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Kean University School of Nursing

Course Title: Professional Nursing Leadership and Innovation

Course Number and Section: NURSING 4400 Section: 01

Semester: Spring 2020

Semester Hours: Credits: 4 Lecture Credits (3 hours, 40 minutes/week)

1 Credit Field observation (3 hours/week)

Course Meeting Day and Times: Lecture – Thursday 4:30 pm – 8:15 pm

Clinical - Wednesday 4:30 pm - 7:45 pm

Course Meeting Location Lecture - NAAB Rm. 305

Clinical - NAAB Rm. 305

Lecture Instructor Name: Keddi Koovits PhD, RN

Office Location: NAAB Rm. 323

Office Hours: Monday – 12 pm. – 3 pm.
Tuesday - 12 pm. - 3 pm.
Wednesday 9 pm. -12 pm.

Phone: 908-737-6221
Kean Email: koovitsk@kean.edu

Clinical Instructor Name: Wendy Silverstein, DNP, RN-BC, CNML, CPHQ

Location: N/A
Office Hours: As needed
Phone: 973-219-0516
Email: wsilvers@kean.edu

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Course Description:

Introduction of the principles of leadership and management in nursing with the integration of
evidence-based practice, research, and quality improvement methods in direct and non-direct
nursing practice. Topics include healthcare issues and policies that influence the decision-making
process of the nurse leader in determining effective, quality patient care within complex
healthcare delivery systems. Utilization of an inter-professional and holistic approach for
improved patient outcomes will be explored.

Prerequisite(s) /Program: NURS 3000, 3015, 3020, 3030 and 4200

Course Objectives:

Upon the completion of this course, students will demonstrate the ability to:

A. Compare and contrast the differences between leadership and management, and various
leadership and management theories within diverse healthcare settings.

B. Examine the structural and financial framework of healthcare organizations, and its
influence on quality patient-centered care.

C. Discuss professionalism, communication and conflict resolution strategies utilized by the

nurse leader in inter-professional collaboration within complex healthcare systems.

D. Assess ethical principles in leadership management, health care policy, and regulatory
standards that influence population health.

E. Critique quality improvement initiatives utilizing the established criteria of research,

evidence-based practice, cultural congruency, innovative design, and its impact on patient
outcomes.

Field Observation:

Upon the completion of this course, students will demonstrate the ability to:
A. Analyze the role of the nurse leader as a member of an inter-professional team providing
direct and indirect patient care within a complex healthcare system.
B. Evaluate the process and goals of a formal professional meeting.

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Grading:
A minimum grade of C is required for all nursing and additional required courses.

A 94-100
A- 90-93
B+ 87-89
B 83-86
B- 80-82
C+ 76-79
C 70-75
D 60-69
F 59 and below

Textbook and Materials

Required Text(s)

American Psychological Association. (2020). Publication manual of the American Psychological

Association (7th e1d.). Washington, DC: American Psychological Association
ISBN-978-1433832161

Finkelman, A. (2019). Professional nursing concepts: Competencies for quality leadership

(4th ed.). Burlington, MA: Jones & Bartlett Learning- (available on OER)
ISBN # 978-1284127270

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Elsevier
ISBN-978-0323449137 (available on OER)

Open Educational Resources:

For more information, see the Nancy Thompson Library Learning Commons:
http://libguides.kean.edu/OER

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Topics and Assignments

Week CONTENT Readings/Assignments

1 F  Introduction to class
1/23  Review syllabus & course Read:
calendar Yoder-Wise, Chapters 1, 3, 4
 Orientation to Hybrid
 Introduction to online
resources
Lecture 1. Complete Leadership style Questionnaire:
A. Leading, Managing and following https://www.bumc.bu.edu/facdev-
1. Define leadership, management and medicine/files/2010/10/Leadership-Matrix-Self-Assessment-
followership Questionnaire.pdf
2. Attributes of leadership,
management and followers
3. Traditional and emerging leadership
and management roles 2. Discuss locating a Professional Organization Meeting with
4. Emotional Intelligence development dates and times.
for professional practice
5. Leadership and Management
theories
6. The nurse as a leader
7. Leadership development

Week O A. Healthcare environment Read:

2 a) History of healthcare Yoder-Wise Chapters 7, 8
1/30 b) Healthcare organization
i. Mission https://journals.lww.com/ajnonline/Fulltext/2009/11001/TCAB__The
ii. Vision __How__and_the__What_.3.aspx
iii. Philosophy
iv. Organizational culture
c) Characteristics and types of Blackboard Discussion: Mission, Vision, and Philosophy
organizational structures Statement

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d) Matrix Structures
d) High-reliability organizations
e) Strategic planning
Week F I. Delegating patient care Read:
3 Finkelman Chapters 1, 10
2/6 a. Framework for delegation Yoder-Wise Chapter 26
b. Assignment vs delegation
c. Legal authority to delegate Review: Board of Nursing decision making tree:
http://www.health.ri.gov/publications/guides/DelegationDecision
d. Selecting the delegate
MakingTree.pdf
e. Supervising the delegate
f. Delegation decision making
i. Direct and indirect patient
care
ii. Under-delegation and over-
delegation Reminder 1: Confirm Professional meetings venues and
iii. Organizational responsibility times with instructor
for delegation
1) Chain of command
g. Challenges related to the delegation
h) Responsibilities of the health team
B. Organization of patient care
a) Benner’s Novice to Expert
b) Transforming care at the bedside
C. Professional Associations

Week O A. Healthcare Financing Read:

4 Finkelman Chapter 8
2/13 1. Costs of health care Yoder-Wise Chapter 2, 12
a. Managed care

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b. Universal Health care

Read online articles:
b. Pay-for-performance https://www.jointcommission.org/assets/1/6/2019_HAP_NPSGs
2. Role of professional nursing in _final2.pdf
managing costs
a. Costs of nursing care Blackboard Assignment: Healthcare Financing
b. Managing length of stay
d. Differential payment based on
acuity
e. Budgeting for services
B. Key Organizations for patient
safety
a. Institute of Medicine (IOM)
b. Quality and safety Education for
nurses (QSEN)
c. Agency for healthcare research and
quality (AHRQ)
d. The Joint Commission (TJC
e. National Quality Forum (NQF)
f. Magnet recognition program
g. Institute for Healthcare
Improvement (IHI)
h. Standards of care

Week F Read:
5 A. Cultural diversity in healthcare Finkelman, Chapter 9
2/20 a) Concepts and principles/theory Yoder-Wise Chapter 9, 11, 13
b) National and global directives
c) Diversity in the organization
d) Cultural relevance in the workplace QI PAPER REVIEW
e) Dealing effectively with cultural
diversity
B. Communication and managing

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technology
a) Types of technology
b) Information systems
c) Communication
technology/informatics
C. Modes of Care delivery
D. Social Determinants
Week O Read: Yoder-Wise Chapters 8, 14, 15
6 A. Staffing and Scheduling
2/27  Staffing process Blackboard Discussion: Staffing Matrix
 External factors influencing
staffing
 Calculation of full-time
Watch Video: Basic Principles of Robert’s Rule of
equivalency
B. Selecting, developing and Order
evaluating staff https://www.youtube.com/watch?v=yEczx3t2P2g
 Selecting staff
 Performance appraisal and
methods
Week F A. Quality Management Read:
7 Yoder-Wise Chapter 20, 21
a) Quality management in healthcare
3/5 Finkelman Chapter 12
b) Evolution of quality improvement
(QI) initiatives In-class group discussion Quality Improvement process
c) General principles of quality
improvement Read online articles:
d) Quality improvement process 1. How to begin a quality improvement project
c) Methodologies of QI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4858490/
i. PDSA Cycle
ii. FOCUS 2. http://www.amchp.org/Transformation-Station/Documents/QI
%20Step%20by%20Step%20Guide.pdf
d) Risk management
B. Translating Research into practice

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a) Using research to evidence-base

practice (EBP) Field Observation:
b) Development of EBP Professional Meeting Reflection Assignment Due
c) Evaluating evidence
d)Organizational strategies

Week O A. Effective teambuilding and inter- Read:

8 professional communication Finkelman Chapter 10
3/12 Yoder-Wise Chapter 18, 22, 23
a) Groups and teams
b) Generational differences Blackboard Assignment:
c) Communicating effectively 1. Blackboard discussion: Conflict
d) Levels of communication
e) Barriers to communication
f) Positive communication model
f) Interdisciplinary/inter-professional
teams
B. Interpersonal and personal skills
a) Consumer relationships
b) Advocacy
c) Service, teaching, and leadership

C. Conflict and change

a) Definition of conflict
b)Types of conflict
c) Stages of conflict
d) Categories of conflict
e) Conflict resolution

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f) Conflict and the role of the leader

g) Managing lateral violence and
bullying
h) Change theories
i) Change Process
j) Responses to change
k) The change agent
Week F A. Managing Personal/Personnel Yoder-Wise Chapter 24, 25
9 Problems
3/19 QI PAPER DUE
a) Personal/personnel problems
b) Documentation
c) Progressive discipline
d) Termination
B. Workplace violence and Incivility
a) Define workplace violence and
incivility
b) Cost of workplace violence
c) Ensuring safe workplace
d) Prevention strategies
e) Horizontal violence
f) Developing a safety plan

Week O A. Collective Bargaining Read:

10 Finkelman Chapter 5
3/26 a) History of collective bargaining Yoder-Wise Chapter 10, 19
b) Collective action models
i. Workplace advocacy

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ii. Collective Bargaining

c) Whistle blowing
d) Process of unionization Watch Video: Basic Principles of Robert’s Rule of
Order
i. Manager’s role
https://www.youtube.com/watch?v=yEczx3t2P2g
ii. Employee’s role
iii. Striking
B. Power, politics and influence
a) Definitions of power
b) Power and accountability
Sources of power
c) Empowerment
d) Personal power development
e) Exercising power and influence in
the workplace

Week F A. Managing cost and budget Read:

11 Finkelman Chapter 8
4/2 a) Health care finance Yoder-Wise Chapter12
b) Healthcare reimbursement
c) Changing healthcare economic
environment
d) Budget Overview
e) Types of budgets
f) Managing the Unit-level budget
Week O A. Strategic planning Read:
12 Yoder-Wise Chapters 6, 16
4/9 a) Assessment of external and internal
environment

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b) Marketing
B. Making decisions and problem Blackboard Discussion: Decision-Making
solving Models
a) Factors affecting decision
making
b) Decision-making tools
i. SWOT Analysis
Problem solving and Problem-solving
process
Week F A. Ethical Aspects of Healthcare Read:
13 Finkelman Chapter 6
4/16 a) Ethical principles and values Yoder-Wise 5, 28
b) Professional nursing practice
c) Causes of malpractice for nurse
manager
d) Ethical leadership and management
e) Sources of law
f) Negligence and malpractice
Legal protection in nursing practice
B. Self-management: Stress and time
a) Understanding stress
b) Sources of job stress
c) Management of stress
d) Resolution of stress
e) Management of time
f) Meeting management
Week
14 O On Blackboard – Worth 10% of final grade
Final Exam

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4/23
Week
15 F
4/30 Course Evaluations PPT QI PROJECT PRESENTATION
Quality Improvement Presentation

January 21 – May 13, 2020

Important Dates
For important dates, please consult the Academic Calendar via the following link:
https://www.kean.edu/offices/registrars-office/academic-calendar

Methods of Instruction

A. Lecture/Discussion/PowerPoint Presentations
B. Student Presentations
C. Written Assignments
D. Classroom simulation
E. Field observations

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Methods of Assessment

Lecture (70% of final grade)

Method Weight
Professional Meeting Paper 10%
Blackboard Assignments 20%
Exam 10%
Quality Improvement Paper 20%

Presentation (PPT QI Project 10%

Group)

Field Observation (30% of final grade)

Methods of Assessment Field Observation

Method Weight
Nurse Leader Interview 30%
Reflection Paper

Field observation logs Pass/Fail

Clinical Evaluation Tool Pass/Fail

For more detailed information about school closings, please visit: http://www.kean.edu/KU/Academic-Calendar-Registrar
Mid-Term Progress information will be provided to students by the instructor via KeanWise. Please see the 2019-2020
Undergraduate or Graduate Catalog for more information.

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Important University Policies and Information

Students are responsible to review and understand the University Academic Integrity Policy (available at the Center for Academic
Success or at http://www.kean.edu/admin/uploads/pdf/AcademicIntegrityPolicy.pdf)

Students should review the Student Code of Conduct, as it discusses expectations of appropriate conduct in the classroom:
http://www.kean.edu/KU/Code-of-Conduct

The Students Rights and Responsibilities handbook is available at: http://www.kean.edu/KU/Forms-Policies-and-Publications

Students are strongly encouraged to register for the University’s emergency notification system (http://www.kean.edu//campusalert) in

order to be informed of campus emergencies, weather notices, and other announcements.

All students must have a valid Kean email account. For those who do not already have one, forms are available on-line at

http://www.kean.edu/KU/Forms-OCIS; click on E-mail Account Request Form.

Americans with Disabilities Statement & Non-Discrimination Statement

Kean University is an affirmative action, equal opportunity institution. Students with documented disabilities who may need special

instructional accommodations or who may need special arrangements in the event of an evacuation should notify the instructor as soon

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as possible, no later than the second week of the term. Students may contact Kean Disability Office in Downs Hall Rm 127 to discuss

special needs, 908-737-4910.

Title IX

Title IX of the Education Amendments of 1972 (Title IX) prohibit discrimination on the basis of sex in education programs or

activities. Sexual harassment in any form will not be tolerated at Kean University. Sexual harassment by students should be reported

to the Office of Affirmative Action

Programs, Office of the Vice President for Student Affairs or the Office of Community Standards and Student Conduct immediately.

Information about the University’s Sexual Misconduct Policy may be found at the following:

https://www.kean.edu/offices/policies/sexual-misconduct-policy

KU Non-Discrimination Policy

Kean University is an affirmative action, equal opportunity institution.

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School of Nursing Policy on Discussion Board posts for Hybrid Courses

The weekly Discussion Board will open on Sunday morning at 9am EST and close on the following Sunday at 11:59pm EST.
Posts after 11:59pm EST on Sunday will NOT count toward the discussion board grade.
The initial post should be no later than Tuesday at 6pm EST.
• The initial post MUST include at least two (2) scholarly references in APA format.
After the initial post each student MUST reply to two (2) peer postings on (2) separate days for a total of at least three (3) posts per
week. Responses to peer posts MUST include at least one (1) scholarly reference citation in APA format.

Each post (the initial response to the question(s) and a response to another students post) should be about 1-3 (or more) paragraphs in
length depending upon the topic. Each post/response must include APA citations within the body of the post as well as cited in APA
format at the end of the post. The scholarly references should be from the required readings as well as from other outside sources.

In addition to the above guidelines, responses will be graded based on quality and quantity of participation using the following
criteria. Responses MUST:

Focus on the question asked or issue posed. Demonstrate an understanding and integration of lecture material, reading assignments,
and sources cited Demonstrate evidence of critical thinking be well written, well organized, and articulate

Each discussion week will be graded using the Discussion Board Rubric located at the end of the syllabus.

Tips for composing a post

Consider the following when creating your post: Introduce issue. Why does this exist? Is it a problem that is current or is this a
long standing problem? Background of issue: Provide information that readers need to know to understand the issue Give the
rationale (with evidence from the scholarly literature) for your position

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Conclusion: Summarize important points.

Field Observation Requirements:

All students are required to submit proof of nursing licensure, malpractice insurance, health clearance and results of certified

background check (from Kean designated Certified Background Check). If the clinical setting requires additional information eg. Drug

testing, the student must have that done through Certified Background Check. The student is responsible for submitting a copy of all

required documentation, to be retained by the clinical instructor. The students are responsible for retaining their own copy and having

it available throughout the semester. NO STUDENT WILL BE ALLOWED IN THE CLINICAL SETTING if they fail to do so.

Please refer to the Student Handbook for the latest requirements. If a student is absent, for failure to submit documentation, they will

need to make up the requirements and will have two points deducted from the final grade for each absence. It is the student’s

responsibility to make sure the medical form is filled in completely. If a student has a positive PPD, there needs to be documentation

from the care provider stating that the student can be in the clinical experience interacting with clients.

Field Observation Attendance Policy:

As in all clinical courses in the nursing department, attendance in clinical is required. A written reason for the absence must be

written (email is fine) to the clinical instructor, with a ‘cc’ to the lecture instructor/course leader. If there is more than one absence,

unless there are extenuating circumstances, each additional absence will result in a reduction of points from the final grade. Students

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must be present for all group presentations on the assigned date. If you are aware that you will be absent ahead of time, please let your

instructors know.

Class Attendance:

Attendance is expected in all courses. Attendance will be a component of the grade of any course if so stated in the syllabus.

Students are responsible for informing the instructor in advance or in a timely manner of the reasons for their absence. Instructors in

consultation with their department chairs are expected to respect university practices and policies regarding what counts as an excused

absence. Typically excused absences include illness, bereavement, or religious observances. Serious tardiness may be dealt with at

the discretion of the instructor.

Students are expected to come to class and demonstrate knowledge of content by participation in class discussion. Students

who are absent cannot fully participate. Students must be present for all group presentations on the assigned dates. If a special

circumstance arises, please let the instructor know as soon as possible by email or telephone. Students who are late for class, will

have points deducted from their final grade. They are also responsible for the content missed.

Email:

All students are required to maintain an active email account. All course communications will be sent to the Kean email.

Office Hours:

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If the office hours are not compatible with your schedule, please let the instructor know and special arrangements will be made.

Please schedule appointments by email.

Field Observation Calendar

Week Assignment

1 On Campus Orientation to course. Clinical objectives, clinical evaluation, clinical documentation clinical paper and
Jan 22 QI project discussed and reviewed.
 Standards of care and quality improvement.
 Application of standards in patient care, and patient care delivery systems.
 Identification of indicators of quality care in assigned patients.
 Selection of Institution for QI attendance
Delegation and leadership styles review.
2 Off campus Continue as above. Communicate with clinical instructors as needed. Discuss progress towards course
Jan 29 objectives * Delegation, * QI topic
Discussion of QI Article. Send list of questions for approval to instructor.
Discuss:
1. Plan for nurse leader interview questions
2. Arrangement to attend a quality meeting
3. Nursing requirements and Castlebranch

3 Off campus Finalize questions for selections; schedule interview for Nurse Leader Interview for Reflection Paper.
Feb 5

4 On Campus Meet on campus to discuss progress toward meeting course objectives. Collect data through observation
Feb 12 for delegation assignment on selected nursing unit (remember to change area of focus-not your own unit).
Attend Facility Quality Improvement committee meeting, if not already completed.

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Week Assignment

Work on Quality Improvement activities in class.

5 On campus NURSE LEADER INTERVIEW REFLECTION PAPER DUE
Feb 19

6 Off campus QI project review continues. Data collection process review exercise and simulation graph. Prepare
Feb 26 indicators for clinical site.

7 At clinical site Begin QI project at clinical site.

March 4

8 March 11 SPRING BREAK

9 At clinical site Continue as above at clinical site collecting data.

March 18

10 Off campus Meet/communicate with clinical site and instructor as necessary re: data collected on QI project. Identify:
March 25 Observation and analysis of personal, interpersonal, and team communications and observation and
analysis of cross-disciplinary communication and cross-cultural communication.

11 On campus Meet on campus with clinical group to discuss progress, problems and course objectives and finalization
April1 of QI project

12 On campus Meet with clinical group to discuss progress, problems and course objectives.
April 8 Meet with clinical preceptor as necessary.

13 On campus Continue as above.

April 15 QI project review and submission of graph to instructor for final review.
14 Off campus Meet with clinical preceptor as necessary.
April 22

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Week Assignment

15 On campus Field Observations Evaluation

April 29 Clinical evaluations
Group presentation of QI PowerPoint.

Blackboard Discussion Grading Rubric 20% of Final Grade

Student Name: ________________________ Date: ________________________ Instructor: ___________________

Levels of Achievement
Score 4 3 2 1 0
Criteria 10 points 7.5 Points 5 Points 2.5 Points 0 Point
Frequency Participates 3 times throughout Participate 2 times Participate 2-1 times but Participates 1 times on the Did not participate
_____ the week throughout the week postings not distributed same day
(initial post included) throughout the week
Initial post on schedule
Initial Post Posts well developed assignment Posts well developed Posts well developed Posts adequate assignment Did not participate
that fully addresses and included assignment that assignment that with superficial thought and
_____ all aspects of the question/s. addresses and included addresses some aspects preparation; does not address
most aspects of the of the question/s; lacks all aspects of the question/s
question/s. full development of
concepts.
Demonstrates analysis of others’ Demonstrates fair Elaborates on existing Posts shallow contribution to No subsequent
_____ Subsequent posts; extends meaningful analysis of others’ posting with further discussion (e.g. agrees or posts or follow-up
postings discussion by building on posts; extends comment or observation disagrees); does not enrich responses to others
previous posts discussion by building discussion
on previous posts
Comments

Criteria 30 Points 22.5 Points 15 Points 7.5 Points 0 Point

Content Posts factually correct reflective Posts information that is Posts information that is Posts substandard information Did not participate
_____ Contribution and substantive contribution; factually correct; lacks somewhat correct; lacks that is , incorrect and non-
advances discussion full development of some concepts or related to concept
concept or thought thought to the discussion
Criteria 20 Points 15 Points 10 Points 5 Points 0 Point
References and Uses references from literature, Incorporates some Uses personal Includes no references or Did not participate
_____ support readings, or personal experience references from experience, but no supporting experiences
to support comments literature, readings and references to readings

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personal experience
Criteria 20 Points 15 Points 10 Points 5 Points 0 Point
Clarity and Contributes to discussion with Contributes valuable Communicates in a Communicates in a friendly Posts long
TOTAL _____ Mechanics clear, concise comments, information to friendly and courteous and courteous and helpful unorganized or
formatted in an easy to read style discussion with minor and helpful manner with manner with multiple errors inappropriate
X= /100 that is free from grammatical or clarity or mechanics some errors in clarity or in clarity or mechanics content with
spelling errors. mechanics multiple errors and
mechanics

NURS 4400
HealthCare Financing Blackboard Assignment
Due: 11:59 pm Sunday - 4% of Final Grade

The healthcare environment is constantly changing to meet the need of the aggregate population. As healthcare professionals,
providing quality service is costly and the nurse leader must be able to understand the day-to-day financial management in order to
determine how best to keep the unit’s budget within the projected fiscal agenda. Knowledge about reimbursement methods, budgets,
budget variances, direct and indirect costs, and how it is related to productive and non-productive hours, and staffing, is essential for
the efficient way in how the unit operates. After reading Finkelman chapter 8; Yoder-Wise chapters 2 and 12, answer the following
questions. Your post must be robust with depth and clarity. Include at least three (3) scholarly references.

1. Discuss the purpose of and relationships among the operating, cash, and capital budgets and how the nurse leader interprets the

budget as it correlate to patient census, productivity (e.g. Personal hours used by staff, patient acuity, supplies etc.).

2. A. Review the following agencies that influence quality and patient safety:
1. Institute of Medicine (IOM)
2. Agency for healthcare research and quality (AHRQ)
3. The Joint Commission (TJC
4. Magnet recognition program
6. Institute for Healthcare Improvement (IHI)
B. Write a summary for each includes:

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a) The purpose and objective

b) Identify what is the common theme that is evident in each one.
c) Describe how you can improve your nursing practice after reviewing these agencies.

Blackboard Assignment Grading Rubric Healthcare Financing 4% of Final Grade

Student: _____________________________ Date:____________________________
Category 4 3 2 1 0

Quality of Provided an Provided a good Provided a Provided a poor Did not

assignment/topic excellent quality of quality of minimal quality of quality of participate
________ assignment, assignment, assignment, assignment. Does
introduces topic in introduces topic in introduces topic in not introduce topic
a well detailed and a satisfactorily a sub-standard in a clear manner.
accurately manner. manner. manner.

Organization and Content is Content is Content is Content is Did not

clarity and extremely satisfactorily satisfactorily unsatisfactory; participate
interpretation of organized and organized and organized and lacks organization
assignment clearly written written with written with and clarity, with
with a sufficient clarity. insufficient clarity. sufficient clarity.
comprehensive Articulates Inadequately Poorly articulates
understanding adequately the articulates the the significance of
________ Clearly articulates significance of the significance of the the issue.
all of the issue. issue.
significance of the
issue assignment.

Writing style, Uses all scholarly Uses some Uses scholarly Did not use Did not
grammar and APA evidences to scholarly evidence to scholarly evidence participate
format support findings. evidences to support findings. to support
Demonstrates support findings. Demonstrates findings.
________ X excellent writing Demonstrates inadequate writing Demonstrates poor
style, free from Satisfactory style; contains writing style;
grammar and writing style, but several errors in numerous errors in

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spelling. contains minimal grammar and grammar and

errors in grammar spelling.
and spelling.
Total = /100

QUALITY IMPROVEMENT ASSIGNMENT

20% OF FINAL GRADE

Quality Improvement process follows a specific process to plan, implement, and evaluate changes in healthcare. It begins with
selecting a clinical activity for review. There are clinical practice guidelines and standards that reflect best practices.

This assignment will require that you address the following:

1) Identify one issue or area that you observed during the nurse leader interview or during the QI meeting requiring change for
patient outcomes.
Using the Plan Do Study Act (PDSA) cycle, Write a ten (10) page paper about the above quality improvement project and its
process by:
a) Identifying the need for change
b) Review the literature and evidence-based practices (EBP) to support change and select a solution for change.
c) Adapt the Change Theory as a framework to the QI project and explain how it can be used in the implementation.
d) Indicate the inter-professional team you would choose to review the area of change.
e) Select the tools/methods of data collection to measure status of change and indicate how data is collected (weekly,
monthly or quarterly). State who would be collecting the data.
f) Discuss how data would be analyzed and create a chart such as flow chart, line graph, fishbone diagram, histogram or a
pie chart to analyze data
g) Establish measureable quality outcomes by using a benchmark and nurse-sensitive indicators
h) Select and give a detailed account of how plan would be implemented to meet outcomes
i) Estimate what the projected data collection would be to evaluate the implementation, and note if achievement outcomes
were met (Search the National Database of Nursing Quality Indicators (NDNQI) and compare your retrospective or
projected data

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j) Summarize the impact the change will have on nursing and patient outcomes.

APA format is required. Abstract is required. Title and references pages NOT included in 10 pages.

QUALITY IMPROVEMENT GRADING RUBIC – 20% OF FINAL GRADE

Criteria 4 3 2 1 0

Introduction and need Introduces topic in a Introduces topic in a Introduces topic in a Introduces topic in a Not
for QI Project (10%) well-detailed and satisfactory and sub-standard manner poor and unscholarly submitted
scholarly manner with a scholarly manner with a with an unclear manner with a poor
_______ X .10 clear definition; clear definition; definition; describes the definition; does not
describes the need for describes the need for need for QI Project in a describes the need for
= QI project in an QI project in a sub-standard way QI project
outstanding way satisfactory way
Literature Review Demonstrates excellent Demonstrates Demonstrates Demonstrates a poor Not
related to concept /issue analysis of relevant satisfactory analysis of unsatisfactory analysis analysis of relevant submitted
(15%) literature to determine relevant literature to of relevant literature to literature to determine
how evidence will determine how determine how how evidence will
_______ X .15 influence change for QI evidence will influence evidence will influence influence change for QI
project change for QI project change for QI project project
=
Discusses the concepts Discusses the concepts Discusses the concepts Discusses the concepts Not
Utilization of theory / of the theory and its of the theory and its of the theory and its of the theory and its submitted
framework (15%) utilization in an utilization in a utilization in an utilization in an
excellent way, and how satisfactory way, and unsatisfactory way, and substandard way, does
_____X .15 the theory/framework how the theory/framework does not show correlation of
will predict change theory/framework will not predict change theory/framework as a
= predict change predictor of change
Design a plan for QI Paper demonstrates Paper demonstrates a Paper demonstrates an Paper demonstrates a Not
Project implementation well-detailed plan for clear plan for unclear plan for substandard plan for submitted
(30%) implementation, inter- implementation, inter- implementation, inter- implementation, inter-
professional teams professional teams professional teams professional teams not
______ X .30 identified along with identified along with vaguely identified with identified, no timeline
projected timeline. projected timeline. no timeline indicated.

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=
Analyze and evaluate Paper demonstrates an Paper demonstrates a Paper demonstrates an Paper demonstrates a Not
data outcomes (15%) excellent analysis and satisfactory analysis unsatisfactory analysis poor analysis and submitted
evaluation of and evaluation of and evaluation of evaluation of
______ X .15 measurable outcome; measurable outcome; outcome; no measurable outcome;
benchmark included benchmark included benchmark included no benchmark not included
= frequency of assessment frequency of frequency of frequency of assessment
outcomes assessment outcomes assessment outcomes outcomes
Summary and Conclusion is well Conclusion is clearly Conclusion is not Conclusion is poorly Not
conclusion stated and connections stated and connections clearly stated and stated, and connections submitted
to related areas and to related areas and connections to related not related to any area.
position are clear and position are mostly areas and position are
______ X .10 relevant. The underlying clear, some aspects may not clear, some aspects
logic is explicit. not be connected. may not be connected.
=

Not
APA/Spelling/Grammar Use of APA style is Use of APA style is Use of APA style is Use of APA style is submitted
(5%) accurate and consistent consistent with minor inconsistent with inaccurate and several
with no spelling or spelling and/or several spelling and/or spelling and
______X .05 grammatical errors grammatical errors grammatical errors grammatical errors

Total _______

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Quality Improvement Power Point Presentation Instructions

The purpose of your Power Point Presentation is to provide a clear, in depth and detailed review and outcome of
your Quality Improvement Assignment. Your Power Point presentation requires that you address the following:

1. Problem Identification: Clearly define the problem utilizing the current literature.

2. Standards of Care: Identify the National Standards of Care and any other standards that represent
evidence-based practice.

3. Monitoring Plan: Develop a monitoring plan and collect the data.

4. Summarize the data and present in an organized manner using a visual display, e.g. line or bar graph.

5. Data Analysis: Identify areas of opportunity for improvement. Describe areas of compliance and non-
compliance and why are they significant.

6. Implementation: Identify recommendations to correct the problem. Design a plan for implementation
of the recommendations.

7. Evaluation: Evaluate the effectiveness of the recommendations.

8. Presentation: Present your data in an organized manner, Poster, Style, Grammar, Spelling, APA.

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NURS 4400
Quality Improvement PowerPoint Presentation- 10% of Final Grade
Criteria 4 3 2 1 0

Organization and Content PowerPoint is tightly PowerPoint is adequately PowerPoint lacking detailed PowerPoint lacks relevance or Not
focused, relevant and focused, relevant and focus, not relevant and focus; contains multiple factual submitted
_________ presented in an excellent presented in a satisfactory disorganized. Slides are not errors
logical order. Slides are logical order. Slides are clear and wordy.
clear and concise. clear and understandable.
Completeness Presentation provides Presentation provides Additional depth needed in Presentation does not provide Not
good depth and detail; adequate depth; few places; important information adequate depth; key details are submitted
ideas well developed; needed details omitted; omitted or not fully omitted or underdeveloped;
_________ facts have adequate major ideas adequately developed; presentation is too presentation is too short or too long
background; presentation developed; presentation short or too long
within specified length within specified length
Grammar PowerPoint and PowerPoint and PowerPoint and presentation PowerPoint and presentation Not
presentation contain no presentation contain few may contain moderate amount contain several major submitted
grammar/usage errors. grammatical/spelling of grammatical/spelling errors grammar/spelling errors.
________ errors

Documentation Effective message support Adequate message Some message support Little or no message support for Not
in form of facts and visual support provided for key provided by facts and visual major ideas, visual aids are missing submitted
aids; sourcing is current concept by facts and aids; sourcing may be or inadequate; little or no sourcing
_________ and supports major ideas visual aids; sourcing is outdated or thin, visual aids provided
generally adequate and need work
current
Delivery and Interaction Good eye contact, volume Fairly good eye contact, Little eye contact, more Poor eye contact, low volume or Not
and energy; proper pace Adequate volume and volume, energy needed at energy, pace to slow or fast; poor submitted
and diction, avoidance of energy; generally good times; pace too slow or fast; diction; distracting gestures or
distracting gestures; pace and diction; few or some distracting gestures or posture unprofessional appearance;
professional appearance; no distracting gestures; posture; adequate appearance; visual aids poorly used; uneasiness
visual aids used professional appearance; visual aids could be improved; or inability to answer questions
effectively. Provide visual aids adequate; some difficulty answering
answers with authority provides adequate answer questions

Total _____ / 100

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Blackboard Assignment Field Observation

A. Nurse Leader Interview Reflection –30% of Final Grade
Students will:
1. Select one nurse leader to interview from your chosen facility. (Please note that all nursing requirements and Castle
branch accounts must current. Student will not be allowed to visit a facility without clearance).
2. Prior to interview, prepare ten to fifteen (15-20) interview questions and using blackboard, email potential questions to you
instructor for approval.
3. Meet with nurse leader
4. Write a 4-5-page summary reflection of the interview, compare and contrast your leadership style to the nurse leader’s style.
Include:
a) Date of visit; name of facility
b) Initials, title and credentials of nurse leader
c) Description of position
d) Type of leadership style
e) Communication styles and barriers
f) Delegation and skills mix
g) Management of conflict and conflict resolution
h) Strategies used to empower staff and staff productivity
i) Shared governance
j) The value of team-building – inter-professional teams
k) Existing quality improvement initiatives on specific unit
l) General overview of unit’s budget and day-to-day operations (staffing schedule, full time employees (FTEs), budget
variance)
m) Patient satisfaction/experience
n) Alignment of unit’s vision and mission with the organizations’
5. Identify any issues on unit or from interview that can be a quality improvement initiative

*Paper must be written without the use of personal pronouns and contractions (didn’t, won’t etc.).

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NURS 4400
Field Observation Nurse Leader Interview Reflection Paper – 30% of Final Grade
Student: ______________________ Instructor: ____________________

Criteria 4 3 2 1 0

Introduction The purpose and scope of the The purpose and scope of the The purpose and scope of The purpose and scope Did not
journal is explicitly stated journal is satisfactorily stated the journal is vaguely of the journal is not participate
______________ within a compelling narrative with minimal discussion and/or incompletely stated state and/or
and/or explanation ineffectively
established
Depth of reflection Response demonstrates an in- Response demonstrates a Response demonstrates a Response Did not
depth reflection on nurse general reflection on nurse minimal reflection on demonstrates a poor participate
leader interview and job leader interview and job nurse leader interview and reflection on nurse
_____________ descriptions Viewpoints and descriptions. Viewpoints and job descriptions leader interview and
interpretations are insightful interpretations are stated and Viewpoints and job descriptions
and well supported. Clear, supported. Clear, examples interpretations are not Viewpoints and
detailed examples are are provided, as applicable. clearly stated and interpretations are not
provided, as applicable. supported. Examples are stated. No examples
minimally provided. are provided.
Required Components Response includes all Response includes most of Response includes some Response did not Did not
components and exceeds all the components and meets of the components and include the participate
requirements indicated in the most of the requirements as meets the minimal components or met the
_____________ instructions. Each question indicated in the instructions. requirements. Some requirements.
and all parts of the assignment Each question and most part questions and parts of the Questions and all parts
is addressed thoroughly. of the assignment are assignment were not of the assignment were
addressed satisfactorily. addressed. not addressed.

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Writing Writing is clear, concise, and Writing is mostly clear, Writing is unclear and/or Writing is unclear and Did not
style/APA/Grammar well organized with excellent concise, and well organized disorganized. Thoughts disorganized. participate
sentence/paragraph with good are not expressed in a Thoughts ramble and
______________ construction. Use of APA style sentence/paragraph logical manner. Use of make little sense. Use
is accurate, with no spelling or construction. Use of APA APA style is of APA style is
grammatical errors. style is consistently used with inconsistently used with inaccurate with
infrequent spelling and several spelling and/or multiple spelling and
grammatical errors grammatical errors grammatical errors.

Total ____/ 100

Blackboard Assignment - Field Observation -

Professional Meeting Reflection Paper – 10% of Final Grade

A profession is more than a title (nursing, teaching etc.). It includes several entities and characteristics such as body of
knowledge (research), distinguishes autonomy, responsibility and accountability. A professional organization according
to Finkelman (2019) “is a group that has specific goals, objectives, and functions that relate to the mission of a specific
profession” (p. 22). It is essential that a professional nurse is a part of a professional organization. It provides
knowledge, a platform for innovative changes, growth, professional development, and changes in healthcare policies
and practices.

For this assignment, students must select a professional organization, attend one of the meetings and write a 3-4-page
summary of the meeting. Professional organization includes New Jersey Board of Nursing, New Jersey State Nurses
Associations, Black Nurses Association, Association of Perioperative Registered Nurses, etc). Include in the paper the
following:
a. Date; Start and end times of meeting
b. Location
c. Identify the organization’s purpose and history and membership responsibility
d. Identify the members present (president, treasurer, etc.)
e. Who chaired the meeting (president, vice-president)
f. Discuss the agenda and its relevance to the organization purpose (Include a copy of the agenda for the
meeting or copy of sign-in sheet)
g. Summarize the meeting giving a description of the roles and interactions of the members.

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 32

h. Did they maintain Robert’s Rules of Order?

i. Analyze the meeting focus in relation to the organization’s purpose and the promotion of professional nursing
development, practice, education, patient rights, and interests.
j. How was the meeting adjourned?
k. Provide a personal summary of the relevance of standards and professional organizations to the nursing
profession.

*Paper must be written without the use personal pronouns and contractions (didn’t, won’t etc.).

NURS 4400
Field Observation Professional Meeting Reflection Paper – 10% of Final Grade
Student: ______________________ Instructor: ____________________
Criteria 4 3 2 1 0
Introduction The purpose and scope of the The purpose and scope of The purpose and scope of the The purpose and scope of Did not
journal is explicitly stated within the journal is satisfactorily journal is vaguely and/or the journal is not state participate
______________ a compelling narrative stated with minimal incompletely stated and/or ineffectively
discussion and/or established
explanation
Depth of reflection Response demonstrates an in- Response demonstrates a Response demonstrates a Response demonstrates a Did not
depth reflection organization’s general reflection on minimal reflection on poor reflection on participate
history and purpose. Provided an organization’s history and organization’s history and organization’s history and
_____________ excellent observation on purpose. Provided general purpose. Provided an purpose. Provided no
Robert’s Rule of Order and observation on Robert’s minimal observation on observation on Robert’s
detailed description on roles of Rule of Order and detailed Robert’s Rule of Order and Rule of Order and no
members. Clear, detailed description on roles of minimal description on roles of
examples are provided, as members. Clear examples description on roles of members were stated. No
applicable. are provided, as applicable members were stated examples are provided.
Examples minimally
provided.
Required Components Response includes all Response includes most of Response includes some of Response did not include Did not
components and exceeds all the components and meets the components and meets the components or met the participate
requirements indicated in the most of the requirements as the minimal requirements. requirements. Questions
_____________ instructions. Each question and indicated in the Some questions and parts of and all parts of the
all parts of the assignment is instructions. Each question the assignment were not assignment were not
addressed thoroughly. and most part of the addressed. addressed.
assignment are addressed

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 33

satisfactorily.
Writing Writing is clear, concise, and Writing is mostly clear, Writing is unclear and/or Writing is unclear and Did not
style/APA/Grammar well organized with excellent concise, and well disorganized. Thoughts are disorganized. Thoughts participate
sentence/paragraph construction. organized with good not expressed in a logical ramble and make little
______________ Use of APA style is accurate, sentence/paragraph manner. Use of APA style is sense. Use of APA style is
with no spelling or grammatical construction. Use of APA inconsistently used with inaccurate with multiple
errors. style is consistently used several spelling and/or spelling and grammatical
with infrequent spelling grammatical errors errors.
and grammatical errors

Total ____/ 100

NURS 4400

Field Observation Log – Pass/Fail Grade DUE – Week 15

Name of Student: ____________________________________________

Name of Instructor: __________________________________________

Field Date Time Description Comments Met Not Met

Observation
Interview Submitted questions to
Questions instructor prior to
interview
Health care setting: Name of Organization:
Nurse Interview
________________ _____________________

Attend Quality Type of Meeting: Proof of agenda

Meeting QI
Retrospective __________________
Review
Professional Confirm name,
Organization location and date to

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 34

instructor
Attend Name of Professional Proof of agenda/copy of
Professional Organization: sign-in sheet
meeting _________________

Student Signature: _____________________________________ Date: _________________

Instructor’s Signature: _________________________________ Date: _________________

Nursing 4400
Professional Nursing Leadership in Health Care Settings
Clinical Evaluation of the Student

Student: ________________________________________________________________

Faculty: ________________________________ Semester: _______________________

Descriptors Pass Fail

Attendance and Always reliable and on time, or calls/makes appropriate arrangement if unable to meet
Punctuality schedule. Plans schedule well in advance. Available for tasks and support or has
substantial reason when not available.
Field Observation Accurately and completely filled out and submitted on time
Log
Professionalism Always polite; takes action to meet needs of others. Responsible for actions; complies
with rules/ regulations; works above usual expectations for age/skill level. Respectful
of colleagues in words and actions; cell phone use reserved for individual time.
Leadership Able to inspire and guide others easily; persuasive in a positive manner.

Accountability and Able to provide documented evidence to support recommendations. Always accepts
Responsibility responsibility for actions. Always supports own decisions through action. Practices
within limits of his/her qualifications and collaborates and refers as appropriate.

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 35

Safety and Ethical Always follows rules and standards of the profession; does not practice beyond his/her
Behavior limits; always exhibits moral behavior. Provides safe care for the clients and families
from diverse backgrounds; all written assignments are cited properly without
plagiarism.
Collaboration Provides assistance to others consistently; brings enthusiasm to group; prepared;
reliable; communicates openly with other team members; collaborates with and refers
to other team members appropriately.
Cultural Demonstrates the ability to effectively deliver health care services that meet the social,
Competence cultural, and linguistic needs of patients

Faculty Comments: __________________________________________________________

Student Comments: ___________________________________________________________

Faculty Signature: _________________________________Date: _________________

Student Signature: _________________________________Date: __________________

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 36

NURS 4400
Final Grade Sheet

Lecture – 70% of Final Grade

I. Blackboard Assignments (5) @ 4% _________X 0.20 = ___________

II. Professional Meeting Reflection Paper _________X 0.10 = ____________

III. Exam _________X 0.10 = ____________

IV. Quality Improvement Project _________X 0.20 = ____________

V. Presentation QI Project Group PPT _________ X 0.10 = ____________

Field Observation – 30% of Final Grade

I. Nurse Leader Interview Reflection Paper _________X 0.30 = ____________

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II. Field Observation Log _________ Pass/Fail ____________

III. Clinical Evaluation Tool _________ Pass/Fail ___________

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