2016-2017 Handbook for Doctor of Nursing Practice (DNP) “Evidence-Based DNP Project” Dear DNP student: Welcome to the seminal event of the DNP program. You have successfully completed the required course work and now you are about to begin the culminating event of your preparation as a Doctor of Nursing Practice. The evidence-based capstone project in the DNP is designed to allow you to synthesize your prior preparation into a single evidence-based project that changes practice in a particular setting. As a DNP student, this project should impact either the micro-system or macro-system in the clinical practice area. It is expected that the project be completed during one semester each of N9885 and N9886. There are a number of mechanisms that have been put into place that will help you stay on track to complete the project in the allotted time. Faculty can put the benchmarks in place; however, it is the student’s responsibility to meet the outcomes of the project. Ultimately, it is your responsibility to stay on track, meet deadlines, and complete the project. This handbook is your guide throughout the project. Refer to it often and complete all sections as they appear throughout the process. The handbook begins with the criteria for the project. Because the project is initially integrated within the N9885 DNP Clinical Capstone course, the next section demonstrates how this integration can keep you on target. Finally, the outcomes and due dates for the project sections completed in N9886 are included. Any required forms are located in the Appendixes within this handbook. Best of luck on this last phase of your doctoral education! Graduate Program Faculty Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 2 Differentiating the Research Process from the QI process The DNP project is intended to be a quality improvement project where evidence is used to develop a project that will have a positive impact on a clinical practice. The project is not intended to be a research project. The table below indicates the major differences between a research project and the DNP project. Purpose Research To discover new knowledge Test One large “blind” test Biases Control for as many biases as possible Data Gather as much data as possible, "just in case" Duration Can take long periods of time to obtain results DNP Project (QI Process) To bring new knowledge into daily practice Many sequential, observable tests Stabilize the biases from test to test Gather "just enough" data to learn and complete another cycle "Small tests of significant changes" accelerates the rate of improvement The DNP project is a QI project, not a research study. The criteria identified on the succeeding pages are to be used to develop your project. The headings in your paper should reflect the headings in the criteria. Research project headings are not appropriate for this project. Throughout the paper, refer to this as a QI project, not research; you are the project coordinator, not the researcher. This will help your focus stay on the QI process. Do not confuse your paper with the IRB requirements. Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 3 Criteria for Evidence-Based Project I. Introduction o Identify the problem Use the literature to make a case for the significance of the issue Help the reader ‘see’ that this is an issue that needs to be addressed o Discuss the trigger or stimulus that caused you to investigate this problem This is to be the trigger at the clinical site where the project is being implemented o Justify why this problem is relevant to the NP role Support this with literature II. Context of the Problem o Description of clinical site where the project will be implemented o Include each of areas identified below. Do not just present the information. Explain the significance of the information and its relationship to the problem being addressed. Demographics Organizational culture Key stakeholders Power relationships dynamics Financial Stability 1. Payer mix o include percentages 2. Internal resources o What resources are available at the site that can be used for the project? o What does the clinical site need to support the project that it does not currently have? o Can the clinical site afford the project? How can the project become affordable? III. Perspectives of the Problem o Current Practice What is the current practice at the clinical site regarding this problem? What are the contributing factors at the site that support or reinforce the current practice? o Historical trends regarding the problem According to the literature and empiric research, what has been done historically to address, manage, or solve this problem? o National trends related to the problem Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 4 According to the literature, national data bases, and empiric research, what is currently being done to address, manage, or solve this problem? 1. For empiric studies, include the type of study, population, measurement instrument, statistical results, and recommendations of the researcher. Be sure to paraphrase! 2. Draw a conclusion regarding how this research study or clinical project relates to you problem of interest. o Impact of maintaining status quo What happens at the site if the problem continues to go unaddressed? o Supporting Site Data What is the data that demonstrates the existence of the problem at the site? What are the outcome measures that are currently being used at the site for this problem? 1. These should be objective and measureable 2. Are they consistent with the literature in the national trends section? Based on your literature review done in the Perspectives of the Problem section: 1. What outcome measures will be used for this project? 2. What benchmarks will be established for these outcomes? o Summarize this section with a Re-Statement of the Problem for Change, the project outcomes and target benchmarks IV. Evidence-Based practice framework o Select an evidence-based practice framework. o Use a framework from the text in N5902 that discusses how to make a change in an organization. o Do not confuse this with a practice model such as the chronic care model. These are totally different things. o Describe how this framework guides the project What steps in the framework have been accomplished and how? How will you go about accomplishing the other aspects of the framework? V. Critical Appraisal of the Supporting Literature o This section is designed to integrate additional content areas from the program that give a broader understanding to the problem you are addressing o These areas are to be supported by literature, empiric research, or national databases o The content area should be addressed from a global or broad perspective and then addressed from the perspective of the clinical agency and the problem being addressed Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 5 o Content areas that may be relevant include those listed below, however, the topic areas should be selected based upon the project site and problem: Ethics Policy Economics Leadership Care models Information Systems Motivation VI. Implementation plan o Provide a brief overview of planned project Is additional support from the site needed? o Perform a SWOT analysis of the clinical agency How will you maximize strengths and opportunities? How will you overcome weaknesses and threats? o Detailed description of measurement plan How will desired outcomes be measured? What instrument is being used? Include the validity and reliability of the instrument When will measurement take place? How will the outcome data be analyzed? What statistics will be measured? o Provide a detailed description of the implementation plan for the project The implementation plan is a list of the timeline and activities by week What will be done each week? When does measurement of outcomes take place? o ‘Audit trail’ checkpoints How will you stay on track during the implementation of the project? o What is the budget and financial impact of the project at the site? VII. Evaluation of Project Outcomes o Analyze the outcome data o Use graphs, tables and figures as appropriate to the data o Integrate tables into the text of the narrative. Refer the reader to the table in the narrative. Do not repeat the information in the table, explain what it means for the reader. VII. Evaluation of the Process o Describe what happened during the project period This is where your ‘audit trail’ comes in o Analyze why the events occurred Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 6 VIII. Support your suppositions with evidence from the literature Conclusions o This is not a reiteration of your project o Describe the future implications of the project o What is the impact of the project on your own self-regulation and evidence-based practice? Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 7 Timeline for Activities Prior to N9885 Activity 1. Register for N9885 When 2. Contact clinical coordinator about potential placement for 9885 3. Attend orientation for 9885 and project Date Accomplished Comments End of October if taking N9885 the next Spring semester Early March if taking N9885 the next Fall semester October if taking N9885 in Spring semester March if taking N9885 the next Fall semester Mid to end of April if taking in Fall semester Early to mid December if taking in Spring semester During the orientation the types of projects and potential settings will be discussed and selection of the Project Chair will also be explained. Outcomes to be achieved between the orientation meeting and the first day of class in N9885 Identification of Committee Chair Identification of agency where project is to be completed Determination of need for a ‘Clinical Affiliation Agreement’ Identify appropriate preceptor Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Responsible Person Student Negotiated between clinical coordinator and student Clinical Coordinator Clinical coordinator and course leader Page 8 Timeline for Activities while taking N9885 Activity Due Date 1. Institutional Review Board (IRB) certification (citi programs) 2. Includes Social & Behavioral course and clinical training programs 3. Establish meeting dates with project chair for entire semester 4. Second reader will be assigned to each student/project 4. Introduction, context and completed Outcome Week 1 Due first day of class in N9885Monday 8/29 Week 2 Between September 5-9 Week 2-3 between September 5September 16 Week 5 September 26 5. Perspectives of the Problem completed, including: current practice, historical trends, national trends, and impact of maintaining the status quo Week 7 October 10 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Submit IRB certificate to Project Chair and N9885 instructor. The certification must be in effect throughout the project period. Submit verification from project chair to N9885 course instructor (Appendix A). Meeting dates established with project chair Submit verification from project chair to N9885 course instructor (Appendix A). Project chair to notify student of second reader Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Page 9 6. Supporting site data, restatement of problem Week 8 October 17 7. Evidence-Based practice framework Week 9 October 24 8. Appraisal of Supporting Literature Week 10 October 31 9. Development of Implementation plan completed Week 11 November 7 10. Submit final project proposal Week 13 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to Page 10 to 9885 course leader and Project Chair Final project is due November 21 11. Submit IRB proposal to Project Chair Week 14 November 28 12. Submit final IRB proposal Due to IRB on December 12 Failure to submit by December 12 results in an automatic Incomplete in the course committee chair and N9885 course instructor by due date Submit verification from committee chair to N9885 course instructor that satisfactory work submitted by due date (Appendix A). Committee chair submits project to second reader as deemed appropriate Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix A). Both the Committee Chair and N9885 course faculty member will grade the clinical project paper submitted Week 13. The grades of each person will not be ‘averaged’ but negotiated. The final grade will account for 40% of the N9885 course grade. It is reasonable to expect that feedback will be provided within 10-14 days after submission. Continue to work on the next portion of the paper while waiting. If the work required for the clinical project is not completed during N9885, the student will receive an ‘Incomplete’ (refer to University ‘Incomplete’ policy) and must complete N9885 requirements during the following semester. The default grade in the incomplete reflect the 40% weight for the project. If the project activities for N9885 are not completed during the second semester of N9885, the default grade from the incomplete will go into effect for the first semester of N9885. Students may not register for N9886 unless all requirements for N9885 are Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 11 met. Students who take more than one semester to complete N9885 can receive no more than a B+ in N9885. This will delay graduation for at least one semester. For example, a student fails to submit the final project proposal by November 21. This delays the student’s ability to complete the IRB proposal and submit it by December 12. The student receives a incomplete for 9885. If 9885 was taken in Fall semester, the student cannot register for N9886 until the next time the course is offered, which is the following fall semester. NO EXCEPTIONS WILL BE MADE TO THIS POLICY. It is in your best interest to meet all deadlines outlined above to remain on schedule for course completion. All work submitted must be satisfactory on submission. Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 12 Figure 1. Progression possibilities in N9885 REGISTER FOR N9885 Do Not Complete N9885 by December 12 Complete N9885 by December 12 Register for N9886 for the next semester Receive Incomplete in N9885 Continue to meet N9885 requirements throughout the next semester Complete N9885 During next semester Do Not Complete N9885 in second semester Receive Grade in N9885 Grade can be no greater than B+ Do Not Progress Receive Default Grade from Incomplete Register for N9886 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 13 the next semester offered Timeline for Activities while taking N9886 Completion of the clinical project is totally in the hands of the student during N9886. The student has regular meetings with the Project Chair. Project implementation cannot begin until approved by the IRB so due dates are approximate. Activity 1. Evaluation of Project Outcomes Section Outcome/Due Date Week 6 February 21 2. Evaluation of Process Week 8 March 7 3. Conclusion Week 10 March 21 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Submitted/Reviewed Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix B). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from project chair to N9885 course instructor (Appendix B). Submit completed work to project chair Project chairs will not sign off on work that does meet the criteria for the section and is not in an “almost finished” scholarly format. Do not send incomplete work needing significant editing. Submit verification from Page 14 4. Final Submission Week 12 April 4 5. Presentation of Project within Temple 6. Oral Presentation Submit abstract when call for papers is distributed Week of April 17 To be scheduled by Department project chair to N9885 course instructor (Appendix B). Submit 1 copy of final submission to Project Chair Appendix C must be submitted at the time of final submission Department EBP conference CPH Research Day STTI/Department EBP conference Attended by chair and second reader and Graduate Faculty Open to all nursing faculty Guests allowed upon discretion of student If the work required for the clinical project is not completed during N9886, the student will receive an ‘Incomplete’ (refer to University ‘Incomplete’ policy) and must complete the course requirements the following semester. If the project activities for N9886 are not completed during the second semester, the default grade from the incomplete will go into effect. The grade received in N9886 will determine the student’s ability to graduate. See Figure 2 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 15 Commented [C1]: CPH Figure 2. Progression possibilities in N9886 REGISTER FOR N9886 Complete N9886 in first semester Do Not Complete N9886 in first semester GRADUATE Receive Incomplete in N9886 Continue meeting N9886 requirements the second semester Complete N9886 Do Not Complete N9886 Receive Grade in N9886 Grade can be no greater than B+ Receive Default Grade Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 from Incomplete in N9886 Ability to graduate determined by default Page 16 grade GRADUATE Appendix A A copy of Appendix A is to be submitted to the Capstone Project Chair for Signature at each assigned due date. After receipt of signature, the form is submitted to the N9885 course faculty for verification and signature. Submissions will be signed off only if all criteria are met and the project is in a scholarly format. Rough drafts will not be signed off. Indicate the assignment that was submitted to the committee chair: IRB Certification for Social and Behavioral Sciences and Clinical Training Module o Date Submitted (due 8/29):______________________ o Chairperson Signature:___________________________ o N9885 Course Faculty Signature: _____________________ Identification of Second Reader o Members Chairperson name:_____________________ Second Reader:_________________________ o Date Submitted (between 9/5 and 9/16):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Introduction and context completed: o Date Submitted (due 9/26):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Perspectives of the Problem completed: o Date Submitted (due 10/10):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Supporting site data completed: o Date Submitted (due 10/17):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 17 Evidence-Based practice framework completed: o Date Submitted (due 10/24):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Supporting literature completed o Date Submitted (due 10/31):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Implementation plan completed o Date Submitted (due 11/7):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Final Project Submission completed o Date Submitted (due 11/21):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Draft IRB Proposal submitted o Date Submitted (due 11/28):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Final IRB Proposal submitted to IRB o Date Submitted (due 12/12):____________________ o Chairperson Signature:__________________ o N9885 Course Faculty Signature: _____________________ Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 18 Appendix B A copy of Appendix B is to be submitted to the Capstone Project Chair for Signature at each assigned due date. Submissions will be signed off only if all criteria are met and the project is in a scholarly format. Rough drafts will not be signed off. Indicate the assignment that was submitted to the committee chair: Evaluation of Outcomes o Date Submitted (due 2/21):____________________ o Chairperson Signature:__________________ Evaluation of Process o Date Submitted (due 3/7):____________________ o Chairperson Signature:__________________ Conclusion o Date Submitted (due 3/10):____________________ o Chairperson Signature:__________________ Final Submission o Date Submitted (due 4/4):____________________ o Chairperson Signature:__________________ Submit Abstract for Presentation of Project within Temple (Select one of the following): o Sigma Evidence based conference______ o Departmental EBP conference_______ o CPH Research Day________ o Chairperson Signature:__________________ Scheduling of Oral Presentation Week of April 17 (TBD by faculty) Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 19 Appendix C I, _______________________________ am submitting this Evidence-Based project in partial fulfillment of the requirements for the Doctor of Nursing Practice degree. I certify that the attached project entitled, _________________________________________________________is the work of this author. Student Signature:_________________________________ Committee Chair Signature:________________________________ Second Reader Signature: _________________________________ Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 20 Scoring Rubric for N9885 Evidence-Based DNP Project Criteria 4 points 3 points Introductio n Describes the motivating forces that caused the author to investigate this problem Description is Coherent and clear Description motivates the author to want to read further Describes the clinical problem Description is coherent and clear Description does not entice the reader to read further Description of the system Description includes at least 4 characteristics of the organization Describes the comprehensive impact of the characteristics on the organization Describes 3 characteristics of the organization Description of the impact of the characteristics on the organization is present but not comprehensive Describes 2 characteristics of the organization Description of the impact of the characteristics on the organization is weak Financial Stability Description of payor mix is sufficiently comprehensive that the reader can discern the financial viability of the institution Description of internal resources available to implement and support the project is comprehensive Describes specific roles or tasks for the internal resources relevant to the project Description of payor mix is gives an overview of the financial viability of the institution Description of internal resources available to implement and support the project is adequate Minimally addresses specifics roles or tasks for the internal resources relevant to the project Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 2 points Clinical problem is not easily discerned Description is unclear and unfocused Description is flat Description of payor mix is insufficient to discern the financial viability of the institution Description of internal resources available to implement and support the project is incomplete Minimally addresses specifics roles or tasks for the internal resources 1 point Score Unable to identify the clinical problem Description is unclear and unfocused Description is flat Describes 1 characteristic of the organization Does not describe the impact of the characteristic on the organization Description of payor mix is insufficient to discern the financial viability of the institution Description of internal resources available to implement and support the project is poor Does not Page 21 relevant to the project Current Practice Addresses the 4 criteria to describe the current practice Makes a compelling case to change the practice Addresses the 3 criteria to describe the current practice Makes a case to change the practice Supporting Site Data Provides compelling data on the existence of the problem at the site Describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are supported by literature AND research Uses the literature and research to establish project outcomes and benchmarks Justifies selection of outcomes and benchmarks for that site Provides data on the existence of the problem at the site Describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are partially supported by literature and research Project outcomes and benchmarks are partly derived from the literature and research Poorly justifies the selection of outcomes and benchmarks for that site Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Addresses the 2 criteria To describe the current practice Makes a weak case to change the practice Provides insufficient data on the existence of the problem at the site Describes most outcome measures used by the institution and their benchmarks Outcomes and benchmarks are poorly supported by literature and research Most project outcomes and benchmarks are not derived from the literature and research Does not justify the selection of outcomes and benchmarks for that site address specifics roles or tasks for the internal resources relevant to the project Addresses the criteria to describe the current practice Makes almost no case to change the practice Provides minimal data on the existence of the problem at the site Inadequatel y describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are poorly supported by literature and research Most project outcomes and benchmarks are not derived from the literature and research Does not justify the selection of outcomes and benchmarks for Page 22 Evidence Based Framework Provides a comprehensive description of the framework used for this project Addresses all major concepts in the framework Description of the practice project is integrated into the framework Provides an adequate description of the framework used for this project Addresses all most concepts in the framework Description of the practice project is incompletely integrated into the framework Provides an inadequate description of the framework used for this project Addresses some concepts in the framework Description of the practice project is poorly integrated into the framework Supporting Literature Provides a comprehensive view of macro and micro systems Uses literature from 4 disciplines Addresses at least5 different topic areas Incorporates sufficient empiric research for each topic area Makes a compelling case for why this problem is in the scope of practice for the DNP Provides a detailed view of macro and micro systems Uses literature from 3 disciplines Addresses at least 4 different topic areas Incorporates sufficient empiric research for most topic areas Makes a good case for why this problem is in the scope of practice for the DNP SWOT Analysis Thorough analysis of strengths, weaknesses, opportunities and Thorough analysis of (3 of 4) strengths, weaknesses, Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Provides a detailed view of either macro and micro system Uses literature from 2 disciplines Addresses at least 3 different topic areas Incorporates sufficient empiric research for several topic areas Makes an average case for why this problem is in the scope of practice for the DNP Adequate description of strengths, weaknesses, that site Provides a poor description of the framework used for this project Addresses minimal concepts in the framework Description of the practice project integrated into the framework is largely absent Provides a weak view of either macro and micro system Uses literature from 1 discipline Addresses at least 2 different topic areas Incorporate s insufficient empiric research for several topic areas Case for why this problem is in the scope of practice for the DNP demonstrates a misunderstandi ng of the role Incomplete description of strengths, weaknesses, Page 23 threats as they relate to implementation of the project opportunities and threats as they relate to implementation of the project opportunities and threats as they relate to implementation of the project Identifies Identifies outcomes for outcomes for the project but not all the project but not literature based literature based Identifies Identifies some benchmarks benchmarks for for project project Provides a detailed Provides a timeline for project broad implementation timeline for project implementation Description of budgetary impact of Brief the project is description of incomplete budgetary impact of the project is limited Implement ation Plan Identifies desired literature/research based outcomes for the project Explains selection of benchmarks for project Provides a detailed timeline for project implementation Analysis of the budgetary impact of the project is thorough Measureme nt Plan Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data One of the following is missing but description present is comprehensive: Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data APA format ■ Running head is present and correctly formatted ■Title page is consistent with APA ■Abstract accurately represents the body of the paper ■ Running head is present and correctly formatted ■Title page is inconsistent with APA ■Abstract does a fair job of representing the body of the paper ■ Running head is present but not correctly formatted ■Title page is inconsistent with APA ■Abstract poorly represents the body Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Two of the following are missing and discussion is insufficient: Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data opportunities and threats as they relate to implementation of the project Identifies outcomes For the project but not literature based Identifies no benchmarks for project Provides a minimal timeline for project implementa tion Minimal discussion of budgetary impact of the project Two of the following are missing and discussion is poor: Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data ■ Running head is Absent ■Title page does not reflect APA ■Abstract does not represent Page 24 References ■Pages are numbered correctly ■Third person is used consistently ■Active voice is used consistently ■12 point font, Times Roman is used ■Follows all 6th edition requirements ■Paper is typed and double spaced ■Uses APA style headings ■Pages are numbered correctly ■Third person is used most of the time ■Active voice is used most of the time ■ Font size is greater or less than 12, Times Roman ■Follows all 6th edition requirements ■Paper is typed and double spaced ■Uses headings but not APA style of the paper ■Pages are numbered but not according to APA ■Third person is used intermittently ■Active voice is used intermittently ■12 point font, not Times Roman ■ Follows most 6th edition requirements ■Paper is typed and double spaced ■Uses some headings but not APA ■References are cited correctly in reference page ■Citations are within the past 5 years and peer reviewed journals ■References cited correctly in text ■References are well integrated and not repetitive of text ■Quotations are used appropriately and cited correctly in text ■References are cited correctly in reference page ■Citations are within the past 5 years and peer reviewed journals ■References cited correctly in text ■References are well integrated but repetitive of text ■Quotations are used appropriately and cited correctly in text ■References are cited incorrectly in reference page with 1-2 types of errors ■Citations are within the past 5 years and include a combination of peer reviewed journals and texts ■References intermittently cited incorrectly in text ■References are not well integrated and repetitive of text ■Quotations are used inappropriately and cited incorrectly in text the body of the paper ■Pages are not numbered ■Third person is usually not used ■Active voice is usually not used ■ Font varies in paper, type may or may not be Times Roman ■Does not follow most 6th edition requirements ■Paper is typed and double spaced ■Does not use headings ■References are cited incorrectly in reference page with 3-4 types of errors ■Citations are 6 years old or over, some are peer reviewed, texts are included ■References incorrectly cited in correctly in text ■ References are not well integrated and repetitive of text ■Quotations are used inappropriately and cited incorrectly in Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 25 text Scholarly presentatio n ■Paper meets the page requirements of the assignment ■There are no spelling errors ■There are no punctuation errors ■There are no grammatical errors ■Each paragraph begins with a topic sentence that introduces the discussion for that paragraph ■Transitions logically progress from 1 idea to another ■Each paragraph is focused on one concept or topic ■Each paragraph has a minimum of 3 sentences ■ Headings are appropriately used and titled ■Headings are consistent with topical outline ■Headings guide the reader appropriately through the discussion ■No parenthetical references are made ■Paper is 1 page more or less than the assigned length ■There are rare spelling errors ■There are rare punctuation errors ■There are rare grammatical errors ■Each paragraph has a topic sentence early in the paragraph that introduces most of the discussion for that paragraph ■Transitions are not always evident in progressing from 1 idea to another ■Most paragraphs are focused on one concept or topic ■Each paragraph has a minimum of 3 sentences but some are excessively long ■ Headings are used but titles are misleading ■Headings are consistent with topical outline ■Headings somewhat guide the reader through the discussion ■No parenthetical references are made ■Paper is 2 pages more or less than the assigned length ■There are multiple spelling errors ■There are multiple punctuation errors ■There are multiple grammatical errors ■Most paragraphs have a topic sentence early in the discussion that introduces most of the discussion for that paragraph ■Transitions are not always evident in progressing from 1 idea to another ■Many paragraphs are focused on more one concept or topic ■Several paragraphs or excessive length or fewer than 3 sentences ■ Headings are not well titled or placed ■Headings are inconsistent with topical outline ■Headings do not guide the reader through the discussion ■Parenthetical references are made SafeAssign ■Corrected score is 10% or less ■ Corrected score is 11-12% ■ Corrected score is 13-14% Related Assignmen ■100% of related assignments submitted ■100% of related assignments submitted ■At least 50% of related assignments Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 ■Paper is at least 3 pages more or less than the assigned length ■There are numerous spelling errors ■There are numerous punctuation errors ■There are numerous grammatical errors ■Difficult to discern a topic sentence in each paragraph therefore the discussion in each paragraph seems unfocused. ■Transitions are not evident ■Most paragraphs are focused on multiple concepts or topics ■ Several paragraphs or excessive length or fewer than 3 sentences ■ Headings are not used ■Parenthetical references are made ■ Corrected score is 15% or more ■Less than 50% of related Page 26 ■100% of assignments submitted on time ts ■Some assignments submitted late submitted ■Some assignments submitted late assignments submitted ■Some assignments submitted late Scoring Rubric for N9886 DNP Evidence-Based Project Criteria Introductio n Description of the system Financial Stability 4 points 3 points PASS Describes the Describes the motivating forces that clinical caused the author to problem investigate this Description is problem coherent and clear Description is Description does Coherent and clear not Description entice the reader to motivates the author to read further want to read further Description Describes 3 includes at least 4 characteristics of the characteristics of the organization organization Description of Describes the the comprehensive impact impact of the of the characteristics characteristics on the on the organization organization is present but not comprehensive Description of Description of payor mix is payor sufficiently mix is gives an comprehen-sive that overview of the the reader can discern financial viability of the financial viability the institution of the institution Description of Description of internal internal resources resources available to available to implement implement and and support the project support the project is is comprehensive adequate Describes specific Minimally roles or tasks for the addresses internal resources specifics roles or relevant to the project tasks for the internal resources relevant to the project Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 2 points 1 point FAIL Clinical Unable to problem is not identify easily discerned the clinical Description is problem unclear Description and unfocused is Description is unclear and flat unfocused Description is flat Describes 2 Describes 1 characteristics of characteristic of the organization the organization Description of Does not the describe impact of the the impact of the characteristics on characteristic on the organization is the organization weak Description of payor mix is insufficient to discern the financial viability of the institution Description of internal resources available to implement and support the project is incomplete Minimally addresses specifics roles or tasks for the internal resources relevant to the project Score Description of payor mix is insufficient to discern the financial viability of the institution Description of internal resources available to implement and support the project is poor Does not address specifics roles or tasks for the internal resources Page 27 Current Practice Addresses the 4 criteria to describe the current practice Makes a compelling case to change the practice Addresses the 3 criteria to describe the current practice Makes a case to change the practice Addresses the 2 criteria to describe the current practice Makes a weak case to change the practice Supporting Site Data Provides compelling data on the existence of the problem at the site Describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are supported by literature AND research Uses the literature and research to establish project outcomes and benchmarks Justifies selection of outcomes and benchmarks for that site Provides data on the existence of the problem at the site Describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are partially supported by literature and research Project outcomes and benchmarks are partly derived from the literature and research Poorly justifies the selection of outcomes and benchmarks for that site Evidence Based Framework Provides a comprehensive description of the framework used for this project Addresses all major concepts in the framework Provides an inadequate description of the framework used for this project Addresses some concepts in the framework Provides an adequate description of the framework used for this project Addresses all most concepts in the framework Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Provides insufficient data on the existence of the problem at the site Describes most outcome measures used by the institution and their benchmarks Outcomes and benchmarks are poorly supported by literature and research Most project outcomes and benchmarks are not derived from the literature and research Does not justify the selection of outcomes and benchmarks for that site relevant to the project Addresses the 1 criteria to describe the current practice Makes almost no case to change the practice Provides minimal data on the existence of the problem at the site Inadequately describes the outcome measures used by the institution and their benchmarks Outcomes and benchmarks are poorly supported by literature and research Most project outcomes and benchmarks are not derived from the literature and research Does not justify the selection of outcomes and benchmarks for that site Provides a poor description of the framework used for this project Addresses minimal concepts in the framework Description Page 28 Description of the practice project is integrated into the framework Description of the practice project is incompletely integrated into the framework Provides a detailed view of macro and micro systems Uses literature from 3 disciplines Addresses at least 4 different topic areas Incorporates sufficient empiric research for most topic areas Makes a good case for why this problem is in the scope of practice for the CNL Description of the practice project is poorly integrated into the framework of the practice project integrated into the framework is largely absent Supporting Literature Provides a comprehensive view of macro and micro systems Uses literature from 4 disciplines Addresses at least 5 different topic areas Incorporates sufficient empiric research for each topic area Makes a compelling case for why this problem is in the scope of practice for the CNL SWOT Analysis Thorough analysis of strengths, weaknesses, opportunities and threats as they relate to implementation of the project Implement ation Plan Identifies desired literature/research based outcomes for the project Explains selection of benchmarks for project Provides a detailed timeline for project implementation during Thorough analysis of (3 of 4) strengths, weaknesses, opportunities and threats as they relate to implementation of the project Identifies outcomes for the project but not all literature based Identifies benchmarks for project Provides a detailed timeline for project implementation Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Provides a detailed view of either macro and micro system Uses literature from 2 disciplines Addresses at least 3 different topic areas Incorporates sufficient empiric research for several topic areas Makes a average case for why this problem is in the scope of practice for the CNL Adequate description of strengths, weaknesses, opportunities and threats as they relate to implementation of the project Identifies outcomes for the project but not literature based Identifies some benchmarks for project Provides a broad timeline for project implementation Provides a weak view of either macro and micro system Uses literature from 1 discipline Addresses at least 2 different topic areas Incorporates insufficient empiric research for several topic areas Case for why this problem is in the scope of practice for the CNL demonstrates a misunderstanding of the role Incomplete description of strengths, weaknesses, opportunities and threats as they relate to implementation of the project Identifies outcomes for the project but not literature based Identifies no benchmarks for project Provides a minimal timeline for Page 29 Spring 2013 Analysis of the budgetary impact of the project during Spring 2013 Description of budgetary impact of the project Measureme nt Plan Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data Evaluation of Outcomes Data analysis consistent with measurement plan Explanation of data is accurate and comprehensive Uses figures/tables that add to the understanding of the data and project text Analysis of process reflects a critical examination of events Conclusions reached are comprehensive Evaluation of Process One of the following is missing but description present is comprehensive: Describes measurement instrumentation for outcomes Describes when or how measurement will occur Describes plan for analysis of data Data analysis is reflects the measurement plan with some additions or deletions Explanation of data is accurate with few minor omissions or errors Figures/tables add to the understanding on the data and text Analysis of process reflects a critical examination of events Conclusions reached reflect analysis of the Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 during Spring 2013 Brief description of budgetary impact of the project project implementation during Spring 2013 Minimal discussion of budgetary impact of the project Two of the Two of the following following are are missing and missing and discussion is discussion is insufficient: poor: Describes Describes measurement measurement instrumentation for instrumentation outcomes for outcomes Describes when Describes or when or how measurement how will occur measurement will Describes plan occur for Describes analysis of data plan for analysis of data Data analysis is Data analysis inconsistent is largely with absent measurement Explanation plan of data is Explanation of absent or data is mostly reflects correct but inadequate some understandin fundamental g misunderstandi No ng exits tables/figures Tables/figures used do not reflect or explain the text; largely supplemental Analysis of Provides a process reflects narrative little critical description of examination of events with events little analysis Conclusions Conclusions reached reflect reached are little to no inconsistent Page 30 Conclusion s APA format and reflect the analysis of the process Literature used to support conclusions is appropriate Provides a comprehensive description of the implications for this project Reflective description of how the project impacts personal future practice or professional engagement ■ Running head is present and correctly formatted ■Title page is consistent with APA ■Abstract accurately represents the body of the paper ■Pages are numbered correctly ■Third person is used consistently ■Active voice is used consistently ■12 point font, Times Roman is used ■Follows all 6th edition requirements ■Paper is typed and double spaced ■Uses APA style headings process but could be more comprehensive Literature used to support conclusions is mostly appropriate Provides a clear description of the implications for this project with some omissions Description of how the project impacts personal future practice or professional engagement uses some reflection ■ Running head is present and correctly formatted ■Title page is inconsistent with APA ■Abstract does a fair job of representing the body of the paper ■Pages are numbered correctly ■Third person is used most of the time ■Active voice is used most of the time ■ Font size is greater or less than 12, Times Roman ■Follows all 6th edition requirements ■Paper is typed and double spaced ■Uses headings but not APA style Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 analysis of the process Literature used to support conclusions is somewhat appropriate with described process Literature used to support conclusions is unrelated Provides a Description confused of the description of implications the for this implications for project are this project mostly absent Description of or how the project disconnected impacts from project personal future Unclear practice or description of professional how the engagement project uses little to no impacts reflection personal future practice or professional engagement ■ Running head is ■ Running head present but not is correctly formatted Absent ■Title page is ■Title page does inconsistent with not reflect APA APA ■Abstract does ■Abstract poorly not represent the represents the body body of the paper of the paper ■Pages are not ■Pages are numbered numbered but not ■Third person is according to APA usually not used ■Third person is ■Active voice is used intermittently usually not used ■Active voice is ■ Font varies in used intermittently paper, type may ■12 point font, not or may not be Times Roman Times Roman ■ Follows most 6th ■Does not follow edition most 6th edition requirements requirements ■Paper is typed and ■Paper is typed double spaced and double ■Uses some spaced Page 31 References Scholarly presentatio n ■References are cited correctly in reference page ■Citations are within the past 5 years and peer reviewed journals ■References cited correctly in text ■References are well integrated and not repetitive of text ■Quotations are used appropriately and cited correctly in text ■Paper meets the page requirements of the assignment ■There are no spelling errors ■There are no punctuation errors ■There are no grammatical errors ■Each paragraph begins with a topic sentence that introduces the discussion for that paragraph ■Transitions logically progress from 1 idea to another ■Each paragraph is focused on one concept or topic ■Each paragraph has a minimum of 3 sentences ■References are cited correctly in reference page ■Citations are within the past 5 years and peer reviewed journals ■References cited correctly in text ■References are well integrated but repetitive of text ■Quotations are used appropriately and cited correctly in text ■Paper is 1 page more or less than the assigned length ■There are rare spelling errors ■There are rare punctuation errors ■There are rare grammatical errors ■Each paragraph has a topic sentence early in the paragraph that introduces most of the discussion for that paragraph ■Transitions are not always evident in progressing from 1 idea to another ■Most paragraphs are focused on one concept or topic ■Each paragraph has a minimum of 3 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 headings but not APA ■References are cited incorrectly in reference page with 1-2 types of errors ■Citations are within the past 5 years and include a combination of peer reviewed journals and texts ■References intermittently cited incorrectly in text ■References are not well integrated and repetitive of text ■Quotations are used inappropriately and cited incorrectly in text ■Does not use headings ■References are cited incorrectly in reference page with 3-4 types of errors ■Citations are 6 years old or over, some are peer reviewed, texts are included ■References incorrectly cited in correctly in text ■ References are not well integrated and repetitive of text ■Paper is 2 pages more or less than the assigned length ■There are multiple spelling errors ■There are multiple punctuation errors ■There are multiple grammatical errors ■Most paragraphs have a topic sentence early in the discussion that introduces most of the discussion for that paragraph ■Transitions are not always evident in progressing from 1 idea to another ■Many paragraphs are focused on more one concept ■Paper is at least 3 pages more or less than the assigned length ■There are numerous spelling errors ■There are numerous punctuation errors ■There are numerous grammatical errors ■Difficult to discern a topic sentence in each paragraph therefore the discussion in each paragraph seems unfocused. ■Transitions are ■Quotations are used inappropriately and cited incorrectly in text Page 32 SafeAssign Related Assignmen ts ■ Headings are appropriately used and titled ■Headings are consistent with topical outline ■Headings guide the reader appropriately through the discussion ■No parenthetical references are made sentences but some are excessively long ■ Headings are used but titles are misleading ■Headings are consistent with topical outline ■Headings somewhat guide the reader through the discussion ■No parenthetical references are made ■Corrected score is 10% or less ■100% of related assignments submitted ■100% of assignments submitted on time ■ Corrected score is 11-12% ■100% of related assignments submitted ■Some assignments submitted late or topic ■Several paragraphs or excessive length or fewer than 3 sentences ■ Headings are not well titled or placed ■Headings are inconsistent with topical outline ■Headings do not guide the reader through the discussion ■Parenthetical references are made ■ Corrected score is 13-14% ■At least 50% of related assignments submitted ■Some assignments submitted late not evident ■Most paragraphs are focused on multiple concepts or topics ■ Several paragraphs or excessive length or fewer than 3 sentences ■ Headings are not used ■Parenthetical references are made ■ Corrected score is 15% or more ■Less than 50% of related assignments submitted ■Some assignments submitted late 8/12; 1/14; 6/16 Developed 11/2/11; Revised 2/22/15; Revised 6/15/16 Page 33
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