RN Capstone
Week 1
The field of Nursing evolves very fast ,we need to be able to keep up with the changes in
order to provide quality care as Nurses .
We rely on EBP because is the best way to decide how to treat our patients based on reliable
data and results of the most current researches .
The John Hopkins Nursing Evidence-Based PraticePractice (JHNEBP) model is a powerful tool
that consists of three steps (PET); practice question, use evidence, and translation.
This model will target the most important points needed to provide the best care possible .
We as nurses , have the skills to identify issues and obstacles and “when there are
retrospective circumstances requiring analysis and action, including root cause, risk factors,
lifestyle, familial, cultural, genetic, environmental predispositions, or loss” (ANA).
As the required article for this week states (The Impact of Evidence-Based Practice in Nursing
and the Next Big Ideas) the ACE Star Model of Knowledge Transformation was developed to
offer simplified information were clinicians do not have t o go through piles of literature and
can access the best ways to offer treatments based on real results ,this results generate
clinical practice guidelines.
The ACE Star Model of Knowledge the model consists of 5 points
1 -Discovery, representing primary research studies
2 -Evidence Summary, the results are comprised in a single statement
3 -Translation into action or evidence-based clinical practice guidelines
4- Integration into practice is evidence
5- Evaluation .Determine is the evidence-based practice generates good patient health
outcomes
With these models the ACE-ERI was designed to assess the nurse’s skills ,reliability and
sensitivity to apply EBP (Stevens. Puaa. & Low. 2012).
We are a crucial in EBP because we spend a lot of time with the patients and we see
patterns ,we are closer in order to evaluate results .
Translating research evidence to clinical practice is a very important step for safety and to
meet the expectations of patients, families and society.
Translation is the process were knowledge is created, circulated and applied into clinical
practice but it can be affected by the way that clinicians accept ,embrace and share the
information .
,The transformation learning theory (Mezirow 1978, 2000, 2004) is a good tool to assist with
knowledge translation concentrating on the role and impact of attitudes and beliefs, which
are known barriers to research utilization (MacDonald2012)
We as Nurses also face some obstacles ,patient’s and families often take part of healthcare
decisions which means that religious views ,social and cultural values ,interpretation of
quality of life; priorities; and beliefs about health and personal responsibility can differ from
ours and from other patients .Another obstacles are the patient’s literacy levels and
previous knowledge,gender,socioeconomic status, and educational levels if they rely on the
Internet for information leading to false hope or unreasonable expectations.
The only way to beat these obstacles is to develop interpersonal skills and cultural knowledge
understanding that each patient has unique circumstances ,after that we can work together
to elaborate a care plan that will benefit them .
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver
Spring, MD: Author.
www.CDC.org
http://www.ncmedicaljournal.com/content/76
Week 1 cont…
Patient education is a crucial part of our job.
There are a few things that we should be aware of when we interact with patients .
Avoid rushing through the rooms and listen ,showing interest, maintaining eye contact and
using affirmative phrases and body language
We can also ask patients what their goals and priorities are in terms of care
Providing patients with the best research findings and other evidence and “inviting them to
choose a treatment option” (Hargraves 2016, p. 627).
Offer the best treatment options, explaining risks, and benefits in a way that they can
understand.
Education changes patterns of behavior and improve patient’s health status. When patients
engage in interventions that may increase their chances for positive outcomes we know that we
have achieved our goal. The benefits of educate patients with for example :obesity, diabetes or
heart disease would allow them to manage their disease’s side effects .
Patients should also be educated about their procedures recovery process,
medications, lifestyle modifications and self-monitoring devices like a glucose meter or blood
pressure monitor.
These intervention will decrease hospital read mission and promote independence and self-
sufficiency.
, https://www.ncbi.nlm.nih.gov/pmc/articles
Oxford Handbook of Critical Care Nursing Second Edition (2016) by Heather Baid, Fiona Creed,
and Jessica Hargreaves
The WHO states that clinical trial results should be submitted for publication in a peer‐
reviewed journal within 12 months of study completion (Moorthy et al. 2015
There are ways of sharing new knowledge, not only by writing for journals or books, but also by
using social media, speaking at conferences and other events about the research outcomes. The
strength of the evidence is not by it self enough ,prior to any action ,knowledge is founded on
the best available evidence (Graham et al. 2006),and the implementation of evidence into
practice should consider the evaluation of changes in practice (Jones 2000). Its not acceptable
to implement a change in clinical care and not evaluate the impact of that change ,strong
evidence must be translated into practice.
Evidence is stated as Grade A, B, or C, or with plus signs. Grading the evidence provides the
strength of the recommendation arising from the evidence.
http://www.ncmedicaljournal.com
https://www.ncbi.nlm.nih.gov/books
Week 2:
Choose a systematic review from the list of approved reviews based on your interests or your
practice situation.
Formulate a significant clinical question related to the topic of the systematic review
that will be the basis for your capstone change project.
Relate how you developed the question.
Describe the importance of this question to your clinical practice previously, currently,
or in the future.
Describe what a research-practice gap is.
I choose Health-Associated Infections (HAI) because I work in Home Care and when I see post
op patients this is one of the issues that they experience ,specifically older adults.
Week 1
The field of Nursing evolves very fast ,we need to be able to keep up with the changes in
order to provide quality care as Nurses .
We rely on EBP because is the best way to decide how to treat our patients based on reliable
data and results of the most current researches .
The John Hopkins Nursing Evidence-Based PraticePractice (JHNEBP) model is a powerful tool
that consists of three steps (PET); practice question, use evidence, and translation.
This model will target the most important points needed to provide the best care possible .
We as nurses , have the skills to identify issues and obstacles and “when there are
retrospective circumstances requiring analysis and action, including root cause, risk factors,
lifestyle, familial, cultural, genetic, environmental predispositions, or loss” (ANA).
As the required article for this week states (The Impact of Evidence-Based Practice in Nursing
and the Next Big Ideas) the ACE Star Model of Knowledge Transformation was developed to
offer simplified information were clinicians do not have t o go through piles of literature and
can access the best ways to offer treatments based on real results ,this results generate
clinical practice guidelines.
The ACE Star Model of Knowledge the model consists of 5 points
1 -Discovery, representing primary research studies
2 -Evidence Summary, the results are comprised in a single statement
3 -Translation into action or evidence-based clinical practice guidelines
4- Integration into practice is evidence
5- Evaluation .Determine is the evidence-based practice generates good patient health
outcomes
With these models the ACE-ERI was designed to assess the nurse’s skills ,reliability and
sensitivity to apply EBP (Stevens. Puaa. & Low. 2012).
We are a crucial in EBP because we spend a lot of time with the patients and we see
patterns ,we are closer in order to evaluate results .
Translating research evidence to clinical practice is a very important step for safety and to
meet the expectations of patients, families and society.
Translation is the process were knowledge is created, circulated and applied into clinical
practice but it can be affected by the way that clinicians accept ,embrace and share the
information .
,The transformation learning theory (Mezirow 1978, 2000, 2004) is a good tool to assist with
knowledge translation concentrating on the role and impact of attitudes and beliefs, which
are known barriers to research utilization (MacDonald2012)
We as Nurses also face some obstacles ,patient’s and families often take part of healthcare
decisions which means that religious views ,social and cultural values ,interpretation of
quality of life; priorities; and beliefs about health and personal responsibility can differ from
ours and from other patients .Another obstacles are the patient’s literacy levels and
previous knowledge,gender,socioeconomic status, and educational levels if they rely on the
Internet for information leading to false hope or unreasonable expectations.
The only way to beat these obstacles is to develop interpersonal skills and cultural knowledge
understanding that each patient has unique circumstances ,after that we can work together
to elaborate a care plan that will benefit them .
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver
Spring, MD: Author.
www.CDC.org
http://www.ncmedicaljournal.com/content/76
Week 1 cont…
Patient education is a crucial part of our job.
There are a few things that we should be aware of when we interact with patients .
Avoid rushing through the rooms and listen ,showing interest, maintaining eye contact and
using affirmative phrases and body language
We can also ask patients what their goals and priorities are in terms of care
Providing patients with the best research findings and other evidence and “inviting them to
choose a treatment option” (Hargraves 2016, p. 627).
Offer the best treatment options, explaining risks, and benefits in a way that they can
understand.
Education changes patterns of behavior and improve patient’s health status. When patients
engage in interventions that may increase their chances for positive outcomes we know that we
have achieved our goal. The benefits of educate patients with for example :obesity, diabetes or
heart disease would allow them to manage their disease’s side effects .
Patients should also be educated about their procedures recovery process,
medications, lifestyle modifications and self-monitoring devices like a glucose meter or blood
pressure monitor.
These intervention will decrease hospital read mission and promote independence and self-
sufficiency.
, https://www.ncbi.nlm.nih.gov/pmc/articles
Oxford Handbook of Critical Care Nursing Second Edition (2016) by Heather Baid, Fiona Creed,
and Jessica Hargreaves
The WHO states that clinical trial results should be submitted for publication in a peer‐
reviewed journal within 12 months of study completion (Moorthy et al. 2015
There are ways of sharing new knowledge, not only by writing for journals or books, but also by
using social media, speaking at conferences and other events about the research outcomes. The
strength of the evidence is not by it self enough ,prior to any action ,knowledge is founded on
the best available evidence (Graham et al. 2006),and the implementation of evidence into
practice should consider the evaluation of changes in practice (Jones 2000). Its not acceptable
to implement a change in clinical care and not evaluate the impact of that change ,strong
evidence must be translated into practice.
Evidence is stated as Grade A, B, or C, or with plus signs. Grading the evidence provides the
strength of the recommendation arising from the evidence.
http://www.ncmedicaljournal.com
https://www.ncbi.nlm.nih.gov/books
Week 2:
Choose a systematic review from the list of approved reviews based on your interests or your
practice situation.
Formulate a significant clinical question related to the topic of the systematic review
that will be the basis for your capstone change project.
Relate how you developed the question.
Describe the importance of this question to your clinical practice previously, currently,
or in the future.
Describe what a research-practice gap is.
I choose Health-Associated Infections (HAI) because I work in Home Care and when I see post
op patients this is one of the issues that they experience ,specifically older adults.
