Assignment Prompt & Instructions
Follow rubric
**files (3)**
– ## QualityImprovementInitiativeProject.docx
– ## StrategicDevelopmentPlanSt.MarysHospital1.pdf
– ## RubricDetails.docx
**## QualityImprovementInitiativeProject.docx**
**MINIMUM of 10 pages**
12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
Nursing Leadership and Management-DAX-DL01 Nora Hernandez-Pupo
Quality Improvement Initiative Project
**Assignment: Quality Improvement Initiative Project**
**Overview**
You are an advanced practice nurse (APN) leader at a fictional non-profit community hospital, St. Mary’s General Hospital. Your Chief Nursing Officer (CNO) has asked you to design and implement a hospital-wide Quality Improvement (QI) initiative that engages nurses and builds their QI skills.
**Key Requirements**
· Develop a comprehensive QI initiative that promotes nurse engagement and skill development
· Demonstrate familiarity with QI processes, leadership approaches, and graduate-level critical analysis
· Integrate evidence, best practices, and research from
**at least 12** scholarly sources
· Align your proposal with St. Mary’s mission, vision, and strategic plan (provided on Blackboard > Assignments)
**Paper Structure & Grading**
Follow the grading rubric precisely. Omitting or vaguely addressing any criterion will lower your grade or result in a non-pass. Each section below maps directly to the rubric:
**Introduction**
· State the purpose and scope of your QI initiative
· Preview the paper’s structure
**Background & Significance**
· Define Quality Improvement and its importance to healthcare, patients, and stakeholders
· Explain how QI connects to all nursing levels, emphasizing nurse leaders
· Identify the first step your APN leader will take, including:
· A specific QI tool or measure
· Rationale for its selection
· How to interpret and apply findings to guide decision-making
**Initiative Development**
· Outline strategies to engage nurses actively in QI
· Describe leadership style(s) and approaches you will use
· Detail resources, training, and support mechanisms
**Implementation Plan**
· Present a step-by-step rollout timeline
· Assign responsibilities and communication channels
**Evaluation & Sustainability**
· Define clear metrics and data-collection methods
· Explain how results will inform continuous improvement
· Propose strategies to sustain nurse engagement over time
**Conclusion**
· Summarize key recommendations
· Reflect on potential challenges and mitigation strategies
**Resources & Submission Guidelines**
· Download St. Mary’s Mission, Vision & Strategic Plan from Blackboard > Assignments.
· Review the detailed grading rubric in the course shell.
· You have one submission opportunity, late or incomplete work may not be accepted.
· Refer to the syllabus for formatting, citation style, and grading policies.
**Tips for Success**
· Be specific and succinct, avoid vague statements.
· Integrate multiple, credible sources; each reference must support a clear point.
· Align every element of your proposal with the hospital’s strategic goals.
· Proofread for clarity, coherence, and APA formatting.
**Additional Resources You Might Explore**
· Example QI tools: Plan-Do-Study-Act cycle, Root Cause Analysis, Lean methodologies
· Leadership frameworks: Transformational, Servant, and Situational Leadership
· Peer-reviewed journals on nursing QI best practices (e.g.,
_Journal of Nursing Care Quality_,
_BMJ Quality & Safety_)
This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. APA must be strictly followed. The page requirement for this project will be a
**MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page]**. Penalty will be imposed for exceeding or not meeting the minimum page requirement.
**REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**
**Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)
**StrategicDevelopmentPlanSt.MarysHospital.pdf**
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
**## StrategicDevelopmentPlanSt.MarysHospital1.pdf**
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
1
MISSION, VISION & VALUES:
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
2
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
3
STRATEGIC PLAN:
VISION 2026
A Pledge from Our Leaders
While simultaneously fighting the impacts of COVID-19, our progressive teams at St. Mary’s General Hospital have been planning
with our community to chart a course for our future. It has galvanized our resolve to build on the compassion and excellence that
defines St. Mary’s, and grow stronger and healthier together within our organization and with our rapidly expanding, diverse and
innovative community.
With this backdrop, we are excited to introduce St. Mary’s Strategic Plan, a vision for the next 5-7 years, with two-year objectives to
propel us forward. We thank all who helped shape it – our staff, physicians, patients and families, local partners within and outside
healthcare, and the broader community. Their input helped us develop a new Mission, a new set of Values and a new Vision:
Inspiring Excellence. Healthier Together.
As we implement this strategic plan, we will gauge progress and adjust to meet new challenges. We will enhance our role as providers
of regional programs, and within a broader health system.
Together with our regional partner hospitals, St. Mary’s will accelerate collaboration with our region’s post-secondary institutions and
with Communitech, an innovation hub that supports local companies, some of which have a significant interest in advancing
excellence in health care. Together we will consider the future of health care through these innovations and learnings.
Five strategic priorities will guide our actions:
1. expand equitable access to high quality
2. empowered care
3. transform connected care with our partners and community
4. develop our team of today and the future
5. embrace new ways to innovate healthcare; and build for growth
All of this will bring focus to the diverse community we serve and ensure equity in care. Please join us as we evolve to serve you
better
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
4
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
5
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
6
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
7
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
8
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
9
Supporting Our Plan
Across all of our strategic priorities there are foundational enablers that will be critical in supporting the achievement of our 2026
strategic plan. Enablers are key elements that St. Mary’s must have in place to ensure successful implementation, sustainability and
measurement of the strategy.
Ensure our future fiscal sustainability Create a safe, healthy & sustainable place
to work for all staff, physicians and
volunteers
LONG-TERM OBJECTIVE
LONG-TERM OBJECTIVE
• Ensure financial sustainability of St. Mary’s now and
in the future in order to meet the growing needs of
our community.
• Build inspiring places to work that empower
dedicated and healthy staff by ensuring sustainable
support, care and growth opportunities
• Increase our focus on diversity and inclusion in the
way we work and do things.
24 MONTH OBJECTIVES
24 MONTH OBJECTIVES
• Develop a robust financial strategy to address current
gaps in funding.
• Develop a strategic Health Human Resources plan
• Identify new funding avenues with partners
particularly in areas such as innovation
• Improve the team retention rate
• Implement a reinforcing management system that
aligns with our vision and supports deployment and
sustainment of strategic priorities.
• Measure performance in achieving the strategic plan
and priorities.
**## RubricDetails.docx**
Rubric Details
**Maximum Score**
100 points
·
**Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].**
5% of total result
**Excellent**
Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**5**
**Satisfactory**
**0**
**Unsatisfactory**
**0**
**Unacceptable**
Page limit is either above or below the: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**0**
·
**Introduction (Introduce the overall concepts that will be described in the student’s paper; not generic to the assignment outline)**
5% of total result
**Excellent**
Clear and concise introduction of the concepts to be presented in the paper
**5**
**Satisfactory**
Mostly clear but somewhat generic introduction of the concepts to presented in the paper
**4**
**3**
**Unacceptable**
The paper does not demonstrate that the author has understood, and applied concepts learned in the course.
**0**
·
**Background/Significance**
10% of total result
**Excellent**
Identifies, describes and demonstrates a sophisticated understanding of QI as it relates to healthcare, patients, stakeholders, nurses at all levels of practice and APN nurse leaders. Correct and specific identification, outline, and support for the first step, tools, measures and application of findings needed by the APN leader to fulfill the QI initiative provided that is well supported with evidence and literature throughout.
**10**
·
**Personal/Profession Leadership**
10% of total result
**Excellent**
Clear, detailed, and comprehensive description of the personal leadership style, professional and personal leadership competencies, & personal and professional qualities and skills necessary to be a successful nurse leader at the APN level to lead the QI initiative. This section also presents a clear & comprehensive discussion of how the APN will assess needed leadership skills and a specific plan for attaining these skills that is well supported by the literature, evidence, and research.
**10**
**4**
·
**Detailed Plan (Toolkit) for QI Initiatives**
10% of total result
**Excellent**
Clear, detailed, and comprehensive strategy outlining exactly how the nurse leader plans to develop the QI initiative which details the processes, education, tools and skills necessary for nurses to successfully initiate, plan, develop, evaluate and share insights for QI projects at St. Mary’s that can be presented to the CNO is provided. This plan is comprehensively and well supported by national QI initiatives, tools, best practice, evidence and research.
**10**
**4**
·
**Alignment with Hospital Strategic Initiative**
10% of total result
**Excellent**
Specific, detailed and clear description of how the QI initiative aligns with St. Mary’s mission, vision, and strategic plan is provided. There is a detailed outline of how the APN plans to measure the success of the QI initiative (includes both short & long-term goals) that aligns with one or more national QI initiative and is linked to the disciplinary knowledge of nursing. Well supported with literature, best practice, and evidence.
**10**
**0**
·
**Nurse Engagement**
10% of total result
**Excellent**
Clear, detailed and comprehensive strategy of how the APN leader will foster nurse engagement and buy-in for the planned QI initiative is provided. Detailed and comprehensive strategy for involving the NP in the QI initiative that is grounded in NP scope of practice using both primary and secondary sources. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**APA formatting (paper is formatted per APA 7th edition guidelines including font, level of headings, appropriate number of references, in-text and reference list citations) Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper. Students are expected to know how to read their similarity index and correct for high similarity. REFERENCES Must have DOI Numbers for me to look them up.**
10% of total result
**Excellent**
APA formatting is followed throughout the paper with correct citations and includes at least 12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
**10**
·
**Barriers & Facilitators**
10% of total result
**Excellent**
Clear, detailed and comprehensive evaluation of barriers and facilitators likely to be encountered by the APN leader implementing the nursing QI initiative in practice settings. Specific and detailed strategies and examples are provided to address the main barriers that demonstrates a comprehensive understanding of QI process and the role of the APN leader. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Social Leadership**
10% of total result
**Excellent**
Comprehensive examination of principles of social leadership that fully integrates these qualities as they relate to the role of APN leader in today’s healthcare environment with specific and detailed examples of how these qualities will be used by the APN leader to implement the QI initiative. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Conclusion/Summary**
5% of total result
**Excellent**
Summarizes the key points made throughout the student paper in a succinct and comprehensive manner. Provides appropriate references and citations to support concluding comments.
**5**
**0**
·
**Writing Mechanics: Language and direction of the paper follows the assignment outline and is clear and easy to follow**
5% of total result
**Excellent**
Demonstrates clarity, conciseness and correctness. writing is free of grammar and spelling errors. The assignment outline was followed and guides the paper. The paper is developed using APA approved headings throughout the paper.
**5**
**## RubricDetails.docx**
Rubric Details
**Maximum Score**
100 points
·
**Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].**
5% of total result
**Excellent**
Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**5**
**Satisfactory**
**0**
**Unsatisfactory**
**0**
**Unacceptable**
Page limit is either above or below the: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**0**
·
**Introduction (Introduce the overall concepts that will be described in the student’s paper; not generic to the assignment outline)**
5% of total result
**Excellent**
Clear and concise introduction of the concepts to be presented in the paper
**5**
**Satisfactory**
Mostly clear but somewhat generic introduction of the concepts to presented in the paper
**4**
**3**
**Unacceptable**
The paper does not demonstrate that the author has understood, and applied concepts learned in the course.
**0**
·
**Background/Significance**
10% of total result
**Excellent**
Identifies, describes and demonstrates a sophisticated understanding of QI as it relates to healthcare, patients, stakeholders, nurses at all levels of practice and APN nurse leaders. Correct and specific identification, outline, and support for the first step, tools, measures and application of findings needed by the APN leader to fulfill the QI initiative provided that is well supported with evidence and literature throughout.
**10**
·
**Personal/Profession Leadership**
10% of total result
**Excellent**
Clear, detailed, and comprehensive description of the personal leadership style, professional and personal leadership competencies, & personal and professional qualities and skills necessary to be a successful nurse leader at the APN level to lead the QI initiative. This section also presents a clear & comprehensive discussion of how the APN will assess needed leadership skills and a specific plan for attaining these skills that is well supported by the literature, evidence, and research.
**10**
**4**
·
**Detailed Plan (Toolkit) for QI Initiatives**
10% of total result
**Excellent**
Clear, detailed, and comprehensive strategy outlining exactly how the nurse leader plans to develop the QI initiative which details the processes, education, tools and skills necessary for nurses to successfully initiate, plan, develop, evaluate and share insights for QI projects at St. Mary’s that can be presented to the CNO is provided. This plan is comprehensively and well supported by national QI initiatives, tools, best practice, evidence and research.
**10**
**4**
·
**Alignment with Hospital Strategic Initiative**
10% of total result
**Excellent**
Specific, detailed and clear description of how the QI initiative aligns with St. Mary’s mission, vision, and strategic plan is provided. There is a detailed outline of how the APN plans to measure the success of the QI initiative (includes both short & long-term goals) that aligns with one or more national QI initiative and is linked to the disciplinary knowledge of nursing. Well supported with literature, best practice, and evidence.
**10**
**0**
·
**Nurse Engagement**
10% of total result
**Excellent**
Clear, detailed and comprehensive strategy of how the APN leader will foster nurse engagement and buy-in for the planned QI initiative is provided. Detailed and comprehensive strategy for involving the NP in the QI initiative that is grounded in NP scope of practice using both primary and secondary sources. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**APA formatting (paper is formatted per APA 7th edition guidelines including font, level of headings, appropriate number of references, in-text and reference list citations) Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper. Students are expected to know how to read their similarity index and correct for high similarity. REFERENCES Must have DOI Numbers for me to look them up.**
10% of total result
**Excellent**
APA formatting is followed throughout the paper with correct citations and includes at least 12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
**10**
·
**Barriers & Facilitators**
10% of total result
**Excellent**
Clear, detailed and comprehensive evaluation of barriers and facilitators likely to be encountered by the APN leader implementing the nursing QI initiative in practice settings. Specific and detailed strategies and examples are provided to address the main barriers that demonstrates a comprehensive understanding of QI process and the role of the APN leader. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Social Leadership**
10% of total result
**Excellent**
Comprehensive examination of principles of social leadership that fully integrates these qualities as they relate to the role of APN leader in today’s healthcare environment with specific and detailed examples of how these qualities will be used by the APN leader to implement the QI initiative. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Conclusion/Summary**
5% of total result
**Excellent**
Summarizes the key points made throughout the student paper in a succinct and comprehensive manner. Provides appropriate references and citations to support concluding comments.
**5**
**0**
·
**Writing Mechanics: Language and direction of the paper follows the assignment outline and is clear and easy to follow**
5% of total result
**Excellent**
Demonstrates clarity, conciseness and correctness. writing is free of grammar and spelling errors. The assignment outline was followed and guides the paper. The paper is developed using APA approved headings throughout the paper.
**5**
**## QualityImprovementInitiativeProject.docx**
**MINIMUM of 10 pages**
12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
Nursing Leadership and Management-DAX-DL01 Nora Hernandez-Pupo
Quality Improvement Initiative Project
**Assignment: Quality Improvement Initiative Project**
**Overview**
You are an advanced practice nurse (APN) leader at a fictional non-profit community hospital, St. Mary’s General Hospital. Your Chief Nursing Officer (CNO) has asked you to design and implement a hospital-wide Quality Improvement (QI) initiative that engages nurses and builds their QI skills.
**Key Requirements**
· Develop a comprehensive QI initiative that promotes nurse engagement and skill development
· Demonstrate familiarity with QI processes, leadership approaches, and graduate-level critical analysis
· Integrate evidence, best practices, and research from
**at least 12** scholarly sources
· Align your proposal with St. Mary’s mission, vision, and strategic plan (provided on Blackboard > Assignments)
**Paper Structure & Grading**
Follow the grading rubric precisely. Omitting or vaguely addressing any criterion will lower your grade or result in a non-pass. Each section below maps directly to the rubric:
**Introduction**
· State the purpose and scope of your QI initiative
· Preview the paper’s structure
**Background & Significance**
· Define Quality Improvement and its importance to healthcare, patients, and stakeholders
· Explain how QI connects to all nursing levels, emphasizing nurse leaders
· Identify the first step your APN leader will take, including:
· A specific QI tool or measure
· Rationale for its selection
· How to interpret and apply findings to guide decision-making
**Initiative Development**
· Outline strategies to engage nurses actively in QI
· Describe leadership style(s) and approaches you will use
· Detail resources, training, and support mechanisms
**Implementation Plan**
· Present a step-by-step rollout timeline
· Assign responsibilities and communication channels
**Evaluation & Sustainability**
· Define clear metrics and data-collection methods
· Explain how results will inform continuous improvement
· Propose strategies to sustain nurse engagement over time
**Conclusion**
· Summarize key recommendations
· Reflect on potential challenges and mitigation strategies
**Resources & Submission Guidelines**
· Download St. Mary’s Mission, Vision & Strategic Plan from Blackboard > Assignments.
· Review the detailed grading rubric in the course shell.
· You have one submission opportunity, late or incomplete work may not be accepted.
· Refer to the syllabus for formatting, citation style, and grading policies.
**Tips for Success**
· Be specific and succinct, avoid vague statements.
· Integrate multiple, credible sources; each reference must support a clear point.
· Align every element of your proposal with the hospital’s strategic goals.
· Proofread for clarity, coherence, and APA formatting.
**Additional Resources You Might Explore**
· Example QI tools: Plan-Do-Study-Act cycle, Root Cause Analysis, Lean methodologies
· Leadership frameworks: Transformational, Servant, and Situational Leadership
· Peer-reviewed journals on nursing QI best practices (e.g.,
_Journal of Nursing Care Quality_,
_BMJ Quality & Safety_)
This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. APA must be strictly followed. The page requirement for this project will be a
**MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page]**. Penalty will be imposed for exceeding or not meeting the minimum page requirement.
**REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**
**Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)
**StrategicDevelopmentPlanSt.MarysHospital.pdf**
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
**## StrategicDevelopmentPlanSt.MarysHospital1.pdf**
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
1
MISSION, VISION & VALUES:
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
2
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
3
STRATEGIC PLAN:
VISION 2026
A Pledge from Our Leaders
While simultaneously fighting the impacts of COVID-19, our progressive teams at St. Mary’s General Hospital have been planning
with our community to chart a course for our future. It has galvanized our resolve to build on the compassion and excellence that
defines St. Mary’s, and grow stronger and healthier together within our organization and with our rapidly expanding, diverse and
innovative community.
With this backdrop, we are excited to introduce St. Mary’s Strategic Plan, a vision for the next 5-7 years, with two-year objectives to
propel us forward. We thank all who helped shape it – our staff, physicians, patients and families, local partners within and outside
healthcare, and the broader community. Their input helped us develop a new Mission, a new set of Values and a new Vision:
Inspiring Excellence. Healthier Together.
As we implement this strategic plan, we will gauge progress and adjust to meet new challenges. We will enhance our role as providers
of regional programs, and within a broader health system.
Together with our regional partner hospitals, St. Mary’s will accelerate collaboration with our region’s post-secondary institutions and
with Communitech, an innovation hub that supports local companies, some of which have a significant interest in advancing
excellence in health care. Together we will consider the future of health care through these innovations and learnings.
Five strategic priorities will guide our actions:
1. expand equitable access to high quality
2. empowered care
3. transform connected care with our partners and community
4. develop our team of today and the future
5. embrace new ways to innovate healthcare; and build for growth
All of this will bring focus to the diverse community we serve and ensure equity in care. Please join us as we evolve to serve you
better
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
4
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
5
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
6
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
7
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
8
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
9
Supporting Our Plan
Across all of our strategic priorities there are foundational enablers that will be critical in supporting the achievement of our 2026
strategic plan. Enablers are key elements that St. Mary’s must have in place to ensure successful implementation, sustainability and
measurement of the strategy.
Ensure our future fiscal sustainability Create a safe, healthy & sustainable place
to work for all staff, physicians and
volunteers
LONG-TERM OBJECTIVE
LONG-TERM OBJECTIVE
• Ensure financial sustainability of St. Mary’s now and
in the future in order to meet the growing needs of
our community.
• Build inspiring places to work that empower
dedicated and healthy staff by ensuring sustainable
support, care and growth opportunities
• Increase our focus on diversity and inclusion in the
way we work and do things.
24 MONTH OBJECTIVES
24 MONTH OBJECTIVES
• Develop a robust financial strategy to address current
gaps in funding.
• Develop a strategic Health Human Resources plan
• Identify new funding avenues with partners
particularly in areas such as innovation
• Improve the team retention rate
• Implement a reinforcing management system that
aligns with our vision and supports deployment and
sustainment of strategic priorities.
• Measure performance in achieving the strategic plan
and priorities.
**## RubricDetails.docx**
Rubric Details
**Maximum Score**
100 points
·
**Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].**
5% of total result
**Excellent**
Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**5**
**Satisfactory**
**0**
**Unsatisfactory**
**0**
**Unacceptable**
Page limit is either above or below the: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**0**
·
**Introduction (Introduce the overall concepts that will be described in the student’s paper; not generic to the assignment outline)**
5% of total result
**Excellent**
Clear and concise introduction of the concepts to be presented in the paper
**5**
**Satisfactory**
Mostly clear but somewhat generic introduction of the concepts to presented in the paper
**4**
**3**
**Unacceptable**
The paper does not demonstrate that the author has understood, and applied concepts learned in the course.
**0**
·
**Background/Significance**
10% of total result
**Excellent**
Identifies, describes and demonstrates a sophisticated understanding of QI as it relates to healthcare, patients, stakeholders, nurses at all levels of practice and APN nurse leaders. Correct and specific identification, outline, and support for the first step, tools, measures and application of findings needed by the APN leader to fulfill the QI initiative provided that is well supported with evidence and literature throughout.
**10**
·
**Personal/Profession Leadership**
10% of total result
**Excellent**
Clear, detailed, and comprehensive description of the personal leadership style, professional and personal leadership competencies, & personal and professional qualities and skills necessary to be a successful nurse leader at the APN level to lead the QI initiative. This section also presents a clear & comprehensive discussion of how the APN will assess needed leadership skills and a specific plan for attaining these skills that is well supported by the literature, evidence, and research.
**10**
**4**
·
**Detailed Plan (Toolkit) for QI Initiatives**
10% of total result
**Excellent**
Clear, detailed, and comprehensive strategy outlining exactly how the nurse leader plans to develop the QI initiative which details the processes, education, tools and skills necessary for nurses to successfully initiate, plan, develop, evaluate and share insights for QI projects at St. Mary’s that can be presented to the CNO is provided. This plan is comprehensively and well supported by national QI initiatives, tools, best practice, evidence and research.
**10**
**4**
·
**Alignment with Hospital Strategic Initiative**
10% of total result
**Excellent**
Specific, detailed and clear description of how the QI initiative aligns with St. Mary’s mission, vision, and strategic plan is provided. There is a detailed outline of how the APN plans to measure the success of the QI initiative (includes both short & long-term goals) that aligns with one or more national QI initiative and is linked to the disciplinary knowledge of nursing. Well supported with literature, best practice, and evidence.
**10**
**0**
·
**Nurse Engagement**
10% of total result
**Excellent**
Clear, detailed and comprehensive strategy of how the APN leader will foster nurse engagement and buy-in for the planned QI initiative is provided. Detailed and comprehensive strategy for involving the NP in the QI initiative that is grounded in NP scope of practice using both primary and secondary sources. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**APA formatting (paper is formatted per APA 7th edition guidelines including font, level of headings, appropriate number of references, in-text and reference list citations) Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper. Students are expected to know how to read their similarity index and correct for high similarity. REFERENCES Must have DOI Numbers for me to look them up.**
10% of total result
**Excellent**
APA formatting is followed throughout the paper with correct citations and includes at least 12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
**10**
·
**Barriers & Facilitators**
10% of total result
**Excellent**
Clear, detailed and comprehensive evaluation of barriers and facilitators likely to be encountered by the APN leader implementing the nursing QI initiative in practice settings. Specific and detailed strategies and examples are provided to address the main barriers that demonstrates a comprehensive understanding of QI process and the role of the APN leader. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Social Leadership**
10% of total result
**Excellent**
Comprehensive examination of principles of social leadership that fully integrates these qualities as they relate to the role of APN leader in today’s healthcare environment with specific and detailed examples of how these qualities will be used by the APN leader to implement the QI initiative. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Conclusion/Summary**
5% of total result
**Excellent**
Summarizes the key points made throughout the student paper in a succinct and comprehensive manner. Provides appropriate references and citations to support concluding comments.
**5**
**0**
·
**Writing Mechanics: Language and direction of the paper follows the assignment outline and is clear and easy to follow**
5% of total result
**Excellent**
Demonstrates clarity, conciseness and correctness. writing is free of grammar and spelling errors. The assignment outline was followed and guides the paper. The paper is developed using APA approved headings throughout the paper.
**5**
**## QualityImprovementInitiativeProject.docx**
**MINIMUM of 10 pages**
12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
Nursing Leadership and Management-DAX-DL01 Nora Hernandez-Pupo
Quality Improvement Initiative Project
**Assignment: Quality Improvement Initiative Project**
**Overview**
You are an advanced practice nurse (APN) leader at a fictional non-profit community hospital, St. Mary’s General Hospital. Your Chief Nursing Officer (CNO) has asked you to design and implement a hospital-wide Quality Improvement (QI) initiative that engages nurses and builds their QI skills.
**Key Requirements**
· Develop a comprehensive QI initiative that promotes nurse engagement and skill development
· Demonstrate familiarity with QI processes, leadership approaches, and graduate-level critical analysis
· Integrate evidence, best practices, and research from
**at least 12** scholarly sources
· Align your proposal with St. Mary’s mission, vision, and strategic plan (provided on Blackboard > Assignments)
**Paper Structure & Grading**
Follow the grading rubric precisely. Omitting or vaguely addressing any criterion will lower your grade or result in a non-pass. Each section below maps directly to the rubric:
**Introduction**
· State the purpose and scope of your QI initiative
· Preview the paper’s structure
**Background & Significance**
· Define Quality Improvement and its importance to healthcare, patients, and stakeholders
· Explain how QI connects to all nursing levels, emphasizing nurse leaders
· Identify the first step your APN leader will take, including:
· A specific QI tool or measure
· Rationale for its selection
· How to interpret and apply findings to guide decision-making
**Initiative Development**
· Outline strategies to engage nurses actively in QI
· Describe leadership style(s) and approaches you will use
· Detail resources, training, and support mechanisms
**Implementation Plan**
· Present a step-by-step rollout timeline
· Assign responsibilities and communication channels
**Evaluation & Sustainability**
· Define clear metrics and data-collection methods
· Explain how results will inform continuous improvement
· Propose strategies to sustain nurse engagement over time
**Conclusion**
· Summarize key recommendations
· Reflect on potential challenges and mitigation strategies
**Resources & Submission Guidelines**
· Download St. Mary’s Mission, Vision & Strategic Plan from Blackboard > Assignments.
· Review the detailed grading rubric in the course shell.
· You have one submission opportunity, late or incomplete work may not be accepted.
· Refer to the syllabus for formatting, citation style, and grading policies.
**Tips for Success**
· Be specific and succinct, avoid vague statements.
· Integrate multiple, credible sources; each reference must support a clear point.
· Align every element of your proposal with the hospital’s strategic goals.
· Proofread for clarity, coherence, and APA formatting.
**Additional Resources You Might Explore**
· Example QI tools: Plan-Do-Study-Act cycle, Root Cause Analysis, Lean methodologies
· Leadership frameworks: Transformational, Servant, and Situational Leadership
· Peer-reviewed journals on nursing QI best practices (e.g.,
_Journal of Nursing Care Quality_,
_BMJ Quality & Safety_)
This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. APA must be strictly followed. The page requirement for this project will be a
**MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page]**. Penalty will be imposed for exceeding or not meeting the minimum page requirement.
**REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**
**Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)
**StrategicDevelopmentPlanSt.MarysHospital.pdf**
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
**## StrategicDevelopmentPlanSt.MarysHospital1.pdf**
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
1
MISSION, VISION & VALUES:
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
2
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
3
STRATEGIC PLAN:
VISION 2026
A Pledge from Our Leaders
While simultaneously fighting the impacts of COVID-19, our progressive teams at St. Mary’s General Hospital have been planning
with our community to chart a course for our future. It has galvanized our resolve to build on the compassion and excellence that
defines St. Mary’s, and grow stronger and healthier together within our organization and with our rapidly expanding, diverse and
innovative community.
With this backdrop, we are excited to introduce St. Mary’s Strategic Plan, a vision for the next 5-7 years, with two-year objectives to
propel us forward. We thank all who helped shape it – our staff, physicians, patients and families, local partners within and outside
healthcare, and the broader community. Their input helped us develop a new Mission, a new set of Values and a new Vision:
Inspiring Excellence. Healthier Together.
As we implement this strategic plan, we will gauge progress and adjust to meet new challenges. We will enhance our role as providers
of regional programs, and within a broader health system.
Together with our regional partner hospitals, St. Mary’s will accelerate collaboration with our region’s post-secondary institutions and
with Communitech, an innovation hub that supports local companies, some of which have a significant interest in advancing
excellence in health care. Together we will consider the future of health care through these innovations and learnings.
Five strategic priorities will guide our actions:
1. expand equitable access to high quality
2. empowered care
3. transform connected care with our partners and community
4. develop our team of today and the future
5. embrace new ways to innovate healthcare; and build for growth
All of this will bring focus to the diverse community we serve and ensure equity in care. Please join us as we evolve to serve you
better
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
4
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
5
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
6
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
7
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
8
STRATEGIC PLAN: ST MARY’S HOSPITAL SYSTEM
9
Supporting Our Plan
Across all of our strategic priorities there are foundational enablers that will be critical in supporting the achievement of our 2026
strategic plan. Enablers are key elements that St. Mary’s must have in place to ensure successful implementation, sustainability and
measurement of the strategy.
Ensure our future fiscal sustainability Create a safe, healthy & sustainable place
to work for all staff, physicians and
volunteers
LONG-TERM OBJECTIVE
LONG-TERM OBJECTIVE
• Ensure financial sustainability of St. Mary’s now and
in the future in order to meet the growing needs of
our community.
• Build inspiring places to work that empower
dedicated and healthy staff by ensuring sustainable
support, care and growth opportunities
• Increase our focus on diversity and inclusion in the
way we work and do things.
24 MONTH OBJECTIVES
24 MONTH OBJECTIVES
• Develop a robust financial strategy to address current
gaps in funding.
• Develop a strategic Health Human Resources plan
• Identify new funding avenues with partners
particularly in areas such as innovation
• Improve the team retention rate
• Implement a reinforcing management system that
aligns with our vision and supports deployment and
sustainment of strategic priorities.
• Measure performance in achieving the strategic plan
and priorities.
**## RubricDetails.docx**
Rubric Details
**Maximum Score**
100 points
·
**Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].**
5% of total result
**Excellent**
Page limit is met: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**5**
**Satisfactory**
**0**
**Unsatisfactory**
**0**
**Unacceptable**
Page limit is either above or below the: The page requirement for this project will be a MINIMUM of 10 pages/ Maximum 15 pages [not counting references and the cover page].
**0**
·
**Introduction (Introduce the overall concepts that will be described in the student’s paper; not generic to the assignment outline)**
5% of total result
**Excellent**
Clear and concise introduction of the concepts to be presented in the paper
**5**
**Satisfactory**
Mostly clear but somewhat generic introduction of the concepts to presented in the paper
**4**
**3**
**Unacceptable**
The paper does not demonstrate that the author has understood, and applied concepts learned in the course.
**0**
·
**Background/Significance**
10% of total result
**Excellent**
Identifies, describes and demonstrates a sophisticated understanding of QI as it relates to healthcare, patients, stakeholders, nurses at all levels of practice and APN nurse leaders. Correct and specific identification, outline, and support for the first step, tools, measures and application of findings needed by the APN leader to fulfill the QI initiative provided that is well supported with evidence and literature throughout.
**10**
·
**Personal/Profession Leadership**
10% of total result
**Excellent**
Clear, detailed, and comprehensive description of the personal leadership style, professional and personal leadership competencies, & personal and professional qualities and skills necessary to be a successful nurse leader at the APN level to lead the QI initiative. This section also presents a clear & comprehensive discussion of how the APN will assess needed leadership skills and a specific plan for attaining these skills that is well supported by the literature, evidence, and research.
**10**
**4**
·
**Detailed Plan (Toolkit) for QI Initiatives**
10% of total result
**Excellent**
Clear, detailed, and comprehensive strategy outlining exactly how the nurse leader plans to develop the QI initiative which details the processes, education, tools and skills necessary for nurses to successfully initiate, plan, develop, evaluate and share insights for QI projects at St. Mary’s that can be presented to the CNO is provided. This plan is comprehensively and well supported by national QI initiatives, tools, best practice, evidence and research.
**10**
**4**
·
**Alignment with Hospital Strategic Initiative**
10% of total result
**Excellent**
Specific, detailed and clear description of how the QI initiative aligns with St. Mary’s mission, vision, and strategic plan is provided. There is a detailed outline of how the APN plans to measure the success of the QI initiative (includes both short & long-term goals) that aligns with one or more national QI initiative and is linked to the disciplinary knowledge of nursing. Well supported with literature, best practice, and evidence.
**10**
**0**
·
**Nurse Engagement**
10% of total result
**Excellent**
Clear, detailed and comprehensive strategy of how the APN leader will foster nurse engagement and buy-in for the planned QI initiative is provided. Detailed and comprehensive strategy for involving the NP in the QI initiative that is grounded in NP scope of practice using both primary and secondary sources. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**APA formatting (paper is formatted per APA 7th edition guidelines including font, level of headings, appropriate number of references, in-text and reference list citations) Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper. Students are expected to know how to read their similarity index and correct for high similarity. REFERENCES Must have DOI Numbers for me to look them up.**
10% of total result
**Excellent**
APA formatting is followed throughout the paper with correct citations and includes at least 12 scholarly references that are correctly APA 7th ed. citations. References clearly and thoroughly support the cited text within the paper. All REFERENCES have DOI Numbers for me to look them up. Plagiarism Checker: The assignment is submitted to SafeAssign in blackboard and the similarity index is between 20-25% matching throughout the paper
**10**
·
**Barriers & Facilitators**
10% of total result
**Excellent**
Clear, detailed and comprehensive evaluation of barriers and facilitators likely to be encountered by the APN leader implementing the nursing QI initiative in practice settings. Specific and detailed strategies and examples are provided to address the main barriers that demonstrates a comprehensive understanding of QI process and the role of the APN leader. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Social Leadership**
10% of total result
**Excellent**
Comprehensive examination of principles of social leadership that fully integrates these qualities as they relate to the role of APN leader in today’s healthcare environment with specific and detailed examples of how these qualities will be used by the APN leader to implement the QI initiative. Well supported and comprehensive evidence, literature, and research provided.
**10**
**0**
·
**Conclusion/Summary**
5% of total result
**Excellent**
Summarizes the key points made throughout the student paper in a succinct and comprehensive manner. Provides appropriate references and citations to support concluding comments.
**5**
**0**
·
**Writing Mechanics: Language and direction of the paper follows the assignment outline and is clear and easy to follow**
5% of total result
**Excellent**
Demonstrates clarity, conciseness and correctness. writing is free of grammar and spelling errors. The assignment outline was followed and guides the paper. The paper is developed using APA approved headings throughout the paper.
**5**