section should also include a review of your
action plan, which identifies all of the resources, support, and approvals needed, along with the
implementation start and finish date/timeframe.
Exactly, step-by-step, what will you do to
implement your project? Provide as much detail as possible. Referring back to the John Hopkins
change model what will you do at each step?
SECTION VI: TRANSLATION TO PRACTICE AND EVLATUATION
Data Collection to Support Outcomes
The data collection section will include information about the baseline data description
used to identify the clinical problem. Describe the type and source of information findings.
Include in the discussion how the data was used to determine the full extent of the problem. The
data collection can be from internal and external sources. Include information as to how the data
was collected, what restrictions may be placed on sharing the data, and how the data was used to
provide outcome measurement.
Evaluation
In this phase of the project the student will evaluate how effective the chosen intervention
was in providing an improvement in outcomes. Included in this section will be stakeholder input
as to the overall effectiveness of the change. The paper will address the impact the practice
change had on the nursing problem as well as how it affected the system where the change
occurred. Specific measurable criteria will be identified and show how the change improved
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outcomes. A review of any changes made based on feedback will also be provided as well as
strategies for solutions that did not solve the problem. A thorough discussion of how this
change impacts on nursing and any impact on future research will be provided. Additionally, in
this section a cost analysis/benefit summary will be provided. This analysis will delineate the
cost of the project versus the proposed benefits. Include a description of the budget including the
specific monetary costs of any resources needed, development and implementation cost, as well
as the cost over time to continuing implementing this intervention. The expected benefits should
include quality indicators such as a reduction in hospital costs, length of stay, as well as nonmonetary benefits such as improved quality of life and the like.
Dissemination
The final step of the practicum project will involve dissemination of the project. The
dissemination portion will discuss how the results of the project will be shared with the
stakeholders and what the plan for sustainability of the project entails.
Conclusions and Contributions to the Profession of Nursing
Conclusions should relate directly to your purpose and project question. They are
generalizations that loop back to the existing literature on your topic. For each conclusion you
make, cite the sources that support or contradict your findings. The conclusion should represent
the contribution your practice project has made to the body of scientific knowledge on this topic
and they should be related to the significance of the study, which is always, in some way, to
improve nursing practice. Conclusions indicate what is now known regarding nursing practice
when your results and results from prior literature are considered together.
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References
[Insert Reference List here]
Remember this is a reference list rather than a bibliography. If there is not a citation for a
reference, it should not be here. PLEASE make sure your references and your citations
throughout the paper are in APA format. You can go from an A paper to a B paper on APA
errors alone. Take the time to make sure they are correct.
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Appendices, Tables, and Figures
Appendix A
NOTE: Order these appendices in the order in which they were referred to in the paper.
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Appendix B
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Appendix C
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Appendix D
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Appendix E
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Appendix F
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Appendix G
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Appendix H
Other appendices that are likely to be includes are the data collection tools, consent form,
instructional design table for educational component of project
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Tables
Table 1 (Sample)
Budget
EXPENSES
REVENUE
Direct
Billing
Salary and benefits
Grants
Supplies
Institutional budget support
Services
Statistician
Indirect
Overhead
Total Expenses
Net Balance
Total Revenue
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Table 2
[Table Title]
Column Head
Column Head
Column Head
Column Head
Column Head
Row Head
123
123
123
123
Row Head
456
456
456
456
Row Head
789
789
789
789
Row Head
123
123
123
123
Row Head
456
456
456
456
Row Head
789
789
789
789
Note: [Place all tables for your paper in a tables section, following references (and, if applicable,
footnotes). Start a new page for each table, include a table number and table title for each, as
shown on this page. All explanatory text appears in a table note that follows the table, such as
this one. Use the Table/Figure style, available on the Home tab, in the Styles gallery, to get the
spacing between table and note. Tables in APA format can use single or 1.5 line spacing.
Include a heading for every row and column, even if the content seems obvious. A default table
style has been setup for this template that fits APA guidelines. To insert a table, on the Insert
tab, click Table.]
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Figures Title
6
5
4
3
2
1
0
Category 1
Category 2
Series 1
Category 3
Series 2
Category 4
Series 3
Figure 1. [Include all figures in their own section, following references (and footnotes and
tables, if applicable). Include a numbered caption for each figure. Use the Table/Figure style for
easy spacing between figure and caption.]
For more information about all elements of APA formatting, please consult the APA Style
Manual, 6th Edition.
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