NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
Last Revised: 8/16/23
Engagement – Experiential Learning Project Plan of Action: Module 4
Assignment Objectives:
• Students will extend their academic experience into areas of nursing practice
interest, working with new ideas, issues, organizations, and individuals.
• Students will demonstrate the ability to think and act critically and creatively about
nursing practice issues and will further develop their analytical and ethical
leadership skills necessary to address and help solve these issues.
• Students will refine the ability to utilize evidence-based research and demonstrate
proficiency in written and communication skills.
Assignment Instructions:
The best approach to accomplish change must include a thoughtful analysis of the
problem. The first step in this analysis is to identify the problem and then answer several
questions that are useful in framing the problem:
1. What are the scope, duration, and history of the problem?
2. Who does it affect?
3. What data is available to describe the problem?
4. What are the implications of the problem?
5. How does/will your selected organization support your topic?
In the template below you will answer the questions above, outline your plan of action and
discuss a proposed solution. We realize that your plan of action may change as your
progress through your project. However, your problem and the framing of the problem will
not. Your answers should be based on your experience and supporting evidence. The
template below outlines critical parts of developing a plan of action. Be attentive to the
instructions and remember you are professional nurses; writing and thought processes
should be indicative of scholarly writing.
This week’s assignment is the first of five assignments to complete your Clinical Practice
Project (CPP). Each weekly assignment will build upon the last one. It is very important that
you follow the directions carefully and review your teachers document/grading rubric for
comments so that you can improve each week.
To complete this assignment type in the boxes below, the boxes will expand as you type. Be
sure to save your document frequently. Points will be deducted for incomplete work,
spelling/grammar errors, lack of thought and use of abbreviations. All content must be in
your own words, not directly quoted; however, you must provide supportive details by using
in text citations (Journal Article references at the end of the form-please see your rubric
for an explanation of refereed Journals). This assignment is worth 30 points…be sure your
work reflects 30 points. Save as a PDF and submit in Bb.
NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
Change the FONT to red to highlight your revisions from the module one template.
Student Name Date:
Project Topic:
QSEN Competency: (example, Patient-centered Care)
QSEN Definition: Define your QSEN Competency in your own words (paraphrase) using the 2012 graduate
competencies link: 2012 graduate competencies (example: for competency Patient-Centered Care the
definition on the web site is Recognize the patient or designee as the source of control and full partner in
providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs—
take this information then write your definition in your own words (paraphrasing, remember to cite the QSEN).
List two Knowledge/Skills/Attitudes (KSAs)- use two each (Knowledge/skills/attitudes) using the 2012
graduate competencies link: 2012 graduate competencies which are listed under your chosen competency
that you think will help you to meet your selected competency. Then write your KSAS in your own words
(paraphrasing/editing related to your specific project—remember to cite the QSEN).
Knowledge Skills Attitudes
Type the two original graduate
competencies you chose from
QSEN:
Type the two original graduate
competencies you chose from
QSEN:
Type the two original graduate
competencies you chose from
QSEN:
Paraphrase each selected
competency-relate to your specific
project topic- be sure to cite QSEN
for each:
Paraphrase each selected
competency-relate to your specific
project topic- be sure to cite QSEN
for each:
Paraphrase each selected
competency-relate to your specific
project topic- be sure to cite QSEN
for each:
Discuss Health Care Organization (this is not the facility/organization where you are implementing your
project, may be a nursing organization, or any organization which sets standards, conducts research, or
publishes evidence based literature in relation to your topic) that will help support your project. Discussion
should include the mission/values of the organization (in your own words). Provide citations and references (no
direct quotes).
Global Objective: the purpose of a global objective is to provide a vision for your overall project-what are you
developing and implementing-what is your expected impact on patient outcome? It should be broadly stated-in
one sentence. (Do Not Use Any Abbreviations)
NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
Project Objectives: Project Objectives: Now your global objective should be broken down into more focused
steps. Be sure your Project Objectives support your Global Objective! How will you achieve your global
objective? Be specific. Write 4 Project Objectives…objectives should start with an action verb! (Do Not Use
Any Abbreviations) For example; Research on…Develop a tool/guide/protocol/policy/process to…Develop and
present education to staff on new tool…Implement new tool on ___number (the number should be adequate to
meet your minimum of 1-2 log hours in direct patient contact) of patients to improve (how will your project
impact patient outcomes)…
Possible Steps to Assist Me in Completing My Project: List at least 4 steps in
your project
(Do Not Use Any Abbreviations)
Week I hope to accomplish
by:
Provide hopeful completion
date
Direct patient engagement: Describe in a one or two sentences how you will provide direct patient engagement
(contact) in your clinical practice project and describe how this will impact patient outcomes. (keep in mind you
are not required to actually measure your outcomes, but you will need to describe your potential/projected
improved patient outcomes) Be specific.
What is the history/background of the problem? What is the scope of this problem—>how big of an issue is this
problem–what is the duration—>how long has this been a problem, explain these with the data from your
facility, community, state, and/or national data. Write 3-4 paragraphs related to your selected problem. Provide
supportive details using in text citations. Give supportive data from facility, community, state, or national
data to explain why you feel this is an issue and to explain the history, scope, and duration of this issue.
Your paragraphs should be professionally written, single spaced with APA formatted citations and references
(there is a reference textbox at the end of this form. Use it for your references). (Supportive data requires
paraphrased citations from your research, not direct quotes)
NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
Who does your problem affect? Write 1-2 paragraphs discussing individuals, communities, etc. that are affected
by this problem. Remember to include all parties that are affected. Your paragraph(s) should be professionally
written, single spaced with APA formatted citations and references (there is a reference textbox at the end of
this form. Use it for your references).
Your selected organization: (remember this is not the facility/organization where you are implementing your
project, may be a nursing organization, or any organization which sets standards, conducts research, or
publishes evidence based literature in relation to your topic) How does this organization support your topic?
Some things to consider when researching…Have they advocated? Do they support financially? Are they
involved in research to support your topic? Do they use it as part of accreditation requirements? Write 1-2
paragraphs. Your paragraph(s) should be professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references.)
What are the implications of the problem? What will happen or not happen if the problem is not resolved? Write
1-2 paragraphs discussing the implications with supporting details (information from your selected organization
and/or health care facility would be important here). Your paragraph(s) should be professionally written, single
spaced with APA formatted citations and references (there is a reference textbox at the end of this form. Use it
for your references).
Plan of Action: In the space below outline your plan of Action. Remember your plan of action should assist you
in meeting your global and project objectives; therefore, they must be linked. Your plan of action can include
your action steps from week one or they may have changed. In either case, list your action steps (that you have
already completed and planned steps) and provide a one paragraph (per action step) explanation supporting this
action. You should have a minimum of four action steps (no more than five), this means you should have a
minimum of four paragraphs and no more than five. Your actions steps should have supportive details
(references). Your paragraphs should be professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references).
Proposed Solution: Write 2-3 sentences describing your proposed solution to your problem. Remember that
your solution should be linked to your global and project objectives. Your proposed solutions should have
supportive details (references), professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references).
NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
Work with Mentor this week: In 2-3 paragraphs discuss activities with your Mentor (Preceptor) for this project
so far. Include positive and negative thoughts, what was helpful and what information or activity would have
been helpful. No citations or references are needed; it should still be professionally written.
Week Two Practice Log: Begin typing documentation on your Clinical Log, provide here a brief explanation
of time you have completed this week – you will need to document on your clinical log in addition to the
templates, this update does NOT take the place of completing your required log. This is a non-graded item.
— Do not include: Orientation off the Unit, Observation, writing or researching papers/assignments, Lunch or
Break time.
— Do include: A total over the course includes a Minimum of 3 hours with preceptor, Maximum of 6 hours on
research of topic, a minimum of 1-2 hours in direct patient contact and the remainder- 10-11 hours in
implementation of your project, Total of 21 true hours.
Type Date Time
(ex:
1:00pm-
2:00pm)
Total Time
Spent
(ex: 1 hour)
Description
(describe specifically what you did in one or two
sentences)
Preceptor
(a minimum of 3 hours is
required for the course)
Research on topic
(a maximum of 6 hours
is allowed for the course)
Implementation
(the remainder should be
spent in implementation,
10-11 hours) can include
but not limited to; time
spent developing pt.
education tool, time spent
developing staff
education on topic/new
tool, Time spent teaching
staff on the use of the new
tool/topic, any
staff/management
meetings to gain staff
input on new tool.
Total Time spent this
week
(by the end of the course
you should spend at least
21 true hours)
Total for
this week
=
NRSE 4600: MODULE 4: ASSESSMENT 4: WRITTEN ASSIGNMENT – CLINICAL PROJECT ACTION PLAN
References (double-space and use correct 7th ed. APA format)
This should include references from Module 1
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