IMPORTANT: All of the points listed in the “Value 4.0? column of the rubric must be addressed in the paper for it to be accepted as satisfactory.
Please make the focus of this paper an aspect of Emergency Room Nursing!
ROLE TRANSITIONS
ADVANCED PROFESSIONAL ROLES & VALUES
Competencies:
726.10.2: Manager of the Healing Environment – The graduate responds to unpredictable situations and events common in the healthcare environment with appropriate flexibility and creativity.
726.10.3: The Nurse as Scientist – The graduate correctly interprets and applies scientific evidence when planning and providing safe, quality, and culturally sensitive care for patients and families.
726.10.4: The Nurse as Detective – The graduate detects subtle changes and deviations from expected health patterns while managing the care of patients.
740.2.8: Interprofessional Practices – The graduate analyzes the impact of new and diverse advanced nursing and care provider roles on interprofessional practice.
Introduction:
Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live practice experiences and situations. This Leadership Learning Experience (LLE) is designed to allow you to choose a clinical focus (e.g., practice, policy, education, population) in which you apply your leadership problem–solving skills. The experience requires engagement with other people within the setting to complete the LLE.
You will develop a project within a practice setting that allows you to develop these leadership skills. You will identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:
• Practice: joint commission standards, core measures as quality indicators, other data
• Policy: legislation, staffing ratio, regulations from state boards
• Population: children with diabetes, adult obesity
• Education: future of nursing, Benner’s recommendations about nursing education
You will focus on a real-life solution for the problem. You should choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external resource person (manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.
Project Requirements:
Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names of people, stakeholders, or other personally identifiable information. Fictional names should be used. Also, agency-specific data, including financial information, should not be included but should be addressed in a general fashion as appropriate.
Note: Your submission may be in a variety of formats (e.g., report, multimedia presentation).
A. Develop a written proposal by doing the following:
1. Identify a problem or issue related to practice, policy, population, or education that aligns with organizational priorities that you seek to solve.
Note: You may need to meet with the organization/practice setting, your manager, and/or supervisor to help choose a current problem or issue.
a. Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.
2. Discuss your investigation of the problem or issue.
a. Include evidence to substantiate the problem or issue (e.g. organizational assessment, national source documents, evidence from a stakeholder).
3. Analyze the state of the situation using current data.
a. Analyze areas that might be contributing to the problem or issue.
4. Propose a solution or innovation for the problem or issue.
a. Justify your proposed solution or innovation based on the results of your investigation and analysis.
5. Recommend resources to implement your proposed solution or innovation.
a. Include a cost benefit analysis of your proposed solution or innovation.
6. Include a timeline for implementation based on your proposal.
7. Identify key stakeholders and/or appropriate partners that are important for the implementation of your solution or innovation.
a. Discuss why each key stakeholder and/or appropriate partner is important for the implementation of the solution or innovation.
b. Summarize your engagement with the key stakeholders and/or appropriate partners, including the input and feedback you received.
c. Discuss how you intend to work with those key stakeholders and/or appropriate partners in order to achieve success.
8. Discuss how your proposed solution or innovation could be implemented.
a. Discuss how the implementation could be evaluated for success.
B. Explain how you fulfilled the following roles during your process of investigation and proposal development:
1. scientist
2. detective
3. manager of the healing environment
C. When you use sources, include all in-text citations and references in APA format.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly.
Attachment
ROLE TRANSITIONS
ADVANCED PROFESSIONAL ROLES & VALUES
Competencies:
726.10.2: Manager of the Healing Environment – The graduate responds to unpredictable situations and events common in the healthcare environment with appropriate flexibility and creativity.
726.10.3: The Nurse as Scientist – The graduate correctly interprets and applies scientific evidence when planning and providing safe, quality, and culturally sensitive care for patients and families.
726.10.4: The Nurse as Detective – The graduate detects subtle changes and deviations from expected health patterns while managing the care of patients.
740.2.8: Interprofessional Practices – The graduate analyzes the impact of new and diverse advanced nursing and care provider roles on interprofessional practice.
Introduction:
Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live practice experiences and situations. This Leadership Learning Experience (LLE) is designed to allow you to choose a clinical focus (e.g., practice, policy, education, population) in which you apply your leadership problem–solving skills. The experience requires engagement with other people within the setting to complete the LLE.
You will develop a project within a practice setting that allows you to develop these leadership skills. You will identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:
• Practice: joint commission standards, core measures as quality indicators, other data
• Policy: legislation, staffing ratio, regulations from state boards
• Population: children with diabetes, adult obesity
• Education: future of nursing, Benner’s recommendations about nursing education
You will focus on a real-life solution for the problem. You should choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external resource person (manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.
Project Requirements:
Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names of people, stakeholders, or other personally identifiable information. Fictional names should be used. Also, agency-specific data, including financial information, should not be included but should be addressed in a general fashion as appropriate.
Note: Your submission may be in a variety of formats (e.g., report, multimedia presentation).
A. Develop a written proposal by doing the following:
1. Identify a problem or issue related to practice, policy, population, or education that aligns with organizational priorities that you seek to solve.
Note: You may need to meet with the organization/practice setting, your manager, and/or supervisor to help choose a current problem or issue.
a. Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.
2. Discuss your investigation of the problem or issue.
a. Include evidence to substantiate the problem or issue (e.g. organizational assessment, national source documents, evidence from a stakeholder).
3. Analyze the state of the situation using current data.
a. Analyze areas that might be contributing to the problem or issue.
4. Propose a solution or innovation for the problem or issue.
a. Justify your proposed solution or innovation based on the results of your investigation and analysis.
5. Recommend resources to implement your proposed solution or innovation.
a. Include a cost benefit analysis of your proposed solution or innovation.
6. Include a timeline for implementation based on your proposal.
7. Identify key stakeholders and/or appropriate partners that are important for the implementation of your solution or innovation.
a. Discuss why each key stakeholder and/or appropriate partner is important for the implementation of the solution or innovation.
b. Summarize your engagement with the key stakeholders and/or appropriate partners, including the input and feedback you received.
c. Discuss how you intend to work with those key stakeholders and/or appropriate partners in order to achieve success.
8. Discuss how your proposed solution or innovation could be implemented.
a. Discuss how the implementation could be evaluated for success.
B. Explain how you fulfilled the following roles during your process of investigation and proposal development:
1. scientist
2. detective
3. manager of the healing environment
C. Submit the completed attached “Professional Verification Form” from the organizational leader advising you in your leadership experience.
D. When you use sources, include all in-text citations and references in APA format.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.
File Attachments:
1. Professional Verification Form link opens in new window
Attachment
NURS 4900 Project
value: 0.00 value: 1.00 value: 2.00 value: 3.00 value: 4.00 Score/Level
Articulation of
Response (clarity,
organization,
mechanics)
The candidate
provides
unsatisfactory
articulation of
response.
The candidate
provides weak
articulation of
response.
The candidate
provides limited
articulation of
response.
The candidate
provides
adequate
articulation of
response.
The candidate
provides
substantial
articulation of
response.
A1. Problem or Issue The candidate
does not identify
an appropriate
problem or issue
related to
practice, policy,
population, or
education that
aligns with
organizational
priorities that
the candidate
seeks to solve.
Not applicable. Not applicable. Not applicable. The candidate
identifies an
appropriate
problem or issue
related to
practice, policy,
population, or
education that
aligns with
organizational
priorities that the
candidate seeks
to solve.
A1a. Explanation of
Problem or Issue
The candidate
does not provide
a logical
explanation of
the problem or
issue, including
why it is
applicable to the
chosen area of
practice and the
healthcare
environment.
The candidate
provides a
logical
explanation,
with no
support, of the
problem or
issue, including
why it is
applicable to
the chosen
area of practice
and the
healthcare
environment.
The candidate
provides a logical
explanation, with
limited support,
of the problem or
issue, including
why it is
applicable to the
chosen area of
practice and the
healthcare
environment.
The candidate
provides a
logical
explanation,
with adequate
support, of the
problem or
issue, including
why it is
applicable to
the chosen
area of practice
and the
healthcare
environment.
The candidate
provides a logical
explanation, with
substantial
support, of the
problem or issue,
including why it
is applicable to
the chosen area
of practice and
the healthcare
environment.
A2. Investigation The candidate
does not provide
a logical
discussion of
how the
problem or issue
was
investigated.
The candidate
provides a
logical
discussion,
with no detail,
of how the
problem or
issue was
investigated.
The candidate
provides a logical
discussion, with
limited detail, of
how the problem
or issue was
investigated.
The candidate
provides a
logical
discussion,
with adequate
detail, of how
the problem or
issue was
investigated.
The candidate
provides a logical
discussion, with
substantial
detail, of how
the problem or
issue was
investigated.
A2a. Evidence of
Problem or Issue
The candidate
does not include
appropriate
evidence to
substantiate the
problem or
issue.
Not applicable. Not applicable. Not applicable. The candidate
includes
appropriate
evidence to
substantiate the
problem or issue.
A3. Analysis The candidate
does not provide
a plausible
analysis of the
state of the
situation using
current data.
The candidate
provides a
plausible
analysis, with
no support, of
the state of the
situation using
current data.
The candidate
provides a
plausible
analysis, with
limited support,
of the state of
the situation
using current
data.
The candidate
provides a
plausible
analysis, with
adequate
support, of the
state of the
situation using
current data.
The candidate
provides a
plausible
analysis, with
substantial
support, of the
state of the
situation using
current data.
Export to Word
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A3a. Areas
Contributing to
Problem or Issue
The candidate
does not provide
a plausible
analysis of areas
that might be
contributing to
the problem or
issue.
The candidate
provides a
plausible
analysis, with
no support, of
areas that
might be
contributing to
the problem or
issue.
The candidate
provides a
plausible
analysis, with
limited support,
of areas that
might be
contributing to
the problem or
issue.
The candidate
provides a
plausible
analysis, with
adequate
support, of
areas that
might be
contributing to
the problem or
issue.
The candidate
provides a
plausible
analysis, with
substantial
support, of areas
that might be
contributing to
the problem or
issue.
A4. Proposed
Solution or
Innovation
The candidate
does not provide
an appropriate
proposal of a
solution or
innovation for
the problem or
issue.
Not applicable. Not applicable. Not applicable. The candidate
provides an
appropriate
proposal of a
solution or
innovation for
the problem or
issue.
A4a. Justification of
Proposed Solution or
Innovation
The candidate
does not provide
a logical
justification of
the proposed
solution or
innovation
based on the
results of the
investigation
and analysis.
The candidate
provides a
logical
justification,
with no
support, of the
proposed
solution or
innovation
based on the
results of the
investigation
and analysis.
The candidate
provides a logical
justification, with
limited support,
of the proposed
solution or
innovation based
on the results of
the investigation
and analysis.
The candidate
provides a
logical
justification,
with adequate
support, of the
proposed
solution or
innovation
based on the
results of the
investigation
and analysis.
The candidate
provides a logical
justification, with
substantial
support, of the
proposed
solution or
innovation based
on the results of
the investigation
and analysis.
A5. Implementation
Resources
The candidate
does not provide
an appropriate
recommendation
of resources to
implement the
proposed
solution or
innovation.
Not applicable. The candidate
provides an
appropriate
recommendation,
with insufficient
detail, of
resources to
implement the
proposed
solution or
innovation.
Not applicable. The candidate
provides an
appropriate
recommendation,
with sufficient
detail, of
resources to
implement the
proposed
solution or
innovation.
A5a. Cost Benefit
Analysis
The candidate
does not provide
an appropriate
cost benefit
analysis of the
proposed
solution or
innovation.
Not applicable. Not applicable. Not applicable. The candidate
provides an
appropriate cost
benefit analysis
of the proposed
solution or
innovation.
A6. Timeline The candidate
does not provide
an appropriate
timeline for
implementation
based on the
proposal.
Not applicable. Not applicable. Not applicable. The candidate
provides an
appropriate
timeline for
implementation
based on the
proposal.
A7. Identification of
Key Stakeholders
and/or Partners
The candidate
does not identify
key
stakeholders
and/or
appropriate
partners that
Not applicable. Not applicable. Not applicable. The candidate
identifies key
stakeholders
and/or
appropriate
partners that are
important for the
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are important
for the
implementation
of the solution
or innovation.
implementation
of the solution or
innovation.
A7a. Importance of
Key Stakeholders
and/or Partners
The candidate
does not provide
a logical
discussion of
why each key
stakeholder
and/or
appropriate
partner is
important for
the
implementation
of the solution
or innovation.
The candidate
provides a
logical
discussion,
with no
support, of
why each key
stakeholder
and/or
appropriate
partner is
important for
the
implementation
of the solution
or innovation.
The candidate
provides a logical
discussion, with
limited support,
of why each key
stakeholder
and/or
appropriate
partner is
important for the
implementation
of the solution or
innovation.
The candidate
provides a
logical
discussion,
with adequate
support, of
why each key
stakeholder
and/or
appropriate
partner is
important for
the
implementation
of the solution
or innovation.
The candidate
provides a logical
discussion, with
substantial
support, of why
each key
stakeholder
and/or
appropriate
partner is
important for the
implementation
of the solution or
innovation.
A7b. Engagement
with Key
Stakeholders and/or
Partners
The candidate
does not provide
a logical
summary of the
candidate’s
engagement
with the key
stakeholders
and/or
appropriate
partners,
including the
input and
feedback
received.
Not applicable. The candidate
provides a logical
summary, with
insufficient
detail, of the
candidate’s
engagement with
the key
stakeholders
and/or
appropriate
partners,
including the
input and
feedback
received.
Not applicable. The candidate
provides a logical
summary, with
sufficient detail,
of the
candidate’s
engagement with
the key
stakeholders
and/or
appropriate
partners,
including the
input and
feedback
received.
A7c. Success The candidate
does not provide
a logical
discussion of
how the
candidate
intends to work
with key
stakeholders
and/or
appropriate
partners in
order to achieve
success.
The candidate
provides a
logical
discussion,
with no detail,
of how the
candidate
intends to work
with key
stakeholders
and/or
appropriate
partners in
order to
achieve
success.
The candidate
provides a logical
discussion, with
limited detail, of
how the
candidate
intends to work
with key
stakeholders
and/or
appropriate
partners in order
to achieve
success.
The candidate
provides a
logical
discussion,
with adequate
detail, of how
the candidate
intends to work
with key
stakeholders
and/or
appropriate
partners in
order to
achieve
success.
The candidate
provides a logical
discussion, with
substantial
detail, of how
the candidate
intends to work
with key
stakeholders
and/or
appropriate
partners in order
to achieve
success.
A8. Implementation The candidate
does not provide
a logical
discussion of
how the
proposed
solution or
innovation could
be
implemented.
The candidate
provides a
logical
discussion,
with no detail,
of how the
proposed
solution or
innovation
could be
implemented.
The candidate
provides a logical
discussion, with
limited detail, of
how the
proposed
solution or
innovation could
be implemented.
The candidate
provides a
logical
discussion,
with adequate
detail, of how
the proposed
solution or
innovation
could be
implemented.
The candidate
provides a logical
discussion, with
substantial
detail, of how
the proposed
solution or
innovation could
be implemented.
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A8a. Evaluation for
Success of
Implementation
The candidate
does not provide
a logical
discussion of
how the
implementation
could be
evaluated for
success.
The candidate
provides a
logical
discussion,
with no detail,
of how the
implementation
could be
evaluated for
success.
The candidate
provides a logical
discussion, with
limited detail, of
how the
implementation
could be
evaluated for
success.
The candidate
provides a
logical
discussion,
with adequate
detail, of how
the
implementation
could be
evaluated for
success.
The candidate
provides a logical
discussion, with
substantial
detail, of how
the
implementation
could be
evaluated for
success.
B1. Role of Scientist The candidate
does not provide
a logical
explanation of
how the role of
scientist was
fulfilled during
the process of
investigation
and proposal
development.
The candidate
provides a
logical
explanation,
with no detail,
of how the role
of scientist was
fulfilled during
the process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
limited detail, of
how the role of
scientist was
fulfilled during
the process of
investigation and
proposal
development.
The candidate
provides a
logical
explanation,
with adequate
detail, of how
the role of
scientist was
fulfilled during
the process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
substantial
detail, of how
the role of
scientist was
fulfilled during
the process of
investigation and
proposal
development.
B2. Role of Detective The candidate
does not provide
a logical
explanation of
how the role of
detective was
fulfilled during
the process of
investigation
and proposal
development.
The candidate
provides a
logical
explanation,
with no detail,
of how the role
of detective
was fulfilled
during the
process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
limited detail, of
how the role of
detective was
fulfilled during
the process of
investigation and
proposal
development.
The candidate
provides a
logical
explanation,
with adequate
detail, of how
the role of
detective was
fulfilled during
the process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
substantial
detail, of how
the role of
detective was
fulfilled during
the process of
investigation and
proposal
development.
B3. Role of Manager
of Healing
Environment
The candidate
does not provide
a logical
explanation of
how the role of
manager of the
healing
environment
was fulfilled
during the
process of
investigation
and proposal
development.
The candidate
provides a
logical
explanation,
with no detail,
of how the role
of manager of
the healing
environment
was fulfilled
during the
process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
limited detail, of
how the role of
manager of the
healing
environment was
fulfilled during
the process of
investigation and
proposal
development.
The candidate
provides a
logical
explanation,
with adequate
detail, of how
the role of
manager of the
healing
environment
was fulfilled
during the
process of
investigation
and proposal
development.
The candidate
provides a logical
explanation, with
substantial
detail, of how
the role of
manager of the
healing
environment was
fulfilled during
the process of
investigation and
proposal
development.
C. Verification Form The candidate
does not provide
a completed
“Professional
Verification
Form” from the
organizational
leader advising
the candidate in
the lead