Act 1

Maura1996
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BloomsTaxonomy-NUR4945.docx

Bloom’s Taxonomy of Measurable Verbs

Benjamin Bloom created a taxonomy of measurable verbs to help us describe and classify observable knowledge, skills, attitudes, behaviors and abilities. The theory is based upon the idea that there are levels of observable actions that indicate something is happening in the brain (cognitive activity.) By creating learning objectives using measurable verbs, you indicate explicitly what the student must do in order to demonstrate learning.

Verbs that demonstrate Critical Thinking

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RNBSSMARTGoalsHandout_1.pdf

Adapted December, 2020 from Minnesota Department of Health. (2016). Good Goals and Smart Objectives; Center for Disease Control (n.d.) Writing Smart Objectives; Minnesota Department of Health (n.d.) Smart Objectives

S.M.A.R.T. Goals & Objectives In your academic career at OHSU as well as in your professional career as a nurse, you are asked to set goals and monitor your progress as you work towards them. These S.M.A.R.T. Goals & Objectives apply to multiple nursing situations, such as setting goals for your professional development and self-care, as well as helping patients set measurable and attainable health goals. Writing clear and strong statements using the S.M.A.R.T. format takes practice, but when you are able to clarify and outline your goals, you will ultimately better serve your organization, team, and patients.

What are S.M.A.R.T. Goals? Letter Description

S SPECIFIC

Objectives should be well-defined and clear to other team members and to stakeholders who also understand the program or plan, the “who” and the “what.”

Prompts: What exactly will you do? Who will execute the action? What is the action? What do you intend to impact? Who is responsible for carrying out the action? What are you intending to impact? Who is your target population?

M MEASURABLE

Measures show success, improvement, or impact over time.

Prompts: How much and in what direction will the change occur? What data will be used to prove the target is met? Where will this data come from? Is there another measure that would be more appropriate to use instead?

A ACHIEVABLE

Objectives should be within reach for your team or program, considering available resources, knowledge, and time.

Prompts: How can this objective be accomplished? Given the current timeframe or environment, can this objective be achieved? Should we scale it up or down? What limitations stand in our way?

R RELEVANT

Consider if and how successfully completing an objective will be relevant to achieving the goal. Why is this relevant?

Prompts: Will this objective lead to achieving your/this organization's goals? Is it meaningful to stakeholders? Who cares if you do or do not work towards this objective?

T TIME-BOUND

Objectives should be achievable within a specific timeframe that isn't so soon as to prevent success, or so far away as to encourage procrastination.

Prompts: When will this objective be achieved? Is this time-frame realistic? Should it be closer or further in the future?

Adapted December, 2020 from Minnesota Department of Health. (2016). Good Goals and Smart Objectives; Center for Disease Control (n.d.) Writing Smart Objectives; Minnesota Department of Health (n.d.) Smart Objectives

Example Sentence Structures

• [Who] will do [what] resulting in [measure] by [when]. • By [when], [who] will do [what] resulting in [measure]. • By [when], [measure - includes who and what]. • [Measure – includes who and what] by [when].

Examples of actual S.M.A.R.T Objectives

Not S.M.A.R.T. objectives

Better S.M.A.R.T. objectives

Formal 90% of youth participants will participate in lessons on assertive communication skills. This objective is not SMART because it is not specific or time-phased. It can be made SMART by specifically indicating who will do the activity, by when, and who will participate in lessons on assertive communication skills.

Formal: By the end of the school year, district school-based nurses will have delivered lessons on assertive communication skills to 90% of youth participants in the middle school HIV- prevention curriculum.

Personal Goal/Reflection: I will try to exercise regularly at a new time, because I think I will feel less stressed and pressured by my obligations. This objective is not SMART because it is not specific, measurable, or time-based. It can be made SMART by adding a specific time period, who is responsible, and how the goal will be measured.

Personal Goal/Reflection: I will work out 4 times in the evening for 1 week and keep a log of my progress; each day I will reflect on my session and general mood before and after my workout.

For more tips, tricks, and ideas for building SMART goals and objectives, request a consultation with the writing coaches at the SON Office of Learning & Writing Support (www.ohsu.edu/school-of-nursing/learning-writing- support/request-consultation).

  • S.M.A.R.T. Goals & Objectives
  • What are S.M.A.R.T. Goals?
  • Description
  • Objectives should be well-defined and clear to other team members and to stakeholders who also understand the program or plan, the “who” and the “what.”
  • Measures show success, improvement, or impact over time.
  • Objectives should be within reach for your team or program, considering available resources, knowledge, and time.
  • Consider if and how successfully completing an objective will be relevant to achieving the goal. Why is this relevant?
  • Objectives should be achievable within a specific timeframe that isn't so soon as to prevent success, or so far away as to encourage procrastination.
  • Example Sentence Structures
  • Examples of actual S.M.A.R.T Objectives
  • Better S.M.A.R.T. objectives

SMARTGoalsandObjectives-Example1.docx

2

Title of Paper Student Name Benjamin Leon School of Nursing, Miami Dade College NUR 4945C: Advanced Concepts Practicum Professor’s Name Due Date

My name is XXXXXX, and I will work with an ER nurse at XXXXXX for my practicum experience. To begin with, it is worthwhile to note that practicums are vital for nurses since they bridge the gap between theory and practice, offer hands-on experience, skill development, and exposure to real healthcare scenarios (Liu et al., 2022). For instance, XXXXXX is a reputable healthcare provider offering a wide range of services, including a Level I trauma center and an ER staffed by board-certified trauma surgeons at various locations throughout the state. This healthcare system comprises several hospitals, including XXXXXX, where I’ve been assigned to do my leadership practicum. Notably, this facility's emergency department has a diverse, specially trained staff to handle critical illnesses, injuries, and life-threatening conditions. As such, that makes it an ideal setting for my leadership practicum experience. Here, I will work with my preceptor to improve emergency responses as a service to humanity that aligns with the center's goal of promoting saving and quality of life (XXXXXX, 2023). Additionally, it will contribute to my leadership skill development by honing communication, conflict resolution, empathy, and self-awareness, which are essential attributes for effective leadership in various settings.

Setting SMART goals and objectives for a nursing practicum offers clarity and accountability, guiding nurses to define, measure, and achieve their objectives, ensuring practical learning and professional growth. As such, this paper outlines the specific goals and objectives I aim to achieve during my leadership practicum at XXXXXX.

Main Goal

My primary objective in my practicum is to improve the ER experience for patient. Here, effective leadership is critical to ensuring individuals in need of emergency care receive top-quality support and compassion. Improving the patient’s experience relies heavily on implementing leadership skills to coordinate a diverse care team and harmonize it with the unique needs of patients and their families. For instance, by observing how the ER team aligns with the diverse needs of the patient and family, I can gain insight into delivering exceptional care and support that covers the patients’ physical, emotional, and psychological well-being during their stay ((Liu et al., 2022).

SMART Goals & Objectives

To achieve my primary goal, I've outlined the following goals and objectives including:

· Learn How to Foster a Safe and Caring Environment

· Observe and interact to create a safe and non-judgmental space within the ER for patients, their families, and staff.

· Develop an understanding of the impact of stigma on patients' mental health and well-being.

· Promote emotional healing and self-acceptance by addressing anxiety.

SMART Goal #1

By the end of my leadership practicum at XXXXXX’'s ER, I aim to ensure that 80% of patients, their families, and staff experience and acknowledge a safe, non-judgmental environment where I'll have effectively addressed the impact of stigma on mental health and promoted emotional healing and self-acceptance by addressing anxiety.

Subsequently, involvement in such Leadership Practicum experience will allow me to create strategies that fulfill personal, civic, and social responsibilities. For instance, by actively contributing to the healthcare team and promoting quality care, I can positively impact the lives of patients and the broader community.

· Enhance Communication and Collaboration Skills

· Improve communication between healthcare providers and patients to ensure effective and empathetic care.

· Collaborate with the ER team to develop strategies for efficient patient care and improved patient outcomes.

· Develop leadership skills to contribute to the overall team effectiveness and patient satisfaction.

SMART Goal #2

By the end of my leadership practicum at XXXXX’s ER, I aim to achieve a 30% reduction in communication-related incidents (based on incident reports) and a 20% increase in patient satisfaction scores in communication and collaboration.

This may result from improved provider-patient interactions, implementing efficient patient care strategies with the ER team, and enhancing leadership skills for better team effectiveness. For instance, through interactions with patients, their families, and healthcare providers, I can develop and refine my communication skills, including listening, speaking, reading, and writing. Effective communication is crucial in providing compassionate and empathetic care (Buljac-Samardzic et al., 2020). Additionally, such interactions with diverse patients and healthcare professionals may also advance my knowledge and understanding of diverse cultures, including global and historical perspectives, thus providing culturally sensitive leadership for patient-centered care.

· Provide Quality Emergency Care

· Gain competency in assessing and prioritizing patients' needs within the ER setting.

· Learn critical thinking skills required for making timely decisions during emergencies.

· Follow evidence-based practices to deliver the highest standard of care to patients.

SMART #3

By the end of my leadership practicum at XXXXXX’s ER, I aim to have consistently learned how to observe and achieve a 90% accuracy rate in assessing and prioritizing patients' needs within the ER settings and develop advanced critical thinking skills to make timely decisions during emergencies, reducing decision-making time by 20%.

Typically, shadowing in such a fast-paced and unpredictable ER environment, I can enhance my critical thinking skills and scientific reasoning. These skills will be essential for solving various leadership problems, such as making timely emergency decisions.

SMART Goal: Breakdown

Specific

Create a supportive environment within the ER by focusing on providing compassionate and effective care by reducing leadership issues associated with emergency medical conditions.

Measurable

By the end of the practicum experience, evaluate my understanding of ER leadership for over 80% success rate by conducting pre- and post-participation surveys.

Achievable

Conduct the practicum experience in collaboration with the ER team at XXXXXX once a week.

Relevant

The goal is to learn how to enhance patients' and staff's well-being in the ER by providing a supportive and empathetic environment through effective leadership, thereby improving overall patient outcomes and satisfaction.

Time-bound

The practicum experience will span two months, divided into weekly milestones. Regular evaluations and feedback sessions will be conducted to ensure continuous improvement and support.

In conclusion, this Leadership Practicum experience at XXXX's ER department offers a valuable opportunity to learn and apply leadership skills, gain self-awareness, and contribute to improving healthcare delivery. By fostering a safe and caring environment, enhancing communication and collaboration, and providing quality emergency care, I can learn how to impact patient outcomes and satisfaction positively. For instance, the practicum experience will help me achieve important leadership learning outcomes, such as effective communication, critical thinking, cultural competence, personal, civic, and social responsibilities, and effective use of technology, and where setting SMART goals ensures the achievement of my objectives.

References

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