Phase 5: Implementation and Evaluation

Table of Contents

Implementation of the Planned Change Practicum Project

In earlier phases, you developed a measurable project outcome and an action plan to facilitate achievement of the outcome. During this phase, you will implement the action plan.

As you implement the action plan, be mindful of the following:

• What are the financial, human, and material resources being utilized?
• How effective are the strategies?
• To what extent do the action steps facilitate achievement of the project outcome?
• Do the action steps align with evidence-based practice?
• What support and collaboration is needed from stakeholders to carry out the action plan?

Evaluation of hte Planned Change Practicum Project

Once an action plan is implemented, measurement of achievement of the project outcome will take place. Refer to your evaluation plan, completed in Phase 3, and carry out the necessary steps to evaluate the effectiveness of your action plan.

Think About It

• What is the outcome measure in your evaluation plan?
• What is the method you will use to gather data to evaluate your project outcome?
• What was the indicator of success, and was your outcome successfully achieved?

Practicum Application and Activities

• Prepare a plan with specific talking points to meet with your faculty (and practicum mentor if available) regarding the implementation and evaluation of your planned change project.
• Meet with your faculty (and practicum mentor if available) to discuss implementation and evaluation of the planned change project.
• Validate your work on Phase 5 with your faculty (and practicum mentor if available) as needed.

Suggested activities to consider for hypothetical implementation and evaluation might include (but are not limited to) the following:

• Create a concept map that portrays application of a change model to the hypothetical implementation of the MSN Project. Submit the concept map and a brief explanation with the practicum log.
• Based upon your planned change project (actual or hypothetical), reflect upon professional competencies necessary for successful implementation and evaluation of the planned change. Submit your reflection of necessary competencies along rationale with your practicum log.
• Revisit the Johns Hopkins Action Planning Tool (Appendix I) and consider its usefulness in the implementation and evaluation phases. Develop a visual chart, table, or graph to convey project action steps and target dates that are identified in Appendix I; submit your visual tool with the practicum log.
• Revisit your action planning tool and consider the variables or barriers that could interrupt the implementation process (for example a change in stakeholder support, funding stream, time, material, or human resources, among others). Identify two potential barriers that may arise and construct a plan to each; submit your plan with the practicum log.
• Describe an actual or hypothetical plan for communication (or modification of a plan already developed in coursework) that would be applied during the implementation and evaluation phases; submit your plan with the practicum log.
• Create or refine a budget (real or hypothetical) that conveys the projected cost, actual cost, as well as variance; submit your budget with the practicum log.
• Construct a plan to address any cost variance that may occur while implementing the MSN Project; submit your plan with the practicum log.
• Construct a hypothetical scenario involving evaluation of outcomes, noting how the specific outcome measure, indicator(s) of success, and outcome achievement hypothetically attained. Submit your scenario with the practicum log.
• From a hypothetical perspective, expand the scope MSN Project and create a plan to execute the expanded project; submit your expanded plan with the practicum log.
• Based upon your hypothetical plans for an expanded project, develop a plan to disseminate the information gained. Explain the rationale for your dissemination strategies; submit your plan with the practicum log.
• Reflect upon your professional growth through the implementation and evaluation phases of the planned change project (actual or hypothetical). In what ways have your competencies been strengthened? Where might there be opportunities for continued enhancement? Submit your reflections with the practicum time log.

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.

3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.

5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRICS

1. Robert Wood Foundation Committee Work and IOM Report –  A clear and accurate description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented. 10pts

2. Key Messages Transforming Nursing –   The four key messages that structure the IOM report are clearly outlined. A description of how these transformed nursing practice, nursing education and training, nursing leadership, and nursing workforce development are thoroughly discussed. 15pts

3. State-Based Action Coalitions and Their Help in Advancing Goals form IOM Report – The role of state-based action coalitions is thoroughly discussed. A detailed and accurate discussion of how they help advance the goals in the IOM report is presented.  15pts

4. Initiatives spearheaded by a state action coalition are omitted. –   Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are thoroughly discussed. The discussion demonstrates a clear understanding of the state action committee and the role in advancing the nursing profession. 20pts

5. Barriers and Advancement – Barriers to advancement that currently exist in the state are thoroughly explored and how nursing advocates in the state overcome barriers are thoroughly described. 20pts

6. Thesis Development and Purpose – Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 5pts .

7. Argument Logic and Construction – Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5pts

8. Mechanics of Writing (includes spelling, punctuation, grammar, language use) – Writer is clearly in command of standard, written, academic English. 5pts

9. Paper Format (use of appropriate style for the major and assignment) – All format elements are correct.  2pts

10. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) –  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 3pts

Christian servant leaders profess to serve those whom they lead through love and the moral obligation to promote the greater good of others. Describe the leadership behaviors you would expect from a Christian servant leader and how those behaviors might differ from someone who is not a servant leader. Also, although servant leadership is often associated with the Bible and the teachings of Jesus Christ, explain whether you believe servant leadership is compatible with other religions or worldviews and why. PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

You will complete the Aquifer case, Internal Medicine 14: 18-year-old female for pre-college physical, focusing on the “Revisit three months later” for this assignment.

After completing the Aquifer case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:

• Slide 1: Title, Student Name, Course, Date
• Slide 2: Summary or synopsis of Judy Pham’s case
• Slide 3: HPI
• Slide 4: Medical History
• Slide 5: Family History
• Slide 6: Social History
• Slide 7: ROS
• Slide 8: Examination
• Slide 9: Labs (In-house)
• Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

Primary Diagnosis should be supported by data in the patient’s history, exam, and lab results.

• Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral.
• Slide 12-16: An evaluation of 5 evidence-based articles applicable to Ms. Pham’s case: evaluate 1 article per slide.

1. Include title, author, and year of article
2. Brief summary/purpose of the study
3. How did the study support Ms. Pham’s case?

Course texts will not count as a scholarly source. If using data from websites you must go back to the literature source for the information; no secondary sources are allowed, e.g. Medscape, UptoDate, etc.

• Slide 17: Reference List
• You will submit the PowerPoint presentation in the Submissions Area by the due date assigned. Name your Case Study Presentation SU_NSG6430_W7_A2_lastname_firstinitial.doc

Complete a 250-350-word reflection of what you have learned during this topic. Include the following in your reflection:

1. Think about an experience you’ve encountered when viewing or completing the particular assessment.
2. Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
3. Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment.
4. Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.