1. PROPOSAL SECTION   (this is done already) you can change things around this is is just a proposal, but focus on the title. 

1. Proposed Capstone
Proposal Title: “Enhancing Evidence-Based Practices in Ambulatory
Care: Reducing Wait Times and Hospital Readmissions while Improving Patient
Education and Follow-Up”

2. Rationale for the
choice of the Capstone Proposal (Including information based on

how it may impact your
clinical organization and nursing practice).

 Ambulatory care nursing is becoming
increasingly vital as more healthcare services are

delivered on an
outpatient basis. Enhancing quality and efficiency in this area can
significantly impact patient outcomes
and satisfaction. Implementing evidence-based practices in ambulatory care can help reduce
waiting times, improve patient education and follow-up, and decrease hospital remissions,
ultimately benefiting our clinical organization and nursing practice.

3. Provide a brief
description of the research and evidence available in the literature

and any clinical practice
guidelines that you have reviewed so far to support the

implementation of your
proposed Capstone topic.

Research
indicates that improving care coordination and communication in ambulatory
settings can lead to better patient outcomes. Studies such as cycle, Six Sigma,
and Lean methodologies help identify areas for improvement and systematically enhance
care processes. Clinical practice guidelines, such as those from the American Academy
of Ambulatory Care Nursing (AAACN), emphasize the role of ambulatory care
nurses in advocating for patients, effective communication, continuous
learning, and self-improvement. These guidelines support the implementation of
evidence-based practices to ensure safe, efficient, and patient-centered
care. 

4. Identify at least one
person (i.e., an expert in your topic area of choice) whom you

will contact, interview,
and incorporate information learned into your Capstone paper andpresentation. Include the
expert(s) name, title, credentials, and contact information. This chosen person can be your
preceptor if they will have extensive knowledge of the project you decide to choose. An
expert is considered to be someone who has extensive

experience, knowledge,
and expertise in relation to your topic. There must be a strong

link between your
interview and the capstone topic.

• Name: XXXXXXXXXXXXX 

• Title: Registered
Nurse 

• Credentials: MSN, MBA,
RN, FNP-C, AMB-BC

• Contact Information: XXXXXXXXXXXX

 

5. Provide a rationale
for what makes this person an expert. 

NP, RN XXXXXX has over 15
years of experience in hospital base and ambulatory care nursing and has
spearheaded multiple initiatives to improve outpatient care. Her expertise in
implementing evidence-based practices and her leadership in the field make her
an ideal resource for this capstone project.

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

SECTION 1: INSTRUCTIONS:

For this section of the capstone proposal

• you will state the rationale/purpose for capstone project selected
• background and significance of the proposed topic
• problem statement
• clearly identify the challenges, problems, and opportunities that inspired the proposed capstone topic
• describe the important issues or conditions that exist in leading to the proposal
• identify data from the clinical setting or organizations where the problem exists

Please utilize the Capstone Proposal Template located in the course documents section on Blackboard. Each week, you will add onto this template as to produce your final paper.

“example”

  Problem Statement 

 Miscarriage occurs in 20% of documented pregnancies (Geller et al., 2010). Holistic care
of women experiencing miscarriage can improve the psychological impact for the client and the
ED staff. Women report being dissatisfied with care received in the ED during an early
pregnancy loss. Women report privacy, dignity, compassion, 3 sensitive care, and the
acknowledgement of a loss as being important themes surrounding early pregnancy loss. The
ED’s fast-paced environment and a possible lack of staff awareness to this problem are barriers
to providing holistic care to women experiencing miscarriage.
Emergency department nurses are ill equipped to meet the psychological needs of women
during a miscarriage. Nurses in the ED are not formally trained in principles of perinatal
bereavement, including meeting the complex psychological needs of clients experiencing the loss
of an early pregnancy. Nurses may lack the confidence needed to care for these clients. The
proposed study facility is a busy level III trauma center, in the southeastern U.S., providing care
to around 100,000 clients per year and is the second busiest ED in project state. According to
queried diagnosis codes surrounding miscarriage (in 2016-2017), the department sees over 200
clients annually, up to 27 clients a month, and the mean number of clients impacted each month
is 20. There is no existing early fetal loss protocol for this population or special training in the
ED at this facility. The lacking protocol, training, and/or awareness of the issue can result in
client’s psychological, spiritual, and holistic needs being unmet and leads to client dissatisfaction
with care. The project study facility has a satellite ED. The satellite ED does not have the same
direct, easily accessible obstetrical nurse support as the main facility ED.
Nurses are in a position to provide more holistic care to these clients in the emergency
room with a guiding framework for managing pregnancy loss in the ED. At the core of nursing is
respect for human dignity and kindness; this ethical principle extends to the women and her
fetus, a sometimes unrecognized client. A framework or 4 protocol for care surrounding
miscarriage can help meet the complex psychological, spiritual, and holistic needs of women
experiencing a loss in the ED. A framework can also increase nurses’ confidence in caring for
this population.