Job Orientation Checklist for New-Nurse Graduates

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The paper topic is: The Development of a Job Orientation Checklist for New-Nurse Graduates for a new job within a hospital setting.

C. Summarize your project by doing the following:

1. Identify the clinical or organizational problem.

2. Describe why the problem you have identified requires a practice change, quality improvement, or innovation, including supporting evidence.

Note: Evidence can be internal, based on clinical expertise, and/or from scholarly literature.

3. Explain the causes of the problem.

4. Identify the stakeholders.

a. Discuss each stakeholder’s interest, power, and influence in relation to the project.

D. Explain the purpose of your project.

E. Explain your proposed solution for your project.

F. Provide an evidence summary to support your proposed change.

1. Provide a reference list for your evidence summary in APA format that includes a minimum of five scholarly, peer-reviewed sources that were published within the last five years.

Note: This reference list refers specifically to your evidence summary only.

G. Explain your proposed implementation plan, which includes the following:

1. plan of action

2. timeline

3. needed resources and personnel

4. proposed change theory

5. barriers to implementation

H. When you use sources, include all in-text citations and references in APA format.

You will not be conducting primary research and will not need human subject protection for your project. You will complete a review of the literature and then develop an evidence summary. You will identify best practices based on the evidence presented in the findings of the published literature.

Plan of Action

Be prepared to discuss the steps you have taken as you have been laying the foundation for your capstone project. You will need to describe meetings or agreements (support commitments or negotiations) that have occurred or will occur. These meetings/agreements may include those with your preceptor, stakeholders, management, or executives in your organization. Your plan of action needs to provide a succinct explanation of what will occur to successfully implement your capstone project. You may not have a step-by-step plan at this point, but you should have a clear idea of actions that need to occur.

Timeline

Your timeline at this point should be an estimated timeline. You do not have to know specific dates; however, you should be able to provide an estimation of the time involved with each step of your action plan. Your timeline should include general information about when you anticipate achieving the various milestones in your project.

Required Resources and Personnel

Identify the resources needed for the planning and implementation of your capstone project. Resources may include financial support, time, classroom space, printing cost, equipment, personnel adjustments, or reallocation of staffing.

Defining your Change Theory

Deciding on which change theory to use will help you develop a framework for your evidence-based project. A change theory can serve as a guideline for stakeholder interaction and can provide guidance for a process necessary to design a strong plan for implementation. The following article may be a good resource to assist you with selection of the appropriate change theory:

Mitchell, G. (2013) Selecting the best theory to implement planned change. Nursing Management, 20(1), pp. 32—37. Accession Number: 2012069929

Job Orientation Checklist for New-Nurse Graduates

Barriers to Implementation

Be prepared to discuss potential barriers you may encounter with planning the implementation of your capstone project. Potential barriers may be finances, time, a specific person or group of people, or other factors within your organization. How will you address or mitigate the potential barriers?

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Running head: FIRST THREE/FOUR WORDS (of title) (USE ALL CAPS) 1 (This Title Page needs to be completed with your information. Include your Capstone Project Title and your first and last name WITHOUT your credentials) Capstone Project Title (Use Upper and Lower Case) Author’s First Last Name Western Governors University College of Health Professions FIRST THREE OR FOUR WORDS 2 Project Title (Place the name of your project here) Problem Identification Please note: In the writing of this Capstone paper, 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. Please identify a nursing problem within your specialty track: Nursing Education or Nursing Leadership and Management. Discuss why the problem requires an evidence-based practice change, quality improvement, or innovation. How did you identify the problem? Is it a nurse sensitive indicator that you or your peers have identified? What observations of your own or comments made by your peer group, management team, and other members of the transprofessional team help identify this problem? For project ideas, please see your Field Experience Course of Study – Introduction section. The scope of your project must address all aspects included in the course evaluation rubric. The Field Experience Course is designed to guide you to the successful completion of your Capstone project planning. You will plan an evidence-based practice change, quality improvement, or innovation during the Field Experience course; this may require up to 12 weeks. Job Orientation Checklist for New-Nurse Graduates

Then you will implement your evidence-based practice change, quality improvement, or innovation within your Capstone course; this may require up to 6 weeks. Your project should be completed within 18 weeks from start to completion, including writing your project report. If you are considering a large-scale project within your work setting that will exceed these time frames, you should identify a way to narrow the scope of the project to meet these course requirements. Your project must be REASONABLE with the goal of graduation in mind. FIRST THREE OR FOUR WORDS 3 This section will include a general description of the evidence-based practice change, quality improvement, or innovation that your organization is interested in, actively engaged in, or willing to support. This will provide a framework for your actual Capstone project, which is comprised of the action steps that you will actually, complete (or have completed) in support of your organization’s practice change, quality improvement, or innovation. You will need to be specific. For example, your organization may be interested in changing the policy or approach to patient triage in your emergency department.

However, this policy change/process improvement will take several months and system wide resources to complete. You will not have sufficient time or resources to complete the entire policy change/process improvement within the scope of your Capstone project.

In addition, due to organizational constraints or your position in the organization, you may not have the capacity to effect the policy/process improvement in its entirety. Nevertheless, you are in a position to influence change by developing a specific component in support of changing the triage process. Therefore, your project will involve a smaller scope, which you must fully develop. Your part of the project may involve the following: 1) Developing a schematic for the new triage process, 2) Developing a new policy for implementing the new triage process, 3) Developing a new educational offering about the new triage process, and/or 4) Providing a presentation of the evidence that supports changing the triage process to stakeholders that are in a position to effect the change that you are advocating. Your Capstone project will then focus on what you will do (or did) to influence change within your organization; your specific component can be part of the larger change that is taking place within your organization. The goal is for you to be succinct, yet provide sufficient detail to ensure readers have a clear understanding of what your specific contribution to the organization’s practice change, quality improvement, or innovation is all about. Job Orientation Checklist for New-Nurse Graduates

FIRST THREE OR FOUR WORDS 4 Rationale for Change, Quality Improvement, or Innovation This section includes a description of why the change, quality improvement, or innovation is required. Please respond in paragraph format. A paragraph contains a minimum of five sentences. Each paragraph supports a separate and distinct idea. Causes of the Problem This section involves factors, issues, or phenomenon that helped to create the problem.

Please respond in narrative paragraph format. Each paragraph supports a separate and distinct idea. What is the cause of the problem in your area of practice? What are you and/or your peers seeing in your practice setting? What factors contribute to the problem? 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. For example, the CNO, unit manager, staff nurse, educator, quality improvement office, spouse, etc. Stakeholders’ interest, power, and influence. This section involves a more detailed discussion about the specific interest, power, and influence (role) that each stakeholder has in relation to your proposed change. For example, hospital administration or the administration of a university can be stakeholders. They would have a heavy interest in any changes made within their facilities and have 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. Your challenge is to identify the specific interest, power, and influence FIRST THREE OR FOUR WORDS 5 each of the identified stakeholders has in relation to your specific project. Please be sure to address all three aspects of interest, power, and influence for each stakeholder group identified. Purpose of Project This section should include a detailed description of what the proposed evidence-based practice change, quality improvement, or innovation will accomplish.

What specific change will your project bring about? What do you hope to accomplish for the organization and/or stakeholders by implementing your proposed change? Proposed Solution This section involves presenting a succinct and clear description or statement of your proposed evidence-based practice change, quality improvement, or innovation. The description must include specific information about what you intend to do (change). Based on your current position within the organization, this may also involve what you plan to do to influence change. You may serve as a change agent within your organization. Your proposed solution should include who will be involved, what will be done, and where your proposed project will take place. Evidence Summary This involves a narrative discussion summarizing the five scholarly sources that were reviewed. The Evidence Summary should not be an Annotated Bibliography (separate critique) of the five sources. Instead, it should identify the areas where consensus among the various authors of the sources exists. The findings, positions, and recommendations included in your Evidence Summary should be consistent with the recommendations you are proposing for your Capstone project. This section will require the use of in-text citations using each of the five sources. A reference list for the evidence summary in APA format that includes five scholarly, FIRST THREE OR FOUR WORDS 6 peer-reviewed sources that were published within the last five years will be included in the References section of the paper. Remember, this evidence summary is your preliminary support for your project. Be sure your support is adequate. Implementation Plan Plan of Action This section should provide a detailed plan of action. You will need to provide information about the specific steps that will be required to complete your Capstone project. This section may also include a description of meetings and agreements (support commitments or negotiations) in preparation for your project prior to actual implementation. You should include proposed meetings with your preceptor and/or stakeholders, plans for educating stakeholders (if necessary), goals, and any additional steps for the successful implementation of this project. While an exact step-by-step plan is not needed and may not be possible to include at this phase of your project development, you must provide a clear, succinct explanation of your proposed plan of action. Timeline Your proposed timeline should include general information about when the various milestones in your project are anticipated to be achieved.

For example, Week 1 of the project will include…. Weeks 2-4 will involve….. Week 5 will involve…. Weeks 6 and 7 will provide for…. etc. The timeline can be displayed using a variety of options including tables, graphics, in addition to a narrative discussion of the milestones. You do not need to provide specific dates, however; you should provide an estimation of the time involved with each step. FIRST THREE OR FOUR WORDS 7 Required Resources and Personnel This section involves a narrative discussion about any resources required for the planning and implementation of your project. Resources may include financial support, time, classroom space, printing costs, equipment, personnel adjustments, or reallocation of staffing. Proposed Change Theory This discussion should identify the specific change theory 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 your area of nursing practice. This detailed discussion should correlate the actions/activities relevant to your project with each stage/phase/step of the Change Theory you identify. In-text citation(s) are required in this section. Barriers to Implementation This section involves a discussion about potential barriers you may encounter with the implementation of your project. This discussion may include ways you plan to address or mitigate the potential barriers. Learning Objectives and Outcomes NOTE: This section only applies to Education Specialty track students. This section requires a description of the learning objectives and anticipated outcomes associated with your Capstone project.

For example, you will need to identify objectives and outcomes if you are planning an education offering, training module, simulation, training exercise, return demonstration activity, new or revised course or curriculum. Learning objectives and outcomes should be articulated in clear and concise terms. In-text citations may be required to support your chosen objectives and outcomes. FIRST THREE OR FOUR WORDS 8 References Please note that this document outline is only a guide. The written paper, including all in-text citations, must be written in proper APA style. All references (sources) should be identified using in-text citations in the body (narrative portion) of the paper. All of the included sources should be included in the References section. Finkler, S. A., Jones, C. B., & Kovner, C. T. (2013). Financial management for nurse managers and executives (4th ed.). St. Louis, MO: Elsevier. Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A., & De Groot, H. (2012). Patient turnover and the relationship between nurse staffing and patient outcomes. Research in Nursing & Health, 35(3), 277-288. doi:10.1002/nur.21474 Park, S. H., Boyle, D. K., Bergquist-Beringer, S., Staggs, V. S., & Dunton, N. E. (2014). Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers. Health Services Research, 49(4), 1205-1225. doi:10.1111/1475-6773.12158 Staggs, V. S., & Dunton, N. (2012). Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: An observational cross-sectional study. International Journal of Nursing Studies, 49(9), 1138-1145. doi:10.1016/j.ijnurstu.2012.03.009 Sullivan-Havens, D., Jones, C. B., & Carlson, J. (2014). Chief nursing office retention & turnover, 2013: Is the crisis still brewing? Retrieved from http://www.aone.org/conference2014/Handouts/2014_Concurrent_Handouts/Additional %20Handouts/S330H_BN2.pdf …Job Orientation Checklist for New-Nurse Graduates

Job Orientation Checklist for New-Nurse Graduates