NR451 Week 6 Assignment: Evidence-based practice change process

The purpose of this assignment is:

  • To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.
  • The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO#2)
  • CO8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities. (PO#8)


The assignment is worth 225 points.

Due Date

Submit your completed assignment by Sunday end of Week 6 by 11:59 p.m. MT.


Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.


  1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
  2. View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.).
  3. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
  4. Identify a clinical topic and related nursing practice issue you think needs to be changed.
  5. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
  6. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
  7. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
  8. Work on a portion of the process each week, as the illustration unfolds.


Best Practices

  • Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
  • Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
  • Please see the grading criteria and rubrics on this page.
  • Please use your browser’s File setting to save or print this page.


Scholarly Sourceand Citations

  • Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
  • Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!


Star Point 1:  Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)

Topic: safety

Practice issue related to nursing: Medication errors

Briefly describe yourrationale for your topic selection. Include the scope of the issue/problem.

My rationale for selecting medication errors as my practice issue under the safety topic is, medication errors have a significantly negative effect on the healthcare delivery process, patient and nursing health outcomes. Medication errors, as defined by Dirik et al. (2019), are preventable inappropriate utilization of medication by the healthcare providers, patients, and/ or the consumers. These errors may occur while prescribing, transcribing, dispensing, or administrating medications. On average, at least 100,000 medical errors are reported per annum (U.S Food and Drug Administration, 2019). These medication errors are responsible for approximately 250,000 deaths, leading to them being the 3rd most leading cause of mortality in the U.S (Makary & Daniel, 2016). According to PSNet (2019), medication errors are associated with life-threatening consequences, among them, adverse drug events (ADEs) which if not effectively treated, can cause the death of the patient. The consequences of medication errors are far-reaching, affecting not only the patients but also their families, healthcare providers, and healthcare organizations. The patients who are subjected to medication errors many develop new health conditions such as skin rash, gastrointestinal problems, skin disfiguration, psychological problems, and disability. These lead to the need for hospitalizations, prolonged hospital stay, readmissions, and financial burdens for the patients, especially concerning the lost productivity during treatment (Dirik et al., 2019). The patients’ families experience consequences such as increased burden in caring for their loved ones in terms of finances as well as the loss of a loved one in case the medication errors become fatal. Medication errors also affect healthcare providers. These include nurses and doctors offering care to patients. Providers who commit medication errors may give the patients the wrong medication or dosage or administer the medication at the wrong time. The discrimination and stigma associated with medication errors, coupled with the legal-ethical processes, lead to negative outcomes for the affected provider(s). More so, the providers may develop low self-esteem, guilt, self-doubt, and shame following the event, which is linked to reducing productivity and performance in their work (Makary & Daniel, 2016). The litigation process may equally lead to the suspension and/ or nullification of the provider’s license to practice, further causing the psychological and emotional suffering of the affected provider. The hospitals also face consequences from medication errors. According to the Centers for Medicaid and Medicare Services (CMS), medication errors are never events. Thus, the organization may not receive reimbursement for any extra healthcare costs associated with medication errors. The organizations may even be penalized for failure to meet the standards concerning medication errors. Recording high rates of medication errors affect the public perception and reputation of the organization, leading to fewer patients seeking healthcare services, and thus, reduced profitability. Medication errors fail to lead to the failure of an organization to be reaccredited (PSNet,2019).

 Star Point 2:  Summary (Evidence to support the need for a change)

Describe the practice problem in your own words and formulate your PICOT question.

The consequences of medication are far-reaching. They significantly affect the patients’ safety and health outcomes. The nurses have major implications on medication errors since they take orders from the doctors to prescribe, transcribe, dispense, and administer medication. The nurses are responsible for ensuring the medications administered to the patients are the right ones, with the right dosages, and to the right patient.  Thus, nurses can significantly contribute to the efforts towards the reduction of medication errors for the improvement of patient safety and health outcomes. Nurses can also help by reporting any medication errors and near misses to allow for the completion of cause analysis and implementation of effective interventions to prevent the errors from happening. However, the nurses’ legal, ethical, financial, and psychological…..Please click the icon below to purchase the full answer at only $15