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Assignment questions
NursingResearch paperEvidence-based practice

Design for Change Milestone 2 proposal: ACE Star model

The Milestone 2 Design Proposal for a Design for Change Capstone Project: a four-to-six page APA paper covering the ACE Star model overview, evidence, translation and conclusion. This guide covers the unheaded introduction rule, why the Evidence section needs local data, and what makes an outcome measurable.

Updated

Editorial process

Last reviewed · August 6, 2026

01

Two opening instructions that change how this is written

Two instructions in the opening lines change how this paper should be written and both are easy to skim. The first is that you must **review the feedback you received on Milestone 1 and use it to develop this one** — so this is a revision task as much as a new piece of writing, and the marker has already told you where the earlier version was weak. Going back for that feedback before drafting is the cheapest improvement available. The second is a formatting rule with teeth: write an introduction but **do not head it 'Introduction'**, in accordance with APA. The first heading in your paper is therefore the change model overview, and a paper opening with an Introduction heading has broken a rule the brief spells out with a page reference. Both instructions appear before the section list, which is exactly where a reader in a hurry starts skimming.

The five section headings are the rubric, and they map onto the ACE Star Model's own points without saying so. Change Model Overview corresponds to establishing the framework and scope. Evidence covers Discovery and Summary. Translation covers Translation and Implementation. The Conclusion explicitly asks for the five points of the model to be summarised. Recognising that correspondence early stops the paper drifting into a general change-management essay with the ACE Star model mentioned once at the top, which is the most common shape of a weak submission here.

The Evidence section has a specific expectation buried in the rubric wording rather than in the instructions, and it is worth extracting: the rubric's own illustration is *there have been six urinary tract infections over the last two months*. That tells you what kind of evidence is wanted — **local numbers demonstrating that a change is needed here**, not only published literature showing that a problem exists somewhere. The instruction to conduct internal *and* external searches says the same thing. A proposal built entirely on journal articles has done half the search and has not established that this unit has the problem. If your unit genuinely has no data on the problem, that absence is itself worth reporting, because it is a finding about the organisation rather than a gap in your search.

Translation is where proposals become vague and the brief pre-empts it by naming four things: a hypothetical action plan, measurable outcomes, reporting to stakeholders, and next steps with dissemination. The word *hypothetical* is permission rather than licence — you are not expected to have run this, but you are expected to describe something that could be run. That means the measurable outcomes need a numerator, a denominator and a time frame, and the reporting needs an audience and an interval. 'Outcomes will be monitored and reported to stakeholders' satisfies none of the four items while appearing to address them all. Write one outcome properly and the pattern for the others follows; write them all loosely and the Translation section reads as intention throughout.

Two mechanical points that carry marks. The paper is four to six pages excluding title and reference pages, in APA sixth edition — an older edition than most current courses use, so check your heading levels and reference formats against the manual the brief names rather than against habit. And tables and figures are explicitly invited and must be embedded in the body rather than appended. A single table showing your local baseline figures against the benchmark, or the action plan as a timeline, does more for the Evidence and Translation sections than an extra paragraph would, and the brief has already told you it is welcome. Check the edition question early rather than at the formatting stage, because sixth-edition running heads and heading levels differ from seventh in ways that are tedious to retrofit across six pages.

Section

The common answer

What the brief and rubric ask for

Introduction

Headed 'Introduction'

Unheaded, nursing focused, problem plus potential solutions

Change Model Overview

The model described generally

Scope, stakeholders and team member responsibilities

Evidence

Published literature only

Internal and external search — local numbers included

Translation

Outcomes will be monitored

Measures with numerator, denominator and interval

Conclusion

A general summary

The five ACE Star points and how change is sustained

Tables and figures

Omitted or appended

Embedded in the body, cited in APA

Milestone 1 feedback

Not consulted

Used to develop this milestone

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Revise a document in response to specific assessor feedback.
  • 02
    Map a proposal's sections onto the change model that structures it.
  • 03
    Establish a local problem with local evidence rather than published prevalence.
  • 04
    State outcomes precisely enough that somebody could measure them.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone. Create a proposal for your Design for Change Capstone Project. Open the recommended assignment specific Milestone 2 Design Proposal Outline (Links to an external site.)Links to an external site.. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. The format for this proposal will be a paper following the Publication manual of APA 6 th edition. The paper is to be four- to six-pages excluding the Title page and Reference page. As you organize your information and evidence, include the following topics. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association(2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change. ACE Star Model Capstone Project
02

What the four-to-six page proposal must contain

  1. 01
    A four-to-six page paper excluding title and reference pages, in APA sixth edition.
  2. 02
    An introduction that is not headed 'Introduction'.
  3. 03
    An overview of the ACE Star model.
  4. 04
    The scope of the evidence-based practice project.
  5. 05
    Identified stakeholders and the responsibilities of team members.
  6. 06
    Internal and external searches of evidence.
  7. 07
    An integration and summary of the Milestone 1 evidence summary worksheet.
  8. 08
    A recommendation for change.
  9. 09
    A hypothetical action plan with measurable outcomes.
  10. 10
    Reporting to stakeholders, next steps and dissemination of findings.
  11. 11
    A conclusion covering the problem, the five ACE Star points and sustaining the change.
  12. 12
    Citations and references supporting every topic area.
03

From Milestone 1 feedback to a sustainable change plan

01

Retrieve and list the Milestone 1 feedback

Turn each comment into a change you will make in this version.

02

Write the unheaded opening

Introduce the plan with a nursing-focused problem and potential solutions, under no heading.

03

Set out the model, scope and team

The five star points, the boundaries of the project, and who does what.

04

Run the internal search first

Find your own unit's numbers for the problem before searching the literature.

05

Integrate the Milestone 1 worksheet

Summarise the appraised evidence and draw the recommendation from it.

06

Build the action plan with countable outcomes

Each outcome with numerator, denominator and interval; reporting with audience and frequency.

07

Close on the five points and sustainment

Summarise the problem, walk the five star points, and say how the change is held.

04

Running the internal search before the external one

Recommended databases

  • Your unit's own quality, infection or incident data
  • CINAHL and MEDLINE for the external search
  • Cochrane Library for synthesised evidence
  • Organisational policies and national guidelines

Search sequence

  1. 1.
    Start internally: find the local numbers that show the problem exists on your unit.
  2. 2.
    Then search externally for interventions with evidence behind them, not for the problem's prevalence.
  3. 3.
    Reuse the Milestone 1 worksheet rather than starting the appraisal again.
  4. 4.
    Look for how the outcome you propose is measured elsewhere, so your measure is comparable.
05

Change process, measurement and stakeholder roles

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Nursing Professional Development Evidence-Based Practice

    StatPearls, NCBI Bookshelf, National Library of Medicine · 2023

    How evidence-based practice change is structured and graded in nursing. Useful for the Change Model Overview, where the ACE Star points need to be explained as a process rather than listed.

  2. 02

    Surveys on Patient Safety Culture

    Agency for Healthcare Research and Quality · 2024

    Unit-level measurement instruments and what they can and cannot show. Practical for the internal half of the evidence search and for choosing an outcome measure that already has a method behind it.

  3. 03

    Conflict Management in Healthcare

    StatPearls, NCBI Bookshelf, National Library of Medicine · 2023

    Stakeholder roles, escalation and how change proposals move through an organisation. Useful for assigning team member responsibilities and for the reporting-to-stakeholders element of Translation.

06

Before Milestone 2 is submitted

Common mistakes

  • Not retrieving the Milestone 1 feedback the brief tells you to build on.
  • Heading the opening section 'Introduction' against an explicit instruction.
  • Describing change management generally with the ACE Star model mentioned once.
  • Building the Evidence section from published literature with no internal data.
  • Omitting the evidence summary worksheet from Milestone 1.
  • Writing outcomes that cannot be counted.
  • Naming stakeholders without assigning responsibilities.
  • Appending tables and figures instead of embedding them.
  • Formatting to a newer APA edition than the sixth the brief specifies.
  • Ending with a general summary that omits the five star points.

Submission checklist

  • Milestone 1 feedback has been read and acted on.
  • The paper runs to four to six pages excluding title and references.
  • No heading reads 'Introduction'.
  • The ACE Star model overview names its five points.
  • Scope, stakeholders and team responsibilities all appear.
  • Internal data establishing the local problem is present.
  • The Milestone 1 evidence worksheet is integrated and summarised.
  • Every outcome has a measure and a time frame.
  • Reporting audience and interval are stated.
  • The conclusion covers the five star points and sustainment.
  • Any tables or figures are embedded and cited.
  • Formatting follows APA sixth edition.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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