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 between 6-8 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 20% 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:
•
Select and utilize a change theory model to implement the proposed change
Leadership Quality Improvement Project (30% of Final Grade)
•
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.
2
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 coursebased literature, findings, scholarly literature and facility specific data that supports
problem
•
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
Leadership Quality Improvement Project (30% of Final Grade)
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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
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.
Leadership Quality Improvement Project (30% of Final Grade)
•
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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?
•
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
Leadership Quality Improvement Project (30% of Final Grade)
5
Grading Rubric
Criteria
Quality
improvement
process (32 pts)
Introduction (20
pts)
Overall ProcessKey elements &
Summary (40 pts)
Exemplary
32 pts
Interventions
implemented were
feasible and
pertinent to the
identified QI goal
and evaluation
criteria established
20 pts
Excellent summary
and introduction to
the problem, change
theory model,
proposed QI project
& rationale that is
well supported by
scholarly sources
Competent
24 pts
Most interventions
were feasible and
pertinent to QI goal
and evaluation
criteria established
Developing
16 pts
Interventions were
feasible and most
were pertinent to the
QI goals but limited
evaluation criteria
was established
Beginner
8 pts
Interventions were
not feasible nor
pertinent to the QI
goal and little to no
evaluation criteria
established
15 pts
Good summary and
introduction to the
problem, change
theory model,
proposed QI change
project & rationale
that is somewhat
well supported by
scholarly sources
5 pts
Poor to little
introduction to the
problem, change
theory model,
proposed QI
project & rationale
that is unclear or
not supported by
scholarly sources.
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
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
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
sources.
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
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)
Assessment (40
pts)
applied throughout
the paper from
introduction to
summary.
and consistently
applied throughout
the paper from
introduction to
summary.
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
effective.
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
organizational
positions
necessary for
model vaguely
supported and
somewhat
inconsistent
throughout the
paper.
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 the
QI to be
effective.
6
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
organizational
positions
necessary for
Leadership Quality Improvement Project (30% of Final Grade)
the QI to be
effective.
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
communication
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/problem
and change
process model
Evaluation (40
pts)
40 pts
Presentation of the
information was
exceptional and
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
communication
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/problem
and change
process model
30 pts
Presentation of
information was
good, but was
superficial in places
7
the QI to be
effective.
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
communication
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/problem
and change
process model
20 pts
Presentation of
information was
good, but was
superficial in places
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
communication
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/problem
and change
process model
10 pts
Presentation of
information was
unsatisfactory in
Leadership Quality Improvement Project (30% of Final Grade)
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
noncompliance
is evident
• Evaluation of
effectiveness of
plan is clear and
consistent with
change theory
model and
outline goals
• Evaluation of
change methos
along with time
frame are
evident, realistic
and consistent
Writing
Mechanics (16
pts)
16 pts
The submitted
assignment is within
the expected page
length of 6-8 pages
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
noncompliance
is evident
• Evaluation of
effectiveness of
plan is clear and
consistent with
change theory
model and
outline goals
• Evaluation of
change methos
along with time
frame are
evident,
realistic and
consistent
12 pts
The submitted
assignment is
within expected
page length of 6-8
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
noncompliance
is evident
• Evaluation of
effectiveness of
plan is clear and
consistent with
change theory
model and
outline goals
• Evaluation of
change methos
along with time
frame are
evident, realistic
and consistent
8 pts
The submitted
assignment is within
expected page
length of 6-8 pages
8
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
noncompliance
is evident
• Evaluation of
effectiveness of
plan is clear
and consistent
with change
theory model
and outline
goals
• Evaluation of
change methos
along with time
frame are
evident,
realistic and
consistent
4 pts
The submitted
assignment is not
within the expected
page length of 6-8
Leadership Quality Improvement Project (30% of Final Grade)
APA formatting
(20 pts)
248 pts total
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 edition
pages but only 4 of
5 scholarly sources
other than textbook
and course readings
are included
but only 3 of 5
scholarly sources
other than textbook
and course readings
are included with
5-6 errors or
3-4 errors or
exceptions to rules
exceptions to rules of grammar,
of grammar,
spelling, word
spelling, word
usage, punctuation,
usage, punctuation, and other aspects of
and other aspects of formal written work
formal written work in APA 7th edition
in APA 7th edition
20 pts
APA 7th edition
guidelines are
followed with 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)
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Formatting
Title Page
Citation
Outline
