NURS-FPX4900 Assessment 4: Patient, Family, or Population Health Problem Solution

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention.

Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4.

Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

- Creating an educational brochure.
- Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
- Creating a teaching plan for your patient, family, or group.
- Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

- Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
- Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Supportpage.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

- Leadership.
- Collaboration.
- Communication.
- Change management.
- Policy.
- Quality of care.
- Patient safety.
- Costs to the system and individual.
- Technology.
- Care coordination.
- Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

- Summarize the patient, family, or population problem.
- Explain why you selected this problem as the focus of your project.
- Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

- Define the role of leadership and change management in addressing the problem.
  - Explain how leadership and change management strategies influenced the development of your proposed intervention.
  - Explain how nursing ethics informed the development of your proposed intervention.
  - Include a copy of the intervention/solution/professional product.
- Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
  - Identify the patient, family, or group.
  - Discuss the benefits of gathering their input to improve care associated with the problem.
  - Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
- Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
  - Cite the standards and/or policies that guided your work.
  - Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
- Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
  - Cite evidence from the literature that supports your conclusions.
  - Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
- Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
  - Cite evidence from the literature that supports your conclusions.
- Write concisely and directly, using active voice.
- Apply APA formatting to in-text citations and references.

Additional Requirements

- Format: Format the written analysis of your intervention using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:
  - A title page and reference page. An abstract is not required.
  - Appropriate section headings.
- Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
- Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
- Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

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

- Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
  - Define the role of leadership and change management in addressing a patient, family, or population health problem.
- Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
  - Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
- Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
  - Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
- Competency 5: Analyze the impact of health policy on quality and cost of care.
  - Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
- Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
  - Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
- Competency 8: Integrate professional standards and values into practice.
  - Write concisely and directly, using active voice.
  - Apply APA formatting to in-text citations and references.

Assessment 5 Instructions: Intervention Presentation and Capstone Video Reflection

Present your approved intervention to the patient, family, or group and record a 10-15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

Introduction

Baccalaureate-prepared nurses have many opportunities to reflect on their contributions to patient care outcomes during clinical experiences. Research suggests that creating and sharing video reflections may enhance learning (Speed, Lucarelli, & Macaulay, 2018).

For this assessment, you’ll present your approved intervention to the patient, family, or group and reflect on various aspects of your capstone practicum experience. Such reflection will give you a chance to discuss elements of the project of which you are most proud and aspects of the experience that will help you grow in your personal practice and nursing career.

Reference

Speed, C. J., Lucarelli, G. A., & Macaulay, J. O. (2018). Student produced videos—An innovative and creative approach to assessment. Sciedu International Journal of Higher Education, 7(4).

Instructions

Complete this assessment in two parts: (a) present your approved intervention to the patient, family, or group and (b) record a video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program.

Part 1

Present your approved intervention to the patient, family, or group. Plan to spend at least 3 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Be sure you’ve logged all of your practicum hours in Capella Academic Portal.

The BSN Capstone Course (NURS-FPX4900 ) requires the completion and documentation of nine (9) practicum hours. All hours must be recorded in the Capella Academic Portal. Please review the BSN Practicum Campus page for more information and instructions on how to log your hours.

Use the Intervention Feedback Form: Assessment 5 [PDF] as a guide to capturing patient, family, or group feedback about your intervention. You’ll include the feedback as part of your capstone reflection video.

Part 2

Record a 10–15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. A transcript of your video is not required.

You’re welcome to use any tools and software with which you are comfortable, but make sure you’re able to submit the deliverable to your faculty. Capella offers Kaltura, a program that records audio and video. Refer to Using Kaltura for more information about this courseroom tool.

Note: If you require the use of assistive technology or alternative communication methods to participate in these activities, please contact DisabilityServices@Capella.edu to request accommodations. If you’re unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, so address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for supporting evidence.

- Assess the contribution of your intervention to patient or family satisfaction and quality of life.
  - Describe feedback received from the patient, family, or group on your intervention as a solution to the problem.
  - Explain how your intervention enhances the patient, family, or group experience.
- Describe your use of evidence and peer-reviewed literature to plan and implement your capstone project.
  - Explain how the principles of evidence-based practice informed this aspect of your project.
- Assess the degree to which you successfully leveraged health care technology in your capstone project to improve outcomes or communication with the patient, family, or group.
  - Identify opportunities to improve health care technology use in future practice.
- Explain how health policy influenced the planning and implementation of your capstone project, as well as any contributions your project made to policy development.
  - Note specific observations related to the baccalaureate-prepared nurse’s role in policy implementation and development.
- Explain whether capstone project outcomes matched your initial predictions.
  - Discuss the aspects of the project that met, exceeded, or fell short of your expectations.
  - Discuss whether your intervention can, or will be, adopted as a best practice.
  - Describe the generalizability of your intervention outside this particular setting.
  - Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
- Assess your personal and professional growth throughout your capstone project and the RN-to-BSN program.
  - Address your provision of ethical care and demonstration of professional standards.
  - Identify specific growth areas of which you are most proud or in which you have taken particular satisfaction.
- Communicate professionally in a clear, audible, and well-organized video.

Additional Requirements

Cite at least three scholarly or authoritative sources to support your assertions. In addition to your reflection video, submit a separate APA-formatted reference list of your sources.

Competencies Measured

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

- Competency 2: Make clinical and operational decisions based upon the best available evidence.
  - Describe one’s use of evidence and peer-reviewed literature to plan and implement a capstone project.
- Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
  - Explain whether capstone project outcomes matched one’s initial predictions and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
- Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
  - Assess the degree to which one successfully leveraged health care technology in a capstone project to improve outcomes or communication with a patient, family, or group.
- Competency 5: Analyze the impact of health policy on quality and cost of care.
  - Explain how health policy influenced the planning and implementation of one’s capstone project, as well as any contributions the project made to policy development.
- Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
  - Assess the contribution of an intervention (capstone project) to patient, family, or group satisfaction and quality of life.
- Competency 8: Integrate professional standards and values into practice.
  - Assess one’s personal and professional growth throughout a capstone project and the RN-to-BSN program.
  - Communicate professionally in a clear and well-organized video.

NURS-FPX4900 Assessment 4: Patient, Family, or Population Health Problem Solution