Preventing Surgical Site Infection in Colorectal Surgery
Please note the following:
1. As a student, you are prohibited from administering pre/post-tests, conducting surveys or
questionnaires, collecting or analyzing private/public data, evaluating outcomes,
soliciting feedback, and/or auditing medical records.
2. Avoid the use of first person. Examples of first person are the following: I, me, we, our,
and us. You may refer to yourself as the author or the student.
C1. Clinical/Organizational Problem
Identify a nursing problem within your organization that needs to be addressed with an evidence based practice change, quality improvement, or innovation. Provide a clear description of the background to the problem with enough contextual detail to establish why it is important.
C2. Description of Problem
Provide a description of why the identified problem requires an evidence based practice change, quality improvement, or innovation.
C3. Explanation of Causes
Describe the factors, issues, or phenomenon that helped to create the problem. What are some causes of the problem? What factors contribute to the problem?
C4. Identification of Stakeholders
Your stakeholders are people internal or external to your organization that have a key interest in or can have a significant impact on your proposed change. Examples of stakeholders include, but are not limited to patients, nurses, physicians, administrators, support or ancillary care staff, family members, volunteers, etc. You will need to include the positions or roles each of the stakeholders hold in your discussion.
C4a. Discussion of stakeholders. This section involves a more detailed discussion about the specific interest, power, and influence that each stakeholder has in relation to your proposed change. For example, hospital administration or the administration of a university can be a stakeholder. The stakeholder would have a heavy interest in any changes made within its facility and has the power to approve or deny your project. Physicians, practitioners, or nurses may have a positive or negative influence on your project. Informal leaders also have power and influence. Speak to all 3: interest, power, and influence for each stakeholder, and explain why or why not the stakeholder possesses each trait.
D. Explanation of Project
This is a purpose statement that should align with the problem, with an aim to improve or alleviate the problem. This section should include a detailed description of what the proposed evidence-based project will accomplish.
E. Proposed Solution
This section involves presenting a description of your proposed evidence-based project. The description must include specific information about what you intend to propose or implement. The proposed solution should include who will be involved, what will be done, and where your project will take place. This represents the “What” of your project – the general plan. Evidence
F. Evidence Summary
The evidence summary is preliminary support for the proposed evidence-based project. This involves a narrative discussion (synthesis of ideas), in paragraph format, identifying the areas of consensus among researchers. Consider the common themes or best practices among the group of articles. Write a broad statement describing one common theme/best practice identified in the literature review. Follow this statement with at least one sentence per research article supporting that common theme/best practice. In this sentence, summarize or paraphrase the researchers’ conclusion, including an in-text citation. Continue adding common themes/best practices along with evidence to support the statement. Use citations to support your assertions and be sure that all 5 articles are cited at least once.
F1. Reference List
G1. Plan of Action
This section should provide a detailed plan of action. This is the “How” of your project and must have great detail. You will need to provide information about the specific steps that will be required to complete your Capstone project. You will discuss what you will independently develop and deliver. This section may also include a description of meetings and agreements (support commitments or negotiations) in preparation for your project, your literature review, your development plan and content, your delivery plan, and your post-delivery discussions with stakeholders. While a full launch is not required, you must create a scalable deliverable.
G2. Timeline
Your timeline will involve correlating each of the steps discussed in your plan of action with a week or weeks in your timeline of when you plan to accomplish each step (do not use specific dates). You should keep your timeline between 4-6 weeks, and your timeline should be in accordance with your organization’s timeline and within your term. Remember the implementation activity that you will focus on may only include the first step of a full scale implementation plan. For example, Week 1 of the project will include…. Weeks 2-4 will involve….. Week 5 will involve etc.
G3. Resources and Personnel
This section involves a narrative discussion about any resources required for your Capstone project. Resources may include equipment, meeting rooms etc. Personnel will include an explanation of the roles of any individuals that you may need to assist you in the development and implementation of your project.
G4. Proposed Change Theory
This discussion should identify the specific change theory or model you have chosen to guide and inform your project. You will need to include the details of the change theory you believe will be most effective in guiding your change process. You will also discuss how the steps or concepts of the Change Theory/Model correlate with the actions/activities involved in your project. In-text citation(s) are required in this section.
G5. Barriers to Implementation
This section involves a detailed discussion about potential barriers you may encounter with the implementation of your project ie: resistance to change, organization culture, time, etc…
