ROLE TRANSITIONS

| January 13, 2016

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.
ZFT1 Task 1
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.
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 are important for the implementation of the solution or innovation. Not applicable. Not applicable. Not applicable. The candidate identifies key stakeholders and/or appropriate partners that are important for the 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.
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 leadership experience. Not applicable. Not applicable. Not applicable. The candidate provides a completed “Professional Verification Form” from the organizational leader advising the candidate in the leadership experience.
D. Sources When the candidate uses sources, the candidate does not provide in-text citations and references. When the candidate uses sources, the candidate provides only some in-text citations and references. When the candidate uses sources, the candidate provides appropriate in-text citations and references with major deviations from APA style. When the candidate uses sources, the candidate provides appropriate in-text citations and references with minor deviations from APA style. When the candidate uses sources, the candidate provides appropriate in-text citations and references with no readily detectable deviations from APA style, OR the candidate does not use sources.

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