NRS-493 Professional Capstone and Practicum ONIKSS

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NRS-493 Professional Capstone and Practicum ONIKSS

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Professional Capstone and Practicum


6 Credits

Course Description

This is a writing-intensive course. The course combines scholarly activities with clinical practice experiences designed to synthesize

NRS-493 Professional Capstone and Practicum ONIKSS
NRS-493 Professional Capstone and Practicum ONIKSS

learning into the practice environment and impact health outcomes. Learners participate in planned, clinical experiences that refine professional competencies at the baccalaureate level and enable learners to integrate new knowledge and higher level skills to advance nursing practice. Clinical practice hours will be dedicated to learning objectives in leadership and in community health. The professional capstone project offers learners the opportunity to propose a resolution to an issue or problem significant to nursing practice within a clinical environment. Learners identify, design, and propose an evidence-based solution within a health care organization with guidance from faculty and a preceptor in the field. The proposal must reflect synthesis and integration of course content and professional practice. Development of the capstone project is guided by the baccalaureate program learner learning outcomes. Clinical hours: 100. Combined ; 50 hours in leadership and 50 hours in community health. Prerequisites: NRS-430V, NRS-429VN, NRS-434VN, NRS-428VN, HLT-362V, NRS-433V, PHI-413V, NRS-451VN, NRS-410V, and NRS-440VN.

Class Materials

Class Resources

Clinical Practice Experience Objectives

The following are the objectives for the clinical practice experience:


  1. Develop a needs assessment of the community related to the organization’s relationship with the community.
  2. Design an evidence-based nursing practice intervention based on the need’s assessment of the organization and community.
  3. Formulate an evidence-based clinical practice change proposal that will impact patient outcomes in the community.
  4. Present a professional presentation of an evidence-based clinical practice change proposal to organization leaders.
  5. Demonstrate interprofessional collaboration throughout the creation of the capstone project change proposal.


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  •  Requirements for Successful Course Completion

In order to receive a final letter grade in this course, students are required to submit all assigned deliverables, assessments, and evaluations including documentation of 100 clinical hours approved by an assigned preceptor. Failure to submit all assignments and evaluations will result in an "incomplete" or a failing grade.


  • Practice Experience Hours

Students are required to complete 100 direct clinical practice experience hours and 25 indirect clinical practice experience hours. Of the required 100 direct clinical hours, 50 hours are specifically community and 50 hours are specifically leadership.


Expectations for Clinical Practice Experiences

  • Clinical practice experiences make up an essential component of the post-licensure BSN program.

The American Association of Colleges of Nursing (AACN, 2012) defines nursing and the achievement of baccalaureate standards as follows:

"Nursing is a practice discipline that includes both direct and indirect care activities that impact health outcomes. Baccalaureate programs provide opportunities for practice experiences designed to assist graduates to achieve The Essentials of Baccalaureate Education for Professional Nursing Practice. All baccalaureate programs, including RN-BSN programs, must provide practice experiences for students to bridge to baccalaureate-level profess… Read More


  • Direct Care/Indirect Care

The American Association of College of Nursing (AACN) in its 2012 "White Paper: Expectations for Practice Experiences in the RN to Baccalaureate Curriculum," explained the difference between direct and indirect care:

"Direct care refers to nursing care activities provided at the point of care to patients or working with other healthcare providers that are intended to achieve specific health goals or achieve selected health outcomes. Indirect care refers to nursing decision, actions, or interventions that are provided through or on behalf of patients. These decisions or interventions create the conditions under which nursing care or self-care may occur. Nurses might use… Read More


  • Expectations for the Professional Capstone Project Change Proposal

The capstone project change proposal is a clinical practice experience assignment that offers students an opportunity to research and propose an evidence-based, nursing intervention to address an issue significant to nursing practice within a clinical environment. Students must identify a specific patient population, or clinical department, within their chosen practicum environment to design and propose an evidence-based solution. Faculty must approve capstone project change proposal topics. Faculty and preceptors support students toward project completion.

Examples of appropriate clinical practice experience assignments are listed in the Course Materials and in Appendix A of the … Read More

NRS-493 Capstone Project Change Proposal Deliverables Table

The "NRS-493 Capstone Project Change Proposal Deliverables Table" is list of items that must be completed and submitted by the student each week. Included in the deliverables table are assignments, direct clinical hours, and indirect clinical hours broken down by week. This table is meant to assist the student in constructing the capstone project change proposal successfully.