NRS-465 Individual Success Plan

REQUIRED PRACTICE HOURS: 

• 100 direct clinical experience (50 hours community/50 hours leadership)
• 25 indirect care experience hours

P R A C T I C E E X P E R I E N C E	Complete Contact Information
	Student Information	GCU
	Name:
	E-mail:
	Phone Number:
	Course Faculty Information	GCU
	Name:
	E-mail:
	Phone Number:
	Practicum Preceptor Information	Practice Setting
	Name:
	E-mail:
	Phone Number:

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for NRS-465, the Applied Evidence-Based Project and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish. 

In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect care experience hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. By the end of the course, your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains and Competencies (see Appendix A).  

General Requirements

Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

• Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains and Competencies (Appendix A) related to this course. 

• The major deliverables of the course are listed. Show the topic/course objectives that apply to each deliverable and align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A). 
• Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time or time spent with your preceptor outside of scheduled practicum experience time at the practicum site. 

• Within the Individual Success Plan, ensure you identify all graded course assignments and indirect care experience assignments listed in the table on the next page.

Topic	Graded Assignment	Indirect Care Experience Assignments
Topic 1	Individual Success Plan (ISP)	List of potential topics for the change proposal
Topic 2		Search the literature for supporting journal articles Topic selection based on assessment of clinical site
Topic 3	PICOT Question Development Reflection Journal Entry	Search the literature for supporting journal articles
Topic 4	Literature Evaluation Table
Topic 5		Implementation Plan with objectives and measurable outcomes taking into account sociocultural and linguistic considerations Midterm Clinical Evaluation Tool
Topic 6	Literature Review	List of resources
Topic 7	Reflection Journal Entry	Development of evaluation plan Remediation-if required
Topic 8	Written Capstone Project Change Proposal
Topic 9	Reflection Journal Entry	Professional Presentation development
Topic 10	Finalized ISP Scholarly Activity Summary Benchmark - Reflection Journal Summary	Dissemination reflection Final Clinical Evaluation Tool Practice Clinical Evaluation Tool-Student Evaluation of Preceptor and Site

Application-based Learning Course Assignments	List of Current Course Objectives	Assignment Date Due	Self-Assessment: Programmatic Domains and Competencies (see Appendix A)	Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies (see Appendix A)	Date Assignment Completed
Completion of ISP
Capstone Project Topic Selection and Approval
PICOT Question Development
Topic 3 Reflection Journal
Literature Evaluation Table
Implementation Plan
List of Resources
Literature Review
Topic 7 Reflection Journal
Evaluation Plan
Written Capstone Project Change Proposal
Topic 9 Reflection Journal
Presentation Development
Presentation Dissemination and Reflection
Scholarly Activity Summary
Clinical Practice Hours
Midterm and Final Clinical Evaluation Tool Completion
Student Evaluation of Preceptor and Agency

By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been completed with your guidance.

Student Signature
Name:
Signature:
Date:
Preceptor Signature [Upon Initiation of Course]
Name:
Signature:
Date:
Preceptor Signature [Upon Completion of Course]
Name:
Signature:
Date:

The "NRS-465 Individual Success Plan" is a clinical document that is necessary to meet clinical requirements for this course. Therefore, this form should be submitted with the preceptor's hand-written signature. A typed electronic signature will not be accepted. It is acceptable for the student to type his/her signature as noted above.

APPENDIX A:

GCU RN-to-BSN Domains and Competencies

1. University's Mission Critical Competencies 

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful. 

MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice. 

MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective. 

MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice. 

MC5: Leadership: Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.

2. Domains and Competencies

How does this Individual Success Plan support the Program Domains and Competencies?

Domain 1: Knowledge for Nursing Practice

1.3: Demonstrate clinical judgment founded on a broad knowledge base. [AACN 1.3a, 1.3b, 1.3c] – Benchmark 

Domain 2: Person-Centered Care

2.5: Develop a plan of care. [AACN 2.5d] – Benchmark

2.8: Promote self-care management. [AACN 2.8d] 

Domain 3: Population Health

3.1: Manage population health. [AACN 3.1a, 3.1b, 3.1c, 3.1f, 3.1g] 

3.2: Engage in effective partnerships. [AACN 3.2a, 3.2b] 

3.3: Consider the socioeconomic impact of the delivery of health care. [AACN 3.3b]  

3.5: Demonstrate advocacy strategies. [AACN 3.5a, 3.5b, 3.5c, 3.5d] 

Domain 4: Scholarship for the Nursing Discipline

4.1: Advance the scholarship of nursing. [AACN 4.1a, 4.1b, 4.1c, 4.1d, 4.1e, 4.1f, 4.1g] – Benchmark

4.2: Integrate best evidence into nursing practice. [AACN 4.2a, 4.2b, 4.2c, 4.2d, 4.2e] – Benchmark

Domain 5: Quality and Safety

5.1: Apply quality improvement principles in care delivery. [AACN 5.1a, 5.1c, 5.1f, 5.1g, 5.1h] – Benchmark

Domain 6: Interprofessional Partnerships

6.1: Communicate in a manner that facilitates a partnership approach to quality care delivery. [AACN 6.1a, 6.1b] 

6.2: Perform effectively in different team roles, using principles and values of team dynamics. [AACN 6.2d] 

6.3: Use knowledge of nursing and other professions to address healthcare needs. [AACN 6.3a, 6.3b, 6.3c] – Benchmark

6.4: Work with other professions to maintain a climate of mutual learning, respect, and shared values. [AACN 6.4a, 6.4b, 6.4d] – Benchmark

Domain 7: Systems-Based Practice

7.1: Apply knowledge of systems to work effectively across the continuum of care. [AACN 7.1a, 7.1d] – Benchmark

7.2: Incorporate consideration of cost-effectiveness of care. [AACN 7.2b, 7.2d, 7.2e, 7.2f] – Benchmark

   

7.3: Optimize system effectiveness through application of innovation and evidence-based practice. [AACN 7.3a, 7.3c] – Benchmark

Domain 8: Informatics and Healthcare Technologies

8.1: Describe the various information and communication technology tools used in the care of patients, communities, and populations. [AACN 8.1a, 8.1b] 

8.3: Use information and communication technologies and informatics processes to deliver safe nursing care to diverse populations in a variety of settings. [AACN 8.3a, 8.3d]

Domain 9: Professionalism

9.1: Demonstrate an ethical comportment in one's practice reflective of nursing's mission to society. [AACN 9.1b, 9.1d] 

9.2: Employ participatory approach to nursing care. [AACN 9.2g] 

9.3: Demonstrate accountability to the individual, society, and the profession. [AACN 9.3a, 9.3d, 9.3e, 9.3h] 

9.5: Demonstrate the professional identity of nursing. [AACN 9.5d] 

9.6: Integrate diversity, equity, and inclusion as core to one's professional identity. [AACN 9.6b] – Benchmark

Domain 10: Personal, Professional, and Leadership Development

10.2: Demonstrate a spirit of inquiry that fosters flexibility and professional maturity. [AACN 10.2a, 10.2b, 10.2c, 10.2d] 

10.3: Develop capacity for leadership. [AACN 10.3c, 10.3d, 10.3e, 10.3f, 10.3g, 10.3h]