Evaluation of Plan Effectiveness Criteria


In the evaluation component of the Capstone project, you are expected to discuss how you would evaluate the effectiveness of the interventions.

Some questions you should seek answers to are:

  1. Would I be able to implement the interventions? If not, what barriers exist?
  2. What visible signs of success (for example, reduced health issues) would I look for? What is your projected effectiveness?

The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1 and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.

The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, and considered the effectiveness of the interventions on the health of the aggregate. It’s time now for you to present your final submission of this Capstone project.


Your final submission should include: the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, and a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.

The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information:

  • A detailed description of the aggregate
  • A description of the aggregate’s strengths and weaknesses
  • A risk assessment of the aggregate
  • Diagnoses based on the risk assessment
  • A detailed care plan for the aggregate
  • A description of how at least one intervention might be implemented in the aggregate to address an identified issue
  • An evaluation of the effectiveness of the intervention

The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, planning interventions, and evaluating the care plan. Your presentation should not exceed 15 slides.


Submit your final Microsoft Word document containing the evaluation and complete summary, use bold sub-headings in the paper to differentiate between the evaluation and the summary information.


Phase 7 and 8: Final Submission

Name your Microsoft Word document 


Name your PowerPoint presentation 




Describing the Aggregate

Tanyanika McMillian

South University

The selected aggregate for this project is the city of Spartanburg in South Carolina. The formation of this city took place in 1785 and is named after a local militia that used to operate during the revolutionary war. The incorporation of the city took place in 1831 and was nicknamed the “Hub City” because it had several railroads that formed wheel hubs. The rationale for selecting this city is that it was named one of USA Today’s least healthy cities in the country. Most of the residents are obese, have suffered a heart attacks, or living in poverty. Comment by dorothy bybee: What is the purpose of the paper?

MAP-IT is a tool for implementing the Healthy People 2020 in the community. The tool helps to mobilize partners, evaluating the inadequacies of your community, formulating and executing a plan to reach the Healthy People 2020 goals and analyzing the improvement of the population (ODPHP, 2014). I will mobilize health organizations to form a group to improve the health of the people and then assess the specific health needs of the community. The partners will then plan on the most appropriate approach to meet the aggregate’s health needs and implement them according to the identified plan. The last step will be to track whether the implemented plan has met the identified needs and improved the health of the aggregate. Comment by dorothy bybee: Good application. Only apply the appropriate element for the phase we are in.

The city of Spartanburg is largely served by Spartanburg Regional Healthcare System (SRHS), which is a not-for-profit health care system with a 588-bed teaching and research hospital and other small hospitals. SRHS meets, supports and advocates evidence-based practice by providing cost-effective and patient-centered care and treatment services (Spartanburg Regional Healthcare System, 2017). SRHS collaborates with other hospitals and medical centers in offering these services and make health services accessible to all city residents. Comment by dorothy bybee: Local clinic addressed

The city of Spartanburg has a population of 37,375; 16,610 males and 20,631 females. The city has 17,971 housing units for both owner and renter occupied. The median age of the city residents is 37.1 years. The city residents have a median household income of $33,600. The majority of the residents are below the age of 65 years (Esri, 2015).


Running head: PHASE 3 AND 4 8


Phase 3 and 4

Tanyanika McMillian

South University

Phase 3: Analyzing the aggregate strengths and weaknesses

The strengths of the aggregate and the community living there are that despite previously being among the least healthiest cities, the aggregate has been making significant efforts to improve its health through healthy schools and healthy community initiatives. One of the efforts is Spartanburg’s Way to Wellville that have created a culture of health where people are ready to work together to promote health for all (Upstate Biz SC, 2016). The city and the entire Spartanburg County has worked towards rallying community partners towards the achievement of a common objective of wellness. These attempts have worked well in significantly reducing teen pregnancy, increased affordable houses, increased education opportunities, and access to medical facilities and healthful meals. Other strengths include enhanced access to healthcare and social amenities for low-income earners and citizens of the county who cannot afford insurance policies and other creative tactics to integrate behavioral wellness practices into the aggregate. Comment by dorothy bybee: Where is the introduction?

The strengths of the city and the community living in the aggregate are that it faces the health problems of high rates of children and child obesity, a high number of people living with high blood pressure and diabetes, and risk of suffering from heart attack. The county also has high poverty rates, elevated levels of air pollution, inadequate education facilities, poor living conditions along with other health problems. Comment by dorothy bybee: Do you mean weaknesses?

Applying MAP-IT to this assessment, the first step is to mobilize, and there are already some active partners willing improve the health conditions of the city. The next step is assessing the needs of the aggregate, which from the above weaknesses include making lifestyle modifications and improving the wellness conditions. The partners then plan on the best way to make lifestyle changes and reduce the above lifestyle related diseases. The last step will be to track the progress by collecting data to determine if the rates of the diseases have reduced. Comment by dorothy bybee: The only element to discuss is A for assessment.

Phase 4: Risk Assessment

The family, home, environment and risk assessment if the family was conducted by review



Phase 5 – Developing the Care Plan

Tanyanika McMillian

South University

April 4, 2017


The selected aggregate for the capstone project, City of Spartanburg, is one of the least healthy cities in the country. Most of the residents of the city are living with obesity, diabetes, high blood pressure, while some of these have suffered from heart attacks. The residents also have high poverty levels while a third of them are unable to perform activities appropriate for their age due to poor health. The two health risks identified in the previous assignment were the risks of suffering from respiratory illnesses due to the massive air pollution and suffering from obesity, diabetes and other lifestyle diseases. This paper discusses the plan of care to address these health risks and two disasters that may affect the community and how to manage the disasters. Comment by dorothy bybee: Good introduction

MAPIT for Plan

The first step for this scheme is to mobilize the partners who have the ability and are willing to assist in the implementation of the plan. Some of the available partners for this course are Mary Black Foundation and Spartanburg Childhood Obesity Taskforce (SCOT). The second step is assessing the causes of these two health risks of respiratory illnesses and living with diabetes and obesity. The next two phases will include planning and implementing the plan to reduce the number of people who will suffer from these health risks. The last step of the care plan will be to track whether the implementation has been successful and if the care plan has achieved its purpose. Comment by dorothy bybee: MAPIT addressed

Nursing Diagnosis

This term refers to a medical determination concerning an individual, household, or society responses to a potential or actual health problem (Herdman, 2008). The nursing diagnosis provides a basis for selecting the most appropriate nursing interventions to achieve the desired outcomes of the care plan. The nursing diagnosis of the health risk of respiratory diseases is abnormal breathing patterns, poor clearance of the airways, effect on the normal gas exchange, and reduced spontaneous ventilation (Andrade et al. 2012). Other nursing diagnoses for this risk include diminished lung expansion caused by weakness, fatigue or chest pains, production of secretions associated with infections of the lungs, production of secretions resulting from poor cough effort, and the

Running head: PHASE 6 7


Phase 8

Tanyanika McMillian

South University

Introduction to Phase 6

The aggregate selected for this project is City of Spartanburg in Spartanburg County in the state of South Carolina. The residents of the city are exposed to the risks of respiratory diseases due to the high level of environmental pollution from the industries. A large number of the residents are also living with high blood pressure, diabetes and obesity, which puts them at risk of suffering from heart attacks. This paper identifies the preferred group and the section of the care plan to use on this selected group.

What small group have you selected? What made you select this particular group?

The chosen group for the purpose of this phase is seven individuals living with obesity for more than one year since diagnosis. The reason for selecting this group is that obesity is a chronic disease that requires management to help the patients to live a healthy life. Obesity has become one of the most researched health issues internationally because of the rapid rise in the number of children and adults who are obese or overweight (Walker, Butler, & Colagiuri, 2013). The other reason for selecting this group is that obese individuals face the risk of developing other conditions like insulin resistance, stroke, type 2 diabetes mellitus, osteoarthritis, sleep apnea, cardiovascular diseases and hypertension. Therefore, a plan of care would assist in improving the status of the individuals and reduce these risks. Comment by dorothy bybee: Good reasoning

What portion of the plan would you like to implement in the small group?

The phase will implement the nursing interventions sections of the plan. An intervention is any treatment made through a clinical judgment and knowledge that a nurse undertakes with the objective of improving the patient health and enhancing the expected outcomes (Fitzpatrick & Kazer, 2011). An intervention is also a nursing service, treatment or activity identified to carry out a medical order.

The interventions I will implement for the selected group include reviewing the specific causes of obesity, reviewing the daily food intake, caloric intake, identify the most healthy foods and the right eating habits for this group and identify the feelings of the members towards eating. Other interventions include formulating an individual diet plan depending on the s

Running head

Holistic Professional Nursing Capstone

Final Submission



Instructor Bybee


Phase 7

Evaluation of the implementation

Results of implementation


Summary of MAPIT


Identification of Aggregate

A detailed description of the aggregate


A description of the aggregate’s strengths and weaknesses

A risk assessment of the aggregate

Nursing diagnosis based on the assessment


Plan of care

Discussion of plan

Plan of care form


A description of how at least one intervention was implemented in the aggregate to address an identified health risk.


Evaluation of the effectiveness of the intervention



NOTE: If a component is absent, student receives a zero for that component.

Week 10 Assignment 2 Rubric










Assignment Components

Presented the evaluation of the implementation plan.

Lack of evaluation of the implementation plan.

Evaluation does not address all interventions.

Evaluation of implementation does not discuss effectiveness.

Evaluation addresses all interventions and effectiveness.

[ Score x 5 = 20 pts]

Described plan for implementation of interventions

Lack of a discussion about implementation.

Included a vague discussion of the implementation.

Provided description of the plan for the implementation of interventions.

Thoroughly described the plan for implementation of interventions and anticipated signs of success.

[Score x 5 = 20 pts]

Cited at least two journal articles as references for ideas in the work.

Cited one source and it was not a journal article.

Cited two sources but they were not journal articles.

Cited one source that was a journal article.

Cited two journal articles.

[Score x 3 = 12 pts]

Submitted the complete documentation of the Capstone project including a description and analysis of the aggregate, and a comprehensive care plan based on the results of the risk assessment.

No documentation submitted.

Submitted an incomplete documentation.

Submitted a complete documentation.

Submitted a complete and clear documentation.

[Score x13 = 52 pts]

Presentation highlighted the main aspects of the Capstone project, such as a description of the aggregate, the results of the risk assessment, the major health risks, a summary of the strategies included in the care plan, the details of the implementation, and a note about the effectiveness of the plan.

No presentation submitted.

Submitted an incomplete presentation.

Submitted a complete presentation.

Submitted a complete and clear presentation.

[Score x 8 = 32 pts]