Category: Nursing

  • Anti-infectives – The patient is a 20-year-old man who presents to the clinic today for a follow-up with the pulmonologist after being diagnosed with tuberculosis (TB) of the lungs as a result of infection with Mycobacterium tuberculosis 3 weeks ago

    Anti-infectives – The patient is a 20-year-old man who presents to the clinic today for a follow-up with the pulmonologist after being diagnosed with tuberculosis (TB) of the lungs as a result of infection with Mycobacterium tuberculosis 3 weeks ago

    Anti-infectives – Patient 1

    Patient Data

    History and Physical

    The patient is a 20-year-old man who presents to the clinic today for a follow-up with the pulmonologist after being diagnosed with tuberculosis (TB) of the lungs as a result of infection with 
    Mycobacterium tuberculosis
     3 weeks ago. A positive purified protein derivative (PPD) resulted in a chest x-ray, which revealed active TB. After 2 weeks in the hospital, the patient returned home, and directly observed therapy (DOT) is being delivered by the public health nurse daily. Patient’s weight is 160 lb. (72.73 kg).

    The DOT LPN collaborates with the organization RN to prepare a care plan for the patient.

     

    Nurses’ Notes

     

    Directly Observed Therapy (DOT) Notes

    Day 1
    : Medications administered. Patient reports no side effects from the medication. Patient reports slight cough persists.

    Day 2
    : Medication administered. No reports of side effects.

    Day 3
    : Medication administered. No reports of side effects. Patient shares frustration with the need to take so many medications daily. Patient’s frustrations acknowledged.

    Day 4
     Medication administered. No reports of side effects. Patient reports feeling much better. Cough has resolved. Appetite returned.

    Day 5
    : Medication administered. No reports of side effects. Patient shares that he cried today, and his tears were red. Education provided.

    Day 6
    : Medication administered. No report of side effects. Patient expresses desire to drink alcohol. Shares that he drank 1-3 beers every night before diagnosis. Education provided.

     

    Laboratory Results

    Test

    Value

    Reference Range

    Bilirubin

    6.2

    5.1 to 17 μmol/L

    Alkaline phosphatase

    60

    30 to 120 U/L

    Aspartate transaminase

    38

    0 to 35 U/L

    Alanine transaminase

    36

    4 to 36 U/L

    Gamma-glutamyl transpeptidase

    18

    Male and female age 45 years and older: 8 to 38 units/L (8 to 38 international units/L)

    Female younger than age 45 years: 5 to 27 units/L (5 to 27 international units/L)

    Albumin

    4.2

    3.5 to 5 g/dL

    Prothrombin time

    11.9

    11.0 to 12.5 seconds

     

    Flow Sheet

    Initial Vital Signs:

    T 97.8 ⁰F (36.5 ⁰C)

    HR 74 beats/min

    RR 16 breaths/min

    BP 128/66 mm Hg

     

    Orders

     

    1105

    Isoniazid 300 mg PO daily

    Rifampin 600 mg PO daily

    Pyrazinamide 1500 mg PO daily

    Ethambutol 1200 mg PO daily

     

    Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

    That’s right!

     

    Rationale:

    Hepatotoxicity is a risk with antitubercular medications. Regular alcohol consumption can cause liver inflammation. Patients who consume alcohol while taking antitubercular medications are more likely to develop hepatotoxicity. Citrus foods have no effect on antitubercular medications. Rifampin causes reddish orange secretions (including tears) and excretions; however, this side effect is not harmful to the patient. Because alcohol consumption increases the risk of hepatotoxicity with all antitubercular medications, it would not necessitate a medication change.

    Anti-infectives – The patient is a 20-year-old man who presents to the clinic today for a follow-up with the pulmonologist after being diagnosed with tuberculosis (TB) of the lungs as a result of infection with Mycobacterium tuberculosis 3 weeks ago

  • Anti-infectives 1 Quiz

    Anti-infectives 1 Quiz Herzing University

    Anti-infectives 1 Quiz – Patient 1

    Patient Data

    History and Physical

    A 23-year-old female patient presents to the public health clinic, stating that one of her sexual partners was recently treated for gonorrhea. The patient reports having increased vaginal discharge for the last 4 days but no other symptoms. In the last 3 months, she has had four male partners. She takes birth control pills and rarely uses condoms during sexual encounters. The patient has no relevant health history.

    Nurses’ Notes

    1630: 
    Patient claims to have had sexual contact with a partner who tested positive for gonorrhea. The patient also reports having increased vaginal discharge for the last 4 days.

    1645: 
    Urine specimen obtained for testing for nucleic acid amplification (NAA) test.

    1705: 
    Order received by the RN and ceftriaxone administered to patient. Patient contacts obtained and patient education on sexually transmitted infections (STIs) provided. Patient contact information taken to call with NAA test results when received.

     

    Orders

    Urine NNA test

    Ceftriaxone 500 mg IM (Z-track) twice a day

    The LPN reviews the patient’s medical record and plans to administer medication to the patient.

    Drag from Word Choices to complete the sentence(s).

     

    So close!

    Rationale:

    Ceftriaxone is a third-generation cephalosporin. Patients who have had allergic reactions to other cephalosporins or severe allergic reactions to penicillin should not receive cephalosporins. Before administering the medication, a test should be done to determine whether an infection is present, what the infecting organism is, and what drug the organism is susceptible to. If this is done after the medication is given, it may affect the results of the test. Cephalosporins are not affected by diet. It is not necessary to obtain renal function tests before administering a cephalosporin. Aminoglycosides affect hearing; cephalosporins do not. Anti-infectives 1 Quiz

    9m 38s

    Clinical Judgment Skill(s):

    Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions

    1 / 2 points

    Anti-infectives 1 Quiz – Patient 2

    Patient Data

    History and Physical

    The patient is an 86-year-old female who resides in a long-term care facility and has a baseline of being alert and oriented, continent, and independent with activities of daily living (ADLs). She has a history of heart failure, type 2 diabetes, and hyperthyroidism. The unlicensed assistive personnel (UAP) reports that the patient had a few episodes of confusion during the shift, not knowing where she was or who her family members were. The patient had four incidents of incontinence in the last 2 days, and the nursing assistant noticed foul-smelling urine while assisting the patient in changing clothes. Due to confusion and fatigue, the patient needed cues for ADLs. The patient reports that she has been tired and has not had an appetite for a few days. The current temperature is 100.0°F (37.78°C).

    Laboratory Results

    Urine Culture

    Time: 
    1150

    Site: Clean catch

    Source: Urine

     

    Colony count

    >100,000 colonies/mL

    Reference range

    Negative: <10,000 bacteria per milliliter of urine Final report Escherichia coli  ABNORMAL Orders Amoxicillin/clavulanic acid PO 250 mg every 8 hours for 10 days So close! Rationale: Potential Conditions Urinary tract infections (UTIs) in older adults often present with confusion, fatigue, incontinence, increased temperature, and urine with a foul-smelling odor. UTIs are diagnosed with urine cultures and treated with antibiotics. This patient’s baseline is being alert and oriented, continent, and independent with activities of daily living (ADLs). The confusion is a new onset and has associated symptoms of a UTI so the LPN would not be concerned with dementia until other influences have been ruled out for cause of confusion. There are not specified symptoms that indicate dehydration or hypoglycemia. Actions to Take Amoxicillin/clavulanic is a penicillin. Penicillin should be taken with a full glass of water 1 hour before meals or 2 hours after meals. Patients should complete medication for the entire amount of time ordered even when symptoms are resolved. An IV infusion may be ordered if the patient was experiencing dehydration. Administering orange juice would be an appropriate nursing measure to treat hypoglycemia. If a patient is experiencing symptoms of dementia, a social worker is often called, but this is not needed when the confusion is related to a UTI. Anti-infectives 1 Quiz Herzing University Parameters to Monitor Although penicillin is a common drug, penicillin allergies are common, and patients should be monitored for allergic reactions such as skin rashes, itching, or hives. Monitoring temperature is a method of determining whether the medication is resolving the symptoms. Amoxicillin/clavulanic does not cause muscle cramps, pedal edema, or change blood sugar levels. 13m 17s Clinical Judgment Skill(s): Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, Evaluate Outcomes 4 / 5 points Anti-infectives 1 Quiz – Patient 3 Patient Data History and Physical Day 1 : 44-year-old male client presented with shortness of breath, chest pain, pedal edema, fever, and chills that were worsening over a period of 2 days. Upon admission, cultures were obtained, and he was initiated on empiric antibiotic therapy consisting of vancomycin, gentamicin, cefepime, and rifampin. Nurses’ Notes Day 2: 1245:  Physician reviews cultures and writes new orders for antibiotic therapy. 1340:  Antibiotic therapy is tailored based on culture findings. Gentamicin and ceftriaxone are initiated. Laboratory Results Laboratory Value Results Reference Range Serum creatinine 1.5 mg/dL 0.6-1.2 mg/dL Alanine aspartate (AST) 22 U/L 0-35 U/L Alanine transaminase (ALT) 20 U/L 4-36 U/L Red blood cells (RBCs) 5.2 M/uL 4.7 to 6.1 M/uL Hemoglobin (Hgb) 15.6 g/dL 14-18 g/dL Hematocrit (Hct) 43.5% 40 to 52% White blood cells (WBCs) 16,000 g/uL 5 to 10 g/uL Valve culture Viridans streptococcus Negative Blood culture Viridans streptococcus Negative Flow Sheet Day 1 : Vital Signs: Temperature 100.2°F (37.9°C) Heart rate 96 bpm Respiratory rate 20 breaths per minute Blood Pressure 142/84 Orders Day 2: 1245 Gentamicin 120 mg IV infusion (over 60 minutes) every 8 hours. Duration of therapy is 2 weeks. Gentamicin trough level immediately prior to second dose Ceftriaxone 2 g IV q24h. Duration of therapy is 6 weeks. Continue warfarin 2 mg po daily, losartan 100 mg po daily, ibuprofen 400 mg po q8h; metoprolol tartrate 50 mg po bid The LPN is assigned to a 44-year-old male who was admitted 2 days ago. Blood cultures were taken, lab results are now available, and the healthcare provider has diagnosed endocarditis of a prosthetic valve (replaced 9 months ago). A new antibiotic therapy following the results of the cultures has been initiated.   Drag from Word Choices to complete the sentence. That’s right! Rationale: Gentamicin is an aminoglycoside medication that can lead to toxicity of the kidneys (nephrotoxicity) and the ears (ototoxicity). Nephrotoxicity occurs in 5% to 25% of patients and is usually reversible. The risk for nephrotoxicity is increased in clients with existing renal impairment and those who are receiving other nephrotoxic drugs. In this case, the client is receiving ibuprofen and an angiotensin receptor blocker, which can increase the risk of nephrotoxicity with gentamicin. In addition, he already has an elevated serum creatinine level of 1.5 mg/dL, suggesting a level of pre-existing renal impairment, which increases his risk for nephrotoxicity. Ototoxicity may occur with gentamicin, although it is less common than nephrotoxicity. If ototoxicity occurs, it is typically irreversible and it is usually dependent on the dose and duration of therapy. Hepatotoxicity, hypertensive urgency, hyperkalemia, and seizures are not expected to occur with gentamicin therapy Anti-infectives 1 Quiz. 9m 12s Clinical Judgment Skill(s): Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, Evaluate Outcomes 2 / 2 points Anti-infectives 1 Quiz Herzing University

  • Interdisciplinary Plan Proposal template fpx4010

    Interdisciplinary Plan Proposal template fpx4010

    Interdisciplinary Plan Proposal

    Write a brief introduction (2–3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below.

    Objective

    Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes. For example:

    Test a double-loop feedback model for evaluating new product risk with a small group of project managers with the goal of reducing the number of new products that fail to launch. This objective is aligned to the broader organizational goal of becoming more efficient taking products to market and, if successful, should improve outcomes by reducing waste.

    Questions and Predictions

    For this section ask yourself  3–5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented Interdisciplinary Plan Proposal template fpx4010

    For example:

    How much time will using a double-loop feedback model add to a project manager’s workload?

    At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease.

    Change Theories and Leadership Strategies

    For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation.

    Another way to approach your explanations in this section is to think through the following:

    What is the theory or strategy?

    How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan?

    Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization.

    Team Collaboration Strategy

    In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “
    who
    ,
    what
    ,
    where
    , and
    when”
    approach for each team member.

    For example:

    Project Manager A will apply the double-loop feedback model on one new product project for a single quarter.

    Project Manager B will apply the double-loop feedback model on all new product projects for a quarter.

    Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter.

    After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal.

    Another way to approach your explanations in this section is to think through the following:

    What is the collaboration approach?

    What types of collaboration and teamwork will best help the interdisciplinary team be successful?

    How is the collaboration approach relevant to the team’s needs and will it help drive success?

    Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization.

    Required Organizational Resources

    For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact, but the estimates should be realistic for the chosen organization. Items you should include or address in this section:

    What are the staffing needs for your plan proposal?

    What equipment or supplies are needed for your plan proposal?

    Does the organization already have these?

    If so, what are the rough financial implications associated with using these resources?

    If not, what are the rough financial implications of acquiring these resources?

    Interdisciplinary Plan Proposal
    template fpx4010

    What access (to patients, departments, and so forth) is needed?

    Are there any costs associated with these?

    What are the overall financial implications for the plan proposal?

    Staff time, resource use, resource acquisition, and access charged.

    After you have detailed your required resources, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are trying to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization?

    References

    Interdisciplinary Plan Proposal template fpx4010

  • Equitable and Ethical Population Health Policies Paper

    Equitable and Ethical Population Health Policies Paper

    American Indians and Opioid Addiction

    The American Indian and Alaska Native (AI/AN) populations within the United States have shown alarming rates of opioid use disorders. This is due to historical inequities in social factors that affect health, including poverty and trauma. Current research indicates that historical trauma and SES issues are key factors that affect the patterns of drug usage among AI/AN populations since the populations have shown alarming rates of mortality due to opioid usage compared to other populations. In addition, inequities in healthcare services, stigma, and lack of effective prevention services have contributed to increased patterns of opioid usage among American Indians within communities. In that case, the paper will address the policy, its effects, and the role of policy in ethics for the American Indians dealing with opioid addiction.

    Upstream Policy Addressing Social Determinants of Health

    Significant upstream policy initiatives aimed at tackling the determinants of health among the American Indian community include the Tribal Opioid Response (TOR) Grants Program. According to Grants.gov (2026), the Substance Abuse and Mental Health Services Administration (SAMHSA) runs the TOR Grants Program. The initiative aims to enhance the availability of culturally competent opioid use disorder treatment and co-occurring use disorders with opioids or other substances. This treatment can include medications for opioid use disorder (MOUD), community education programs, and the use of harm reduction interventions. As the funds provided by the TOR Grants Program focus on the Tribes’ governance structures and the provision of culturally competent care, the policy directly deals with the determinants of health that include a lack of adequate health care facilities or infrastructure. In addition, the determinants include the unavailability or insufficient provision of care that can tackle the factors leading to negative health outcomes among the AI/AN community.

    BUY A PLAGIARISM-FREE PAPER HERE

    Effects of that Policy

    The success of the Tribal Opioid Response Grants is evidenced by the enhancement of prevention, treatment, and recovery support services in tribal communities that have traditionally been underserved. According to Health and Human Services.gov (2025), it includes improved access to MOUD and reversal agents, education efforts to tribal communities, and the formation of supportive groups that are culturally appropriate (Health and Human Services.gov, 2025). These outcomes help to offset the effects of SDOH, such as limited health infrastructure and a lack of trust in Western medicine, which can hinder early intervention and subsequent care. However, while the success of these grants in maintaining long-term outcomes such as recovery and decreased OD deaths is promising, it remains to be seen with additional data Equitable and Ethical Population Health Policies Paper.

    Role of Ethics in Policymaking

    Ethics in health policymaking involve considerations that ensure health policies promote autonomy, justice, harm minimization, and equity for specific target populations. According to the National Indian Health Board (2026), the Tribal Opioid Response Grants represent an ethical approach to health policymaking due to considerations for tribal sovereignty, support for culturally specific intervention approaches, and allocation to target populations disproportionately affected by the opioid crisis. Also, the approach promotes an ethical approach to health policymaking through considerations for autonomy, justice, harm minimization, and equity (Inayat et al., 2023). In that regard, the health policy aims to address systemic injustices that permeate social determinants for health through equitable allocation of substance abuse treatment and prevention for American Indian populations.

    Conclusion

    In conclusion, the strategy for dealing with opioid addiction in American Indian communities has to be culturally grounded, morally sound, and policy-focused. Also, projects like the Tribal Opioid Response Grants have shown that equity in the allocation of resources and respecting Tribal Sovereignty can help close disparities, foster community strengths, and promote healing.

     

    References

    Grants.gov. (2026).
    TI-24-009: Tribal Opioid Response
    . Grants.gov. https://grants.gov/search-results-detail/349687

    Health and Human Services.gov. (2025, September 22).
    HHS Provides More Than $1.5 Billion in State and Tribal Opioid Response Grants
    . HHS.gov. https://www.hhs.gov/press-room/hhs-state-tribal-opioid-response-grants-2025.html

    Inayat, S., Younas, A., Andleeb, S., Rasheed, S. P., & Ali, P. (2023). Enhancing nurses’ involvement in policy making: A qualitative study of nurse leaders.
    International Nursing Review
    ,
    70
    (3), 297–306. https://doi.org/10.1111/inr.12828

    National Indian Health Board. (2026).
    National Indian Health Board | Tribal Opioid Response Resource Toolkit
    . Nihb.org. https://legacy.nihb.org/behavioral_health/tribal_opioid_response_resources.php

     

    Equitable and Ethical Population Health Policies Paper

    Health inequities are shaped by social determinants of health (SDoH). By understanding and acting on the SDoH impact on health status, population-focused nurses can contribute to upstream changes in policy, laws, and regulations to improve community conditions (i.e., affordable housing and expanding healthy food access). The Code of Ethics for Nurses with Interpretive Statements, as emphasized by American Nurses Association President Ernest J. Grant, “obligates nurses to be allies and to advocate and speak up against racism, discrimination, and injustice” (ANA, 2020). Advocacy for health policies that improve community conditions for populations fulfills this obligation.

    In this Assignment, you will choose a vulnerable population and discuss one policy at the upstream level that addresses SDoH within your community. You will also consider how ethics apply to your policy choice.

    To prepare:

    Review the Learning Resources for this module.

    Download the 
    CON Writing Template
     Download CON Writing Template
    .

    Review your completed
    Annotated Bibliography
    Template.

    Equitable and Ethical Population Health Policies Paper

    Choose one of the following populations:

    Homeless veterans

    Migrants and health issues

    Pregnant Teens

    Elderly and mental health

    American Indians and opioid addiction

    A population of your choice as approved by your faculty

    Consider an upstream policy that addresses social determinants of health related to the selected population.

    Consider the role of ethics in policymaking.

    The Assignment (2-3 pages)

    Construct a paper addressing the following, using at least three scholarly references published in the past 5 years to substantiate your work:

    Introduce your chosen population taken from the list of options. Describe the population within the context of your local community.

    Discuss one upstream policy (local, state, or national) that addresses social determinants of health needs for the population within your community.

    What have been the effects of that policy?

    Describe the role of ethics in policymaking. How does the policy adhere to being ethical?

    Equitable and Ethical Population Health Policies Paper

  • Applying PDSA NURS-FPX4005 Reading List Capella University

    NURS-FPX4005 Reading List

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/3186058390006731?auth=SAML

    Assessment 3: Applying PDSA

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/3186058390006731?auth=SAML&section=3186059160006731

    Crowfoot, D., & Prasad, V. (2017). Using the plan–do–study–act (PDSA) cycle to make change in general practice.
    InnovAiT
    ,
    10
    (7), 425–430.

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/citation/3186059170006731?auth=SAML

    Institute for Healthcare Improvement, . (n.d.).
    Tools
    . https://www.ihi.org/resources/tools

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/citation/3186059180006731?auth=SAML

    McGowan, M., & Reid, B. (2018). Using the plan, do, study, act cycle to enhance a patient feedback system for older adults.
    British Journal of Nursing
    ,
    27
    (16), 936–941.

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/citation/3186059190006731?auth=SAML

    McNamara, D., & Fitzpatrick, F. (2016). An improvement model to optimise hospital interdisciplinary learning.
    International Journal of Health Care Quality Assurance
    ,
    29
    (5), 550–558. http://library.capella.edu/login?url=https://search.proquest.com/docview/2108838595?pq-origsite=

    https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/citation/3186059200006731?auth=SAML

     

    Back to Find Lists page

    Lists

     008468_1 (1901/2034)

    Log in

     

    Assessment 1: Reflective Practice

    (3)

    Get to know yourself through the act of self-reflection

    Website

    Perry, E., BetterUp, 2022

    Cultivating reflective nursing practice: Consideration of human suffering

    Article

    Ritt, E., & Ridge, A., International Journal for Human Caring, 27(3), 2023, 141 – 145

    Reflective practice groups and nurse professional quality of life

    Article

    Sundgren, M. K. M., Millear, P. M., Dawber, C., & Medoro, L., Australian Journal of Advanced Nursing, 38(4), 2021, 49 – 61

    Assessment 1: Leadership

    (9)

    Take our quiz | What’s your leadership style?

    Website

    Perrotta, A., Idealist, 2022

    Perceived leadership styles, outcomes of leadership, and self-Efficacy among Nurse leaders: A hospital-based survey to inform leadership development at a US regional medical center

    Article

    Bush, S., Michalek, D., & Francis, L., Nurse Leader, 2021, 390 – 394

    What’s your leadership story? A school leader’s guide to aligning how you lead with who you are

    E-book

    Oltman, G., & Bautista, V., Association for Supervision & Curriculum Development, 2021

     Note:

    Read Chapter 3.

    Leadership style

    Website

    Koeslag-Kreunen, M., The SAGE Encyclopedia of Higher Education, 2020

    Agile business leadership methods for industry 4.0

    E-book

    Cinnioğlu, H., Emerald Publishing, 2020

     Note:

    Start on page 6 with “Modern Leadership Theories” and read through page 16.

    Authoritative leadership

    Website

    Shirey, M. R., Nursing Leadership, 2021

    Participatory leadership

    Website

    McNair, D. E. & Griffen, J. M., The SAGE Encyclopedia of Higher Education, 2020

    Post-pandemic transformational leadership: Resilience, recovery and renewal

    Article

    Sayyadi, M., & Provitera, M. J., ISE: Industrial and Systems Engineering at Work, 53(12), 2021, 38 – 41

    When everyone leads: Addressing your practice’s toughest challenges

    Article

    McBride, J. F., Family Practice Management, 30(5), 2023, 15 – 18

    Assessment 1: Balance

    (1)

    Job demands, work engagement and job turnover intentions among registered nurses: Explained by work-family private life inference

    Article

    Pennbrant, S., & Dåderman, A., Work, 68(4), 2021, 1157 – 1169

    Assessment 1: Change Theory

    (2)

    Common change theories and application to different nursing situations

    Book Chapter

    Udod, S. A., & Wagner, J., in Leadership and Influencing Change in Nursing, edited by Wagner, J., University of Regina Press, 2018

    Organizational change

    Website

    Luhrman, J. T., & Cunliffe, A. L., SAGE Key Concepts Series: Key Concepts in Organization Theory, 2013

    Assessment 1: Empowerment

    (2)

    Nurses’ leadership in the work: A systematic review

    Article

    Qtait, M., Africa Journal of Nursing and Midwifery, 25(1), 2023, 1 – 15

    Clinical nurses’ moral courage and related factors: An empowerment perspective

    Article

    Hu, K., Liu, J., Zhu, L., & Zhou, Y., BMC Nursing, 21(1), 2022, 1 – 321

    Assessment 1: Leadership Theory

    (2)

    The influence of role conflict, head nurses’ super leadership, and nursing organizational culture on organizational commitment of male nurses

    Article

    Chang, M., & Kim, Y., Journal of Korean Academy of Nursing Administration, 28(5), 2022, 558 – 567

    Leadership styles and leadership outcomes in nursing homes: A cross-sectional analysis

    Article

    Poels, J., Verschueren, M., Milisen, K., & Vlaeyen, E., BMC Health Services Research, 20(1), 2020, 1009 – 1009

    Assessment 1: Graphics and Images Resources

    (2)

    Infographic resume builder

    Website

    Creately, n.d.

    Typeset

    Website

    n.d.

    Assessment 2: Plan Do Study Act

    (3)

    Quality improvement into practice

    Article

    Backhouse, A., & Ogunlayi, F., British Medical Journal, 368, 2020, 1 – 6

    Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: A retrospective mixed-methods study

    Article

    McNicholas, C., Lennox, L., Woodcock, T., Bell, D., & Reed, J. E., BMJ Quality & Safety, 28(5), 2019, 356 – 365

    How to improve: Model for improvement

    Website

    Institute for Healthcare Improvement, n.d.

    Assessment 2: Change Theories and Implementation

    (6)

    Critical conversations in healthcare: Scripts & techniques for effective interprofessional & patient communication

    E-book

    Clancy, C., 2, Sigma Theta Tau International Honor Society of Nursing, 2019

     Note:

    Read the “Time to Reflect” tips at the top of page 167, along with the tips on page 172.

    Guide peer feedback

    Website

    RISE Model, n.d.

    Reasons for resistance to change in nursing: An integrative review

    Article

    Cheraghi, R., Ebrahimi, H., Kheibar, N., & Sahebihagh, M. H., BMC Nursing, 22(1), 2023, 1 – 10

    Change management

    Website

    Barrow, J. M., Pavan A., & Toney-Butler, T. J., StatPearls Publishing, 2024

    People-centric interventions in change implementation: An analysis of change models

    Article

    Singh, R., Goel, G., & Ghosh, P., Organization Development Journal, 40(3), 2022, 8 – 21

    Theory applied to informatics – The Prosci ADKAR Model

    Article

    Kaminski, J., Canadian Journal of Nursing Informatics, 17(2), 2022, 1 – 5

    Assessment 2: Collaboration and Leadership

    (2)

    Editorial: Digital leadership: Competencies, business models, systems, strategies and platforms

    Article

    Salamzadeh, Y., Vardarlier, P., & Teoh, A. P., Frontiers in Psychology, 14, 2023, 1 – 2

    Transforming care at the bedside: Empowering better nursing care

    Video

    Robert Wood Johnson Foundation, – YouTube, 2009

    Assessment 2: Interprofessional Collaboration

    (1)

    Team reflexivity and the shared mind in interprofessional learning

    Article

    Baerheim, A., Ødegaard, E. E., & Ness, I. J., Policy Futures in Education, 21(2), 2023, 157 – 167

    Assessment 2: Evidence-Based Practice

    (1)

    Longitudinal comparison of hospital nurses’ values, knowledge, and implementation of evidence-based practice

    Article

    Duffy, J. R., Culp, S., Marchessault, P., & Olmsted, K., The Journal of Continuing Education in Nursing, 51(5), 2020, 209 – 214

    Assessment 2: Change Theory and Management

    (4)

    Catching quality before it falls: Preventing falls and injuries in the adult emergency department

    Article

    Stoeckle, A., Iseler, J. I., Havey, R., Aebersold, C., Journal of Emergency Nursing, 45(3), May 2019, 257 – 264

    Study of employees’ behavior during organizational change: Effects of business theatre on Kübler-Ross model

    Article

    Chavan, S., & Bhattacharya, S., Cardiometry, (22), 2022, 237 – 243

    How can collective leadership influence the implementation of change in health care?

    Article

    Lv, C., & Zhang, L., Chinese Nursing Research, (4), 2017, 182 – 185

    10 hard truths of change management

    Article

    Overby, S., CIO, 2022

    Assessment 3: Staffing

    (2)

    Numbers don’t lie: Interpreting recent nursing workforce data

    Article

    Sanborn, H., Nursing Economics, 41(5), 2023, 251 – 255

    Knowledge needs and use in long‐term care homes for older people: A qualitative interview study of managers’ views

    Article

    Day, J., Dean, S. G., Reed, N., Hazell, J., & Lang, I., Health and Social Care in the Community, 30(2), 2022, 592 – 601

    Assessment 3: DEI and Just Culture

    (4)

    Nursing students’ perception of gender-defined roles in nursing: A qualitative descriptive study

    Article

    Prosen, M., BMC Nursing, 21(1), 2022, 104 – 104

    Cultural humility: Retraining and retooling nurses to provide equitable cancer care

    Article

    Nolan, T. S., Alston, A., Choto, R., & Moss, K. O., Clinical Journal of Oncology Nursing, 25(5), 2021, 3 – 9

    Nurses with disability: Transforming healthcare for all

    Article

    Marks, B., & Sisirak, J., The Online Journal of Issues in Nursing, 27(3), 2022, 10 – 10

    Assessment 3: Change Implementation

    (3)

    Electronic medical record implementation in a large healthcare system from a leadership perspective

    Article

    Arabi, Y. M., Al Ghamdi, A. A., Al-Moamary, M., Al Mutrafy, A., AlHazme, R. H., & Al Knawy, B. A., BMC Medical Informatics and Decision Making, 22(1), 2022, 66 – 66

    Assessment 3: Evidence-Based Practice and Improvement

    (4)

    Assessment 3: Interprofessional Collaboration

    (3)

    Assessment 3: Leadership

    (5)

    Assessment 3: Change Implementation

    (2)

    Assessment 3: Applying PDSA

    (4)

    Assessment 4: Evidence-Based Practice

    (8)

    Assessment 4: Leadership

    (3)

    Assessment 4: Budgeting and Finances

    (1)

    Assessment 4: Advocacy, Policy, and Governance

    (5)

    Assessment 4: Financial Resources

    (3)

    Assessment 4: Human Resources

    (1)

    Assessment 4: Clinical Leadership

    (3)

    Back to top

  • NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

    NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

    Interdisciplinary Plan Proposal

    Poor interdisciplinary communication in discharge planning has become a major administrative problem in the community hospital that has led to delayed discharges, longer length of stay, emergency department overcrowding, and staff dissatisfaction. The proposed interdisciplinary plan takes place in an acute inpatient care unit that requires nurses, physicians, case managers, and allied health professionals to coordinate discharge across all levels. This plan aims to achieve the desired outcome of enhancing discharge efficiency, patient flow, and the quality of care through well-organized, evidence-based interdisciplinary collaboration.

    Objective

    This interdisciplinary plan aims to establish interdisciplinary bedside rounds to improve coordination and accountability at the discharge planning stage with standardized SBAR (Situation, Background, Assessment, and Recommendation) communication. In case this objective is realized, it will help to enhance patient outcomes by decreasing discharge delays and length of stay as well as increasing organizational efficiency, staff engagement, and patient satisfaction because teams will collaborate and communicate more effectively V.

    Questions and Predictions

    Will structured interdisciplinary bedside rounding be effective in decreasing discharge delays in the inpatient units?

    It is expected that with regular and real-time interaction among nurses, physicians, case managers, and allied health professionals, the barriers to discharge will be identified earlier and the problems will be resolved more quickly, leading to the reduction of delays related to discharge and enhanced patient flow.

    What is the expected impact of introducing the structured interdisciplinary bedside rounds and SBAR communication on the staff workload and workflow?

    At first, the staff may face a slight rise in time demands, as the rounds and documentation will have to be adjusted accordingly, but with the roles being clarified, and the workflow simplified, the overall amount of time spent in addressing discharge-related issues is likely to drop.

    Does the use of standardized SBAR communication enhance interdisciplinary cooperation and exchange of information? NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

    The idea of standardized SBAR communication is anticipated to enhance the level of clarity, decrease the number of misunderstandings, and advance the mutual understanding among different fields, especially between nursing, physicians, and case management, resulting in more organized discharge planning.

    Will transformational leadership interventions result in changes in staff buy-in and long-term involvement in the interdisciplinary plan?

    It is expected that strong transformational leadership will create trust, decrease communication barriers associated with hierarchies, and stimulate involvement of the staff to work on the common vision and appreciate the interdisciplinary contribution to the team.

    Change Theories and Leadership Strategies

    Lewin’s Change Theory can be used to implement this interdisciplinary plan in a structured manner by handling behavioral and organizational change. The unfreezing stage will be dedicated to raising awareness over the issue by presenting unit-level data concerning discharge delays, length of stay, and emergency department overcrowding. Dissemination of this information to the employees working in other fields will help create urgency and change by showcasing how poor communication affects patient outcomes and performance in the company (Howick et al., 2024). The change phase will involve introduction of structured interdisciplinary bedside rounds and SBAR based communication through education, pilot testing and leadership support. New patterns of communication will be practiced in a friendly atmosphere in which employees will be motivated to learn and work together. Refreezing will be geared towards sustainability where the changes are incorporated into the standard operating procedures, orientation programs, and performance expectations so that the change is internalized in the day-to-day practice.

    The major leadership approach that will be used in this plan is transformational leadership. Transformational leaders encourage and drive staff by promoting a common objective, active engagement, and interdisciplinary contributions (Jun & Lee, 2023). The nurse leaders and department managers in this organization will be expected to model collaborative behaviors, to actively involve staff members in rounds, and to acknowledge interdisciplinary teamwork. The leadership style is especially applicable considering the hierarchical communication barriers outlined in the interview. Transformational leadership facilitates behavioral change, boosts morale, and commitment to interdisciplinary discharge planning by promoting an inclusive and empowering culture (Tsapnidou et al., 2024) NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example.

    Team Collaboration Strategy

    Effective execution of this plan needs well-established roles and responsibilities within the interdisciplinary team. Charge nurses will facilitate daily interdisciplinary bedside rounds in inpatient units and make sure that nursing reports are ready with the help of SBAR before the rounds. Bedside nurses will give clinical status reports, determine discharge obstacles and express patient educational requirements. Physicians will establish medical readiness at discharge and discuss expected discharge schedules and outstanding orders (Ghonem & El-Husany, 2023). Case managers will also organize post-discharge care, insurance approval, and placement requirements and detect social or logistical barriers at the beginning of the hospitalization. Functional assessments and therapy recommendations by physical and occupational therapists will drive the discharge preparedness. Unit leaders will monitor compliance, solve workflow issues, and offer continuous feedback and encouragement.

    The two main collaboration strategies that can assist in the process are formalized interdisciplinary bedside rounds and standardized SBAR communication. Structured bedside rounds establish a predictive and participatory platform to engage in interdisciplinary conversation, and establish that all disciplines are involved in discharge planning at the same time. The methodology will decrease the presence of fragmented communication, increase shared decision-making and patient-centered care (Kovacevic et al., 2024). SBAR offers a unified structure of information sharing that enhances clarity and cuts down ambiguity between different disciplines, especially when care is being transferred NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example.

    Required Organizational Resources

    This interdisciplinary plan will need practical but modest organizational resources to be implemented successfully. There is no need to hire new full-time staff because current staff members will be involved in daily interdisciplinary rounds. Staff time will, however, have to be dedicated to training and to being involved in rounds, which may take about 15 to 20 minutes per patient interaction. Overseeing, coaching, and assessing the new process will also demand leadership time. The need for equipment and supplies will also be limited because the organization already has an electronic health record system that can support SBAR documentation and interdisciplinary communication. There might be minor costs of changing documentation templates or supplying educational materials, but these are not expected to be significant.

    There is a need to access inpatient units, patient records, and interdisciplinary team members to facilitate the daily rounds. The access cost is not expected to incur any extra costs because these activities are part of the normal operation activities. General financial implications include mainly staff time and training that will likely be compensated by length of stay, patient throughput, and emergency department congestion. Without the implementation of this plan and ensuring that the discharge inefficiencies are addressed, the organization might experience higher operational costs, lower patient satisfaction scores, an increase in staff turnover, and the continued overstraining of the emergency department. These possible expenses emphasize the significance of investing in proactive evidence-based attempts to enhance interdisciplinary discharge planning.

    Conclusion

    The proposed interdisciplinary plan corresponds to a problematic organizational issue because it focuses on the inefficiency of communication and coordination during discharge planning in acute care inpatient units. The plan will provide a long-term strategy to enhance patient flow, care quality, and staff participation by combining Lewin’s Change Theory, transformational leadership, and evidence-based collaboration models, including the use of structured interdisciplinary bedside rounds and SBAR. The successful implementation can minimize discharge delays, increase teamwork, and favor patient and organization outcomes. On the flip side, failure to solve this problem will lead to further inefficiencies, rising expenses, and lowered employee morale, making it imperative to employ a systematic interdisciplinary approach to discharge planning NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example.

    References

    Ghonem, N. M. E.-S., & El-Husany, W. A. (2023). SBAR shift report training program and its effect on nurses’ knowledge and practice and their perception of shift handoff communication.
    SAGE Open Nursing
    ,
    9
    (1).
    https://doi.org/10.1177/23779608231159340

    Howick, J., Bennett-Weston, A., Solomon, J., Nockels, K., Bostock, J., & Keshtkar, L. (2024). How does communication affect patient safety? Protocol for a systematic review and logic model.
    BMJ Open
    ,
    14
    (5), e085312.
    https://doi.org/10.1136/bmjopen-2024-085312

    Jun, K., & Lee, J. (2023). Transformational leadership and followers’ innovative behavior: Roles of commitment to change and organizational support for creativity.
    Behavioral Sciences
    ,
    13
    (4), 320.
    https://doi.org/10.3390/bs13040320

    Kovacevic, M., Fisher, S., Faulkner, S., Kharasch, M., Fernandez, N., Luebeck, C., & Ahsan, A. (2024). Rounds redesign: Our experience in splitting interdisciplinary rounds.
    Journal of Brown Hospital Medicine
    ,
    3
    (2).
    https://doi.org/10.56305/001c.115837

    Tsapnidou, E., Kelesi, M., Rovithis, M., Katharakis, G., Gerogianni, G., Dafogianni, C., Toylia, G., Fasoi, G., & Stavropoulou, A. (2024). Transformational leadership—quality achievements and benefits for the healthcare organizations: A scoping review.
    Hospitals
    ,
    1
    (1), 87–103.
    https://doi.org/10.3390/hospitals1010008
      NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

     

    NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example Instructions 

    Assessment 3

    Interdisciplinary Plan Proposal

    Create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue identified in the second assessment.

    Collapse All

    Introduction

    When creating a project plan, it is important to be cognizant of the significant role that nurses play in strategizing about use of organizational human and financial resources within the organization.

    Communication is the key component to beginning and finishing projects, such as a plan proposal. The ability to effectively communicate involves reaching a state of consciousness regarding how others think and feel about something—an awareness of human differences. In addition, being knowledgeable about what type technological advancements exist can greatly enhance a positive project outcome (Harris et al., 2023).

    As you work on your assessment, consider the following: How do organizational leaders impact project successes, sustain practice change, and share evidence-based findings? Which technology might help you evaluate the project’s impact within a health care system?

    You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this activity will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

    Reference

    Harris, J. L., Roussel, L. A., Dearman, C., & Thomas, P. (2023). 
    Project planning and management: A guide for nurses and interprofessional teams 
    (4th ed.) (pp. 9–10). Jones & Bartlett Learning.

    Professional Context

    This assessment will enable you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources, including financial considerations, which can be used to solve the problem identified in the healthcare professional interview you conducted.

    Overview

    Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present a plan for an interdisciplinary intervention to address the issue. While you will not be expected to implement the plan during this course, the plan should be evidence based and realistic within the context of the issue and your interviewee’s organization.

    The goal of this assessment is to clearly lay out the improvement objective for your interdisciplinary intervention. Be sure to build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be used to generate buy-in for the plan or improve the implementation of the plan.

    Instructions

    Use the context of the organization from your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific organizational or patient outcome based on the information gathered in your interview.

    Using the 
    Interdisciplinary Plan Proposal Template [DOCX]
     will help you stay organized and concise. As you complete each section of the template, apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as to the reference list at the end. (Because you’re using a template, a title page is optional.)

    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the rubric carefully so you understand what is needed for a distinguished score.

    Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.

    Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

    Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.

    Explain organizational resources, including financial, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.

    Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

    Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

    Additional Requirements

    Length of submission:
     Use the template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.

    Number of references:
     Cite a minimum of three sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old. See the 
    Bachelor of Nursing (BSN) Program Library Guide
    .

    APA formatting:
     Make sure that in-text citations and reference list follow current APA style. See the 
    APA Module
    .

    Competencies Measured

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

    Explain organizational resources, including financial, needed for a plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.

    Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

    Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving a plan’s objective. Include best practices of interdisciplinary collaboration from the literature.

    Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.

    Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.

    Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

    Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.

    Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

    Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

    Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

     

     
    Scoring Guide

    Use the scoring guide to understand how your assessment will be evaluated.

    Criterion 1

    Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.

    Distinguished

    Describes an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes. NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

     

     

     

     

     

    Criterion 2

    Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.

    Distinguished

    Explains a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan
    . Provides real-world examples relevant to the health care organization that is the context for the plan.

     

    Criterion 3

    Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving a plan’s objective. Include best practices of interdisciplinary collaboration from the literature.

    Distinguished

    Explains the collaboration needed by an interdisciplinary team to improve the likelihood of achieving a plan’s objective. Includes best practices of interdisciplinary collaboration from the literature
    . Provides real-world examples relevant to the health care organization that is the context for the plan
    .

     

    Criterion 4

    Explain organizational resources, including financial, needed for a plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.

    Distinguished

    Explains organizational resources, including financial, needed for a plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.
    Provides real-world examples relevant to the care setting in which the plan will be implemented.

     

    Criterion 5

    Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

    Distinguished

    Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.

     

    Criterion 6

    Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

    Distinguished

    Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly. NURS FPX 4010 Interdisciplinary Plan Proposal Capella Example

  • Interview and Interdisciplinary Issue Identification Capella University – NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations

    Interview and Interdisciplinary Issue Identification Capella University – NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations

    Interview and Interdisciplinary Issue Identification

    NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations

    Interview Summary

    In this assessment, I conducted a semi-structured interview with Maria N., who is a charge nurse in a 250-bed community hospital that provides acute, surgical and outpatient services. My approach was founded on an open-ended questioning strategy based on the guidelines of Xu et al. (2025) about qualitative interviews and served to make the discussion as flexible and comprehensive as possible. The responsibilities of Maria included organizing the daily patient flow, managing staffing, overseeing inter-unit communication, and serving as the interface between bedside nurses and the administrative staff. In the interview, she noted that the urgent problem at the organization is frequent delays in discharging patients as a result of failure to have consistent interdisciplinary communication among nursing, case management, and the medical team. These delays have also caused congestion in the emergency department, increased length of stay, and frustration by the staff members who feel silenced during handoff. She noted that the leadership had attempted to resolve this issue in the past, such as adopting standardized discharge checklist but this was not fully successful because it did not bring on board all the concerned departments. The other issue that Maria described is based on the idea that teamwork is appreciated, yet it never works in reality due to the hierarchical nature of communication, siloed working process, and interdisciplinary rounding. She presented several instances of her own experience including how there was an incomplete clinical update given to case managers, resulting in poorly coordinated discharge planning. The interview identified an organizational challenge that requires a more integrated and participatory approach towards discharge planning with evidence-based strategies that can reinforce communication and accountability across disciplines.

    BUY HUMAN-WRITTEN PAPER HERE

    Issue Identification

    From the interview, the absence of effective communication and coordination in discharge planning is the core problem that can be addressed with an evidence-based interdisciplinary solution. This problem can be tackled with the help of an interdisciplinary solution since it involves several stakeholders that control various parts of the discharge process (Nasiri et al., 2022). Nurses offer clinical updates, physicians decide on medical preparedness, case managers organize services and therapists check functional requirements. Most of these roles do not sit well with each other, which leads to delays that have adverse patient outcomes and system flow. It is reasonable to use an interdisciplinary approach since it is already proven that discharge planning is highly efficient in cases of shared decision-making, real-time communication, and joint problem solving between different professionals in the healthcare setting. Isolated interventions will remain insufficient without a coordinated system, as witnessed in the organization’s past efforts, which failed to incorporate the views of key team members and their perspectives on the organization. Interview and Interdisciplinary Issue Identification Capella University – NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations

    Change Theories That Could Lead to an Interdisciplinary Solution

    The Change Theory by Kurt Lewin is one of the theories of change that can be used in creating an interdisciplinary solution, and it incorporates the phases of unfreeze, change, and refreeze. The theory is heavily implemented in healthcare research and offers a systematic procedure to the implementation of organizational changes that necessitate the change in behavior and communication patterns (Barrow & Annamaraju, 2022). The model created by Lewin is especially applicable to the identified issue, as ensuring better discharge coordination will necessitate the disruption of old practice habits of siloed practices and the creation of new interdisciplinary routines that will undergo consistent reinforcement. For instance, one of the stages of unfreezing might include bringing in data regarding discharge delays in order to create awareness and inspire change. The changing phase might entail the establishment of interdisciplinary rounds every day with well-established roles for each team member. The refreezing phase would involve the implementation of the new process as a part of policy and the assessment of the continuing adherence. The literature source, like that of Barrow and Annamaraju (2022), is a reliable and up-to-date piece of evidence that can substantiate the idea of the applicability of Lewin in the healthcare environment because it is effective in enhancing sustainable collaboration and communication. The source is peer reviewed and provides an evidence-based guideline on the change implementation process. Due to the predictability and systemic quality of the discharge-planning problem, the Lewin theory fits the requirements of the organization perfectly and provides an effective roadmap to change.

    Leadership Strategies That Could Lead to an Interdisciplinary Solution

    One of the strategies that might help achieve discharge-planning improvements across disciplines is transformational leadership. Transformational leaders inspire and motivate teams by facilitating a collective purpose, promoting professional independence, and open communication (Ystaas et al., 2023). This method plays a significant role in addressing the issues that the interviewee raised regarding hierarchical barriers and lack of engagement among colleagues. According to Sulosaari et al. (2022), transformational leadership would allow nurse leaders and department managers to exemplify teamwork, encourage staff involvement in the decision-making process, and develop a culture where interdisciplinary contributions are equally considered. The provided articles are reliable and up-to date as they provided evidence-based peer-reviewed research demonstrating the validity of transformational leadership as an empirical method that enhances team performance, communication, and organizational commitment. The strategy is most applicable to the facility since the problem under consideration is one of behavioral change, team cohesion and morale, which can be positively influenced by a leadership style that focuses on relationships and empowerment. Transformational strategies allow the leader to create an environment where interdisciplinary discharge planning is not only accepted but also welcomed.

    Collaboration Approaches for Interdisciplinary Teams

    Structured interdisciplinary bedside rounds (SIBR) and Situation, Background, Assessment, and Recommendation (SBAR)-based models are evidence-based collaboration practices that might enhance the nature of interdisciplinary discharge planning. It is evident from studies such as those by Heip et al. (2020) that SIBR improves teamwork and patient satisfaction through lessening length of stay and ensuring all disciplines meet simultaneously to discuss patient progress and plan discharge requirements. This practice would address fragmented patterns of communication that the interviewee has highlighted and create predictable communication avenues. Similarly, SBAR framework provides a universal means of delivering clinical data, improving the insufficient ambiguity and clarity between disciplines (Shrivastava et al., 2025). These articles are credible because they offer current evidence-based research to prove the usefulness and practicality of these strategies by demonstrating improved outcomes in hospitals that apply structured communication and collaboration strategies. The strategies are applicable to the identified issue because they directly address the main source of the problem, which is the inconsistent communication and disorganized participation. Structured interdisciplinary meetings and standardized tools of communication should be introduced to facilitate a shared vision of what discharge goals are, reduce unnecessary delays and result in a more integrated organizational culture.

    Conclusion

    The interview proved to be useful in establishing new knowledge about communication problems that affect discharge coordination and the need to implement a structured, evidence-based interdisciplinary approach. Having identified ineffective communication as one of the main issues, it is clear   sustainable change would require organizational change and teamwork enhancement supported by proven theories, management skills, and collaboration models. This data reveals that the application of The Change Theory by Lewin, the synthesis of transformational leadership, and the implementation of institutional- level collaboration tools such as SIBR and SBAR are capable to improve communication across disciplines thus improving patient care. These results provide good groundwork upon which an effective interdisciplinary improvement plan can be created to improve outcomes Interview and Interdisciplinary Issue Identification Capella University – NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations.

     

    References

    Barrow, J. M., & Annamaraju, P. (2022, September 18).
    Change management in health care
    . National Library of Medicine; StatPearls Publishing.
    https://www.ncbi.nlm.nih.gov/books/NBK459380/

    Heip, T., Hecke, A. V., Malfait, S., Biesen, W. V., & Eeckloo, K. (2020). The effects of interdisciplinary bedside rounds on patient centeredness, quality of care, and team collaboration.
    Journal of Patient Safety
    ,
    18
    (1).
    https://doi.org/10.1097/pts.0000000000000695

    Nasiri, A., Akbari, A., & Jani, H. (2022). Challenges and implementation strategies of the discharge planning according to the nurses’ experiences: A qualitative study.
    Modern Care Journal
    ,
    19
    (2).
    https://doi.org/10.5812/modernc-121663

    Shrivastava, S. R., Chong, S. V., & Bobhate, P. S. (2025). Facilitating effective communication through the adoption of SBAR tool in medical training.
    Journal of Education and Health Promotion
    ,
    14
    (1).
    https://doi.org/10.4103/jehp.jehp_1213_24

    Sulosaari, V., Kosklin, R., & Munter, J. D. (2022). Nursing leaders as visionaries and enablers of action.
    Seminars in Oncology Nursing
    ,
    39
    (1), 151365.
    https://doi.org/10.1016/j.soncn.2022.151365

    Xu, Z., Wang, Y., & Qian, Y. (2025). The design and application of in-depth interviews in primary care research.
    Chinese General Practice Journal
    ,
    2
    (2), 100062.
    https://doi.org/10.1016/j.cgpj.2025.100062

    Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review.
    Nursing Reports
    ,
    13
    (3), 1271–1290.
    https://doi.org/10.3390/nursrep13030108 
     Interview and Interdisciplinary Issue Identification Capella University – NURS-FPX4005: Nursing Leadership: Focusing on People, Processes, and Organizations

  • Academic Nurse Educator Role Assignment

    Academic Nurse Educator Role Assignment

    Academic Nurse Educator

    As an academic nurse educator, I would address medication safety in a BSN program, emphasizing it as a core competency vital for professional accountability and patient outcomes.

    Teaching methods

    Focusing on the cognitive domain involves using case-based learning with real-world medication error scenarios. This method promotes higher-order thinking by encouraging clinical reasoning, critical analysis, and applying pharmacological knowledge (Billings & Halstead, 2023). To address the psychomotor domain, high-fidelity simulation of medication administration is utilized, including the “five rights” and barcode scanning. This offers students practical, hands-on experience in a controlled setting, highlighting timing, accuracy, and adherence to protocols (Pogson et al., 2023).

    Teaching style

    The facilitator-demonstrator teaching style complements the selected strategies effectively. It involves guiding discussions, encouraging reflection, and fostering learner independence during case analyses, while also demonstrating correct medication administration techniques during simulations. This integrated method addresses adult learners’ needs and can be adjusted based on their experience level—providing more autonomy to advanced learners and greater structure for beginners (Billings & Halstead, 2023).

    GET ASSIGNMENT HELP HERE

    Personal attributes

    The key personal attributes for teaching medication safety include approachability, confidence, vigilance, and caring. I demonstrate approachability and caring through supportive communication. To boost confidence and vigilance, I practice reflection, seek feedback from peers, and continue professional development focused on patient safety education (Benner et al., 2021).

    NLN core competencies

    Core competencies essential for Novice Nurse Educators related to the selected topic and teaching method include facilitating learning and quality improvement. Facilitating learning involves delivering learner-centered, evidence-based instruction, while quality improvement focuses on preventing errors and promoting a safety culture. These skills are vital for effective medication safety education and success as an educator (National League for Nursing, 2025). Academic Nurse Educator Role Assignment

    References

    Benner, P., Sutphen, M., Leonard, V., & Day, L. (2021).
    Educating nurses: A call for radical transformation
    . Jossey-Bass.

    Billings, D. M., & Halstead, J. A. (2023).
    Teaching in nursing: A guide for faculty
    (6th ed.). Elsevier.

    National League for Nursing (2025).
    NLN Core Competencies forAcademic Nurse Educators
    .
    https://www.nln.org/education/nursing-education-competencies/core-competencies-for-academic-nurse-educators

    Pogson, R., Henderson, H., Holland, M., Sumera, A., Sumera, K., & Webster, C. A. (2023). Determining current approaches to the evaluation of the quality of healthcare simulation-based education provision: a scoping review.
    MedEdPublish (2016), 13
    , 207.
    https://doi.org/10.12688/mep.19758.1

     

     

    Academic Nurse Educator Role Assignment  General Instructions 

    Follow these guidelines when completing each component of the collaboration café. Contact your course faculty if you have questions.

    Step 1
    : Review the scenario below:

    You are stepping into a new role as a nurse educator. You have been given the opportunity to design and deliver a learning experience in one of the following settings:

    Academic Nurse Educator
     (e.g., university or college faculty for an LPN, ADN, or BSN program)

    Choose one of the educator roles above. Then, select a relevant topic for your setting (e.g., medication safety, chronic disease management, clinical reasoning, client education, etc.).

    Step 2
    : Answer the discussion prompts below with explanation and detail, providing complete references for all citations.  Academic Nurse Educator Role Assignment

    Step 3
    : Reply to a peer with a different topic.

    Include the following sections
    :

    Identify two different teaching methods or strategies you would use to teach your chosen topic. Each method should target a different learning domain (cognitive, affective, or psychomotor). Provide a rationale for your chosen methods, explaining why they are appropriate and how they effectively support learning within the selected domains.

    Reflect on the teaching style (e.g., facilitator, demonstrator, delegator, expert) that best aligns with your selected strategies. Why does this style suit your approach and the needs of your learners, and how might your style adapt based on the setting or learner group?

    Consider the personal attributes (e.g., caring, confidence, etc.) that are most important for effectively teaching your topic. Which of these attributes do you already demonstrate, which ones do you need to strengthen, and how will you do so?

    Select two NLN Core Competencies for Novice Nurse Educators that are most relevant to your chosen topic and teaching approach. Explain how these competencies relate to your chosen learning experience design and why they are essential for success in your educator role. Academic Nurse Educator Role Assignment

  • Chamberlain College of Nursing NR535 Crafting Meaningful Lessons: Instructional Alignment in Action Template

    Chamberlain College of Nursing NR535 Crafting Meaningful Lessons: Instructional Alignment in Action Template

    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    Name:

    General Instructions

    Use this template (or create your own template) to organize and complete your assignment. Follow the instructions in each section carefully and remove the instructional text before submission.

    Part 1: AI-Generated Lesson Plan and Critique

     

    AI-Generated Lesson Plan

    Paste or summarize the lesson plan generated by the following prompt:

     

    “Create a lesson plan on [
    Insert your assigned topic here
    ] for nurses.”

     

    [
    Paste or summarize lesson plan here
    ]

    Lesson Plan Critique

    Using at least one scholarly source to support your writing and using complete sentences, critique the AI-generated lesson by evaluating its weaknesses in the following areas:

    Clarity and measurability of the learning objectives

    [
    Type here]

    Appropriateness and engagement level of the instructional strategies

    [
    Type here
    ]

    Alignment of the assessment method with the objective(s) Chamberlain College of Nursing NR535 Crafting Meaningful Lessons: Instructional Alignment in Action Template.

    [
    Type here
    ]

    Presence or absence of Universal Design for Learning (UDL) strategies.

    [
    Type here
    ]

    Whether the lesson includes observable, measurable competency-based education (CBE) elements

    [
    Type here
    ]

    In 1-2 paragraphs, explain how the prompt quality contributed to the weaknesses of the AI-generated lesson.

    [
    Type here
    ]

     

    Part 2: Improved Lesson Plan and Justification

     

    Revised Lesson Plan

    Without using AI,
    revise and enhance the AI-generated lesson plan and justify the revisions.

     

    Present the revised and improved AI-generated lesson plan, and include the following:

    A clear and measurable learning objective using Bloom’s Taxonomy

    [
    Type here
    ]

    An instructional strategy appropriate for the audience and setting

    [
    Type here
    ]

    A method of assessment aligned with the learning objective

    [
    Type here
    ]

    A UDL-based strategy to support inclusion and engagement

    [
    Type here
    ]

    A rationale for the instructional choices made

    [
    Type here
    ]

    Comparison and Justification of Improvements

    Writing in complete sentences, compare the revised plan to the original AI-generated lesson across all five dimensions:

    Learning Objective (clarity, measurability)

    [
    Type here
    ]

    Instructional Strategy (appropriateness, engagement)

    [
    Type here
    ]

    Assessment Method (alignment with objective)

    [
    Type here
    ]

    Inclusivity and UDL Strategies (learner variability and engagement)

    [
    Type here
    ]

    CBE (observable, measurable behaviors)

    [
    Type here
    ]

    In 1-2 paragraphs, using at least one scholarly source as support, explain why the second version is better aligned.

    Part 3: Reflection

    Reflect on your experience with this assignment by addressing the prompts below. Write one well-developed, concise paragraph per reflection question and support your reflection with at least one scholarly source.

    How did this process enhance your understanding of instructional alignment between objectives, methods, and assessment?

    [
    Type here
    ]

    What are two specific ways that learning theory has guided or reshaped your approach to lesson planning?

    [
    Type here
    ]

    How do UDL strategies promote inclusivity and support diverse learners? Chamberlain College of Nursing
    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action
    Template

    [
    Type here
    ]

    Why is it important for learning objectives and assessments to be measurable and competency-focused in nursing education?

    [
    Type here
    ]

    What are the benefits and limitations of AI as a planning tool, and how can it be used ethically?

    [
    Type here
    ]

    How could you have altered the initial AI prompt to provide you with a more thorough, aligned lesson plan?

    [
    Type here
    ]

     

     

    References

    Place APA 7
    th
    edition formatted references here. Include at least three scholarly references. Include in-text citations and matching references in the current APA format. Chamberlain College of Nursing NR535 Crafting Meaningful Lessons: Instructional Alignment in Action Template

  • NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    Name:

    General Instructions

    Use this template (or create your own template) to organize and complete your assignment. Follow the instructions in each section carefully and remove the instructional text before submission.

    Part 1: AI-Generated Lesson Plan and Critique

     

    AI-Generated Lesson Plan

    Paste or summarize the lesson plan generated by the following prompt:

     

    “Create a lesson plan on
    Safe medication administration
    for nurses.”

     

    Lesson Plan: Safe Medication Administration for Nurses

    Target Audience

    Registered Nurses (RNs), Licensed Practical/Vocational Nurses (LPNs/LVNs), and newly hired nursing staff

    Duration

    60–90 minutes

    Teaching Setting

    Classroom, skills lab, or clinical in-service

    Lesson Title

    Safe Medication Administration: Preventing Errors and Promoting Patient Safety

    Learning Objectives

    By the end of this lesson, participants will be able to:

    Identify the
    rights of medication administration
    and apply them correctly in clinical practice.

    Demonstrate
    safe preparation and administration techniques
    for common medication routes.

    Recognize
    high-alert medications
    and apply appropriate safety precautions.

    Identify common causes of medication errors and strategies to prevent them.

    Accurately document medication administration and respond appropriately to adverse events.

    GET ASSIGNMENT HELP HERE

    Required Materials

    Medication administration policy/procedures

    Medication administration record (MAR) samples

    Sample medication labels and vials (realistic or simulated)

    IV tubing, syringes, medication cups (for demonstration)

    PowerPoint slides or handouts

    Case studies or error-report examples

    Lesson Content Outline

    Introduction (10 minutes)

    Importance of safe medication administration

    Statistics and impact of medication errors on patient outcomes

    Legal, ethical, and professional accountability of nurses

    Overview of institutional medication policies

    Rights of Medication Administration (15 minutes)

    Traditional rights:

    Right patient

    Right medication

    Right dose

    Right route

    Right time

    Expanded rights:

    Right documentation

    Right reason/indication

    Right response/evaluation

    Right patient education

    Verification methods (two patient identifiers, barcode scanning)

    Medication Preparation and Administration (20 minutes)

    Reading medication labels (three checks)

    Dose calculations and double-check processes

    Routes of administration:

    Oral

    Subcutaneous

    Intramuscular

    Intravenous

    Infection prevention and aseptic technique

    Patient education before administration

    High-Alert Medications and Special Considerations (15 minutes)

    Examples:

    Insulin

    Anticoagulants

    Opioids

    Chemotherapy agents

    Independent double-checks

    Look-alike/sound-alike (LASA) medications

    Storage, labeling, and monitoring requirements

    Considerations for vulnerable populations (pediatrics, geriatrics)

    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    Medication Errors and Prevention Strategies (15 minutes)

    Common causes:

    Distractions and interruptions

    Poor communication

    Inadequate knowledge

    Fatigue and workload

    Error prevention strategies:

    “No interruption” zones

    Standardized protocols

    SBAR communication

    Use of technology (eMAR, barcode systems)

    Documentation and Adverse Event Management (10 minutes)

    Accurate and timely documentation in the MAR/eMAR

    Monitoring therapeutic and adverse responses

    Reporting medication errors and near misses

    Institutional reporting systems and non-punitive culture

    Nurse’s role in patient advocacy and disclosure

    Teaching Strategies

    Interactive lecture

    Demonstration and return demonstration

    Case study discussion

    Group brainstorming on error prevention

    Question-and-answer session

    Evaluation Methods

    Post-test or quiz

    Return demonstration checklist

    Case study analysis

    Verbal feedback and discussion

    Observation during clinical practice (if applicable)

    Conclusion and Summary (5 minutes)

    Reinforce the nurse’s role in medication safety

    Emphasize vigilance, critical thinking, and accountability

    Encourage ongoing learning and adherence to evidence-based practices

    References (Optional for Academic Use)

    Institute for Safe Medication Practices (2023).
    ISMP guidelines for safe medication use
    . Author.

    Joint Commission. (2024).
    National patient safety goals for hospitals
    . Author.

    World Health Organization. (2019).
    Medication without harm: Global patient safety challenge
    . Author.

     

    Lesson Plan Critique

    Using at least one scholarly source to support your writing and using complete sentences, critique the AI-generated lesson by evaluating its weaknesses in the following areas:

    Clarity and measurability of the learning objectives

    There is a lack of precise behavioral verbs and measurable performance criteria in the learning objectives. This limits the objective evaluation of competency attainment and alignment with outcome-based nursing education standards (Bloom et al., 2022).

    Appropriateness and engagement level of the instructional strategies

    The instructional strategies are heavily reliant on traditional methods. They offer limited technology-enhanced and learner-centered approaches. This may reduce skill retention, critical thinking, and engagement among adult nursing learners (Knowles et al., 2021).

    Alignment of the assessment method with the objective(s).

    The assessment methods place emphasis on observation and quizzes. They are insufficient to measure high-order objectives, thereby limiting alignment between the intended competencies and demonstrated clinical performance outcomes in authentic practice settings (Biggs et al., 2022).

    Presence or absence of Universal Design for Learning (UDL) strategies. NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    There is a lack of explicit Universal Design for Learning (UDL) strategies. It offers limited multiple means of expression, representation, and engagement, and this potentially reduces inclusivity and accessibility for diverse nursing learners (CAST, 2024).

    Whether the lesson includes observable, measurable competency-based education (CBE) elements

    The lesson includes limited competency-based education elements. The assessments and objectives lack clearly defined mastery criteria, observable behaviors, and performance benchmarks necessary for validating clinical competence in nursing education (Ryan et al., 2022).

    In 1-2 paragraphs, explain how the prompt quality contributed to the weaknesses of the AI-generated lesson.

    The prompt was of poor quality, and this contributed to the weaknesses of the lesson plan generated by the AI. The prompt lacked specificity regarding clinical context, learner level, and required educational level. This leads to generic strategies, broad objectives, and weak alignment with measurable competencies. Clearer objectives for assignment design, UDL integration, and competency-based outcomes are needed to improve relevance and rigor of the lesson plan (Mohammed et al., 2021; Patel et al., 2025).

     

    Part 2: Improved Lesson Plan and Justification

     

    Revised Lesson Plan

    Without using AI,
    revise and enhance the AI-generated lesson plan and justify the revisions.

     

    Lesson Plan: Safe Medication Administration for Nurses

    Course/Unit Title

    Medication Safety and Administration Competency.

    Target Audience

    Registered Nurses (RNs), Licensed Practical/Vocational Nurses (LPNs/LVNs), newly hired nursing staff.

    Time

    90 minutes

    Setting

    Hybrid format conducted in the classroom and skills lab.

     

    Lesson Overview

    This lesson enhances clinical skills in safe medication administration through competency-based training, practical exercises, and evidence-based safety techniques. It focuses on patient safety, critical thinking, and accountability, utilizing active learning and UDL principles.

     

    Learning Objectives (Measurable & Observable)

    By the end of this lesson, learners will be able to:

    Correctly identify
    the five traditional and four expanded rights of medication administration with 100% accuracy on a written checklist.

    Demonstrate safe medication preparation and administration
    across oral, subcutaneous, and intramuscular routes using correct technique and aseptic practice, scoring at least 90% on a skills checklist. NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    Apply safety strategies for high-alert medications
    , including independent double-checks and proper documentation, with 100% adherence during simulation scenarios.

    Analyze medication error case studies
    , identifying at least three contributing factors and proposing evidence-based prevention strategies.

    Document medication administration accurately
    in a simulated eMAR scenario with zero documentation errors.

     

    Instructional Materials

    PowerPoint slides.

    Sample MAR/eMAR templates.

    Medication vials, syringes, oral meds (simulated).

    High-alert medication scenarios.

    Skills checklist (rubric).

    Case study handouts.

    QR code links to supplementary videos.

     

    Instructional Strategies (Engaging & UDL-Aligned)

    Activate Prior Knowledge (5 minutes)

    Quick poll: “What is the most common cause of medication errors in your unit?”

    Learners respond via anonymous polling (multiple options).

    UDL:
    Multiple means of engagement (choice and voice).

    Interactive Mini-Lecture (15 minutes)

    Present the rights of medication administration, including expanded rights.

    Use real-world examples and short video clips.

    UDL:
    Multiple means of representation (visual + auditory + text).

    Guided Demonstration (10 minutes)

    Instructor demonstrates three medication routes with emphasis on safety checks and aseptic technique.

    Learners watch and ask clarifying questions.

    Skills Lab Practice (25 minutes)

    Learners practice medication preparation and administration in pairs.

    Instructor provides immediate feedback using a skills checklist.

    UDL:
    Multiple means of action and expression (hands-on practice).

    High-Alert Medication Simulation (15 minutes)

    Scenario-based simulation using insulin and anticoagulant medication cases.

    Learners must perform independent double-checks and document correctly.

    UDL:
    Choice of scenario difficulty (beginner vs advanced).

    Case Study Analysis (15 minutes)

    Small groups analyze a medication error case study.

    Identify causes, contributing factors, and prevention strategies.

    Groups share solutions via whiteboard or digital tool.

    UDL:
    Multiple means of expression (oral, written, visual).

     

    Assessment Methods (Aligned to Objectives)

    Objective

    Assessment Type

    Mastery Criteria

    1

    Written checklist

    100% accuracy

    2

    Skills checklist

    ≥90% accuracy

    3

    Simulation evaluation

    100% adherence

    4

    Case study rubric

    ≥85% on analysis

    5

    eMAR documentation

    0 errors

     

    Mastery Standards

    Pass
    : ≥90% overall score and zero critical errors.

    Remediation
    : Additional practice and reassessment for any objective below mastery.

     

    UDL Integration Summary

    Engagement:
    Choice of scenarios, anonymous polling, group work.

    Representation:
    Videos, diagrams, text, and verbal instruction.

    Action/Expression:
    Skills practice, simulations, written and oral responses.

     

    Conclusion and Wrap-Up (5 minutes)

    Recap key safety principles.

    Encourage reporting of near misses and continuous learning.

    Provide resources for continued practice and competency reinforcement.

     

     

    Present the revised and improved AI-generated lesson plan, and include the following:

    A clear and measurable learning objective using Bloom’s Taxonomy

    By lesson end, nurses will accurately calculate and safely administer medications, scoring ≥90% on a skills checklist.

    An instructional strategy appropriate for the audience and setting

    Skills lab simulation with guided return demonstration, allowing nurses to practice medication administration in a controlled, clinical setting with immediate feedback.

    A method of assessment aligned with the learning objective

    Skills checklist evaluation during simulation, requiring nurses to demonstrate accurate medication calculation and safe administration with ≥90% mastery.

    A UDL-based strategy to support inclusion and engagement

    Provide multiple formats of content delivery (video, text, and hands-on demonstration) and offer a choice of practice scenarios to accommodate diverse learning preferences.

    A rationale for the instructional choices made

    The instructional choices (simulation-based practice, immediate feedback, and multimodal content) enhance clinical skill mastery, reduce errors through experiential learning, and support diverse learners via engagement and accessibility.

    Comparison and Justification of Improvements

    Writing in complete sentences, compare the revised plan to the original AI-generated lesson across all five dimensions:

    Learning Objective (clarity, measurability)

    The revised lesson plan features measurable, behavior-based objectives with mastery criteria, whereas the original objectives were broad and lacked clear evaluation metrics.

    Instructional Strategy (appropriateness, engagement)

    The revised lesson plan uses simulation and active learning for engagement, while the original relied mainly on lecture and passive methods.

    Assessment Method (alignment with objective)

    The revised plan uses competency-based checklists tied to objectives, while the original relied on quizzes that inadequately measured clinical performance.

    Inclusivity and UDL Strategies (learner variability and engagement)

    The revised lesson integrates UDL with multimodal content and scenario choice, while the original offered no explicit accessibility or engagement accommodations.

    CBE (observable, measurable behaviors)

    The revised lesson includes observable mastery criteria and performance benchmarks, whereas the original lacked clear competency-based behaviors and standards.

    In 1-2 paragraphs, using at least one scholarly source as support, explain why the second version is better aligned.

    The revised lesson aligns more effectively as it integrates competency-based objectives, active learning, and UDL strategies, leading to increased engagement and measurable clinical skills. Using competency-based education with well-defined performance standards promotes skill mastery and patient safety, aligning with best practices in nursing education (Alharbi, 2024).

    Part 3: Reflection

    Reflect on your experience with this assignment by addressing the prompts below. Write one well-developed, concise paragraph per reflection question and support your reflection with at least one scholarly source.

    How did this process enhance your understanding of instructional alignment between objectives, methods, and assessment?

    This process clarified that clear objectives guide instructional methods and assessments; alignment guarantees that learning activities and evaluations accurately measure the targeted skills, enhancing both skill mastery and patient safety.

    What are two specific ways that learning theory has guided or reshaped your approach to lesson planning?

    Two ways learning theory reshaped my lesson planning:

    Constructivism emphasizes active, experiential learning (e.g., simulation) to build clinical judgment.

    UDL principles ensure multimodal delivery and flexible expression, improving accessibility and engagement for diverse learners.

    How do UDL strategies promote inclusivity and support diverse learners?

    Universal Design for Learning (UDL) promotes inclusivity by offering multiple means of expression, representation, and engagement. It supports diverse learners by providing flexible learning pathways, varied formats (visual, auditory, kinesthetic), and choice in demonstrating mastery, reducing barriers, and accommodating individual strengths and needs.

    Why is it important for learning objectives and assessments to be measurable and competency-focused in nursing education?

    Measurable, competency-focused objectives and assessments are crucial in nursing education because they ensure learners demonstrate real-world clinical skills consistently and safely. This alignment verified readiness for independent practice, reduces medication errors, and supports accountability in high-stakes patient care environments.

    What are the benefits and limitations of AI as a planning tool, and how can it be used ethically?

    The benefits of AI as a planning tool are that it offers speed and efficiency, consistency and standardization, idea generation, and accessibility. However, it has limitations due to a lack of context, overgeneralization, risk of errors, and dependence. The ethical use of AI requires accuracy to be verified, accountability to be maintained, privacy to be protected, transparency, and to be used as support, not a replacement.

    How could you have altered the initial AI prompt to provide you with a more thorough, aligned lesson plan?

    I could have specified learner level, clinical setting, competency-based framework, UDL requirements, and mastery criteria, and requested explicit alignment of objectives, instructional methods, and assessments with observable performance benchmarks.

     

     
    References

    Alharbi N. S. (2024). Evaluating competency-based medical education: a systematized review of current practices.
    BMC Medical Education, 24
    (1), 612.
    https://doi.org/10.1186/s12909-024-05609-6

    Biggs, J., Tang, C., & Kennedy (2022).
    Teaching for quality learning at university
    (5th ed.). Open University Press: McGraw-Hill Education.

    CAST (2024).
    Universal Design for Learning guidelines version 3.0
    .
    https://udlguidelines.cast.org

    Mohammed, C. A., Anand, R., & Saleena Ummer, V. (2021). Interprofessional Education (IPE): A framework for introducing teamwork and collaboration in health professions curriculum.
    Medical journal, Armed Forces India, 77
    (Suppl 1), S16–S21.
    https://doi.org/10.1016/j.mjafi.2021.01.012

    Patel, H., Perry, S., Badu, E., Mwangi, F., Onifade, O., Mazurskyy, A., Walters, J., Tavener, M., Noble, D., Chidarikire, S., Lethbridge, L., Jobson, L., Carver, H., MacLellan, A., Govind, N., Andrews, G., Kerrison-Watkin, G., Lun, E., Malau-Aduli, B. S., & the ACHIEVE Network (2025). A scoping review of interprofessional education in healthcare: evaluating competency development, educational outcomes and challenges.
    BMC Medical Education, 25
    (1), 409.
    https://doi.org/10.1186/s12909-025-06969-3

    Ryan, M. S., Holmboe, E. S., & Chandra, S. (2022). Competency-Based Medical Education: Considering Its Past, Present, and a Post-COVID-19 Era.
    Academic Medicine: Journal of the Association of American Medical Colleges, 97
    (3S), S90–S97.
    https://doi.org/10.1097/ACM.0000000000004535

     

    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action

    General Instructions  

    Complete the Crafting Meaningful Lessons: Instructional Alignment in Action assignment by following the steps below.

    Use the topic assigned to you by the first letter of your last name in the table below:

    Last Name

    Assigned Topic

    A—E

    Blood product administration

    F—J

    Central line-associated bloodstream infection (CLABSI) prevention

    K—O

    Safe medication administration

    P—T

    Client teaching for newly diagnosed diabetes mellitus Type 2

    U—Z

    Effective shift-to-shift handoff communication

    Using the provided prompt, generate an AI lesson plan and give a critique of it.

    Without using AI, develop an enhanced lesson plan and justify its improved alignment.

    Reflect on the instructional design process, including learning theory, inclusivity, competency-based education, and the role of AI.

    Complete the assignment using the provided 
    Crafting Meaningful Lessons: Instructional Alignment in Action template
     Download Crafting Meaningful Lessons: Instructional Alignment in Action template
    Open this document with ReadSpeaker docReader
    . You may choose to create your own template; however, it must include the components in the rubric. See the rubric.

    Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.

    Provide resources from at least three scholarly resources. Include in-text citations in APA format when applicable.

    Answer all prompts using complete sentences.

    No more than one short direct quote (15 words or less) may be used in this assignment.

    First person should not be used within this assignment.

    Abide by Chamberlain University’s academic integrity policy.

    Include the following sections (detailed criteria listed below and in the grading rubric).

    Part 1: AI-Generated Lesson Plan and Critique 

    Use the AI prompt below to generate a lesson plan using a free AI tool, such as ChatGPT or Gemini.

    Prompt
    : “Create a lesson plan on [Insert your assigned topic here] for nurses.”

    Part 1 Criteria
    :

    Critique the AI-generated lesson by evaluating its weaknesses in the following areas:

    Clarity and measurability of the learning objectives

    Appropriateness and engagement level of the instructional strategies

    Alignment of the assessment method with the objective(s)

    Presence or absence of Universal Design for Learning (UDL) strategies

    Whether the lesson includes observable, measurable CBE elements

    In 1–2 paragraphs, explain how the provided prompt resulted in a poorly designed lesson.

    Support your critique with at least one scholarly source.

    Part 2: Improved Lesson Plan, Comparison, and Justification 

    Without using AI
    , revise and enhance the initial AI-generated lesson plan, justifying the revisions.

    Part 2 Criteria: 

    Present the improved lesson plan, which should contain the following:

    A clear and measurable learning objective using Bloom’s Taxonomy

    An instructional strategy appropriate for the audience and setting

    A method of assessment aligned with the learning objective

    A UDL-based strategy to support inclusion and engagement

    A rationale for the instructional choices made

    Compare it to the original AI-generated lesson across all five dimensions:

    Learning Objectives (clarity, measurability)

    Instructional Strategies (appropriateness, engagement)

    Assessments (alignment with objective)

    Inclusivity and UDL (learner variability and engagement)

    Competency-Based Design (observable, measurable behaviors)

    In 1-2 paragraphs, explain why the revised lesson plan is better aligned.

    Support your justification with at least one scholarly source.

    Part 3: Reflection 

    Reflect on your experience with this assignment by addressing the prompts below. Write one well-developed, concise paragraph per reflection question and support your reflection with at least one scholarly source.

    Part 3 Reflection Questions: 

    How did this process enhance your understanding of instructional alignment between objectives, teaching methods, and assessment?

    What are two specific ways that learning theory has guided or reshaped your approach to lesson planning?

    How does applying UDL promote inclusivity and support diverse learners?

    Why is it important for learning objectives and assessments to be measurable and competency-focused in nursing education?

    What are the benefits and limitations of using AI as a support tool in lesson planning, and how can it be used ethically?

    How could you have altered the initial AI prompt to provide a more thorough, aligned lesson plan?

    NR535 Crafting Meaningful Lessons: Instructional Alignment in Action