Discussion Overview: In Capstone, you will construct and implement an evidence-based, small-scale change project based on an identified nursing issue in your workplace or the community.
The change component of your project consists of implementing a strategy to address your selected problem or issue. Strategies used in the Capstone course at Galen are educational strategies, policy strategies, protocol strategies, or technology strategies. The Capstone Project requires a minimum of 48 hours to successfully pass the course. Ideally, at least half of this time should be spent in the clinical or field setting with your preceptor. You will spend project time doing activities such as planning, assessment, literature review, coordination, and implementation.
Discussion Prompt: Be sure to answer all areas of this week’s discussion.
· What problem or issue are you seeking to improve?
Problem: (The missed communication between the patient’s attending and consultants in the 7 Carrol Medical Surgical Unit at HCA Florida Mercy Hospital disrupts the daily workflow and impacts patient care. This issue leads to delays in treatment decisions, confusion among staff members, and potential errors in patient management. Due to this communication breakdown, patients may experience prolonged hospital stays, ineffective treatments, and dissatisfaction with their care.)
o How did you identify or recognize the problem or issue (i.e., inclusion of internal data)?
How the problem was identified: ( During a routine audit of patient charts and electronic medical records at 7 Carrol Medical Surgical Unit, I noticed a pattern of discrepancies and delays in treatment plans. Upon further investigation, I found instances where consultants’ recommendations were not documented in the patient’s records, leading to confusion among the nursing staff about the appropriate course of action. Additionally, conversations with nurses revealed frustrations about the lack of clear communication between the attending physicians and consultants, resulting in missed opportunities for timely interventions and suboptimal patient care. These findings highlighted the problem of missed communication between patients’ attendings and consultants at the unit.)
· What evidence from the research supports the existence of the problem or issue (i.e., include external data)?
o Include supportive rationale for your evidence from a peer-reviewed journal using APA in-text citation and a full reference.
· Discuss the strategy you plan to implement as your change component and how your chosen strategy will be effective in addressing your problem or issue (education policy, protocol, or technology).
· Create a timeline for your project’s implementation beginning in Week 1 and ending in Week 7 of the course.
o Plan your timeline to reach the evaluation phase.