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Doctor of Nursing Practice Program

Health System Development and Leadership Practice Immersion

Pre-Practice Change Self-Assessment Assignment

DNP 8000–Health Systems Development and Leadership Practice Immersion Experience

Purpose

The purpose of this application is to provide the student an opportunity to reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP8000 course.

Course Level Student Learning Outcomes (CLSLO’s)

This assignment provides documentation of student ability to meet the following course outcomes:

· Create professional interaction and partnerships to facilitate evidence-based care and quality patient outcomes.

· Design evidence-based interventions that address health care disparities.

· Incorporate knowledge of healthcare financing within and across healthcare systems.

· Develop interprofessional collaborations to promote change in health care systems.

· Integrate interprofessional collaboration and the DNP role in healthcare service, nursing scholarship, and advanced practice.

· Utilize DNP leadership strategies for advancing healthcare policy across diverse healthcare delivery systems.

· Analyze selected forces that shape higher education administration from a DNP perspective.

· Distinguish the DNP role in affecting healthcare practice and policy change.

· Compare and contrast driving and restraining forces that shape DNP leader response to advance quality and safety initiatives in healthcare.

End of Program Student Learning Outcomes (EPSLO’s)

· I-Integrate Scientific Underpinnings into Practice

· II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

· III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· V-Influence Health Care Policy for Advocacy in Health Care

· VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

· VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

· VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

Role-Specific Professional Competencies

· Exploring and achieving some of the nurse executive role-specific competencies during this course and the leadership shadowing experience:

- Effective Communication and Relationship Building

· Through the production of written materials

· Through collaborative relationships with DNP stakeholders

· Through engagement of stakeholders

· Demonstrate skill in interpersonal communication

· Build collaborative relationships

· Create a share vision

· Represent nursing at medical executive committee and other department/medical staff committees

- Knowledge of the Healthcare Environment

· By demonstrating current knowledge of patient care delivery systems across the continuum

· Assess the effectiveness of delivery models

· Understand regulation and payment issues that affect an organization’s finances

· Take action when opportunities exist to adjust operations to respond effectively to environmental changes in economic elements

· By demonstrating understanding of the regulation and payment issues that affect an organization’s finance

· By articulating the organization’s performance improvement program and goals

· Support the development of an organization-wide patient safety program

· Monitor clinical activities to identify both expected and unexpected risks

· Lead/facilitate performance improvement teams to improve systems/processes that enhance patient safety

· Use evidence-based metrics to align patient outcomes with the organization’s goals and objectives

· Establish quality metrics

· Identify areas of risks/liability

- Leadership

· Address ideas, beliefs or viewpoints that should be given serious consideration

· Apply critical analysis to organizational issues after a review of the evidence

· Demonstrate reflective practice and an understanding that all leadership begins from within

· By demonstrating applied critical analysis to organizational issues after a review of the evidence

· By demonstrating reflective practice and an understanding that all leadership begins from within

· Considering the impact of nursing decisions on the healthcare organization as a whole

· Consider the impact of nursing decisions on the healthcare organization as a whole

- Professionalism

· By seeking input and mentorship from other in career planning and development

· Contribute to the advancement of the profession

· Solicit feedback about personal strengths and weaknesses

· Involve nurses and other staff in decisions that affect their practice

- Business Skills

· By using business models for healthcare organizations and apply fundamental concepts of economics

· Educate patient care team members on financial implications of patient care decision

Due Date

Submit your completed application in Moodle by Saturday11:59 p.m. ET of Week 7 as directed.

Requirements

1. The Self-Assessment Assignment is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for DNP Nursing assignments unless specified otherwise.

3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A Forum.

4. The length of the self-assessment is to be no less than 2 pages and no greater than 4 pages excluding title page and reference pages.

5. APA format is required with both a title page and reference page.

a. Self-Assessment Assignment

b. Conclusion: so, based on your self-assessment, how do you feel this course has helped you achieve the DNP essentials and role-specific leadership competencies.

Preparing Your Self-Assessment

The DNP Essentials (AACN, 2006) outline a number of competencies regarding scientific underpinnings for practice. Reflect on the DNP8000 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.

Reference

American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for

advanced nursing practice. Washington, DC: Author.

Directions and Grading Criteria

Category	Points	%	Description
Introduction	8	8	Introduces the purpose of the reflection pertinent to the course DNP8000.
Self-Assessment Assignment	70	70	Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP essentials and nurse executive role-specific competencies as a result of active learning throughout this course. Be sure to answer the following Reflect on the DNP 8000 course readings, discussion threads, leadership shadowing experience, collaboration with your mentor, professor, and practicum project thesis mentor, assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and nurse executive role-specific competencies. Use examples from selected readings, threaded discussions, and/or applications to support your assertions.
DNP Practicum Team Mentor Reflection	10	10	How do you feel that your collaboration with your mentor will be beneficial in reaching your academic goals?
Conclusion	4	4	An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out.
Clarity of writing	6	6	Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers.
APA format	2	2	All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format: 1. Document setup 2. Title and reference pages 3. Citations in the text and references.
Total:	100	100	A quality essay will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria

Meets Criteria

Partially Meets Criteria

Does Not Meet Criteria

Introduction

(8 pts)

Short introduction of competencies pertinent to the course DNP8000. Rationale is well presented, and purpose fully developed.

7 – 8 points

Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.

5 – 6 points

Little or very general introduction of selected competencies. Little to no original explanation; inappropriate emphasis on an area.

0 – 4 points

Self-Assessment Assignment

(70 pts)

Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Excellent reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting.

60 – 70 points

Basic self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Basic reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting.

49 – 59 points

Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Little or very general reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting.

0 – 48 points

DNP Practicum Team Mentor

Reflection

(10 pts)

Statement shows insight into how the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.

9 - 10 points

Statement shows some insight into how the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.

5 - 8 points

Little or no reflection on how the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP.

0 – 4 points

Conclusion

(4 pts)

Provide an excellent conclusion identifying the main ideas and major conclusions from the body of the essay.

3 – 4 points

Provide a basic conclusion identifying some of the main ideas of the essay.

2 points

Provide a very general conclusion, does not identify the main idea of the paper.

0 – 1 point

Clarity of writing

(6 pts)

Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning.

5 – 6 points

Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.

3 – 4 points

Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.

0 – 2 points

APA format

(2 pts)

APA format corrects with no more than 1-2 minor errors.

2 points

3-5 errors in APA format and/or 1-2 citations are missing.

1 point

APA formatting contains multiple errors and/or several citations are missing.

0 points

Total Points Possible = 100 points

Prepared by Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Itzel Vega Crespo, Dr. Angel Garcia, Dr. David Trabanco.

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