NR 451 Week 3 Milestone 1 Promoting Breastfeeding

NR 451 Week 3 Milestone 1 Promoting Breastfeeding

NR 451 Week 3 Milestone 1 Promoting Breastfeeding

Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets

Refer to the guidelines for specific details on how to complete this assignment.
Type your answers directly into the worksheets below.
Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT. NR 451 Week 3 Milestone 1 Promoting Breastfeeding
Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

What is the Practice Issue?

Define the scope of the Practice Issue:

What is the practice area?
_✔__ ___

How was the practice issue identified?
Describe the rationale for your checked selections:
What evidence must be gathered? (Check all that apply) NR 451 Week 3 Milestone 1 Promoting Breastfeeding
Describe the rationale for your checked selections:

Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:

Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:

Define the search terms for your systematic review:

Identify the objectives of the article. NR 451 Week 3 Milestone 1 Promoting Breastfeeding

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper.

Outline evidence-based solutions that you will consider for your project.
Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.



Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project. NR 451 Week 3 Milestone 1 Promoting Breastfeeding

Course Outcomes

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

  • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.) Please type your answers directly into the worksheet.My topic is :

Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2.

Chamberlain Library Permalink:

Info to access the article: D40636555


My clinical Question asked using PICOT method is, In patients who are adults (population), how effective is skin antisepsis regimen (Intervention) as compared to no skin antisepsis (Comparison intervention) in controlling central venous catheter-related infections (Outcome) with time? Since the PICOT method stands for Population Intervention Comparison Outcome and Time, the intervention question is formulated as follows:

Population- It could be children, adolescents, adults or the elderly. In this case, it is Adults with CVT

Intervention: The method used for treatment. In this case, it is, skin antisepsis regimen

Comparison intervention: The method used to establish a comparison with the proposed method. In this case, it is no skin antisepsis

Outcome: The results of treatment of the disorder or disease. In this case, it is, Controlling central venous catheter-related infections

Time: With time

The question on the use of antiseptic to reduce the susceptibility of patient contracting infections related to the central venous catheter is very critical in my current and future practice as a nurse. Since most patients admitted required blood transfusion, fluids, as well as medication to be injected into the body through the CVT, it is critical to identify whether in antiseptics are useful as an intervention strategy to control infections or not. The current gap that requires to be adequately filled in the determination of an intervention strategy that will be most effective in significantly reducing the patient contracting infections along the where the CVT is inserted into the patient’s body.