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Canvas Plagiarism Framework
LTI Class
Unit 6: Presentation: Three-Dimensional Advocacy Approach
Presentation45.pptx
Ramona Wilkerson
Document Details
Submission ID
trn:oid:::1:3311936579
Submission Date
Aug 11, 2025, 6:29 PM CDT
Download Date
Aug 13, 2025, 5:26 PM CDT
File Name
Presentation45.pptx
File Size
4.0 MB
12 Pages
614 Words
4,305 Characters
Page 1 of 15 - Cover Page Submission ID trn:oid:::1:3311936579
Page 1 of 15 - Cover Page Submission ID trn:oid:::1:3311936579
33% Overall Similarity The combined total of all matches, including overlapping sources, for each database.
Match Groups
6 Not Cited or Quoted 31% Matches with neither in-text citation nor quotation marks
1 Missing Quotations 2% Matches that are still very similar to source material
0 Missing Citation 0% Matches that have quotation marks, but no in-text citation
0 Cited and Quoted 0% Matches with in-text citation present, but no quotation marks
Top Sources
27% Internet sources
27% Publications
30% Submitted works (Student Papers)
Page 2 of 15 - Integrity Overview Submission ID trn:oid:::1:3311936579
Page 2 of 15 - Integrity Overview Submission ID trn:oid:::1:3311936579
Match Groups
6 Not Cited or Quoted 31% Matches with neither in-text citation nor quotation marks
1 Missing Quotations 2% Matches that are still very similar to source material
0 Missing Citation 0% Matches that have quotation marks, but no in-text citation
0 Cited and Quoted 0% Matches with in-text citation present, but no quotation marks
Top Sources
27% Internet sources
27% Publications
30% Submitted works (Student Papers)
Top Sources The sources with the highest number of matches within the submission. Overlapping sources will not be displayed.
1 Student papers
Herzing University 17%
2 Internet
repositorio-aberto.up.pt 8%
3 Internet
core.ac.uk 5%
4 Internet
pure.umcutrecht.nl 2%
5 Publication
Pedro Lucas, Élvio Jesus, Sofia Almeida, Patrícia Costa, Paulo Cruchinho, Gisela Tei… <1%
Page 3 of 15 - Integrity Overview Submission ID trn:oid:::1:3311936579
Page 3 of 15 - Integrity Overview Submission ID trn:oid:::1:3311936579
"OPTIMIZING THE NURSING PRACTICE ENVIRONMENT:
LINKING FRAMEWORK DOMAINS WITH PES-NWI
INDICATORS" RAMONA WILKERSON
HERZING UNIVERSITY
AUGUST 11, 2025
Page 4 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 4 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
DOMAIN: STAFFING AND RESOURCE ADEQUACY (PURSIO ET AL., 2024)
• Measures adequacy of nurse staffing levels and material resources.
• Impacts nurse workload, patient safety, and care quality.
• Informs strategic planning for optimal resource allocation.
• Directly affects burnout, turnover, and job satisfaction.
• Foundation for consistent, equitable patient care delivery.
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Page 5 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 5 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
CORRELATION WITH PES-NWI ITEMS • PES-NWI: “Enough staff to get the
work done.”
• Reflects resource availability and workload manageability.
• Adequate staffing supports positive patient outcomes.
• Ensures timely care without compromising quality.
• Aligns directly with this domain’s core focus.
Page 6 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 6 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
STRENGTHS & OPPORTUNITIES: STAFFING
• Strength: Adequate ratios during daytime shifts.
• Strength: Reliable access to essential supplies.
• Opportunity: Night shift staffing gaps increase workload.
• Opportunity: Occasional delays due to supply shortages.
• Observed variability suggests need for resource equity.
Page 7 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 7 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
LEADERSHIP STRATEGY: STAFFING
• Strategy: Implement flexible staffing models (float pools).
• Evidence supports better workload balance (Aiken et al., 2018).
• Cross-train nurses for coverage in multiple units.
• Monitor supply chain to prevent critical stock-outs.
• Expected outcome: improved resilience and patient safety.
Page 8 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 8 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
DOMAIN: NURSE–PHYSICIAN RELATIONS (PURSIO ET AL., 2024)
• Assesses quality of collaboration between nurses and physicians.
• Influences patient safety, trust, and care efficiency.
• Strong relations reduce miscommunication-related errors.
• Enhances interdisciplinary teamwork and decision-making.
• Core factor in nurse empowerment and role satisfaction.
Page 9 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 9 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
CORRELATION WITH PES- NWI ITEMS
• PES-NWI: “Nurse–physician collaboration.”
• Highlights teamwork and shared responsibility in care.
• Mutual respect drives better patient outcomes.
• Encourages equal input in clinical decision-making.
• Direct match to domain objectives and measures.
Page 10 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 10 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
STRENGTHS & OPPORTUNITIES: COLLABORATION
• Strength: Interdisciplinary rounds promote transparency.
• Strength: Informal communication channels improve speed.
• Opportunity: Hierarchical culture limits nurse input.
• Opportunity: Delays in relaying plan changes to nurses.
• Collaboration mechanisms could be more formalized.
Page 11 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 11 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
LEADERSHIP STRATEGY: COLLABORATION
• Strategy: Establish structured interprofessional care conferences.
• Evidence supports improved communication (Bainbridge et al., 2016).
• Schedule weekly forums for joint care planning.
• Rotate facilitation to include nursing leaders.
• Expected result: reduced hierarchy, stronger teamwork.
Page 12 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 12 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
SUMMARY OF FINDINGS
• Adequate staffing and strong nurse–physician relations are linked.
• Both domains significantly impact patient outcomes and nurse morale.
• Opportunities exist for improvement in resource equity and collaboration.
• Leadership interventions can address gaps and sustain strengths.
• Practice environment analysis informs targeted improvement strategies.
Page 13 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 13 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
LEADERSHIP THEORY ALIGNMENT
• Transformational: Inspires shared vision for resource and teamwork goals.
• Servant: Focuses on removing staff barriers to performance.
• Relational: Builds trust between nurses and physicians.
• Systems: Recognizes interdependence of staffing and collaboration.
• Framework supports evidence-based leadership in nursing practice.
Page 14 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
Page 14 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
REFERENCES
• Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., ... & Sermeus, W. (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. The lancet, 383(9931), 1824-1830. https://www.thelancet.com/journals/lancet/article/PIIS0140- 6736(13)62631-8/fulltext?gsid=ebe607b1-2433-405b-996c-841c41da1514
• Bosch, B., & Mansell, H. (2015). Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada, 148(4), 176-179. https://journals.sagepub.com/doi/abs/10.1177/1715163515588106
• Martínez-Riera, J. R., Juárez-Vela, R., Díaz-Herrera, M. Á., Montejano-Lozoya, R., Doménech-Briz, V., Benavent-Cervera, J. V., Cabellos-García, A. C., Melo, P., Nguyen, T. H., & Gea-Caballero, V. (2020). Qualitative Analysis by Experts of the Essential Elements of the Nursing Practice Environments Proposed by the TOP10 Questionnaire of Assessment of Environments in Primary Health Care. International Journal of Environmental Research and Public Health, 17(20), 7520. https://doi.org/10.3390/ijerph17207520
• Pursio, K., Korhonen, A., Lahtinen, P., & Turunen, H. (2024). Development and testing of the nursing practice environment scale in hospital and ambulatory care settings. Journal of Nursing Management, 32(1), 55–66. https://doi.org/10.1111/jonm.13864
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Page 15 of 15 - Integrity Submission Submission ID trn:oid:::1:3311936579
