Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
  • Explain the ways in which leadership of people and processes was utilized while designing an intervention and its implementation.
• Competency 2: Make clinical and operational decisions based upon the best available evidence.
  • Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
• Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
  • Demonstrate process improvements in the quality, safety, or cost of care resulting from an intervention and related professional product.
• Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
  • Demonstrate improvements in the quality of care and patient experience resulting from an intervention and related professional product.
• Competency 8: Integrate professional standards and values into practice.
  • Communicate professionally in clear, logically organized writing, using correct grammar, spelling, and APA style.

Important: You must complete all of the assessments in order for this course.

Preparation

Before submitting this assessment, you must have logged at least three direct-contact hours in CORE ELMS. These hours will include only the time that you spent working directly with patients, families, and/or community members to implement your intervention, collect and analyze data, and deliver your professional product to your target audience.

Instructions

For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered face-to-face to the individual or group that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience that can be used in your own practice, with your family or community.

Relevant products include but are not limited to:

• Patient education handout (such as a medication sheet).
• Patient safety plan.
• Process improvement in-service.
• Medicaid/Medicare patient coverage and finance guide.
• Teaching plan.

Your submission will consist of two parts: an APA-formatted paper providing your rationale and supporting evidence, and the professional product.

For the brief APA-style paper, one organizational option is:

• Summary of intervention and implementation:
  • What did you do?
  • How did you lead in terms of the processes used in the project?
    • With what participants?
  • Who were your interprofessional collaborators?
    • How did you lead them in this project?
    • What were your key findings?
• Evidence-based rationale for professional product development:
  • What professional product did you develop?
  • Why did you choose this type of product?
  • How does it align with your intervention?
  • How will the product help improve outcomes?
  • How will the product enhance the patient experience?
  • How does the product improve a process related to quality, safety, and/or cost of care?
  • How do relevant research, evidence, and best practices support your choice of professional product and approach?

For your professional product, you may choose to develop a deliverable that could be used in your care setting to communicate and sustain relevant improvements related to the intervention you carried out. The key is that the professional product is useful to the target audience (such as a large-print Medicaid/Medicare patient coverage and finance guide that is easy for the elderly and their families to use, or an easily implemented process improvement in-service for home care nurses).

Your brief paper and professional product will be assessed according to the following scoring guide criteria:

• Explain the ways in which leadership of people and processes was utilized while designing an intervention and its implementation.
• Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and newly developed professional product.
• Demonstrate improvements in the patient experience resulting from a direct clinical intervention and newly developed professional product.
• Justify decisions related to developing a professional product using relevant research, evidence, and best practices.
• Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

Additional Requirements

• Length of submission: APA-style paper should be 2–4 pages of content plus title and reference pages. There is no length requirement for your professional product. The type of deliverable you choose will determine its length and format.
• Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your decisions and rationale in your APA-style paper. Resources should be no more than 5 years old.
• APA formatting: References and citations are formatted according to current APA style. Use appropriate APA citations (in-text and reference list) in the paper and professional product.

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2.3 Develop a Health Program-PowerPoint

Introduction and Alignment

See the Workshop Two Introduction.

Upon completion of this assignment you should be able to:

• See the Workshop Two Outcomes.

Resources

• Textbook: Advanced practice nursing: Essentials for role development.

Instructions

1. Develop a health program within a community.  Identify the services you will provide, who your clientele will be and project what the variable and fixed costs will be.
2. Determine if you would work independently, as part of a group, or at a hospital-type facility.  Identify which costs are capital expenses and which are operating expenses.
3. Post your PowerPoint to the Develop a Health Program threaded discussion by day six of the workshop. If your faculty asks you a question be sure to respond to them.
4. Individually, read and make helpful suggestion or comment on one other project by day seven.

Navigate to the threaded discussion here.

Assessment Criteria

Assessed Item

Points

Develop a health program within a community (do not choose an existing organization)

40

Identify the services provided and the specific clientele you will be serving

40

 Discuss any specific barriers that may be encountered meeting the needs of your chosen clientele

40

Budget: Project variable/ fixed costs and capital/ operating expenses, funding/income. Your budget needs actual numbers/figures represented. 

40

Determine if you would work independently, as a group, or in a hospital facility and state your rationale

40

Engaging PowerPoint presentation; use of color, graphics, precise with clarity; use of bullets

30

Accurate spelling, grammar; references (minimum of 5), APA format

20

Total Points

250

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Write at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. 

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Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

· Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Submit Part 6, your revised PowerPoint presentation of your Evidence-Based Project.

Resources to use below:

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 10, “The Role of      Outcomes on Evidence-based Quality Improvement and enhancing and      Evaluating Practice Changes” (pp. 293–312)
• Chapter 12, “Leadership      Strategies for Creating and Sustaining Evidence-based Practice      Organizations” (pp. 328–343)
• Chapter 14, “Models to Guide Implementation      and Sustainability of Evidence-based Practice” (pp. 378–427)

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx 

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f. Retrieved from http://downloads.lww.com/wolterskluwer_vitalstream_com/journal_library/nna_00020443_2007_37_12_552.pdf 

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e. Retrieved from https://www.nursingcenter.com/nursingcenter_redesign/media/EBP/AJNseries/Sustaining.pdf

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/wvn.12188 

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/09000/Evidence_Based_Practice,_Step_by_Step__Sustaining.27.aspx

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