Most nursing programs at the undergraduate and graduate levels require a thesis or a capstone project. A thesis project addresses a general issue and provides new information for the reader. Alternatively, a capstone focuses on a specific issue, concern, or problem in the field. While a thesis typically presents a solution or theory, a capstone generally describes an issue using a fact-based approach.
Nursing students usually complete these projects during their final terms, prior to or during their residencies. Many students base their thesis or capstone project on field experience. Because nursing programs do not often require much research, these final projects give nursing students the opportunity to research their field of interest and demonstrate their mastery of the subject. Each school has different requirements for final projects. For example, some programs require students to base projects on clinical experience, while others allow learners to submit research-based projects.
Most undergraduate programs include a capstone project, whereas graduate programs typically require a thesis. Nursing capstone papers are typically more focused than theses; a capstone demonstrates the student's understanding of a topic through a detailed analysis. While completing a thesis paper, students generate a hypothesis, conduct research, analyze the results, and reach conclusions. Many programs at the undergraduate and graduate levels require students to base these projects on field experiences.
Evidence-based nursing is the practice of using current best practices, clinical expertise, and patient needs to guide medical decision-making. Many nursing students base final projects on evidence-based nursing because this method leaves plenty of room for discussion. Evidence-based practice covers all aspects of nursing; thesis topics may include handling the spread of infections, best practices for staff organization, and scheduling patient care.
Most capstones involve a single, intensive course. Capstone courses often include independent study opportunities, which allow students to conduct thorough research. Students must typically complete their capstone research, project, and presentation within one term. Depending on the topic of study and specific program requirements, learners may submit final projects as a paper, presentation, or a combination of the two. Generally, capstone essays are approximately 25 pages. Capstone projects are typically individual endeavors, but some schools allow students to conduct research or present findings in a group format.
Given the variety of topics related to nursing, selecting a capstone subject can be difficult. Some students benefit from selecting a capstone topic that allows them to network with a variety of nursing professionals to establish professional connections and better understand career options. Connecting with a preceptor, a registered nurse who offers guidance to nursing students, can also help learners choose a capstone topic. Students may ask a practicing professional to be their capstone adviser, but many schools connect learners with nursing advisers. Gardner-Webb University provides a list of common nursing dissertation topics.
Capstone projects are a standard component in most nursing programs. These projects prepare nursing students to transition into professional nursing work. Most schools provide a list of local clinics and healthcare facilities at which students can complete their projects. Some programs allow students to choose an unapproved site, but learners must demonstrate the facility has benefits over the provided options.
Students often work with a preceptor to identify a capstone topic and create a proposal. Capstone projects require a great deal of research, and presenting that research is often a significant part of the project. Students typically utilize journals, recordings, and logs during the research process.
Nursing students typically present capstone projects to a panel of faculty members and members of the clinical facility in which the student completed research. The number of panel members varies by institution. Though not required, most presenters include a visual aid, such as a slideshow. Students at large schools often present capstone projects in event halls, and the presentations may be open to the public.
Due to the breadth of nursing thesis topics, there is no universal grading format; capstone projects are graded using general rubrics. Many schools provide these rubrics to students to ensure they meet all necessary requirements. Capstone courses are graded in accordance with the school’s grading system, as letter grades or numerical values. Students who fail their capstone project cannot graduate without retaking the class or passing a different capstone course.
Graduate nursing students more commonly complete a thesis than a capstone. Unlike a capstone project, theses do not involve a specific course. Students typically work on this final project during their last few semesters or terms. A thesis requires a large amount of research and additional work. Students typically complete their thesis in paper format, but they may present the project with visual accompaniments. Some schools allow learners to complete thesis projects as a group, with each member contributing research and analysis of a different aspect of the thesis subject.
With countless possible nursing thesis topics, students often benefit from selecting a topic that allows them to explore multiple areas of interest. By doing so, learners make professional connections in a variety of nursing areas. Preceptors are registered nurses who are considered experts in their field and who volunteer their time and knowledge to students working on thesis projects. Because a thesis requires so much research and time, students should focus on a topic related to their career goals.
For some, the most difficult part of the project is designing the thesis. Students must generate a central thesis question which they ultimately answer through research and analysis. The topic must be complex but manageable and must be of interest to the student. Before the student begins the research process, their topic must receive approval from a faculty member. Students who are having trouble selecting a topic or narrowing their focus can seek guidance from advisers and preceptors. Learners conduct research over the course of months in a relevant healthcare or community setting. Most students keep track of their findings through written or recorded logs.
Students do not typically present thesis papers in front of a panel, but many schools require a thesis defense. After submitting their paper to a thesis committee, students must defend their work. This defense is an opportunity for faculty members to ask questions and for students to further explain their research. A thesis defense typically lasts 20 minutes to an hour. Though rarely required, students may choose to use a visual aid.
Due to the open-ended nature of thesis projects, most programs do not offer students a grading rubric. Instead of letter grades, thesis projects typically receive a grade of pass or fail. Often, students whose thesis receives a failing grade can make corrections and resubmit their work. Thesis projects rarely fail outright, but in the case of failure, students may be able to enroll for another year of study.