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NUR 400 Leadership Clinical Practice Experience Guidelines and Rubric

Overview: In this clinical practice experience, you will identify a healthcare leader at your place of employment or in your area. Ideally, this healthcare leader will be involved in making unit- or organizational-level decisions, such as the addition of evidence-based initiatives and/or analyzing data to determine compliance or quality-improvement concerns. You must find a healthcare leader at an organization or facility that does not require an affiliation agreement with SNHU. Obtain permission to observe and interact with the healthcare leader for four hours. During this period, you will collaborate with the healthcare leader, analyzing the leader’s role and organization. You will also conduct an interview with the healthcare leader to determine the following:

x What are the healthcare leader’s day-to-day responsibilities within the organization? x What education and practice experiences have prepared the leader for their current role? x What type of organizational structure is present within the organization? For example, is it a hierarchical structure or a decentralized, shared governance

structure? x What types of communication patterns or issues are present and affected by the current organizational structure? x How does the leader address conflict related to divergent opinions? Discuss differences in professional background and experience, race and ethnicity,

and culture. x What type of leadership style does the healthcare leader have, and is that style impacted by the current organizational structure and function? x Develop two additional questions related to the healthcare leader’s role and experiences within the organization.

After your experience, search the literature for evidence-based recommendations or interventions to address any concerns with the organizational structure and/or communication patterns noted by the healthcare leader. Alternatively, search the literature to identify best practices associated with healthcare leadership, communication, or organizational structure and function that may be pertinent to the healthcare leader’s role. At the end of the four-hour period, ensure the healthcare leader has signed the attestation, confirming the number of hours you spent together. Develop an executive summary describing the current organizational structure and communication patterns, along with your evidence-based recommendations for improvement. This summary will then be presented to the healthcare leader. You will also submit a two- to three-paragraph journal assignment reflecting on everything that you have learned during this clinical practice experience. Reflect on your experiences with presenting the executive summary to the healthcare leader, noting their responses to your evidence-based suggestions. To summarize: Follow this step-by-step guide for this assignment:

x Attend the clinical practice experience/interview and have the Clinical Hour Attestation form signed. x Complete your research. x Write the executive summary.

x Present your executive summary to the healthcare leader. x Submit the deliverables.

Please note: Students should not be providing direct care. Consider adding your completed executive summary, Clinical Hour Attestation form, and reflection to your ePortfolio.

Rubric

Guidelines for Executive Summary: x 2-page, single-spaced paper (Use citations, even though they are typically not included in an executive summary.)

Three Deliverables:

x Clinical Hour Attestation: Name, contact information, and signed statement from shadowed healthcare leader for four hours (attestation of the number of hours completed)

x Executive summary x Student reflection of the experience

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Signed Clinical Hour Attestation

Signed clinical hour attestation including acknowledgement of hours spent with leader was submitted

Signed clinical hour attestation including acknowledgement of hours spent with leader was not submitted

10

Executive Summary Interview

Meets “Proficient” criteria and offers keen insight into the interview process

Clearly summarizes the information determined during the interview process, including the organizational structure and communication patterns as described by the healthcare leader

Summarizes information obtained during the interview process, but the summary lacks detail or organization

Does not complete Executive Summary: Interview

30

Executive Summary Recommendations

Meets “Proficient” criteria and offers recommendations or best practices that are insightful

Clearly articulates evidence- based recommendations or best practices based on interview findings

Articulates evidence-based recommendations and/or best practices, but lacks clarity

Does not submit Executive Summary: Recommendations

30

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value Student Reflection Meets “Proficient” criteria, and

reflection is insightful and offers concrete examples

Reflects on the clinical practice experience and the learning that occurred during that experience, and reflects on the healthcare leader's response to the executive summary and evidence-based recommendations

Briefly reflects on learning, or does not reflect on the healthcare leader's response to the executive summary

Does not submit Student Reflection

20

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

10

Total 100%