Designing and Designing and Sustaining the Capstone Sustaining the Capstone Project Project Linda Roussel, RN, DSN, NEA-BC, Professor, USA College Linda Roussel, RN, DSN, NEA-BC, Professor, USA College of Nursing of Nursing Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Coordinator, Carolinas Medical Center Coordinator, Carolinas Medical Center Terilee Gerry, BSN, RN, CNL Student, Maine Medical Terilee Gerry, BSN, RN, CNL Student, Maine Medical Center Center
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Designing and Sustaining the Designing and Sustaining the Capstone ProjectCapstone Project
Linda Roussel, RN, DSN, NEA-BC, Professor, USA Linda Roussel, RN, DSN, NEA-BC, Professor, USA College of NursingCollege of Nursing
Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Coordinator, Carolinas Medical CenterCoordinator, Carolinas Medical Center
Terilee Gerry, BSN, RN, CNL Student, Maine Medical Terilee Gerry, BSN, RN, CNL Student, Maine Medical CenterCenter
ObjectivesObjectives
Describe overall expectations for the Clinical Immersion Experience, including the Capstone Project. (Linda)
Identify major aspects of planning a Capstone Project, including a doing a Needs Assessment, developing an evidence-base for practice change and outcome measures. (Terilee)
Review innovative role of CNL and how the CNL immersion experience and completed project help advance CNL skill set (Tammy)
CNL Academic ExperienceCNL Academic Experience
CNL White paper Roles
Competencies
End of Program Expectations
CNL Academic ExperienceCNL Academic Experience
Assignments: Needs Assessment Work Flow Gap Analysis
Clinical Experience Role Socialization
CNL Academic ExperienceCNL Academic Experience
Clinical Experience Making the Case Cost-Benefit IOM Aims Outcomes Management Evaluation
The Student PerspectiveThe Student Perspective
Major Aspects of Project Major Aspects of Project Management and the Clinical Management and the Clinical Immersion ExperienceImmersion Experience
Terilee Gerry, BSN, RN, CNL Student, Maine Medical CenterTerilee Gerry, BSN, RN, CNL Student, Maine Medical Center
Academic PreparationAcademic Preparation
BS in Nursing 2 yrs clinical experience 5 semesters Semester 1,2 course work Semester 3,4 continue course work and
begin clinical experience Last semester course work and full clinical
immersion
Clinical PreparationClinical Preparation
3rd semester and the 40,000 ft view Met people behind the scenes Met future resources 8 hrs clinical time/wk in 4th semester Weekly meetings with CNL preceptor Full clinical immersion during last semester
Staff Development Specialist coordinated student experiences
8 CNLs Nursing Director Student colleagues
CNL PreceptorCNL Preceptor
Shadow different CNLs Eventually assigned primary preceptor Weekly meetings Advisors Offered help with research/capstone project Shared experiences with us Offered support/advice/suggestions
Nursing DirectorNursing Director
Project approval Weekly meetings Close communication Leadership mentor
The Capstone ProjectThe Capstone Project
Preliminary discussion in 1st semester Establish a time line Unit based Needs Assessment Director approved Prepare for IRB submission
My ProjectMy Project
Assigned unit in 3rd semester Unit issues/needs unknown Director meeting-input important Possible project suggestions Decision made Began making contacts
Project BeginsProject Begins
Literature Search Begin contact/meetings with stakeholders Communication with physicians Work with faculty Input from Nursing Research Dept.
Project ContinuesProject Continues
Paper written Hospital and Univ. IRB approval obtained Data collection now underway
Director’s InputDirector’s Input
Inform staff of project to demonstrate leadership
Attend staff meetings Involvement on various committees Meet key personnel
Continued SupportContinued Support
CNL monthly meetings Quarterly meetings with CNS group Support of each other as needed
Innovative Role of the CNLInnovative Role of the CNL
Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Tammy Lee, MSN, RN, CNL, Clinical Nurse Leader Coordinator, Carolinas Medical CenterCoordinator, Carolinas Medical Center
The CNL Perspective
Innovative Role of CNLInnovative Role of CNL
“We cannot solve our problems with the same thinking that created them.”
Albert Einstein
ProjectsProjects
Simplistic to Difficult Small to Enormous Microsystem changes to House-wide
changes
My Capstone ProjectMy Capstone Project
As the result of my Capstone project an entire process was changed.
It’s benefits: decreased catheter related-blood stream infections and decrease number of healthcare dollars spent.
Other benefits was streamlining care for the nurses.