I. APN Practice Improvement Paper The purpose of this paper is to facilitate role transition to an advanced nursing practice role by having the student identify a clinical problem that can be addressed with the skills and knowledge acquired by advanced practice nurses. Students will begin to think on a systems level to identify the problem, strategies for resolution, a plan for resolution, and outcome measures to determine the effectiveness of the strategic plan. Identify a specific clinical practice problem that is relevant to clinical nursing practice (for example, sepsis, pressure ulcer detection, family presence during resuscitation, nursing staff shift report, nursing staff patient transfer report, etc.). Think in specific, narrow terms when identifying a problem and remember that many problems affecting clinical practice are too complex for you to resolve; they are addressed at a higher level of organizational leadership. For example, you probably cannot change the number of RNs working in a hospital, but you might be able to change the scheduling method for RNs on a specific unit if that might resolve the problem. You will use skills and knowledge from one or more of the advanced practice nursing competencies to design a strategy to address the problem. Discuss your topic with the professor if you are unsure whether it is appropriate. Search the scholarly peer-reviewed literature for articles related to your topic. Also, search for evidence-based practice guidelines that address the problem. Include the following information in your paper: Introduction (25%) Discuss the following: a clear statement of the practice problem and documentation that supports the existence of the problem, an historical perspective of the issue, a brief literature review related to the significance of the issue, and the relevance of this issue to advanced practice nursing. It is recommended that you choose a real practice that you can directly influence with the PI project that you will develop. Possible Strategies to Address the Problem (15%) In this section you will discuss possible relevant strategies that could be used by an advanced practice nurse to resolve this situation. Be very specific. These should include strategies reported in the literature. Discuss the research evidence that supports the use of each strategy. Strategic Focus (35%) In this section you will elaborate on one of the strategies you have discussed in the previous section. Indicate its theoretical/conceptual basis, relevance to the clinical problem and how you would implement this strategy in your practice as an advanced practice nurse. Possible theoretical/conceptual bases include change theory or other theories specific to the type of problem. Develop a specific plan for implementation that includes a step-by-step description of how you will implement this change in a clinical practice environment. Indicate others who will be involved in this strategy and what their roles will be. Outcome Evaluation Strategy (15%) Describe how you will evaluate the effectiveness of your strategic focus strategy. Include the instruments or other outcome measures that you will use to evaluate outcomes. If the instruments have been published, include psychometric data. If the instruments are new, indicate how you will evaluate reliability and validity. This must be specific.