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Devry NR451 All Weeks Discussion and Milestone Entire Course


Devry NR451 All Weeks Discussion and Milestone Entire Course

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Devry NR451 All Weeks Discussion and Milestone Entire Course


Devry NR451 Week 1 Discussion DQ 1 & DQ 2


DQ 1

Assessing Need for Change (graded)


Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?



DQ 1

Nurse’s Role in EBP (graded)


Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?



Devry NR451 Week 2 Discussion DQ 1 & DQ 2



DQ 1

Forming the PICO Question (graded)


Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?



DQ 2

Appraisal of Evidence (graded)


When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?



Devry NR451 Week 3 Discussion DQ 1 & DQ 2



DQ 1

Feasibility of your Capstone Project (graded)


Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?


DQ 2

Communication Errors (graded)


Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?



Devry NR451 Week 4 Discussion DQ 1 & DQ 2


DQ 1

Patterns of Nursing Care (graded)


Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.


DQ 2

Discussion of Articles (graded)


Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?



Devry NR451 Week 5 Discussion DQ 1 & DQ 2



DQ 1

An Ethical Dilemma (graded)


Nurses face many ethical issues on a daily basis. Consider the following scenario:

Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?

What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.


DQ 2

Core Competencies for Nurses (graded


Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?



Devry NR451 Week 6 Discussion DQ 1 & DQ 2


DQ 1

Implementing Change Despite Resistance (graded)


Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.



DQ 2

Workplace Safety (graded)


Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety ( select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.



Devry NR451 Week 7 Discussion DQ 1 & DQ 2


DQ 1

Healthcare Policy (graded)


Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?



DQ 2

Healthcare Economics (graded)


Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?



Devry NR451 Week 8 Discussion


Educational Preparation as a BSN Graduate (graded)


How has this educational program prepared you for the future of nursing as a BSN graduate?


Capstone Project Milestone #1:
Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets



1.     Refer to the guidelines for specific details on how to complete this assignment.

2.     Type your answers directly into the worksheets below.

3.     Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4.     Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.


Practice Issue Worksheet


<table width="630"> <tbody><tr> <td width="630">

What is the Practice Issue?


</td> </tr> <tr> <td width="630">

Define the scope of the Practice Issue:


</td> </tr> <tr> <td width="277">

What is the practice area?

___ ___

</td> <td width="352">




</td> </tr> <tr> <td width="271">

How was the practice issue identified?


</td> <td width="358">




</td> </tr> <tr> <td width="630">

Describe the rationale for your checked selections:





</td> </tr> <tr> <td width="630">

What evidence must be gathered? (Check all that apply)

</td> </tr> <tr> <td width="253">


</td> <td width="376">


</td> </tr> <tr> <td width="630">

Describe the rationale for your checked selections:


</td> </tr> <tr> <td width="253"></td> <td width="18"></td> <td width="6"></td> <td width="352"></td> </tr> </tbody></table>


Evidence Summary Worksheet

Directions: Please type your answers directly into the worksheet.


<table> <tbody><tr> <td width="623">

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:



</td> </tr> <tr> <td width="623">

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:



Define the search terms for your systematic review:


</td> </tr> <tr> <td width="623">

Identify the objectives of the article.



</td> </tr> <tr> <td width="623">

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.


Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper.



</td> </tr> <tr> <td width="623">

Outline evidence-based solutions that you will consider for your project.

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.



</td> </tr> </tbody></table>


Capstone Project Milestone 1:

Practice Issue and Evidence Summary

Grading Grid

Evidence Summary Grading Grid

<table width="624"> <tbody><tr> <td width="95">

Assignment Criteria

</td> <td width="96">

A (100%)



Outstanding or highest level of performance

</td> <td width="101">

B (88%)



Very good or high level of performance

</td> <td width="127">

C (80%)



Competent or satisfactory level of performance

</td> <td width="92">

NI (38%)

Needs Improvement

Poor or failing level of performance

</td> <td width="113">

F (0%)



Unsatisfactory level of performance

</td> </tr> <tr> <td width="624">

Practice Issue Worksheet

</td> </tr> <tr> <td width="95">

Practice issue statement, scope of practice, practice area

20 points

</td> <td width="96">

Practice issue is identified.

Practice issue is an independent nursing decision.

Scope of practice issue is fully described.

Practice area identified.


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