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NURS-FPX4900 Assessment 1: Problem Identification and Proposal Development
Step-by-step guide for NURS-FPX4900 Assessment 1. Learn how to identify a nursing practice problem, develop a capstone proposal, and apply APA 7 formatting for Capella University.
Introduction
NURS-FPX4900: Capstone Project for Nursing is designed to integrate graduate-level nursing knowledge, evidence-based practice, and leadership skills into a project that addresses a clinical or organizational problem.
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Assessment 1 Objective:
Identify a relevant nursing practice problem
Develop a capstone project proposal that outlines the project’s purpose, significance, and goals
Conduct preliminary research to support the problem and proposed interventions
Prepare a well-structured, APA 7-compliant paper
Step 1: Identify a Nursing Practice Problem
Tips for Identifying a Problem:
Focus on clinical, administrative, or population health issues
Look for gaps in practice, patient outcomes, workflow inefficiencies, or quality improvement needs
Ensure the problem is feasible and measurable within your practice setting
Align with personal interests, career goals, and organizational priorities
Examples of Nursing Practice Problems:
High rates of patient falls in a medical-surgical unit
Low adherence to hand hygiene protocols among staff
Inconsistent pain management for post-operative patients
Gaps in patient education for chronic disease self-management
Communication breakdowns in interprofessional teams
Step 2: Conduct Preliminary Literature Review
Identify current evidence supporting the existence of the problem
Use Capella Library: CINAHL, PubMed, ProQuest Nursing & Allied Health
Search for recent peer-reviewed articles, systematic reviews, clinical guidelines
Keywords to use:
“Quality improvement AND nursing practice”
“Patient outcomes AND evidence-based interventions”
“[Your problem] AND nursing interventions”
Pro Tip: Focus on studies that provide measurable outcomes or demonstrate practice gaps.
Example Research Table:
| Author | Year | Problem Focus | Intervention | Outcomes | Key Findings | APA Citation |
Step 3: Develop Problem Statement
Clearly define the specific practice problem
Include evidence from research or organizational data
Explain why this problem is significant for patient care, staff, or organizational outcomes
Describe potential implications if the problem is not addressed
Step 4: Define Project Purpose and Goals
Outline the purpose of your capstone project
Identify SMART objectives (Specific, Measurable, Achievable, Relevant, Time-bound)
Example:
Purpose: Reduce patient fall rates in the orthopedic unit
Goal: Implement a fall-prevention bundle and reduce falls by 20% over six months
Step 5: Proposal Development
Components of the Capstone Proposal:
Introduction
Brief overview of the practice problem
Significance for nursing practice
Problem Statement
Description of the issue and supporting evidence
Purpose of the Project
Clear, focused statement of intent
Project Goals and Objectives
SMART objectives aligned with desired outcomes
Preliminary Literature Review
Evidence-based research supporting project rationale
Proposed Methods / Approach
General plan for implementing and evaluating the project
Anticipated Outcomes / Impact
Expected improvements in practice, patient outcomes, or workflow
Conclusion
Summary of significance and next steps
References – APA 7th edition
Step 6: Apply APA 7th Edition Guidelines
Use in-text citations for paraphrased or quoted material
Format the reference list according to APA 7th edition
Include headings, spacing, font, and margins correctly
Use DOIs or URLs for online sources
Step 7: Revise and Proofread
Ensure clarity, logical flow, and coherence
Verify the alignment between the problem, purpose, and objectives
Check for accuracy of citations and APA formatting
Proofread for grammar, punctuation, and spelling
Tips for Success
✅ Select a relevant, feasible, and evidence-supported problem
✅ Conduct a preliminary literature review to justify the project
✅ Develop SMART objectives linked to measurable outcomes
✅ Align your problem and proposal with organizational or clinical priorities
✅ Maintain APA 7 compliance throughout
Conclusion
NURS-FPX4900 Assessment 1 establishes the foundation for a successful capstone project. By clearly identifying a nursing practice problem, supporting it with evidence, and developing a focused proposal, students set the stage for implementing evidence-based interventions and improving patient care or organizational outcomes.
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