nurse 730 practicum proposal plan - nursing...
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Running head: NURSE 730 PRACTICUM PROPOSAL PLAN 1
Nurse 730 Practicum Proposal Plan
Cheryl Miller
Ferris State University
NURSE 730 PRACTICUM PROPOSAL PLAN 2
Abstract
This practicum proposal plan describes the intended goals, objectives, and activities to be
completed during the 2014 summer semester at Ferris State University. This graduate student
nurse will join Mrs. Christa Kiessel MSN, ANP, APRN-BC and a multidisciplinary team of
physicians, nurses, radiology technicians, pathologists, and directors to establish a formal Breast
Center at Munson Medical Center. The aim of this center is to integrate and streamline breast
care delivery. Breast Center project goals include writing a formal business plan, establishing a
breast program leadership (BPL) team, reviewing accreditation standards, achieving
accreditation, establishing bylaws, developing a formal budget, and more. This nursing
leadership practical experience will provide insight and understanding of integrated care
delivery. The ways in which nursing administrative leaders contribute to effective health care
delivery will also be evident. Furthermore, this experience will provide this student an
opportunity to apply nursing theory and integrate two Standards of Professional Performance,
Standard 7: Quality and Standard 11: Collaboration, as outlined by the American Nurses
Association (ANA) (2009). The following discussion acknowledges the need for integrated
cancer care delivery in northern Michigan and describes this student nurse’s education and
experience, the proposed setting, proposed timeline, preceptor information, intended goals, and
evaluation tools to measure overall success.
Keywords: Breast Center, practicum proposal plan, integrated care delivery
NURSE 730 PRACTICUM PROPOSAL PLAN 3
Nurse 730 Practicum Proposal Plan
Rapidly changing health care settings and evolving patient care needs create a unique
mix of challenges for nursing administrative leaders. As such, organizational resources must be
carefully managed and patient care strategies must be restructured in order for health care
institutions to be successful in their mission to provide quality and cost effective care. Quality
patient care must be at the center of all nursing leadership decisions (ANA, 2009). A nursing
administrative leader has organizational authority and must continually strive for excellence
while shaping the health care environment in which they serve (ANA, 2009). Two key aspects of
a nursing administrator role are evaluating patient care services and revising organizational
systems to support quality patient care delivery. The Institute of Medicine (2010) defines quality
patient care as provision of medical services that are appropriate, technically sound, and
culturally based with shared decision making between health care professionals.
Achieving quality patient care outcomes is dependent upon knowing the current and
future patient care needs of the population being served (ANA, 2009). Insight gained through a
community assessment provides leadership guidance. Munson Medical Center (2013) reports
that 1,500 patients receive a cancer diagnosis each year and that 20,000 new cancer diagnoses
will occur over the next 10 years in the five county regions surrounding northern Michigan. As a
result of these findings, organizational efforts are underway for the development of a state of the
art cancer center which will integrate care delivery for these patients. A formal breast center is
being planned in 2014, as part of this coordinated cancer care delivery system. Diagnostic
screening and breast care service delivery across a variety of settings including physician offices,
a proposed multi-disciplinary clinic, Munson Medical Center, and some affiliate hospitals is
planned. Thompson (2009) finds that benefits of establishing a formal breast center include
NURSE 730 PRACTICUM PROPOSAL PLAN 4
improved: screening, care delivery, patient outcomes, recruitment of physicians, a patient referral
process, and better utilization of services through team efforts and collaboration. The breast
center is designed to have multiple specialists available in a single setting so that breast care
delivery is better coordinated and expedited. Specialty consultations include oncology,
radiology, pathology, general surgery, nurse navigators, social work and more. The patient
benefits by not having to travel to multiple appointments and patient care is more efficient.
Planning, developing and implementing an integrated patient care delivery system, such
as a formal breast center, is broad in scope. As such, a novice nursing leader can obtain a wide
range of learning experiences through interaction with a multi-disciplinary team of health care
providers and through achievement of a variety of clinical leadership tasks. These tasks include
writing a business proposal, developing breast center bylaws, establishing a formal budget plan,
choosing BPL team members, applying and achieving accreditation, and more. In addition, the
process of developing a formal breast center requires organizational leadership decisions which
directly impact patient care delivery. Therefore, it is a perfect fit for this nursing leadership
practical experience. Thus, the purpose of this paper is to present a detailed action plan to build
on and ultimately achieve nursing administrative leadership knowledge, skills, and experience
through this planned practicum experience and clinical leadership project.
Practicum Project
In conjunction with this planned nursing leadership practicum experience, this graduate
student nurse will actively participate in developing a formal breast center business plan, recruit
and formalize a breast program leadership team, review the National Accreditation Program for
Breast Center (NAPBC) accreditation standards by the American College of Surgeons (ACS)
(2013), assist in application of NAPBC accreditation, assist in the formation and approval of
NURSE 730 PRACTICUM PROPOSAL PLAN 5
breast center bylaws, assist in the development a formal budget, and more. Clinical project tasks
will be collaboratively chosen with direction from Mrs. Kiessel, my project preceptor and
leadership mentor. Breast center team members will include directors, physicians, pathologists,
nurses, radiologist, social work, and others. Porter-O’Grady (2011) finds that partnering with
other health care professionals to coordinate patient care practices helps to ensure quality care,
increased access to services and increased value. The Institute of Medicine (IOM) (2010) finds
that nursing leadership must partner with other health care leaders to collaboratively plan,
establish goals, and continually evaluate efforts in order to ensure safe and effective patient care
practices (IOM, 2010). Participation in this clinical project and leadership practicum plan will
foster attainment of knowledge related to the role of nursing administrative leadership, integrated
care delivery systems, and the promotion of quality breast care. Careful assessment, planning,
and collaboration are key leadership skills which will be utilized to promote successful
achievement of project goals. Wagner et al., (2013) finds that cancer care systems are often
fragmented, resulting in lack of coordinated care delivery, increased costs, care delays, and
inadequate social support. These identified barriers provide crucial evidence of the need to
integrate breast care delivery and streamline patient care.
As such, it is the goal of this graduate nursing student to utilize past academic knowledge
of a Bachelors of Nursing Degree and Masters level nursing classes to guide in the planning,
development, and implementation of this nursing leadership practicum experience. Masters level
classes include knowledge of health care delivery, advanced nursing roles, leadership practices,
nursing theory and research, and project management. In addition, this graduate student nurse
has over twenty years of experience in acute care setting in medical surgical care, cardiology,
shift coordination, nursing administrative supervision, transfer coordination, and more. This
NURSE 730 PRACTICUM PROPOSAL PLAN 6
academic knowledge base and nursing experience provide a solid foundation from which to base
nursing practice decisions. However, limited leadership experience and limited knowledge of the
out-patient medical care arena is an area of weakness. As a result, this graduate nursing student is
considered a novice nursing leader.
Through this planned practical experience, this graduate student nurse seeks to gain
nursing leadership knowledge, skills, experience, and confidence by actively participating in the
planning, development, and implementation of a formal breast center program at Munson
Medical Center. MacPhee, Chang, Lee and Spiri (2013) find that a collective leadership
approach, rather than an individual approach is best when managing complex health care
challenges in diverse settings. Therefore, this student nurse will be working collectively with
Mrs. Kiessel to achieve breast center project goals. This practical leadership plan will prepare
this graduate student nurse for the advanced specialty role of nursing administration through
attainment of increased knowledge of breast care service delivery, mentorship with senior
nursing leaders, and active participation in one or more of the following project goals: achieving
NAPBC accreditation by the ACS (2013), developing breast center bylaws, writing a formal
business plan, developing a formalized budget, collecting breast center data, standardizing breast
care practices, and more. In addition, Standard 7: Quality of Practice and Standard 11:
Collaboration, as outlined by the ANA (2009) in the Nursing Administration: Scope and
Standards of Practice, will be integrated during implementation of this clinical project.
Additional knowledge related to NAPBC accreditation standards, breast center bylaws,
standardized breast care practice, data collection, case review, and budget development will be
attained. Professional growth through mentorship, role modeling, sharing information and
feedback, participating in the review of breast care practices across the out-patient and in-patient
NURSE 730 PRACTICUM PROPOSAL PLAN 7
setting, promoting collaborative communication with a multi-disciplinary health care team, and
developing a greater self-awareness of student leadership strengths and weaknesses is planned.
These actions are consistent with core competencies outlined for leadership directors at Munson
Medical Center (2013) which includes relationship building across professional levels to
promote quality care outcomes, promoting collaborative communication through engagement,
and identifying opportunities for self-improvement.
Setting
The setting for this nursing leadership practicum experience will be Munson Medical
Center, a magnet designated, non-profit, 391 bed acute care hospital and regional referral center
located in northern Michigan. Munson Medical Center serves the medical needs of residents
living in 22 surrounding counties and is dedicated to providing superior and quality patient care
services (Munson, 2013). The need for an integrated cancer care center has been identified as a
critical need for residents of northern Michigan (Munson, 2013). Munson Medical Center is
planning a state of the art cancer center which will include Stereotactic Radiosurgery (SRS)
equipment, expansion of the infusion clinic, and a more coordinated approach to providing
cancer care services across affiliate settings, physician offices, a multi-disciplinary clinic, and
Munson Medical Center (Munson, 2013). This graduate student nurse will be participating in a
variety of multi-disciplinary meetings at several locations within the Munson Medical Center
campus including the Lung Clinic, the Smith Family Breast Center, the REMEC Center, the
Administrative Boardroom, Mrs. Kiessel’s office, Mrs. Garthe’s office, and more. Key leaders
include nurses, oncologists, general surgeons, radiologists, pathologists, social work, informatics,
and hospital administration.
NURSE 730 PRACTICUM PROPOSAL PLAN 8
Practicum Goals
The goals of this nursing leadership practicum experience are to foster professional
leadership growth through the attainment of knowledge, skills, and experience and develop into
the advanced specialty role of nursing administration by integrating Standard 7: Quality of
Practice and Standard 11: Collaboration as outlined by the ANA (2009) during the 2014
summer semester at Ferris State University. This graduate student nurse will be mentored by
Mrs. Kiessel MSN, ANP, APRN-BC, and Interim Oncology Service Line Director, who is
responsible to plan, develop and implement a formal breast center at Munson Medical Center.
MacPhee, Chang, Lee and Spiri (2013) suggest that leadership development is enhanced by
learning along with others and results in greater innovative thinking, a systems level approach to
problem solving, personal empowerment, self-confidence, and relationship building. Frankel
(2009) also finds that a mentoring relationship offers increased self-esteem, emotional support,
and increased confidence through the attainment of new knowledge, skills and experience. Other
important aspects include documenting what is being learned, discovering strengths and
weaknesses, role modeling, coaching, and future goal development (Frankel, 2009). These
principles will be utilized in this synthesis of this practical leadership plan.
Practicum Objectives
The following objectives support this graduate student nurse’s professional goals to gain
leadership knowledge, skill, and experience during the 2014 summer semester at Ferris State
University. The first planned objective is to increase personal confidence through mentorship
and collaboration with Mrs. Kiessel. As a novice nursing leader, mentorship with an experienced
nursing leader allows for the practice of leadership skills within a safe and supportive
environment, role modeling, coaching, and feedback. This mentoring relationship fosters
NURSE 730 PRACTICUM PROPOSAL PLAN 9
learning by reducing fear or the risk of failure. Frankel (2009) finds that nursing leadership is
responsible to guide novice leaders, share their wisdom, and enhance the practice environment.
Sharing ideas and offering feedback at BPL meetings, basecamp activities, weekly preceptor
meetings, and the multi-disciplinary lung clinic will allow for team building, collaboration, and
effective decision making. Hands on participation in attainment of breast center project goals
will lead to increased leadership knowledge, skills, and experience. Furthermore, Janes (2008)
finds that nursing mentorship leads to a greater self-awareness and increased willingness to learn
from one’s mistakes. This allows for personal growth. The second planned objective is to seek
knowledge though research of breast care practices and nursing leadership practices to build
upon my current knowledge base. This will foster student learning, professional growth, and
credibility as a breast center team member. Having a solid base level of knowledge related to
breast care delivery will enhance the ability to participate in team decision making and project
goal delivery. The third planned objective is to seek professional development through
attendance of webinars, breast care conferences, or other educational opportunities. In doing so,
this will contribute to my understanding of the current trends and challenges within integrated
breast care delivery, as well as, possible leadership strategies to overcome them. Education is an
ongoing expectation of being a professional nursing leader. The fourth planned objective is to
integrate Standard 7: Quality of Practice (ANA, 2009) by participating in assessment of breast
care delivery in conjunction with Mrs. Kiessel and BPL leadership staff. Enhancing quality care
delivery is a primary responsibility of a nursing administrative leader (ANA, 2009). Knowledge
of the breast care practice environment along with knowledge of NAPBC accreditation standards
will guide leadership team decisions targeted upon standardizing and optimizing breast care
service delivery. Tzenalis and Sotiriadou (2010) find that health promotion requires a team
NURSE 730 PRACTICUM PROPOSAL PLAN 10
effort, collaboration, and a sharing of knowledge and skills. The complex nature of health care
delivery demands partnership and teamwork. The last planned leadership objective is to integrate
Standard 11: Collaboration which is crucial toward successful achievement of breast center
goals. Ongoing communication with a multidisciplinary team is a major component of this
clinical project and practicum experience. Tzenalis and Sotiriadou (2010) state that multi-
disciplinary collaboration results in improvements to standards of care, greater team
accountability, and greater team satisfaction. Communication with Mrs. Kiessel and BPL team
members using Watson’s (2008) Philosophy of Science and Caring principles will promote
effective team building, trust, and sharing of information. Jean Watson's Philosophy and Science
of Caring (2008) principles will serve foster collaboration, mutual respect, and open
communication. Developing a helping trusting relationship and being authentically present in a
learning environment can foster mutual understanding and trust according to Watson (2008). The
benefit of sharing information with colleagues is that new ideas or solutions may come to light
which could foster achievement of breast center project goals.
Practicum Preceptor
I have obtained verbal and written permission from the following preceptors for this
practicum experience. Mrs. Christa Kiessel, MSN, ANP, APRN-BC, Interim Oncology Service
Line Director, who will be leading efforts to develop and implement a formalized breast center in
Traverse City, Michigan. The intention of this project is to coordinate breast care services
between Munson Medical Center, its affiliate hospitals, and out-patient settings in order to
streamline and improve patient care. These plans complement work already underway for a
future, state of the art cancer center at Munson Medical Center. Mrs. Kiessel has worked as an
oncology nurse practitioner at Munson Medical Center with a primary responsibility to develop,
NURSE 730 PRACTICUM PROPOSAL PLAN 11
coordinate, and care for patients at the Cancer Genetics Clinic (Munson Medical Center
Intercom, 2014). She is currently responsible for the development of clinical programs and
processes to enhance quality patient care services related to oncology services (Munson Medical
Center Intercom, 2014). This is Mrs. Kiessel’s first preceptor experience, so she will be working
under the expert guidance of Mrs. Kathy Garthe, MSN, Administrator and Outreach Coordinator
at Munson Medical Center. Mrs. Garthe has over 20 years of nursing administrative leadership
experience and has served as a preceptor to 12 other Master’s Degree nursing students. I have
worked indirectly with Mrs. Garthe for seven years and she is highly motivated, energetic, and
professional. She is an excellent role model and nursing leader.
Practicum Role and Activities
This graduate student nurse’s role during this 2014 leadership practicum experience is to
actively partner with Mrs. Kiessel, MSN, ANP, APRN-BC and the multi-disciplinary breast
center team to achieve one or more of the following ideals: NAPBC (2013) accreditation of the
breast center, establishment of a formalized budget, standardization of breast center services,
development of breast center bylaws, breast center data collection, and more. Furthermore, my
role will be one of learner and novice nursing leader who will be seeking knowledge through
mentorship and role modeling experiences. This mentorship, along with the proposed clinical
project goals, supports the attainment of nursing administrative leadership knowledge, skills, and
experience. Frankel (2009) finds that the role of mentorship fosters development of new skills,
boosts confidence, and allows for discovery of leadership strengths and weaknesses. Other
important aspects of an effective mentorship role include open communication and free exchange
of ideas (Frankel, 2009). Therefore, collaborative and open communication will be utilized
throughout this practicum experience plan. Planned participation in the development of a formal
NURSE 730 PRACTICUM PROPOSAL PLAN 12
written business plan, establishment of breast center bylaws, achievement of NAPBC
accreditation, and formalization of a budget will provide this graduate student nurse hands on
leadership experience. Additional planned leadership activities include joint attendance and
participation in BPL meetings, breast center basecamp discussions, one on one preceptor
meetings, and attendance and participation in the multi-disciplinary breast clinics to foster
further leadership understanding necessary for achievement of breast center project goals. Next,
planned leadership activities to seek information through literature research support the ability to
actively partner with the breast center leadership team. A literature reference list and
bibliography will be compiled by May 2014 for ease of use. Literature will be reviewed for
relevance toward integrating breast care delivery and nursing leadership. The next planned
leadership activity supports the attainment of knowledge through attendance of webinars,
workshops or breast center conferences by July 2014. Doing so, increases knowledge base
related to breast care service delivery and integration of care. In addition, this graduate student
nurse plans to attend weekly preceptor meetings with Mrs. Kiessel to seek insight and further
leadership knowledge, skills, and experience. Lastly, leadership activities to integrate Standard
7: Quality of Practice and Standard 11: Collaboration is planned. Standard 7: Quality Of
Practice includes nursing administrative leadership activities to promote enhancement of care
delivery through credentialing, standards, regulations and development of policies, procedures
and guidelines aimed toward improving breast care (ANA, 2009). Achieving NAPBC
accreditation is a planned goal of the breast center which will help to standardize and optimize
breast care service delivery. Planned leadership activities to attend and participate in weekly and
monthly BPL meetings, multi-disciplinary clinic, and basecamp agenda meetings to plan,
develop, and implement breast center goals support quality of practice through policy and
NURSE 730 PRACTICUM PROPOSAL PLAN 13
procedural development according to NAPBC guidelines for practice. Lastly, Standard 11:
Collaboration, in which health care professionals share information, document plans, and seek
feedback in order to enhance health care delivery (ANA, 2009) will be integrated. Ongoing
communication with a multidisciplinary team is a major component of this practicum experience
plan. This is evidenced by the necessity to meet regularly in order to formalize decisions. Jean
Watson's Philosophy and Science of Caring (2008) principles will serve as a guideline for
communication and collaboration with multidisciplinary team members in order to foster
relationship building, support mutual respect, and gain a critical understanding of the unique
needs of each medical setting in which breast services take place.
Proposed Date & Timeline
The timeline for this graduate nursing practicum experience will be May 20, 2014
through August 13, 2014. A practicum planning guide outlines the major goals, objectives and
activities to be completed during June, July and August 2014 and is included in Appendix A. The
overall success of the practicum experience will be determined by performing a graduate student
nurse self-assessment evaluation, and through verbal and written feedback from practicum
preceptors. Agency approval has been granted in writing via Mrs. Kathy Garthe, MSN on behalf
of Munson Medical Center. A copy is included in Appendix B.
Evaluation Tool
This graduate student nurse plans to gauge the success of this practicum experience
through the use of a self-assessment tool along with direct verbal and written feedback from my
practicum preceptors by August 15th, 2014. Self-assessment of my nursing leadership will be
based upon gained knowledge of breast care service delivery in order to promote quality care
services and upon communication and collaboration with the BPL team. These nursing
NURSE 730 PRACTICUM PROPOSAL PLAN 14
leadership competencies are consistent findings by the American College of Healthcare
Executives (ACHE) (2014) which can be organized into 5 crucial domains: communication and
relationship management, leadership, professionalism, knowledge of the healthcare environment,
business skills, and knowledge. The inherent value of completing a student self-assessment is
increased self-awareness through the discovery of personal and professional strengths and
weaknesses. The results will guide further reflection and formation of a targeted action plan
toward future nursing leadership growth and development. Desjarlais and Smith (2011) found
that utilizing self-assessment and critical reflection allows one to gain new information related to
personal behaviors, values, knowledge gained or skill level. These literature results support the
planned evaluation method for this practicum experience. In addition, utilizing self-assessment to
guide nursing leadership practice is also consistent with the guidelines for professional nursing
administrative practice, Standard 9: Professional Practice Evaluation which notes the
importance of identifying nursing leadership strengths and weaknesses to improve role
performance (ANA, 2009). It is hoped that the insights gained through this self-reflective process
will be a building block toward professional nursing leadership growth. Gaps in leadership skills
or experience will serve as a guideline for future professional development planning. Short and
long-term action plans will be formulated based on these findings. These will be shared with
Mrs. Kiessel and Mrs. Garthe in order to seek feedback based upon their nursing leadership
expertise and knowledge. The planned leadership self-assessment tool is included in Appendix
C. Secondly, this graduate student nurse plans to seek verbal and written feedback using a
preceptor evaluation tool which is included in Appendix D. The purpose of seeking this feedback
is to enhance the teacher and learner role that having a preceptor provides. This graduate student
nurse hopes to expand upon nursing leadership strengths and weaknesses through this evaluation
NURSE 730 PRACTICUM PROPOSAL PLAN 15
process, as well as, to have an opportunity to receive recommendations for leadership practice
based upon this exchange of information. Obtaining feedback from nursing colleagues related to
professional nursing practice is supported by the ANA (2009) and is an expectation of
professional leadership performance. In addition, findings by Frankel (2009) indicate that role
mentoring and providing feedback is a key skill for nursing leadership staff. Providing effective
and constructive feedback can inspire others toward achievement of new goals and increase self-
esteem.
Summary
This practicum learning experience is designed to promote an increased understanding of
the nursing administrative leadership role through active participation in the development and
implementation of a formalized breast center at Munson Medical Center. The nature of this
project requires care coordination between multidisciplinary team members who practice patient
care across diverse settings and locations. As such, there will be ample opportunities to integrate
nursing administrative practices guidelines, apply current research findings, and utilize nursing
theory, gain hands on experience, and work collaboratively with other nursing leaders. It is
hoped that this practicum experiential plan will foster my professional growth as a nursing
administrative leader and ultimately promote excellent breast care delivery for patients in
northern Michigan.
NURSE 730 PRACTICUM PROPOSAL PLAN 16
References
American College of Healthcare Executives (2014). ACHE Healthcare Executive Competencies
Assessment Tool. Retrieved from
https://www.ache.org/pdf/nonsecure/careers/competencies_booklet.pdf
American College of Surgeons (2013). National Accreditation Program for Breast Centers.
Retrieved from http://napbc-breast.org/
American Nurses Association (2009). Nursing administration: Scope and standards of practice.
Silver Springs, MD: Nursebooks.org.
American Nurses Association (2012). The value of nursing care coordination: A white paper of
the American Nurses Association. Retrieved from
http://www.nursingworld.org/carecoordinationwhitepaper
Desjarlais, M. & Smith, P. (2011). A comparative analysis of reflection and self assessment.
International Journal of Process Education. Lisle, IL: Pacific Crest.
Frankel, A. (2009). What leadership style should senior nurses develop? Nursing Times
Leadership Supplement. Retrieved from
http://www.nursingtimes.net/Journals/1/Files/2009/12/3/NT%20Leadership%20Supplement.pdf
Institute of Medicine (2010). The future of nursing: Leading change, advancing health.
Retrieved from http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-
Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf
Janes, G. (2008). Improving services through leadership development. Nursing Times, 104(13),
58-59. Retrieved from
http://www.nursingtimes.net/Journals/2012/08/17/v/d/j/080401Improving-services-
through-leadership-development.pdf
NURSE 730 PRACTICUM PROPOSAL PLAN 17
MacPhee, M., Chang, L., Lee, D. & Spiri, W. (2013). Global healthcare leadership development:
Trends to consider. Journal of Healthcare Leadership, 5, 21-29.
Munson Healthcare Regional Foundation & Paul Oliver Foundation (2013). All hands against
cancer. Retrieved from http://www.munsonhealthcare.org/fightingcancer
Munson Medical Center Intercom (2014, February 6). Connecting with Christa Kiessel, p 1.
Porter-O’Grady, T. (2011). Leadership at all levels. Nursing Management. doi-
10.1097/01.NUMA.0000396347.49552.86
Thompson, D. (2009). Obtaining Breast Center Accreditation: Merging market shares goals with
quality measures. Retrieved from
https://obroncology.com/documents/OBR_NOV09_NAPBC.pdf
Tzenalis, A. & Sotiriadou, C. (2010). Health promotion as multi-professional and multi-
disciplinary work. International Journal of Caring Science, 3(2), 49-55.
Wagner, E. H., Ludman, E. J., Aicillo Bowles, E. J., Penfold, R., Reid, R. J., Rutter, C. M. …
McCorkle, R. (2013). Nurse navigators in early cancer care: A randomized, controlled
trial. Journal of Clinical Oncology, 31, 1-8. doi:10.1200/JCO.2013.51.7359
Watson, J. (2008). Nursing: The philosophy and science of caring (Revised ed.) Boulder, CO:
University Press
NURSE 730 PRACTICUM PROPOSAL PLAN 18
Appendix A
Nursing 730 Practicum Proposal Planning Guide
The purpose of this practicum is to foster my nursing leadership knowledge, skills, and experience by actively participating in the development of a formal breast program at Munson Medical Center.
Goals Objectives Activities Timeline1. Foster professional nursing leadership growth through the attainment of knowledge, skills, and experience during the 2014 summer semester at Ferris State University.
1.1 Gain confidence through mentorship & leadership practice with Mrs. Kiessel
1.1a Attend & participate in BPL meeting activities and goals
1.1b Attend & participate in daily Breast Center Basecamp activities
1.1c Meet weekly with Mrs. Kiessel to review current and future goals, evaluate successes
1.1d Attend & observe breast care delivery at Multi-D clinic bi-weekly
1.1a To be completed by July 2014
1.1b To be completed by July 2014
1.1c To be completed by July 2014
1.1d To be completed by July 2014
1.2 Search literature and other data sources related to administrative leadership & breast care delivery and integration.
1.2a Search CINAHL, PubMed, ERIC, and other databases for literature support.
1.2b Compile literature reference list and bibliography.
1.2c Review literature for relevance
1.2a To be completed by July 2014
1.2b To be completed by July 2014
1.2c To be completed by July
NURSE 730 PRACTICUM PROPOSAL PLAN 19
2014
2. Develop into the advanced specialty role of Nursing Administration by integrating two or more Standards of Professional Performance (ANA, 2009) during 2014 summer semester at Ferris State University.
2.1 Participate in professional development opportunities/education
2.1a Inquire, schedule & attend webinars, workshops, or breast care conferences
2.1b Review & participate in the NAPBC certification, process
2.1c Review & participate in development of breast center bylaws
2.1d Participate in the development of a formal budgetary plan
2.1e Participate in the review and development of standardized care practices to ensure NAPBC compliance
2.1f Participate in review of breast center case review and data collection
2.1a To be completed by July 2014
2.1b To be completed by July 2014
2.1c To be completed by July 2014
2.1d To be completed by July 2014
2.1e To be completed by July 2014
2.1f To be completed by July 2014
Standard 7: Quality of Practice
2.2 Standard 7: Quality of Practice Actively assess breast care service delivery across the acute care and out-patient settings in conjunction with BPL leadership team
2.2 a Attend & participate in weekly/monthly BPL meetings, multi-disciplinary clinic meetings, Breast Center Basecamp agenda/action plans
2.2b Participate in the
2.2a To be completed by July 2014
NURSE 730 PRACTICUM PROPOSAL PLAN 20
review and evaluation of quality measures for breast care services
2.2c Participate in the development and implementation of standardized care practices for breast care delivery
2.2b To be completed by July 2014
2.2c To be completed by July 2014
Standard 11: Collaboration
2.3 Standard 11: Collaboration Actively communicate with Mrs. Kiessel & BPL team members using Watson’s Philosophy of Science & Caring Principles (2008) to promote relationship building, information sharing, and feedback
2.3a Engage in communication with BPL team members weekly re breast center agenda, project goals, and action plans
2.3b Participate/communicate online with Basecamp team members re breast center agenda, project goals, and action plan
2.3b Collaborate and communicate with Mrs. Kiessel weekly to revise, assess, and plan future breast center project goals
2.3a To be completed by end of July 2014
2.3b To be completed by end of July 2014
2.3b To be completed by end of July 2014
NURSE 730 PRACTICUM PROPOSAL PLAN 21
Appendix B
NURSE 730 PRACTICUM PROPOSAL PLAN 22
Appendix C
Nursing Leadership Practicum Experience Self-Assessment Tool
1. Professional Nursing Administrative Leadership Development: Attainment of Knowledge, Skills & Experience
a. Knowledge gained r/t breast care service delivery and integration:
b. Nursing administrative leadership skills gained through active role participation:
c. Nursing administrative leadership experience gained through active role participation:
Identified Strengths:
Identified Weaknesses:
Short Term Action Plan:
Long Term Action Plan:
Met _____ Not Met _____
Met _____ Not Met _____
Met _____ Not Met _____
NURSE 730 PRACTICUM PROPOSAL PLAN 23
2. Integration of ANA Standard 7: Quality of Practice
a. Knowledge obtained through research, attendance of workshops, webinars, breast care conferences or other avenues increased scope of understanding r/t integration of breast care services across the acute care and out-patient settings at Munson Healthcare:
b. Application of this knowledge enhanced breast care service delivery through project goals to achieve accreditation, formation of bylaws, business plan, formal budget, standardized care practices, data collection or other:
Identified Strengths:
Identified Weaknesses:
Short Term Action Plan:
Long Term Action Plan:
Met _____ Not Met _____
Met _____ Not Met _____
NURSE 730 PRACTICUM PROPOSAL PLAN 24
3. Integration of ANA Standard 11: Collaboration
a. Attended and participated with multidisciplinary team members in weekly breast center meetings to achieve project goals r/t accreditation, formation of bylaws, business plan, formal budget, standardized care practices, data collection or other:
Identified Strengths:
Identified Weaknesses:
Short Term Action Plan:
Long Term Action Plan:
Met _____ Not Met _____
NURSE 730 PRACTICUM PROPOSAL PLAN 25
Appendix D
Preceptor Assessment Evaluation Tool
Please rate the extent to which Cheryl Miller demonstrated professional nursing leadership principles through active leadership participation in the development of a formalized breast center at Munson Medical Center during the 2014 summer semester at Ferris State University. Practicum experiential goals include professional nursing leadership growth through active participation in assessing breast center care delivery, collaboration with BPL team members to develop project goals and action plans r/t NAPBC accreditation, development of breast center bylaws, formalizing a business plan, formalizing a budget, and more.
1=unsatisfactory 2=needs improvement 3=meets expectations 4=exceeds expectations
1. Sets clear objectives, goals and milestones to assist in breast center project activities.
2. Clearly communicates goals and expectations to ensure alignment of efforts toward breast center project goals.
3. Facilitates communication to enhance dialogue and enhance professional relationships.
Greatest Strengths
Greatest Weaknesses
Recommendations/Suggestions to assist Cheryl in her continued leadership growth
NURSE 730 PRACTICUM PROPOSAL PLAN 26
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