Project-ali

Leadership Quality Improvement Project (30% of Final Grade) 1

Nursing Leadership Quality Improvement Project Paper

Nursing Leadership Quality Improvement Project Paper Assignment Description: Each

student will produce a plan for implementing a change project in nursing departments throughout

the organization. The student will begin by selecting one area for improvement of (e.g. quality

and safety, cost effectiveness, core measures, documentation, billing, patient satisfaction) within

his, or her healthcare organization and propose a change to solve the problem. Students will then

select one of the change theories from the assigned text readings and scholarly literature that

models and appropriately will guide the implementation of the proposed change. Note: Students

will develop the nursing leadership quality improvement project using APA 7th edition. The

paper is expected to be 6 pages not including title page or reference page. A minimum of 5

scholarly sources outside of course readings and textbook. This assignment must be submitted

using the SafeAssign and meet the criteria that all submitted work must fall below a 10%

similarity index (excluding all headings and references).

Assignment Overview: Students will develop an APA 7th edition paper for this

assignment by producing a quality improvement project paper containing a plan for

implementing a change within a nursing department of a health care organization. Students must

select an issue within his, or her nursing department in need of quality improvement. Student

will need to propose a change to solve the issue. Students will also select one of the change

theory models from the course readings and materials to guide the paper on how to implement

the proposed change.

To assist with the development of the nursing leadership quality improvement project

paper students must complete the following:

Leadership Quality Improvement Project (30% of Final Grade) 2

• Select and utilize a change theory model to implement the proposed change

• Analyze the leadership roles and management skills necessary to implement the change

• Present and defend your decision-making process;

• Demonstrate the elements of the change process.

Assignment Outline and Criteria

Introduction (header) (the introduction is meant to provide an overview of what will be further

described and analyzed throughout the paper).

Briefly outline the:

• Problem Statement: Provide a clear statement but brief description of the scenario

(problem)

• Change Theory Model: Briefly identify which change theory model will be applied in the

paper

• Proposed Change & Rationale: Briefly describe the proposed change and rationale for

this change

Assessment

• Define the opportunity or problem (how the issue currently exists), the purpose of the

change. Provide the context for the need for this QI project. This provides a more detailed

and in-depth look at the background and significance of the identified scenario/problem.

• Describe the necessary data to be collected and analyzed to support the (analyze course-

based literature, findings, scholarly literature and facility specific data that supports

problem

Leadership Quality Improvement Project (30% of Final Grade) 3

• Assessment methods (how will the student go about gathering the necessary data required

to support the need for the QI project and identify what needs to be measured to

demonstrate success (interviews with stakeholders, review of the literature, etc where is

the supporting evidence for this proposed problem/issue in practice coming from?).

• Change theory model: identify and describe in detail the change theory model being used

(support with evidence and scholarly sources). This is where the change theory model is

introduced to the ready, perhaps other applications of the theory and/or ways it has been

used in practice.

• Describe the proposed change and rationale. (outline the proposed QI change intended to

be made within the unit or facility (this needs to be detailed and supported with evidence.

o Describe the proposed plan, change or remedy and the overall goal.

o Identify and set specific measurable goals or objectives (at least two) Be specific

as possible (which stems from the provided data justifying the change)

• Describe people or organizational positions with which collaboration must occur to

ensure success of the QI project (provide rationale for involvement)

Action Plan (Critical Paper Component): Supporting rationale for implementing the proposed

change for the nursing leadership quality improvement project paper will include:

• Steps and processes: Develop specific activities to enhance success and to reduce the

restraining forces and increase the driving forces (again this needs to be specific and

NOT general or vague) make sure to include those necessary to assure staff compliance

• Prioritize activities and give a time frame for implementation. Again, be specific

o Identify the person or persons responsible for carrying out the activities

Leadership Quality Improvement Project (30% of Final Grade) 4

o Instructional resources or necessary training that may be needed or required?

• An approach to communicate the plan (how will the change be communicated to the

team members that will be responsible for ensuring the change occurs.

• The change process chosen with an explanation of how and why the change theory

model was selected (detail and support with course readings and other evidence-based

literature how and why this change process was appropriate for the selected problem and

include other variables that may impact the success of this specific change process)

• leadership style utilized and evidence of its effectiveness (explain what leadership style

approach was utilized to ensure the QI project would be successful within the context of

the problem, the environment as well as internal and external influencing factors.

Evaluation: Develop an evaluation plan with at least three outcome criteria (how will project

effectiveness or non-effectiveness be measured); These should be based on the goals/

objectives identified above. Be sure to include the following elements:

• Management functions utilized: (describe your role as the nurse leader/manager in the QI

project; what is your role in ensuring the QI project is successful such as employee

engagement and motivation, measures, resources, training and growth opportunities for

employees for example with student’s chosen QI project)

• Proposed change impacts the healthcare organization’s budget and costs if applicable

• A plan that addresses noncompliance and rejecters to assure compliance

• Specifications regarding the evaluation of the effectiveness post implementation of the

proposed change.

• What methods are used to evaluate the change?

Leadership Quality Improvement Project (30% of Final Grade) 5

• Include and evaluation time frame.

Summary

• Highlight any relevant points such as providing a nursing implication conceptually

consistent with the nursing leadership change theory model used in the paper

Grading Rubric

Criteria Exemplary Competent Developing Beginner

Quality
improvement
process (32 pts)

32 pts
Interventions
implemented
were feasible and
pertinent to the
identified QI goal
and evaluation
criteria
established

24 pts
Most
interventions
were feasible and
pertinent to QI
goal and
evaluation
criteria
established

16 pts
Interventions
were feasible and
most were
pertinent to the QI
goals but limited
evaluation criteria
was established

8 pts
Interventions
were not feasible
nor pertinent to
the QI goal and
little to no
evaluation
criteria
established

Introduction
(20 pts)

20 pts
Excellent
summary and
introduction to the
problem, change
theory model,
proposed QI
project &
rationale that is
well supported by
scholarly sources

15 pts
Good summary
and introduction
to the problem,
change theory
model, proposed
QI change
project &
rationale that is
somewhat well
supported by

10 pts
Fair summary and
introduction to the
problem, change
theory model,
proposed QI
project &
rationale that is
fair but somewhat
vaguely supported
by scholarly

5 pts
Poor to little
introduction to
the problem,
change theory
model, proposed
QI project &
rationale that is
unclear or not
supported by
scholarly

Leadership Quality Improvement Project (30% of Final Grade) 6

Overall
Process-Key
elements &
Summary (40
pts)

40 pts
Exceptional
discussion and
choice of change
theory model that
is congruent with
proposed problem
and QI project.
The leadership
and management
skills are clearly
identified and
supported and
congruent with
proposed QI
project. Decision
making processes
are identified and
supported
throughout the
paper and
elements of the
specific change
process model are
evident, supported
and consistently
applied
throughout the
paper from
introduction to

30 pts
Good discussion
and choice of
change theory
model that is
congruent with
proposed
problem and QI
project. The
leadership and
management
skills are mostly
clear and
supported and
congruent with
proposed QI
project. Decision
making processes
are identified and
mostly supported
throughout the
paper and
elements of the
specific change
process model
are largely
evident,
supported and
consistently
applied

20 pts
Fair discussion
and choice of
change theory
model that is
somewhat
congruent with
proposed problem
and QI project.
The leadership
and management
skills are fairly
clear but
somewhat vague
with fair support
that is somewhat
congruent with
proposed QI
project. Decision
making processes
are identified and
fairly supported
through some but
not all the paper
with some
elements of the
change process
model vaguely
supported and
somewhat

10 pts
Poor discussion
and choice of
change theory
model that is
limitedly
congruent with
proposed
problem and QI
project. The
leadership and
management
skills are vague
and unclear with
limited support
and incongruent
with proposed
QI project.
Decision making
processes are not
supported
through and
inconsistently
applied
throughout the
paper

Leadership Quality Improvement Project (30% of Final Grade) 7

Assessment (40
pts)

40 pts
Presentation of
the information
was exceptional
and included in
all of the
following
elements:
• Background

and
significance
of problem for
QI project

• Necessary
data sources
identified
Methods for
assessment of
QI project

• Change theory
model is
detailed with
good
supporting
evidence and
is clearly
linked to QI
project and
approach

• Proposed
change has
excellent
rationale with
a detailed plan
and at least 2
SMART goals

• Accurate
description of
people and
organizational
positions
necessary for
the QI to be

30 pts
Presentation of
information was
good, but was
superficial in
places and
included all of
the following
elements:
• Background

and
significance
of problem
for QI project

• Necessary
data sources
identified
Methods for
assessment of
QI project

• Change
theory model
is detailed
with good
supporting
evidence and
is clearly
linked to QI
project and
approach

• Proposed
change has
excellent
rationale with
a detailed
plan and at
least 2
SMART
goals

• Accurate
description of
people and
organizationa

20 pts
Presentation of
information was
good, but was
superficial in
places and
included all of the
following
elements:
• Background

and
significance
of problem for
QI project

• Necessary
data sources
identified
Methods for
assessment of
QI project

• Change theory
model is
detailed with
good
supporting
evidence and
is clearly
linked to QI
project and
approach

• Proposed
change has
excellent
rationale with
a detailed plan
and at least 2
SMART goals

• Accurate
description of
people and
organizational
positions
necessary for

10 pts
Presentation of
information was
unsatisfactory in
one or more of
the following
elements
• Background

and
significance
of problem
for QI
project

• Necessary
data sources
identified
Methods for
assessment
of QI project

• Change
theory model
is detailed
with good
supporting
evidence and
is clearly
linked to QI
project and
approach

• Proposed
change has
excellent
rationale
with a
detailed plan
and at least 2
SMART
goals

• Accurate
description
of people and
organizationa
l positions

Leadership Quality Improvement Project (30% of Final Grade) 8

Action Plan (40
pts)

40 pts
Presentation of
the information
was exceptional
and included in
all of the
following
elements:
• Steps and

processes are
clear and
realistic for
proposed QI
project

• Strategies to
address
restraining
and driving
forces are
clearly
articulated
and supported

• Personnel and
communicatio
n plan is
clearly and
effectively
outlined

• Change
process is
clear and
linked to QI
problem

• Leadership
style is
evident, well
explained and
a good fit with
the QI project/

30 pts
Presentation of
information was
good, but was
superficial in
places and
included all of
the following
elements:
• Steps and

processes are
clear and
realistic for
proposed QI
project

• Strategies to
address
restraining
and driving
forces are
clearly
articulated
and
supported

• Personnel
and
communicati
on plan is
clearly and
effectively
outlined

• Change
process is
clear and
linked to QI
problem

• Leadership
style is
evident, well

20 pts
Presentation of
information was
good, but was
superficial in
places and
included all of the
following
elements:
• Steps and

processes are
clear and
realistic for
proposed QI
project

• Strategies to
address
restraining
and driving
forces are
clearly
articulated
and supported

• Personnel and
communicatio
n plan is
clearly and
effectively
outlined

• Change
process is
clear and
linked to QI
problem

• Leadership
style is
evident, well
explained and
a good fit with

10 pts
Presentation of
information was
unsatisfactory in
one or more of
the following
elements
• Steps and

processes are
clear and
realistic for
proposed QI
project

• Strategies to
address
restraining
and driving
forces are
clearly
articulated
and
supported

• Personnel
and
communicati
on plan is
clearly and
effectively
outlined

• Change
process is
clear and
linked to QI
problem

• Leadership
style is
evident, well
explained
and a good

Leadership Quality Improvement Project (30% of Final Grade) 9

Evaluation (40
pts)

40 pts
Presentation of
the information
was exceptional
and included in
all of the
following
elements:
• Three

outcome
criteria are
identified and
consistent
with
evaluating the
planned QI
project

• Management
functions are
well detailed
and supported

• The impact of
proposed
change to
healthcare
organization
including
budget and
costs is
identified and
addressed

• Plan to
address
noncomplianc
e is evident

• Evaluation of
effectiveness
of plan is
clear and
consistent
with change
theory model
and outline
goals

30 pts
Presentation of
information was
good, but was
superficial in
places and
included all of
the following
elements:
• Three

outcome
criteria are
identified and
consistent
with
evaluating
the planned
QI project

• Management
functions are
well detailed
and
supported

• The impact of
proposed
change to
healthcare
organization
including
budget and
costs is
identified and
addressed

• Plan to
address
noncomplian
ce is evident

• Evaluation of
effectiveness
of plan is
clear and
consistent
with change
theory model

20 pts
Presentation of
information was
good, but was
superficial in
places and
included all of the
following
elements:
• Three

outcome
criteria are
identified and
consistent
with
evaluating the
planned QI
project

• Management
functions are
well detailed
and supported

• The impact of
proposed
change to
healthcare
organization
including
budget and
costs is
identified and
addressed

• Plan to
address
noncomplianc
e is evident

• Evaluation of
effectiveness
of plan is
clear and
consistent
with change
theory model
and outline

10 pts
Presentation of
information was
unsatisfactory in
one or more of
the following
elements
• Three

outcome
criteria are
identified
and
consistent
with
evaluating
the planned
QI project

• Management
functions are
well detailed
and
supported

• The impact
of proposed
change to
healthcare
organization
including
budget and
costs is
identified
and
addressed

• Plan to
address
noncomplian
ce is evident

• Evaluation of
effectiveness
of plan is
clear and
consistent
with change
theory model

Leadership Quality Improvement Project (30% of Final Grade) 10

Writing
Mechanics (16
pts)

16 pts
The submitted
assignment is
within the
expected page
length of 6-8
pages
Five scholarly
sources other than
textbook and
course readings
are included
1-2 errors or
exceptions to
rules of grammar,
spelling, word
usage,
punctuation, and
other aspects of
formal written
work in APA 7th

12 pts
The submitted
assignment is
within expected
page length of
6-8 pages but
only 4 of 5
scholarly sources
other than
textbook and
course readings
are included

3-4 errors or
exceptions to
rules of grammar,
spelling, word
usage,
punctuation, and
other aspects of
formal written

8 pts
The submitted
assignment is
within expected
page length of 6-8
pages but only 3
of 5 scholarly
sources other than
textbook and
course readings
are included with
5-6 errors or
exceptions to
rules of grammar,
spelling, word
usage,
punctuation, and
other aspects of
formal written
work in APA 7th
edition

4 pts
The submitted
assignment is not
within the
expected page
length of 6-8
pages and less
than 3 of the
required
scholarly sources
other than
textbook and
course readings
are included with
6 or more errors
or exceptions to
rules of
grammar,
spelling, word
usage,
punctuation, and

APA formatting
(20 pts)

20 pts
APA 7th edition
guidelines are
followed with <2
errors including:
Title page
Reference page
In-text citations
Reference page
citations
Headings
Margins and
formatting (12 pt
font, double
spaced
throughout)

15 pts
APA 7th edition
guidelines are
followed with
2-3 errors
including:
Title page
Reference page
In-text citations
Reference page
citations
Headings
Margins and
formatting (12 pt
font, double
spaced
throughout)

10 pts
APA 7th edition
guidelines
followed with 3-5
errors including
Title page
Reference page
In-text citations
Reference page
citations
Headings
Margins and
formatting (12 pt
font, double
spaced
throughout)

5 pts
APA guidelines
are not followed
and there are > 5
errors made or
little regard is
paid to adhere to
APA guidelines
including:
Title page
Reference page
In-text citations
Reference page
citations
Headings
Margins and
formatting (12 pt
font, double
spaced
throughout)

248 pts total

Leadership Quality Improvement Project (30% of Final Grade) 11