NUR-495: Baccalaureate Capstone: Synthesis and Evaluation. Strategic paper planning

NUR-495: Baccalaureate Capstone: Synthesis and Evaluation. Strategic paper planning

Clearly defined need or problem statement to be addressed through the planned change process
Background support to validate the need (minimum of three scholarly sources current within the last five years)
Desired SMART patient care focused outcome for the planned change capstone project
Specific activities/action plan (to correspond with the outcome) that will facilitate achieving the outcome, along with a time frame for implementation (project scope of eight weeks)
Evaluation plan corresponding with the SMART, patient care focused outcome to define specifically how achievement of the outcome will be determined

NUR-495: Baccalaureate Capstone: Synthesis and Evaluation

Capstone Project Overview

The Capstone Project will initiate change in a healthcare setting.

  • It is a field-based planned project within the scope of your current professional role.
    • Project scope should be approximately 8 weeks in length.
    • Project should be feasible with support of:
  • Resources (human, financial, material, and time)
  • Stakeholders
  • Organization/setting
  • Project involves application of strategic planning and project management processes.
  • Project must address a problem or need.
  • Project must be patient-focused and include a goal to improve patient outcomes. Your assessment of the problem and feasibility of a solution must include direct input from patients or recipients of care (survey results, comments, interviews, patient data, etc).  Review chapter 22 in the textbook, Leading and Managing in Nursing (Yoder-Wise, 2019) regarding patient-centered care
  • Project must include potential, viable solutions.
  • Project facilitator and setting must be secured with Capstone Project Agreement

Strategic Planning Tool Resource

The red text explains how to complete the strategic planning tool.

Instructions: Revisit your strategic plan under development.  Use this tool to document your updated strategic plan to guide the planned change capstone process.  Be sure to cite and reference your sources according to APA format, using the last page for your reference list.


Statement of Need or Statement of Problem to Be Addressed


·       Clear, succinct statement of the need/problem that your plan will address

·       Two to three concise sentences

·       Congruent with 8-week scope



The Affordable Care Act (ACA) established the Hospital Readmissions Reduction Program that requires The Centers for Medicare & Medicaid Services (CMS) to reduce payments to hospitals with excess readmissions.   The We Do It Best Hospital administration estimates that in 2012, the within 30 days of discharge readmission rate was 40%, resulting in a potential loss of income of $50,000.


Background of the Problem

(minimum of three scholarly sources current within the last five years)

·       Provide rational and support from literature to validate the need for your capstone project

·       Literature support should include scholarly publications, current within five years.





Desired outcome of the capstone project Related activities to facilitate the stated outcome Timeline for implementation of stated activities Evaluation plan (corresponding to the stated outcome)
·     Clear statement of the intended outcome of the capstone project

·     Describes the desired “end state”

·     Includes SMART characteristics: Specific, Measurable, Agreed-Upon, Realistic outcome-focused statement including target date for achievement.

·     Must be patient-focused





To document a 2% reduction in the 30-day readmission rate at We Do It Best Hospital by the end of the third quarter (9/30/2015)

·     Develop a plan of action to guide implementation your capstone project

·     List specific activities that are necessary to achieve the stated project outcome


·     Each activity must include a time frame for implementation.

·     Activities and time frames must be congruent with the 8-week scope of the project.

·     Must align with the stated project outcome

·     Must measure improvement to patient outcomes

·     Describe how successful achievement of the project outcome will be determined/ measured (indicator of outcome achievement)

·     Describe what type of information must be gathered to validate achievement of the project outcome



Monitor the 30-day readmission rate and compare with rate prior to the capstone project activities in order to validate achievement of 2% reduction in the 30-day readmission rate by 9/30/2015.