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Running head: NURSE 730 PRACTICUM PROPOSAL PLAN Nurse 730 Practicum Proposal Plan Cheryl Miller Ferris State University NURSE 730 PRACTICUM PROPOSAL PLAN 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 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 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 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 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 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 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 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 effort, NURSE 730 PRACTICUM PROPOSAL PLAN 10 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 multidisciplinary 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 14 leadership competencies are consistent findings by the American College of Healthcare Executives (ACHE) (2014) which can be organized into 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 selfesteem 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-ofNursing/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-servicesthrough-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 Porter-O’Grady, T (2011) Leadership at all levels Nursing Management doi10.1097/01.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 multidisciplinary 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 Foster professional nursing leadership growth through the attainment of knowledge, skills, and experience during the 2014 summer semester at Ferris State University Objectives 1.1 Gain confidence through mentorship & leadership practice with Mrs Kiessel 1.2 Search literature and other data sources related to administrative leadership & breast care delivery and integration Activities 1.1a Attend & participate in BPL meeting activities and goals Timeline 1.1a To be completed by July 2014 1.1b Attend & participate in daily Breast Center Basecamp activities 1.1b To be completed by July 2014 1.1c Meet weekly with Mrs Kiessel to review current and future goals, evaluate successes 1.1c To be completed by July 2014 1.1d Attend & observe breast care delivery at Multi-D clinic biweekly 1.1d To be completed by July 2014 1.2a Search CINAHL, PubMed, ERIC, and other databases for literature support 1.2a To be completed by July 2014 1.2b Compile literature reference list and bibliography 1.2b To be completed by July 2014 1.2c Review literature for relevance 1.2c To be completed by July NURSE 730 PRACTICUM PROPOSAL PLAN 19 2014 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 & 2.1a To be attend webinars, completed by July workshops, or breast 2014 care conferences 2.1b To be completed by July 2.1b Review & 2014 participate in the NAPBC certification, process 2.1c To be completed by July 2.1c Review & 2014 participate in development of breast center bylaws 2.1d To be completed by July 2.1d Participate in the development of a formal 2014 budgetary plan 2.1e To be completed by July 2.1e Participate in the review and development 2014 of standardized care practices to ensure NAPBC compliance 2.1f To be completed by July 2.1f Participate in 2014 review of breast center case review and data collection Standard 7: Quality 2.2 Standard 7: of Practice 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 & 2.2a To be participate in completed by July weekly/monthly BPL 2014 meetings, multidisciplinary clinic meetings, Breast Center Basecamp agenda/action plans 2.2b Participate in the NURSE 730 PRACTICUM PROPOSAL PLAN 20 2.2b To be review and evaluation of completed by July 2014 quality measures for breast care services 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 2.2c Participate in the development and implementation of standardized care practices for breast care delivery 2.2c To be completed by July 2014 2.3a Engage in communication with BPL team members weekly re breast center agenda, project goals, and action plans 2.3a To be completed by end of July 2014 2.3b 2.3b To be Participate/communicate completed by end of online with Basecamp July 2014 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 2.3b To be completed by end of July 2014 NURSE 730 PRACTICUM PROPOSAL PLAN Appendix B 21 NURSE 730 PRACTICUM PROPOSAL PLAN 22 Appendix C Nursing Leadership Practicum Experience Self-Assessment Tool Professional Nursing Administrative Leadership Development: Attainment of Knowledge, Skills & Experience a Knowledge gained r/t breast care service delivery and integration: Met _ Not Met _ b Nursing administrative leadership skills gained through active role participation: Met _ Not Met _ c Nursing administrative leadership experience gained through active role participation: Met _ Not Met _ Identified Strengths: Identified Weaknesses: Short Term Action Plan: Long Term Action Plan: NURSE 730 PRACTICUM PROPOSAL PLAN 23 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: Met _ Not Met _ 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: Met _ Not Met _ Identified Strengths: Identified Weaknesses: Short Term Action Plan: Long Term Action Plan: NURSE 730 PRACTICUM PROPOSAL PLAN 24 Integration of ANA Standard 11: Collaboration Met _ 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: 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 Sets clear objectives, goals and milestones to assist in breast center project activities Clearly communicates goals and expectations to ensure alignment of efforts toward breast center project goals Facilitates communication to enhance dialogue and enhance professional relationships Greatest Strengths Greatest Weaknesses Recommendations/Suggestions to assist Cheryl in her continued leadership growth Bibliography NURSE 730 PRACTICUM PROPOSAL PLAN 26 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 Bond, S M (2010) Crossing the threshold of cancer and aging: Integrating gerontological and oncological nursing knowledge and skills Journal of Gerontological Nursing, 36(2), 3-4 doi:10.3928/00989134-20100108-04 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 Glickman, S W., Baggett, K A., Krubert, C G., Peterson, E D & Schulman, K A (2007) Promoting quality: The health-care organization from a management perspective International Journal for Quality in Health Care, 19(6), 341-348 Greer, J A., Jackson, V A., Meier, D E & Temel, J S (2013) Early integration of palliative care services with standard oncology care for patients with advanced cancer CA: A NURSE 730 PRACTICUM PROPOSAL PLAN 27 Cancer Journal for Clinicians, 63, 349- 363 doi/10.3322/caac.21192 Havens, D S., Vasey J., Gittell, J H & Lin, W (2010) Relational coordination among nurses and other providers: Impact on the quality of patient care Journal of Nursing Management, 18, 926-937 doi: 10.1111/j.1365-2834.2010.01138.x 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-servicesthrough-leadership-development.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-ofNursing/Future%20of%20Nursing%202010%20Recommendations.pdf 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 Porter-O’Grady, T (2011) Leadership at all levels Nursing Management doi10.1097/01.NUMA.0000396347.49552.86 Practice Pro Munson Healthcare (2013) The Cowell family cancer center: Cancer treatment close to home Retrieved from http://www.munsonhealthcare.org/upload/docs/Practice%20Pro/PracticePro%20February %202013.pdf Pritchard-Jones, K (2013) How clinicians are driving innovation in cancer care Health Service Journal, 1-5 NURSE 730 PRACTICUM PROPOSAL PLAN 28 Thompson, D (2009) Obtaining Breast Center Accreditation: Merging market shares goals with quality measures Retrieved from https://obroncology.com/documents/OBR_NOV09_NAPBC.pdf Tonges, M & Joel, R (2011) Translating caring theory into practice: The Carolina care model The Journal of Nursing Administration, 41(9), 374-381 Tzenalis, A & Sotiriadou, C (2010) Health promotion as multi-professional and multidisciplinary 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

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