NRS-493 Professional Capstone and Practicum Assignments

NRS-493 Professional Capstone and Practicum Assignments

NRS-493 Topic 1 Identification of issue Significant to Nursing Practice I

The first step in developing an evidence-based, practice change proposal is to identify an issue or problem that is significant to nursing practice. In this topic, students will examine a health care clinical problem or an organizational issue and its implications to nursing practice.

NRS-493 Professional Capstone and Practicum Assignments Objectives:

  1. Create a plan for successful completion of the course.
  2. Integrate reflective practice in the form of a reflective journal.
  3. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.

Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice

NRS-493 Professional Capstone and Practicum Assignments

Read “Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice,” by Stillwell, Fineout-Overholt, Melnyk, and Williamson, from American Journal of Nursing (2010).


Evidence-Based Practice: The Future of Nursing and the Role of Nurse

Read “Evidence-Based Practice: The Future of Nursing and the Role of Nurse,” by Jyothi, from International Journal of Nursing Education (2012).


Evidence-Based Practice: Share the Spirit of Inquiry

Read “Evidence-Based Practice: Share the Spirit of Inquiry,” by Arzouman, from MEDSURG Nursing (2015).


Guidelines for Undergraduate Field Experiences

Review the Guidelines for Undergraduate Field Experiences, located in the Student Success Center. This material contains important information for your clinical experience and the evaluation process.

Optional: GCU Library Webinars

For additional information, the following is recommended:

Review the webinar information offered by the GCU Library. From the “Webinars and Workshops: Webinar Calendar” page, select the “Category” tab and scroll down to the Nursing and Health Sciences selection. Webinar participation is optional.


NRS-493 Individual Success Plan

Review the “NRS-493 Individual Success Plan” resource to familiarize yourself with the requirements for the Individual Success Plan (ISP) assignment in this topic.

Also Read:

NRS 493 Grand Canyon University Scholarly Virtual Tools Activities Discussion

NRS-493 Topic 5 Capstone Project Change Proposal Implementation Plan I

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities beyond their employment in a clinical practice setting. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available in an organizational setting, in the community, or nationally.

This submission should include how you were involved and contributions made to interdisciplinary initiatives. In Topic 10, students will submit a summary report of the scholarly activity and their involvement in any interdisciplinary initiatives. Students must use the “Scholarly Activity Summary” resource to guide this assignment.

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

NRS-493 Professional Capstone and Practicum Assignments Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.


This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.


This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.


This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Pleas euse the list from the ISP.

NRS-493 Individual Success Plan (ISP)

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of
  1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
  2. Completion of work associated with program competencies.
  3. Work associated with completion of the student’s capstone project change proposal.

Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

You are not required to submit this assignment to LopesWrite.

Work with your preceptor to perform a needs assessment of the organization and community for your practicum. Review the needs assessment to identify possible project topics. In preparation for the capstone change project proposal, compile a list of three to five possible topics for your project and submit to the assignment instructor in LoudCloud.

You are not required to submit this assignment to LopesWrite.

Professional Capstone and Practicum Reflective Journal

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

NRS 493 Professional Capstone and Practicum Reflective Journal Example

A reflection is an essential tool for professionalism and tracking progress in tasks. It is also a source of motivation and improvement by looking at the archived objectives and the areas for improvement available. This essay is a reflection of week four of the capstone change project.

This week was quite a busy week with care delivery to the patients. My mentor assigned me leadership roles to oversee other care providers in preparation for my capstone project implementation. During the week, I coordinated care teams in providing diabetes care, such as diabetic foot examinations and eye examinations. The experience taught me the importance of good leadership and ethical consideration in healthcare.

Leadership skills are vital in ensuring all care team members cooperate and perform their roles. The community clinic is free; hence there are few economic considerations, and they are all handled at the management level. Respecting all professionals, shared-decision making, and open and free communication are important for all leaders to succeed in their roles (Peterson et al., 2019).

 Informed consent, autonomy, confidentiality, and social justice are the most important ethical considerations in diabetic patients. Updating the patient of all care interventions and providing feedback promoted patient participation (Lee et al., 2019). Assuring them their information was safe also helped their openness and readiness to share information. The patient-care provider relationship is based on mutual trust, and thus ethical responsibility of the healthcare provider helps build a better relationship. Thus, ethical considerations such as informed consent, transparency, and confidentiality will be integral in the capstone project. In addition, good leadership skills will help coordinate the care providers for its successful implementation.


Lee, S. K., Shin, D. H., Kim, Y. H., & Lee, K. S. (2019). Effect of diabetes education through pattern management on self-care and self-efficacy in patients with type 2 diabetes. International journal of environmental research and public health, 16(18), 3323.

Peterson, K., Anderson, J., Bourne, D., Charns, M. P., Gorin, S. S., Hynes, D. M., … & Yano, E. M. (2019). Health care coordination theoretical frameworks: a systematic scoping review to increase their understanding and use in practice. Journal of general internal medicine, 34(1), 90-98.

NRS-493 Professional Capstone and Practicum Assignments Topic 1 DQ 1

Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

NRS-493 Topic 1 Identification of issue Significant to Nursing Practice I Topic 1 DQ 2

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.