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05-06 Graduate Student Handbook.pdf - University of Kentucky

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Capstone Project - UK College <strong>of</strong> Nursing<br />

http://www.mc.uky.edu/nursing/StuResources/grads/handbook20<strong>05</strong>-<strong>06</strong>/capstone.htm<br />

Page 1 <strong>of</strong> 3<br />

2/24/2011<br />

Final Capstone Project (D.N.P. Program)<br />

The capstone clinical project in NUR 910, the Clinical Residency course, represents an<br />

opportunity for the student to investigate a health care issue in a clinical situation. The clinical<br />

focus <strong>of</strong> these projects is broad and includes not only direct care issues but interventions and<br />

programs that indirectly influence clinical outcomes for a defined population. Direct clinical<br />

care, interventions designed to improve clinical outcomes for an aggregate or population,<br />

administrative interventions to improve clinical outcomes, and policy interventions to improve<br />

health conditions and outcomes for populations would all fall under this definition <strong>of</strong><br />

“clinical”. The capstone project should focus on the scholarship <strong>of</strong> practice, with an emphasis<br />

on internal validity rather than external generalizability.<br />

Projects should include facilitation <strong>of</strong> the use <strong>of</strong> research in the clinical setting resulting in the<br />

potential for change in practice or an outcome analysis. <strong>Student</strong>s are expected to describe the<br />

projects’ processes and outcomes in a systematic and publishable manner.<br />

Elements<br />

• Identification <strong>of</strong> a target population <strong>of</strong> patients/clients<br />

• Implementation and assessment <strong>of</strong> a clinical practice model or system that has the<br />

potential to change clinical practice OR a rigorous outcomes oriented evaluation <strong>of</strong> an<br />

approach that has the potential to change a health care system<br />

• Involvement <strong>of</strong> clinical staff that would be influenced by the anticipated change<br />

• Examination <strong>of</strong> the impact <strong>of</strong> the model, approach, process or technology on other<br />

systems or on the clinical area. <strong>Student</strong>s should evaluate the types <strong>of</strong> analyses previously<br />

conducted, the depth <strong>of</strong> analyses completed and the anticipated outcomes <strong>of</strong> the<br />

proposed model<br />

• An in-depth evaluation <strong>of</strong> the financial impact and the technologic or administrative<br />

impact <strong>of</strong> the project<br />

Process<br />

• Approval and evaluation <strong>of</strong> the project will be done by a team <strong>of</strong> two individuals, both<br />

<strong>of</strong> whom should be doctorally prepared. These should be the student’s faculty advisor<br />

and clinical mentor.<br />

• <strong>Student</strong>s should work with faculty advisors prior to the end <strong>of</strong> the first year <strong>of</strong> study to<br />

select a clinical mentor.<br />

• Another faculty member in the College <strong>of</strong> Nursing or a clinical/administrative person<br />

who is an expert in the area under study may be chosen to work with the team to guide<br />

the project or may evaluate the project as a reader <strong>of</strong> the final product (e.g., clinician,<br />

administrator, policy maker).<br />

• The latter individual should be selected jointly by the student and faculty advisor.<br />

• This committee should meet early in the process to provide advice and consultation to<br />

the student during proposal development.<br />

• The proposal must be approved by the committee.

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