The Clinical Practice Experience Assignment

INTRODUCTION
To fulfill the clinical practice experience (CPE) requirements for this course, you will complete the attached “ Clinical Practice Experience (CPE) Record .” You will need to electronically sign and date the record. Finally, you must upload the “ CPE Record ” as a separate attachment and the required deliverables from that record to your e-portfolio. You should complete this task and the “ CPE Record ” before submitting AXM1 Task 1 The Clinical Practice Experience Assignment

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REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the report provided when submitting your task as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Upload your completed and signed “CPE Record” for evaluation as a separate attachment. The form should include the following: (I will upload)
• the date each activity was completed
• your electronic signature verifying that all activities have been completed (I will sign it).
Note: The “CPE Record” should be uploaded as a separate attachment and should not be included in your e-portfolio.

B. Upload all of the following required deliverables to your e-portfolio and provide a link to your e-portfolio:
• CPE schedule table of tasks and timelines
• mapping table with 10 competencies or skills mapped to related AACN Essentials (AACN, 2021)The Clinical Practice Experience Assignment
Note: It is possible that not all competencies or skills will map to the Essentials, so note this in your mapping table if necessary.
• Nurse quality position description
• NO screenshots to document the Phase 1 GoReact video reflection, NO image for each of your peer responses
• written reflection summary of your Phase 1 video reflection below No screenshot

• Phase 2 schedule table of tasks and timelines
• list of five strategies that nurses can use to support a culture of value-based care (VBC)
• completed “Value-Based Nursing Care Organizational Readiness Assessment” with an interpretation and recommendations for five action items that must occur prior to implementing VBC

• NO screenshots to document the Phase 2 GoReact video reflection, which includes NO images of the reflection video and NO IMAGE for each of your peer responses The Clinical Practice Experience Assignment

• written reflection summary of your Phase 2 video reflection NO screenshot

Master of Science, Nursing Core
Clinical Practice Experience (CPE) Record

CPE activities are important preparation for successfully complete the course.
By submitting this CPE Record to Evaluation with your name and completion date,
you attest that you completed all required Phase 1 and Phase 2 activities.

Student First & Last Name: _______________________________

Date all CPE Activities Completed: _________________________

Course Instructor Name: __________________________________

Course: Quality Outcomes in a Culture of Value-Based Nursing Care

Welcome to the clinical practice experience (CPE) for this course. The CPE for the Master of Science in Nursing program core courses consists of a variety of semi-structured activities. By completing all the activities and evidence listed within this document, and earning a grade of “Competent,” you will earn 25 indirect CPE hours for this course.

CPE Objective:
In the CPE for this course, you will gather and analyze perspectives regarding value-based nursing care by experiencing the role of a nurse quality manager responsible for monitoring, reporting, and ensuring safe and quality patient care.
In this CPE, you will experience the role of a graduate degree–prepared nurse in two phases: The Clinical Practice Experience Assignment

● Phase 1: Create a nurse quality manager position.
● Phase 2: Complete a value-based care readiness assessment.

Student Instructions:

● Type in your name and date at the top of this form.
● Type in the name of your faculty of record for this course (your assigned course instructor).
● Complete and date the required CPE activities.
● Submit the completed CPE Record as a separate Word document or PDF when you submit your
e-portfolio link containing the required deliverables for evaluation.
● If you cannot open resources with the web links in this document, open a new browser tab and copy and paste the URL into your browser’s address bar.

PHASE 1: CREATING THE NURSE QUALITY MANAGER POSITION
Check box when complete CPE Activity Date Activity Completed
1a.
● Review the CPE requirements in both Phase 1 and Phase 2.
● Pace your work by creating a CPE schedule table that includes the following components:
o ten deliverables required for the e-portfolio
o anticipated completion date for each deliverable
o estimated time (in hours and minutes) to complete each deliverable
● Review the sample CPE Schedule Table posted in the Course Tips.
Ten deliverables: The Clinical Practice Experience Assignment

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1. Statement of work
2. Work breakdown structure
3. Project scope statement
4. Project governance plan
5. Training and education of staff
6. Data collection from EHR
7. Data analysis
8. Data presentation
9. Dissemination
10. Project evaluation

Gather and Reflect
• Search online sources (such as LinkedIn Jobs or other career search engines) for information on the qualifications and responsibilities of healthcare quality managers and nurse quality managers.
• Search LinkedIn Jobs (or other career search engines) for related titles, salaries, and forecasts for these positions.
o Identify ten responsibilities needed for a quality management position.
1. Knowledge about performance measures and how they can be evaluated.
2. Experience in using any of the quality management strategies such as six sigma or total quality management (TQM) and applying them
3. Educating and training staff about quality management
4. Applying transformational leadership principles to communicate with staff
5. Using effective two-way communication to get tasks done as per the quality requirements
6. Performing performance evaluation for employees such as every quarter
7. Identifying the strengths and weaknesses of employees and deploying accordingly
8. Empowering and motivating employees t deliver quality services
9. Creating a work environment that is safer and full of psychological safety
10. Doing surveys on clients to find out their levels of satisfaction with the services and their quality The Clinical Practice Experience Assignment
1b.

• Create a two-column mapping table in your e-portfolio.
o In the left column, list the ten responsibilities you identified in your quality management search.
o Review the domains and competencies from The Essentials: Core Competencies for Professional Nursing Education https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
(AACN, 2021), beginning on page 28.
o In the right column, identify the domain and competency that best align to the responsibility.
o The objective of the mapping table is to map the responsibility to the domain with which it aligns. All domains may not be used and some domains may be used more than once.
RESPOSNIBILITY DOMAIN
1. Using evidence-based strategies only to deliver care Quality and safety
2. Using the EHR and CDS systems to provide quality care that is not fragmented Informatics and healthcare technologies
3. Collaborating with other disciplines to deliver holistic care Interprofessional partnerships
4. Achieving the highest levels of nursing education for best practice Knowledge for nursing practice
5. Offering care that is safe, effective, efficient, patient-centered, timely, and equitable. Quality and safety
6. Giving individualized care through personal care planning. Person-centered care
7. Offering care that is culturally sensitive Person-centered care
8. Giving health education to communities for prevention Population health
9. Applying clinical inquiry and research principles to quality care Scholarship for nursing practice
10. Maintaining honesty, fidelity, empathy, and ethics. Professionalism
1c.

• Create a position description for a nurse quality manager or coordinator, using the information gathered on the role and responsibilities of a nurse quality manager.
The nurse quality coordinator will be a professional with vast experience in nursing who has the knowledge and experience desired about the quality of nursing care that needs to be offered. He or she should have at least master’s degree in nursing in any specialty but preferable FNP since this is care across the lifespan. They must be culturally competent and possess transformational leadership traits of empowering and motivating employees to deliver their best.
o Use the “Nurse Quality Position Description” template to create this position description.

• Schedule a meeting with a healthcare quality professional to review the position description you created.
• Ask for the professional’s opinions and suggestions regarding the information in the position description you created. The Clinical Practice Experience Assignment

1d.

• Record and post a 3–5 minute GoReact https://lrps.wgu.edu/provision/173986725
video reflection discussing what you accomplished and learned from your Phase 1 CPE activities, including:
o insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager
o your perceptions regarding the feedback you received from the healthcare quality professional you interviewed
● Watch two peers’ videos and provide written constructive feedback.
● Take a screenshot of your video and screenshots of your two peers’ videos with your written feedback included.
1e.

● Write a brief reflection summary of your Phase 1 GoReact https://lrps.wgu.edu/provision/173986725
video reflection, including:
o insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager
o your perceptions regarding the feedback you received from the healthcare quality professional you interviewed The Clinical Practice Experience Assignment

Upload the following deliverables into your E-portfolio:

1a. CPE Schedule Table
• Include all ten deliverables required for the e-portfolio.
• List an anticipated completion date for each deliverable.
• Detail the estimated time (in hours and minutes) to complete each deliverable.

1b. Mapping table with ten (10) responsibilities
• Responsibilities are mapped to related AACN domain and competency.

1c. Nurse quality position description

1d. Three (3) screenshots from your GoReact activities
• Provide one screenshot of your video.
• Provide two screenshots of your peers’ videos with your written feedback included.

1e. Written reflection summary of your Phase 1 experience
• Include insights gained during the process of researching, mapping, and creating a position description for a nurse quality manager.
• Include your perceptions regarding the feedback you received from the healthcare quality professional you interviewed.
PHASE 2: VALUE-BASED CARE READINESS ASSESSMENT
Check box when complete CPE Activity The Clinical Practice Experience Assignment
Date
Activity Completed

2a.

• Search the WGU Library and/or scholarly online sources for credible information on strategies to implement value-based care from a nursing perspective.
• Meet with the nurse quality manager (or the individual responsible for quality) and nursing professionals to gather their perspectives on the role of nurses in supporting a culture of value-based care.
o This meeting can be with the healthcare quality professional you met with during Phase 1 of your CPE.
o If the organization has already implemented value-based care, gather information on the processes used and what the organization learned during the process.
• List five strategies nurses can use to support a culture of value-based care (VBC).
1. Using only evidence-based practice recommendations
2. Applying cultural competence and sensitivity
3. Continuous learning
4. Interprofessional collaboration
5. Offering only patient-centered care
2b.

• Meet with the nurse quality manager (or equivalent quality role such as a nurse leader or organizational interprofessional) to complete the “Value-Based Nursing Care Readiness Assessment.”
o It is recommended to meet with the same person initially interviewed and any additional professionals if needed.
• Write an interpretation of the organization’s level of readiness based on the “Value-Based Nursing Care Readiness Assessment” results.
• Collaborate with the nurse quality manager and nurse leaders to review the findings from the “Value-Based Nursing Care Readiness Assessment” and strategically plan for actions that must be completed to ensure readiness.
• Write five recommended action items that must be completed prior to implementing VBC. The Clinical Practice Experience Assignment
o If the organization has implemented value-based care, complete the five action items from a retrospective viewpoint.
1. Staff education about VBC
2. Staff training about VBC
3. Resource allocation
4. Recruitment of talent that is missing
5. Feasibility study
2c.

● Record and post a 3–5 minute GoReact https://lrps.wgu.edu/provision/173986725
video reflection discussing what you accomplished and learned from your Phase 2 CPE activities, including the following:
o insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment.”
● Watch two peers’ videos and provide written constructive feedback.
● Take a screenshot of your video and screenshots of your two peers’ videos with your written feedback included.

2d.

• Write a brief reflection summary of your Phase 2 GoReact https://lrps.wgu.edu/provision/173986725
video reflection including:
o insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment” The Clinical Practice Experience Assignment

2e.

• In the course material, complete “Unit 6: NAHQ Certification” Modules 1–8.
• Attach your NAHQ certification in the e-portfolio.

Upload the following deliverables into your E-portfolio:

2a. Five (5) strategies nurses can use to support a culture of VBC

2b. Completed “Value-Based Nursing Care Readiness Assessment” with
• an interpretation of the organization’s level of readiness for VBC, and
• five recommended action items that must be completed prior to implementing VBC

2c. Three (3) screenshots from your GoReact activities
• Include one screenshot of your video.
• Include two screenshots of your peers’ videos with your comments.

2d. Written Reflection Summary of your Phase 2 experience
• Include insights gained during the process of developing your “Value-Based Nursing Care Readiness Assessment.” The Clinical Practice Experience Assignment

2e. NAHQ certification

References
American Association of Colleges of Nursing. (2016, October). Clinical practice experiences FAQs.
https://www.aacnnursing.org/CCNE-Accreditation/Resources/FAQs/Clinical-Practice
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
Accountable Care Learning Collaborative. (n.d.) Value-Based Nursing Care Readiness Assessment. https://www.accountablecarelc.org/vb-nursing-care-readiness-assessment The Clinical Practice Experience Assignment
Revised 032122

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JOB TITLE: Job Title
SALARY RANGE: Level/Salary Range
POSITION SUMMARY (75 words or less)
THE POSITION ENTAILS THE SUPERVISION AND ASSURANCE OF QUALITY STANDARDS OF THE CARE THAT IS DELIVERED WHICH SHOULD BE STANDARD AT ALL TIMES AND NOT FLUCTUATE IN QUALITY. IT INVOLVES SUPERVISON AND DELEGGATION AS WELL AS THE TRAINING OF AND EDUCATION OF STAFF.
RESPONSIBILITIES (TOP 5)
• TRAINING AND EDUCATION
• SUPERVISION
• DELEGATION
• EVALUATION
• DIRECTING AND CONTROLLING
EDUCATIONAL REQUIREMENTS
AT LEAST A MASTERS DEGREE IN NURSING EDUCATION AND MANAGEMENT
REQUIRED SKILLS
• EFFECTIVE COMMUNICATION
• TRANSFORMATIONAL LEADERSHIP SKILLS
• INTEGRITY
• HANDS-ON EXPERIENCE IN QUALITY MANAGEENT
REQUIRED EXPERIENCE
• LEADERSHIP EXPERIENCE
• WORK EXPERIENCE AS AN EMPLOYEE
• MANAGEMENT EXPERIENCE The Clinical Practice Experience Assignment

DEFINED NEED Yes No
Has your organization established a need to implement value-based nursing care strategies? ✓ ☐
READINESS FOR CHANGE
Is now the right time for implementing value-based nursing care (e.g., it will not compete with other major changes currently being made within the organization)? ✓ ☐
Have employees been informed of the recommendations and been provided an opportunity to comment on the feasibility of the change? ✓ ☐
Have implementation plans been developed that include an action plan, training plan, and communication and change management plans? ✓ ☐
Does the organization have a Health Information System that has the capacity to collect, analyze and report value metrics and key performance indicators that link nursing care services to patient outcomes? ✓ ☐
LEADERSHIP & MANAGEMENT SUPPORT
Will the organization’s executive leaders actively support and champion implementation of value-based nursing care. ✓ ☐
Does the organization’s leadership reward teamwork behaviors and showcase successes throughout the organization? ✓ ☐
Have the strategic recommendations the interprofessional team developed been approved by organizational leaders and managers? ✓ ☐
TIME, RESOURCES, PERSONNEL
Has an Impact Analysis been completed to determine the influence this change will have on human and financial resources? ✓ ☐
Does your organization have sufficient staff with the necessary time and resources to support active project participation? ✓ ☐
Will your organization allow time to prepare and continue work on project deliverables? ✓ ☐
SUSTAINMENT OF THE CHANGE
Has the organization identified value metrics that can be used to measure the effectiveness of value-based nursing care over time? ✓ ☐
Will the organization be willing to use continuous improvement processes to measure and assess progress and continuously improve processes? ✓ ☐
Will strategies for minimizing potential project failure modes be developed prior to implementation? ✓ ☐
Does the organization have a culture that supports and rewards teamwork and innovation in nursing care? ✓ ☐

Count the number of “Yes” responses and refer to the next page to determine the organization’s level of readiness for value-based nursing care The Clinical Practice Experience Assignment.

READINESS ASSESSMENT SCORE

Number of Yes responses you have selected is 11-15 out of 15:
This is likely a good time within your organization to participate in the Value-Based Nursing Care Project. Prior to implementation, continue to monitor whether the answers to these questions change and keep a close eye on any items to which you answered “No.”

Number of Yes responses you have selected is 6-10 out of 15:
Your organization may not be ready on several of the factors. This reduces the likelihood of the success of implementing Value-based Nursing Care at this time.

Number of Yes responses you have selected is 1-5 out of 15:
Based on your responses, significant work is likely needed to raise the readiness level of your organization. Moving forward with implementing Value-Based Nursing Care could create significant risk that it will not succeed or produce the desired results.

References

Accountable Care Learning Collaborative. (n.d.) Value-Based Nursing Care Readiness Assessment. https://www.accountablecarelc.org/vb-nursing-care-readiness-assessment  The Clinical Practice Experience Assignment