Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations

APPLY LEADERSHIP CONCEPTS SKILLS AND DECISION MAKING IN THE PROVISION OF HIGH QUALITY NURSING CARE

My Leadership SMART Goal:
Guidelines
Purpose
The purpose of this assignment is to develop a SMART-formatted goal related to your professional leadership applicable to your current practice setting or future leadership aspirations. This goal is about YOUR leadership development, not those of the organization or the department where you work.  Many organizations have developed the SMART-goal framework as they strive for performance improvement.  Your goal may tie to one of the departmental or organizational SMART goals but the components of the goal are about YOUR leadership development The Institute of Medicine’s quality initiative has identified five core healthcare profession competencies. This assignment focuses on only two of those initiatives. Either Patient-Centered Care or Working in Interdisciplinary and/or Interprofessional Teams will serve as a framework for identification of YOUR leadership SMART goal.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO 1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO 4: Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations. (PO #4)
CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO #8)
CO 8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO #8)
 
This assignment consists of the completion of the My Leadership SMART Goal paper.  Submit assignment to the Dropbox by Sunday, 11:59 p.m. MT, by the end of Week 4.
Points
This assignment is worth 200 points.
Directions
Review the Institute of Medicine’s (IOM) core healthcare competencies. Select ONE of the competencies that you will work on for developing a Leadership SMART Goal.  You are to select one of the following competencies for YOUR SMART goal.
Managing Patient-Centered Care            or
Working in interdisciplinary and/or interprofessional teams;
 

  1. Create ONE leadership goal that is in the SMART goal format. You practiced this in the Week 3 Discussion, and received valuable feedback from your instructor and peers. Please refer to this as you work on the assignment.

S – Specific (Who besides YOU is involved in the goal, what is YOUR goal, where will it take place?)
M – Measurable (How are YOU going to achieve the goal?) Be specific with measureable outcomes.
A – Attainable (What resources and/or experts are available to assist YOU with attaining YOUR goal?)
R – Realistic (Is YOUR goal something that is realistically obtainable in YOUR professional practice?) Be specific.
T – Time bound (What specific dates or weeks will YOU accomplish each task related to your leadership goal?)
 

  • Example NOT in SMART format: I will learn how to be a manager. This goal is lofty, not measurable, and unattainable in the time allotted, probably not realistic, and not time bound.
  • Example in SMART Format: I will learn the disciplinary process of an employee who has excessive absences, by locating the organization’s attendance policy and meeting with the unit manager, reviewing peer-reviewed articles and credible websites to obtain information on the disciplinary process by Week 4 (or specified date).

Note: This particular example relates to Core Competency: Managing Patient-Centered Care.
This example is a SMART goal that is Specific, Measurable, Attainable, Realistic, and Time-bound.
 
S-Specific

  • Who– Your name, or “I” Indicate others who may be involved.
  • What– Learn the disciplinary process of employees who have excessive absences
  • Where– Your organization

 
M-Measurable

  • How: Through locating the organization’s attendance policy and passing a quiz on the content of the policy.

 
A-Attainable

  • Resources and/or Expert: Meeting with the unit manager, reviewing peer-reviewed articles, and credible websites

R-Realistic

  • Realistically obtainable: Access to the organization, policies, and unit manager. Various resources are available.

T-Time bound

  • Specific dates: By Week 4 (or specific date)
  1. Go to the Chamberlain library (http://library.chamberlain.edu) and search the databases (under Menu tab) to locate scholarly articles related to your SMART goal. Also, search for credible websites to gain insight into how to accomplish your goal.
  2. Construct a plan of action to reach My Leadership SMART goal. Be specific by creating a timeline of when you plan on doing each action; explain how, when, and where you plan to communicate with an expert; and identify specific resources you will use to help you achieve your goal.
    1. Example Plan of Action for above mentioned example:
  • Seek approval to review the organization’s policies and schedule a meeting/interview with the unit manager by _____ (fill in date).
  • Review the policies on disciplinary action by _____ (fill in date).
  • Review the American Nurses Association website and peer-reviewed articles in the American Journal of Nursing and Journal of Advanced Nursing by _____ (fill in date).
  • Evaluate the findings from the above resources by _____ (fill in date). Pass the quiz.
  1. Write a scholarly paper that follows APA formatting guidelines. Organize your content logically and express your thoughts clearly. Use appropriate headers to separate sections of your paper. Check for any grammar or spelling errors before submission.
  2. Submit your completed NR 447 My Leadership SMART Goal paper, which should be approximately six pages (excluding title page and references) to the Week 4 My Leadership SMART Goal Paper Dropbox by Sunday, 11:59 p.m. MT at the end of Week 4. Note: This assignment is automatically submitted to Turn It In.

Discuss how you feel these goals will impact the health of the nation

DISCUSS HOW YOU COULD INCORPORATE THESE GOALS/OBJECTIVES INTO YOUR DAY-TO-DAY NURSING PRACTICE.

There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources, respond to the following questions:

  • Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
  • Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
  • Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Formulate and refine clinical research questions relevant to advanced practice nursing

FORMULATE AND REFINE CLINICAL RESEARCH QUESTIONS RELEVANT TO ADVANCED PRACTICE NURSING.

 
Purpose 
The student will develop a PICOT-formatted question that is based on a quantitative process for investigation. It should be systems oriented.
Course Outcomes
This assignment enables the student to meet the following course outcome.
CO 1: Formulate and refine clinical research questions relevant to advanced practice nursing. (PO #3)
CO 10: Employ an evidence-based practice model for quality improvement. (PO #5)
Points: This assignment is worth a total of 325 points.
Requirements

  1. Write your scholarly paper using APA format. Include a cover page and headers.
  2. Write an introduction.
  3. Your paper must be no more than five pages in length (not including the cover page or references page).
  4. The body of your report should include a heading titled with your PICO question.
  5. Break out the main ideas according to the rubric. Include sections that are labeled with headings.
  6. All Chamberlain College of Nursing policies related to plagiarism must be observed.
  7. Post questions about this assignment to the weekly Q & A Forum.

Directions and Grading Criteria

Category Points % Description
PICOT question 30 9 State the quantitative clinical question in PICO format clearly and concisely.
Population of interest 35 11 Describe your population of interest.
Intervention of interest 50 15 Describe your intervention of interest. Evidence from the literature must be present with a minimum of 3 scholarly references to support the evidence based practice intervention? Remember you are not completing primary research but taking an evidence-based intervention and applying it to a problem in your current role.
Comparison of interest 35 11 Describe your comparison of interest. Remove the rest of it that states or if no comparison as there should be a comparison
Outcome of interest 35 11 Describe your outcome of interest. Is it measurable? Is the tool that you will utilize to measure outcomes proven to be reliable and valid?
Design 35 11 Identify the appropriate design for the study.
Feasibility in reference to time frame of app. 16 weeks for intervention 30 9 The design of the study is feasible within the practice setting and population.
Identification (micro, meso, macro) system and appropriate integration with practice question. 30 9 The correct identification and application of the system is identified and integrated with the PICO question.
APA formatting, scholarly writing 45 14 Follow APA formatting guidelines and use correct grammar, spelling, sentence structure, and so forth. Writes in a scholarly manner.
Total 325 100% A quality paper will meet or exceed all of the above requirements.

 

Grading Rubric

Assignment Criteria AOutstanding or highest level of performance BVery good or high level of performance CCompetent or satisfactory level of performance FPoor or failing or unsatisfactory level of performance
PICOT question 
25 points
Correctly and concisely states a quantitative practice question in PICO format. 
 
23–25 points
States a quantitative practice question in PICO format, but fails to be concise. 
21–22 points
States a practice question in PICO format, but may have one or two incorrect elements. 
19–20 points
Fails to state a quantitative practice question in PICO format. 
 
0–18 points
Population of interest 
15 points
Provides a detailed description of the population of interest. 
 
14–15 points
Generally describes the population of interest. 
12–13 points
Identifies the population of interest. 
 
 
11 points
Fails to identify a population of interest. 
 
0–10 points
Intervention of interest 
15 points
Provides a detailed description of the intervention of interest. 
 
14–15 points
Generally describes the intervention of interest. 
12–13 points
Identifies the intervention of interest. 
 
11 points
Fails to identify an intervention of interest. 
 
0–10 points
Comparison of interest 
15 points
Provides a detailed description of the comparison of interest. Indicates if there is no comparison of interest. 
 
 
14–15 points
Generally describes the comparison of interest. Indicates if there is no comparison of interest. 
12–13 points
Identifies the comparison of interest. Indicates if there is no comparison of interest. 
 
11 points
Fails to identify a comparison of interest, or if there is none. 
 
 
 
0–10 points
Outcome of interest15 points Provides a detailed description of the outcome of interest. 
 
14–15 points
Generally describes the outcome of interest. 
12–13 points
Identifies the outcome of interest. 
 
 
11 points
Fails to identify an outcome of interest. 
 
 
0–10 points
Design25 points Identifies the best, most appropriate design for the study. 
 
23–25 points
Identifies an appropriate design for the study, but not the best one. 
21–22 points
Identifies a design for a study, but one that is not necessarily appropriate. 
19–20 points
Fails to identify a design for the study. 
 
 
0–18 points
Feasibility in reference to time frame of app. 16 weeks for intervention30 points Describes the feasibility of the study population (app. 16 weeks) with respect to the practice setting and population. 
 
 
28–30 points
Describes the feasibility (app. 16 weeks) of the study, but does not fully address the practice setting or the population. 
26–27 points
Indicates if the design is feasible, (app. 16 weeks), but provides few details regarding the practice setting or the population. 
23–25 points
Fails to indicate if the study is feasible within the 16-week period. 
 
 
 
0–22 points
Identification and application of correct system (micro, meso, macro) to the practice question40 points Identifies the correct system approach and applies the correct system approach to the practice question correctly and in detail. 
 
37–40 points
Identifies the correct system approach, but does not fully apply the system to the practice question in detail. 
34–36 points
Either identifies the correct system approach and/or has little detail on applying the system to the practice question. 
30–33 points
Incorrectly identifies the system and does not apply it to the practice question. 
 
 
 
0–29 points
APA formatting, scholarly writing20 points Writes in a scholarly manner with no grammar, spelling, or syntax errors. Follows the rules of APA formatting. 
 
18–20 points
Writes in a scholarly manner with minimal grammar, spelling, or syntax errors. Follows the rules of APA formatting. 
17 points
Writes in a scholarly manner with several grammar, spelling, or syntax errors. Breaks minor rules of APA formatting. 
 
15–16 points
Does not write in a scholarly manner. Commits many errors in grammar, spelling, and syntax. Does not follow rules for APA formatting. 
0–14 points
Total Points Possible =    325    points    

Apply research principles to the interpretation of the content of published research studies

EVALUATE PUBLISHED NURSING RESEARCH FOR CREDIBILITY AND CLINICAL SIGNIFICANCE RELATED TO EVIDENCE- BASED PRACTICE.

Purpose 

The purpose of this paper is to interpret the two articles identified as most important to the group topic.

Course Outcomes

This assignment enables the student to meet the following course outcomes:
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and #8)
CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence- based practice. (POs #4 and #8)
 
Due Date
Refer to the course calendar for due date information. The college’s Late Assignment policy applies to this activity.
 
Total Points Possible
150 Points
Requirements
The paper will include the following.

  1. Clinical question
    1. Description of problem
    2. Significance of problem
    3. Purpose of paper
  2. Description of findings
    1. Summarize basics in the Matrix Table as found in Assignment Documents in e-Colleg
    2. Describe
      1. Concepts
      2. Methods used
  • Participants
  1. Instruments including reliability and validity
  2. Answer to “Purpose” question
  3. Identify next step for group
  1. Conclusion of paper
  2. Format
    1. Correct grammar and spelling

Use of headings for each section

  1. Use of APA format (sixth edition)
  2. Page length: three pages

PREPARING THE PAPER

  1. Please make sure you do not duplicate articles within your group.
  2. Paper should include a title page and a reference page.

 

Directions and Assignment Criteria

Assignment Criteria Points % Description
Problem 20 13%
 
1. Problem is described: What is the focus of your group’s work?2. Significance of the problem is described: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.
3. Purpose of your paper: What will your paper do or describe? “The
purpose of this paper is to . . .”
 
**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.
Description ofFindings: Summary 20
 
 
     13%     Summarize the basics of each article in a matrix table that appears in the appendix. 
Description ofFindings: Description 60 41%    Describe in the body of the paper the following.·        What concepts have been studied?
·        What methods have been used?
·        Who are the participants or members of the samples?
·        What instruments have been used? Did the authors describe the reliability and validity?
·        How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?
·        What is needed for the next step? Identify two questions that can help guide the group’s work.
Description ofFindings: Description 60 41%    Describe in the body of the paper the following.·        What concepts have been studied?
·        What methods have been used?
·        Who are the participants or members of the samples?
·        What instruments have been used? Did the authors describe the reliability and validity?
·        How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?
·        What is needed for the next step? Identify two questions that can help guide the group’s work.
Format 30 20%
 
1.    Correct grammar and spelling2.    Use headings for each section: Problem, Synthesis of the Literature (Concepts, Methods, Participants, Instruments, Implications for Future Work), Conclusion.
3.    APA format (sixth ed.): Appendices follow references.
4.    Paper length: Three pages