Assignment Prompt & Instructions
**files (2)**
– ## LeadershipinQualityImprovementnora.docx
– ## OulineResearchfeedback.docx
**## LeadershipinQualityImprovementnora.docx**
Leadership in Quality Improvement
Data to support patient care comes from a variety of sources that contain differing data types. Key activities to use clinical data include identifying the sources of data, understanding the data types and associated methods to work with the data, and identifying the necessary resources to complete your IT project.
The scope of your IT project will determine the level of data access required and the associated data storage needs. Data used in multisite projects will require IRB oversight and often require the execution of a DUA if transferring data outside of the institution or receiving data from another institution.
Identifying and assembling an adequate project team is based on the needs of the project. At a minimum, you will need to include frontline staff that will use the product, a data analyst capable of completing the ETL process on the data, and potentially statisticians to conduct appropriate model building and outcomes analyses.
There are multiple approaches to analyzing data. AI is the latest advance in machine learning approaches that include supervised, in which data is labeled and the algorithm is guided with statistical considerations, and unsupervised, in which unlabeled data is used to infer meaning. While robust, machine learning approaches require interdisciplinary teams and large resource dedication to complete.
All projects require review and potential revision over time. Follow-up and review of implemented programs should be included in the initial planning stages and resource allocation decisions at project inception.
**Let us consider the following for the quality improvement project:**
You are a new manager on your Heart Failure/Cardiac step-down unit and have high hopes for your floor.
**Identify several IT projects that you as the nurse manager of a nursing unit could develop to support the operations of the nursing floor to promote compliance with daily weights for your HF patients.**
As you do your RCA analysis you realize that compliance to many of the issues causing experiences on your floor is due to the poor health data literacy within your nursing staff.
**Why is it important for nurse leaders to develop health data literacy?**
As you begin to form your team for your IT projects you question yourself as to who will comprise the team.
**Who are the various team members to consider adding to the team? Identify their roles and contributions to the project.**
**Important Note on the Use of AI Tools**
Students may choose to use AI platforms to assist with grammar checks or writing guidance, such as Grammarly. While these tools can be helpful for improving clarity and mechanics, it is essential that all submitted work remains your own. AI-generated text should be treated as a guide, not a substitute for your original writing. Copying and pasting directly from an AI platform, even if done innocently, constitutes a violation of academic honesty.
If you would like additional support in strengthening your writing, please take advantage of the Writing Studio and the Library resources, where you can receive individualized assistance in developing your ideas, refining your grammar, and ensuring your work reflects your own academic voice. These services are designed to help you grow as a writer and succeed with integrity.
Please review the rubric prior to submitting- remember this assignment is 18% of your grade.
**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)
This paper should be minimally 7-9 pages, but NO MORE than 9 pages, not counting references and cover page.
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
Rubric Details
**Maximum Score**
100 points
·
**Integration of Knowledge- The paper provides adequate information to aid in searching and implementing the QI project. All key information is summarized from various sections of the paper such as background, local problem, methods, interventions, results, conclusions**
25% of total result
**Excellent**
The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas.
**The nature and significance of the local problem is explained. There is a description of the intervention(s) in sufficient detail that others could reproduce it and there are specifics of the team involved in the work described.**
25% of total result
**Excellent**
The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.
**Depth of Discussion and Cohesiveness There is the inclusion of informal or formal frameworks, models, concepts, and/or theories used to explain the problem, any reasons or assumptions that were used to develop the intervention(s), and reasons why the intervention(s) was expected to work**
25% of total result
**Excellent**
In-depth discussion and elaboration in all sections of the paper. Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources. There is an introduction and a conclusion in the submission.
**Sources REFERENCES Must DOI Numbers**
7% of total result
**Excellent**
5 current sources are used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative. All REFERENCES have DOI Numbers for me to look them up
**APA adherence and Citation in text**
6% of total result
**Excellent**
Fewer than 5 incomplete citations and/or quotations, and APA format errors. The paper is developed using APA-approved headings throughout the paper.
**Spelling and Grammar**
12% of total result
**Excellent**
Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.
## image1.jpeg
**## OulineResearchfeedback.docx**
2
**Research Paper Outline**
Natalia Gomez
Florida National University
Nursing Leadership and Management
Dr. Nora Hernandez-Pupo
January 17, 2026
**Research Paper Outline**
**I. Introduction**
1. Background
Leadership is an important element of successful QI programs because leaders determine organizational culture, involvement of staff, and the long-term sustainability of improvement processes. Leadership behaviors in nursing and healthcare contexts have a direct influence on the design, implementation, and evaluation of the QI project, so the role of leadership must be considered an indispensable aspect of quality patient care.
2. Thesis Statement
Healthcare leadership is crucial to promoting quality improvement efforts through the establishment of a safety culture, employee engagement, and the implementation of evidence-based leadership practices to deliver sustainable patient outcomes.
**II. Body**
**The Leadership Role in Quality Improvement.**
Point A: Initiating Culture of Safety and Quality.
1. Supporting evidence: Quality and safety commitment by the leadership predetermines the expectations of the staff behavior and responsibility that is the basis of the successful QI programs.
2. Supporting evidence: Transformational leaders facilitate open communication and psychological safety, and they can make healthcare professionals report mistakes and engage in improvement activities without fear of reprisal (El-Sayed et al., 2025).
Point B: Strategic Vision and Organizational Alignment.
1. Supporting evidence: Good leaders orient QI initiatives to organizational objectives and make sure that the improvement efforts advocate the external mission and vision of the healthcare organization (Ginsburg et al., 2024).
2. Supporting evidence: The leader's participation in QI planning improves the resource distribution, prioritization of the initiatives, and sustainability of the quality improvement programs.
**Leadership Behaviors and their influence on the QI outcomes.**
Point A: Transformational Leadership.
1. Supporting evidence: Transformational leadership is considered to have a positive impact on nurse satisfaction, engagement, and readiness to take part in the quality improvement efforts.
2. Supporting evidence: Motivated and encouraging leaders facilitate innovation and continued improvement that are the key aspects of effective QI programs (Giesen et al., 2024).
Point B: Shared and Collaborative Leadership.
1. Supporting evidence: Shared leadership models enable frontline staff through decision-making processes that involve them in quality and patient safety (Curșeu et al., 2025).
2. Supporting evidence: Interdisciplinary teamwork is an advantage of collaborative leadership, as it results in better communication, fewer mistakes, and successful QI intervention implementation.
**Successful QI Initiatives Leadership Competencies.**
1. Supporting evidence: The leaders should use the information and evidence to steer QI efforts such that the interventions are effective, measurable, and consistent with best practices (Endalamaw et al., 2024).
2. Supporting evidence: Data interpretation skills help leaders review the findings, detect deficiencies in care, and provide informed changes to the improvement approaches (Giesen et al., 2024).
**III. Conclusion**
**Point A: Overview of Key Arguments.**
1. Leadership is a core component of quality improvement, which has an impact on organizational culture, employee involvement, and the effectiveness of quality improvement programs.
2. QI outcomes and patient safety are improved with the help of transformational and collaborative leadership styles, high competencies in evidence-based practice, and change management.
**Point B: Powerful Final Statement**
1. Proactive role model healthcare leaders are needed to promote and exemplify quality improvement principles as a means of enhancing patient-centered care, bettering outcomes, and making quality programs long-term successful in complex healthcare systems.
## Attempt feedback Suggestions to Strengthen the Final Paper 1. Align the outline with the assignment prompt The assignment requires: • Three IT projects • Health data literacy • Data types and sources • Project team roles • Monitoring and sustainment Your outline focuses on leadership in QI but does not address these required components. You will need to restructure your final paper to match the assignment expectations. 2. Expand the thesis to reflect assignment requirements Your thesis is strong but should explicitly reference: • IT projects • Data literacy • QI implementation in a heart failure unit This will ensure alignment with the rubric. 3. Add specificity to leadership behaviors You mention leadership styles but could deepen the analysis by discussing: • How leaders use data to drive QI • How leaders support informatics adoption • How leaders manage resistance to change This will strengthen the applied leadership component. 4. Add QI methodology Consider integrating: • RCA • PDSA cycles • Measurement strategies • Datadriven decisionmaking This will align your paper with QI best practices. 5. Strengthen the conclusion Your conclusion is clear but could be more integrative by: • Synthesizing leadership styles + QI outcomes • Reinforcing how leadership directly impacts patient safety • Highlighting implications for practice Your outline is wellwritten, evidencebased, and demonstrates strong understanding of leadership theory. However, it does not yet align with the specific assignment requirements, which focus on IT projects, data literacy, and QI implementation in a heart failure unit. With restructuring and expansion to meet the prompt, your final paper can be excellent. Show less Rubric Rubric Result **75/ 100** · **Learning Activity Question** 50% of total result **25** **Unsatisfactory** The learning activity questions are not answered comprehensively. All the following elements are included: a. The problem or issue you are not presented and clearly explained, and the outline has multiple lapses in format and structure. There is no introduction to the problem being presented.
## **References**
Curșeu, P. L., van Rijswijk, J., & Schruijer, S. (2025). Collaborative and shared leadership dynamics in healthcare action teams: A systematic literature review.
_Journal of Healthcare Leadership_,
_Volume 17_, 877–899. https://doi.org/10.2147/jhl.s520534
El-Sayed, B. K. M., Mohmed, E. A. T., Baddar, F. M., & Khattab, S. M. K. (2025). Insights from critical care nurses: Role of leadership coaching in enhancing incident reporting culture: A cross-sectional study.
_BMC Nursing_,
_24_(1). https://doi.org/10.1186/s12912-025-03791-6
Endalamaw, A., Khatri, R. B., Mengistu, T. S., Erku, D., Wolka, E., Zewdie, A., & Assefa, Y. (2024). A scoping review of continuous quality improvement in healthcare system: Conceptualization, models and tools, barriers and facilitators, and impact.
_BioMed Central Health Services Research_,
_24_(1), 487. https://doi.org/10.1186/s12913-024-10828-0
Giesen, J., Berings, M., Bakker‐Jacobs, A., Vermeulen, H., Waal, G. H., & Vught, A. V. (2024). Facilitating an evidence‐based quality improvement learning culture in nursing teams through coaching and identification of key influencing factors: An action research approach.
_Journal of Advanced Nursing_. https://doi.org/10.1111/jan.16679
Ginsburg, L., Easterbrook, A., Geerts, A., Berta, W., Dreumel, L. van, Estabrooks, C. A., Norton, P. G., & Wagg, A. (2024). “We listened and supported and depended on each other”: A qualitative study of how leadership influences implementation of QI interventions.
_BMJ Quality & Safety_,
_34_(3), bmjqs-017795. https://doi.org/10.1136/bmjqs-2024-017795
**## OulineResearchfeedback.docx**
2
**Research Paper Outline**
Natalia Gomez
Florida National University
Nursing Leadership and Management
Dr. Nora Hernandez-Pupo
January 17, 2026
**Research Paper Outline**
**I. Introduction**
1. Background
Leadership is an important element of successful QI programs because leaders determine organizational culture, involvement of staff, and the long-term sustainability of improvement processes. Leadership behaviors in nursing and healthcare contexts have a direct influence on the design, implementation, and evaluation of the QI project, so the role of leadership must be considered an indispensable aspect of quality patient care.
2. Thesis Statement
Healthcare leadership is crucial to promoting quality improvement efforts through the establishment of a safety culture, employee engagement, and the implementation of evidence-based leadership practices to deliver sustainable patient outcomes.
**II. Body**
**The Leadership Role in Quality Improvement.**
Point A: Initiating Culture of Safety and Quality.
1. Supporting evidence: Quality and safety commitment by the leadership predetermines the expectations of the staff behavior and responsibility that is the basis of the successful QI programs.
2. Supporting evidence: Transformational leaders facilitate open communication and psychological safety, and they can make healthcare professionals report mistakes and engage in improvement activities without fear of reprisal (El-Sayed et al., 2025).
Point B: Strategic Vision and Organizational Alignment.
1. Supporting evidence: Good leaders orient QI initiatives to organizational objectives and make sure that the improvement efforts advocate the external mission and vision of the healthcare organization (Ginsburg et al., 2024).
2. Supporting evidence: The leader's participation in QI planning improves the resource distribution, prioritization of the initiatives, and sustainability of the quality improvement programs.
**Leadership Behaviors and their influence on the QI outcomes.**
Point A: Transformational Leadership.
1. Supporting evidence: Transformational leadership is considered to have a positive impact on nurse satisfaction, engagement, and readiness to take part in the quality improvement efforts.
2. Supporting evidence: Motivated and encouraging leaders facilitate innovation and continued improvement that are the key aspects of effective QI programs (Giesen et al., 2024).
Point B: Shared and Collaborative Leadership.
1. Supporting evidence: Shared leadership models enable frontline staff through decision-making processes that involve them in quality and patient safety (Curșeu et al., 2025).
2. Supporting evidence: Interdisciplinary teamwork is an advantage of collaborative leadership, as it results in better communication, fewer mistakes, and successful QI intervention implementation.
**Successful QI Initiatives Leadership Competencies.**
1. Supporting evidence: The leaders should use the information and evidence to steer QI efforts such that the interventions are effective, measurable, and consistent with best practices (Endalamaw et al., 2024).
2. Supporting evidence: Data interpretation skills help leaders review the findings, detect deficiencies in care, and provide informed changes to the improvement approaches (Giesen et al., 2024).
**III. Conclusion**
**Point A: Overview of Key Arguments.**
1. Leadership is a core component of quality improvement, which has an impact on organizational culture, employee involvement, and the effectiveness of quality improvement programs.
2. QI outcomes and patient safety are improved with the help of transformational and collaborative leadership styles, high competencies in evidence-based practice, and change management.
**Point B: Powerful Final Statement**
1. Proactive role model healthcare leaders are needed to promote and exemplify quality improvement principles as a means of enhancing patient-centered care, bettering outcomes, and making quality programs long-term successful in complex healthcare systems.
## Attempt feedback Suggestions to Strengthen the Final Paper 1. Align the outline with the assignment prompt The assignment requires: • Three IT projects • Health data literacy • Data types and sources • Project team roles • Monitoring and sustainment Your outline focuses on leadership in QI but does not address these required components. You will need to restructure your final paper to match the assignment expectations. 2. Expand the thesis to reflect assignment requirements Your thesis is strong but should explicitly reference: • IT projects • Data literacy • QI implementation in a heart failure unit This will ensure alignment with the rubric. 3. Add specificity to leadership behaviors You mention leadership styles but could deepen the analysis by discussing: • How leaders use data to drive QI • How leaders support informatics adoption • How leaders manage resistance to change This will strengthen the applied leadership component. 4. Add QI methodology Consider integrating: • RCA • PDSA cycles • Measurement strategies • Datadriven decisionmaking This will align your paper with QI best practices. 5. Strengthen the conclusion Your conclusion is clear but could be more integrative by: • Synthesizing leadership styles + QI outcomes • Reinforcing how leadership directly impacts patient safety • Highlighting implications for practice Your outline is wellwritten, evidencebased, and demonstrates strong understanding of leadership theory. However, it does not yet align with the specific assignment requirements, which focus on IT projects, data literacy, and QI implementation in a heart failure unit. With restructuring and expansion to meet the prompt, your final paper can be excellent. Show less Rubric Rubric Result **75/ 100** · **Learning Activity Question** 50% of total result **25** **Unsatisfactory** The learning activity questions are not answered comprehensively. All the following elements are included: a. The problem or issue you are not presented and clearly explained, and the outline has multiple lapses in format and structure. There is no introduction to the problem being presented.
## **References**
Curșeu, P. L., van Rijswijk, J., & Schruijer, S. (2025). Collaborative and shared leadership dynamics in healthcare action teams: A systematic literature review.
_Journal of Healthcare Leadership_,
_Volume 17_, 877–899. https://doi.org/10.2147/jhl.s520534
El-Sayed, B. K. M., Mohmed, E. A. T., Baddar, F. M., & Khattab, S. M. K. (2025). Insights from critical care nurses: Role of leadership coaching in enhancing incident reporting culture: A cross-sectional study.
_BMC Nursing_,
_24_(1). https://doi.org/10.1186/s12912-025-03791-6
Endalamaw, A., Khatri, R. B., Mengistu, T. S., Erku, D., Wolka, E., Zewdie, A., & Assefa, Y. (2024). A scoping review of continuous quality improvement in healthcare system: Conceptualization, models and tools, barriers and facilitators, and impact.
_BioMed Central Health Services Research_,
_24_(1), 487. https://doi.org/10.1186/s12913-024-10828-0
Giesen, J., Berings, M., Bakker‐Jacobs, A., Vermeulen, H., Waal, G. H., & Vught, A. V. (2024). Facilitating an evidence‐based quality improvement learning culture in nursing teams through coaching and identification of key influencing factors: An action research approach.
_Journal of Advanced Nursing_. https://doi.org/10.1111/jan.16679
Ginsburg, L., Easterbrook, A., Geerts, A., Berta, W., Dreumel, L. van, Estabrooks, C. A., Norton, P. G., & Wagg, A. (2024). “We listened and supported and depended on each other”: A qualitative study of how leadership influences implementation of QI interventions.
_BMJ Quality & Safety_,
_34_(3), bmjqs-017795. https://doi.org/10.1136/bmjqs-2024-017795
**## LeadershipinQualityImprovementnora.docx**
Leadership in Quality Improvement
Data to support patient care comes from a variety of sources that contain differing data types. Key activities to use clinical data include identifying the sources of data, understanding the data types and associated methods to work with the data, and identifying the necessary resources to complete your IT project.
The scope of your IT project will determine the level of data access required and the associated data storage needs. Data used in multisite projects will require IRB oversight and often require the execution of a DUA if transferring data outside of the institution or receiving data from another institution.
Identifying and assembling an adequate project team is based on the needs of the project. At a minimum, you will need to include frontline staff that will use the product, a data analyst capable of completing the ETL process on the data, and potentially statisticians to conduct appropriate model building and outcomes analyses.
There are multiple approaches to analyzing data. AI is the latest advance in machine learning approaches that include supervised, in which data is labeled and the algorithm is guided with statistical considerations, and unsupervised, in which unlabeled data is used to infer meaning. While robust, machine learning approaches require interdisciplinary teams and large resource dedication to complete.
All projects require review and potential revision over time. Follow-up and review of implemented programs should be included in the initial planning stages and resource allocation decisions at project inception.
**Let us consider the following for the quality improvement project:**
You are a new manager on your Heart Failure/Cardiac step-down unit and have high hopes for your floor.
**Identify several IT projects that you as the nurse manager of a nursing unit could develop to support the operations of the nursing floor to promote compliance with daily weights for your HF patients.**
As you do your RCA analysis you realize that compliance to many of the issues causing experiences on your floor is due to the poor health data literacy within your nursing staff.
**Why is it important for nurse leaders to develop health data literacy?**
As you begin to form your team for your IT projects you question yourself as to who will comprise the team.
**Who are the various team members to consider adding to the team? Identify their roles and contributions to the project.**
**Important Note on the Use of AI Tools**
Students may choose to use AI platforms to assist with grammar checks or writing guidance, such as Grammarly. While these tools can be helpful for improving clarity and mechanics, it is essential that all submitted work remains your own. AI-generated text should be treated as a guide, not a substitute for your original writing. Copying and pasting directly from an AI platform, even if done innocently, constitutes a violation of academic honesty.
If you would like additional support in strengthening your writing, please take advantage of the Writing Studio and the Library resources, where you can receive individualized assistance in developing your ideas, refining your grammar, and ensuring your work reflects your own academic voice. These services are designed to help you grow as a writer and succeed with integrity.
Please review the rubric prior to submitting- remember this assignment is 18% of your grade.
**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)
This paper should be minimally 7-9 pages, but NO MORE than 9 pages, not counting references and cover page.
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
Rubric Details
**Maximum Score**
100 points
·
**Integration of Knowledge- The paper provides adequate information to aid in searching and implementing the QI project. All key information is summarized from various sections of the paper such as background, local problem, methods, interventions, results, conclusions**
25% of total result
**Excellent**
The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas.
**The nature and significance of the local problem is explained. There is a description of the intervention(s) in sufficient detail that others could reproduce it and there are specifics of the team involved in the work described.**
25% of total result
**Excellent**
The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.
**Depth of Discussion and Cohesiveness There is the inclusion of informal or formal frameworks, models, concepts, and/or theories used to explain the problem, any reasons or assumptions that were used to develop the intervention(s), and reasons why the intervention(s) was expected to work**
25% of total result
**Excellent**
In-depth discussion and elaboration in all sections of the paper. Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources. There is an introduction and a conclusion in the submission.
**Sources REFERENCES Must DOI Numbers**
7% of total result
**Excellent**
5 current sources are used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative. All REFERENCES have DOI Numbers for me to look them up
**APA adherence and Citation in text**
6% of total result
**Excellent**
Fewer than 5 incomplete citations and/or quotations, and APA format errors. The paper is developed using APA-approved headings throughout the paper.
**Spelling and Grammar**
12% of total result
**Excellent**
Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.
## image1.jpeg
**## OulineResearchfeedback.docx**
2
**Research Paper Outline**
Natalia Gomez
Florida National University
Nursing Leadership and Management
Dr. Nora Hernandez-Pupo
January 17, 2026
**Research Paper Outline**
**I. Introduction**
1. Background
Leadership is an important element of successful QI programs because leaders determine organizational culture, involvement of staff, and the long-term sustainability of improvement processes. Leadership behaviors in nursing and healthcare contexts have a direct influence on the design, implementation, and evaluation of the QI project, so the role of leadership must be considered an indispensable aspect of quality patient care.
2. Thesis Statement
Healthcare leadership is crucial to promoting quality improvement efforts through the establishment of a safety culture, employee engagement, and the implementation of evidence-based leadership practices to deliver sustainable patient outcomes.
**II. Body**
**The Leadership Role in Quality Improvement.**
Point A: Initiating Culture of Safety and Quality.
1. Supporting evidence: Quality and safety commitment by the leadership predetermines the expectations of the staff behavior and responsibility that is the basis of the successful QI programs.
2. Supporting evidence: Transformational leaders facilitate open communication and psychological safety, and they can make healthcare professionals report mistakes and engage in improvement activities without fear of reprisal (El-Sayed et al., 2025).
Point B: Strategic Vision and Organizational Alignment.
1. Supporting evidence: Good leaders orient QI initiatives to organizational objectives and make sure that the improvement efforts advocate the external mission and vision of the healthcare organization (Ginsburg et al., 2024).
2. Supporting evidence: The leader's participation in QI planning improves the resource distribution, prioritization of the initiatives, and sustainability of the quality improvement programs.
**Leadership Behaviors and their influence on the QI outcomes.**
Point A: Transformational Leadership.
1. Supporting evidence: Transformational leadership is considered to have a positive impact on nurse satisfaction, engagement, and readiness to take part in the quality improvement efforts.
2. Supporting evidence: Motivated and encouraging leaders facilitate innovation and continued improvement that are the key aspects of effective QI programs (Giesen et al., 2024).
Point B: Shared and Collaborative Leadership.
1. Supporting evidence: Shared leadership models enable frontline staff through decision-making processes that involve them in quality and patient safety (Curșeu et al., 2025).
2. Supporting evidence: Interdisciplinary teamwork is an advantage of collaborative leadership, as it results in better communication, fewer mistakes, and successful QI intervention implementation.
**Successful QI Initiatives Leadership Competencies.**
1. Supporting evidence: The leaders should use the information and evidence to steer QI efforts such that the interventions are effective, measurable, and consistent with best practices (Endalamaw et al., 2024).
2. Supporting evidence: Data interpretation skills help leaders review the findings, detect deficiencies in care, and provide informed changes to the improvement approaches (Giesen et al., 2024).
**III. Conclusion**
**Point A: Overview of Key Arguments.**
1. Leadership is a core component of quality improvement, which has an impact on organizational culture, employee involvement, and the effectiveness of quality improvement programs.
2. QI outcomes and patient safety are improved with the help of transformational and collaborative leadership styles, high competencies in evidence-based practice, and change management.
**Point B: Powerful Final Statement**
1. Proactive role model healthcare leaders are needed to promote and exemplify quality improvement principles as a means of enhancing patient-centered care, bettering outcomes, and making quality programs long-term successful in complex healthcare systems.
## Attempt feedback Suggestions to Strengthen the Final Paper 1. Align the outline with the assignment prompt The assignment requires: • Three IT projects • Health data literacy • Data types and sources • Project team roles • Monitoring and sustainment Your outline focuses on leadership in QI but does not address these required components. You will need to restructure your final paper to match the assignment expectations. 2. Expand the thesis to reflect assignment requirements Your thesis is strong but should explicitly reference: • IT projects • Data literacy • QI implementation in a heart failure unit This will ensure alignment with the rubric. 3. Add specificity to leadership behaviors You mention leadership styles but could deepen the analysis by discussing: • How leaders use data to drive QI • How leaders support informatics adoption • How leaders manage resistance to change This will strengthen the applied leadership component. 4. Add QI methodology Consider integrating: • RCA • PDSA cycles • Measurement strategies • Datadriven decisionmaking This will align your paper with QI best practices. 5. Strengthen the conclusion Your conclusion is clear but could be more integrative by: • Synthesizing leadership styles + QI outcomes • Reinforcing how leadership directly impacts patient safety • Highlighting implications for practice Your outline is wellwritten, evidencebased, and demonstrates strong understanding of leadership theory. However, it does not yet align with the specific assignment requirements, which focus on IT projects, data literacy, and QI implementation in a heart failure unit. With restructuring and expansion to meet the prompt, your final paper can be excellent. Show less Rubric Rubric Result **75/ 100** · **Learning Activity Question** 50% of total result **25** **Unsatisfactory** The learning activity questions are not answered comprehensively. All the following elements are included: a. The problem or issue you are not presented and clearly explained, and the outline has multiple lapses in format and structure. There is no introduction to the problem being presented.
## **References**
Curșeu, P. L., van Rijswijk, J., & Schruijer, S. (2025). Collaborative and shared leadership dynamics in healthcare action teams: A systematic literature review.
_Journal of Healthcare Leadership_,
_Volume 17_, 877–899. https://doi.org/10.2147/jhl.s520534
El-Sayed, B. K. M., Mohmed, E. A. T., Baddar, F. M., & Khattab, S. M. K. (2025). Insights from critical care nurses: Role of leadership coaching in enhancing incident reporting culture: A cross-sectional study.
_BMC Nursing_,
_24_(1). https://doi.org/10.1186/s12912-025-03791-6
Endalamaw, A., Khatri, R. B., Mengistu, T. S., Erku, D., Wolka, E., Zewdie, A., & Assefa, Y. (2024). A scoping review of continuous quality improvement in healthcare system: Conceptualization, models and tools, barriers and facilitators, and impact.
_BioMed Central Health Services Research_,
_24_(1), 487. https://doi.org/10.1186/s12913-024-10828-0
Giesen, J., Berings, M., Bakker‐Jacobs, A., Vermeulen, H., Waal, G. H., & Vught, A. V. (2024). Facilitating an evidence‐based quality improvement learning culture in nursing teams through coaching and identification of key influencing factors: An action research approach.
_Journal of Advanced Nursing_. https://doi.org/10.1111/jan.16679
Ginsburg, L., Easterbrook, A., Geerts, A., Berta, W., Dreumel, L. van, Estabrooks, C. A., Norton, P. G., & Wagg, A. (2024). “We listened and supported and depended on each other”: A qualitative study of how leadership influences implementation of QI interventions.
_BMJ Quality & Safety_,
_34_(3), bmjqs-017795. https://doi.org/10.1136/bmjqs-2024-017795
**## LeadershipinQualityImprovementnora.docx**
Leadership in Quality Improvement
Data to support patient care comes from a variety of sources that contain differing data types. Key activities to use clinical data include identifying the sources of data, understanding the data types and associated methods to work with the data, and identifying the necessary resources to complete your IT project.
The scope of your IT project will determine the level of data access required and the associated data storage needs. Data used in multisite projects will require IRB oversight and often require the execution of a DUA if transferring data outside of the institution or receiving data from another institution.
Identifying and assembling an adequate project team is based on the needs of the project. At a minimum, you will need to include frontline staff that will use the product, a data analyst capable of completing the ETL process on the data, and potentially statisticians to conduct appropriate model building and outcomes analyses.
There are multiple approaches to analyzing data. AI is the latest advance in machine learning approaches that include supervised, in which data is labeled and the algorithm is guided with statistical considerations, and unsupervised, in which unlabeled data is used to infer meaning. While robust, machine learning approaches require interdisciplinary teams and large resource dedication to complete.
All projects require review and potential revision over time. Follow-up and review of implemented programs should be included in the initial planning stages and resource allocation decisions at project inception.
**Let us consider the following for the quality improvement project:**
You are a new manager on your Heart Failure/Cardiac step-down unit and have high hopes for your floor.
**Identify several IT projects that you as the nurse manager of a nursing unit could develop to support the operations of the nursing floor to promote compliance with daily weights for your HF patients.**
As you do your RCA analysis you realize that compliance to many of the issues causing experiences on your floor is due to the poor health data literacy within your nursing staff.
**Why is it important for nurse leaders to develop health data literacy?**
As you begin to form your team for your IT projects you question yourself as to who will comprise the team.
**Who are the various team members to consider adding to the team? Identify their roles and contributions to the project.**
**Important Note on the Use of AI Tools**
Students may choose to use AI platforms to assist with grammar checks or writing guidance, such as Grammarly. While these tools can be helpful for improving clarity and mechanics, it is essential that all submitted work remains your own. AI-generated text should be treated as a guide, not a substitute for your original writing. Copying and pasting directly from an AI platform, even if done innocently, constitutes a violation of academic honesty.
If you would like additional support in strengthening your writing, please take advantage of the Writing Studio and the Library resources, where you can receive individualized assistance in developing your ideas, refining your grammar, and ensuring your work reflects your own academic voice. These services are designed to help you grow as a writer and succeed with integrity.
Please review the rubric prior to submitting- remember this assignment is 18% of your grade.
**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)
This paper should be minimally 7-9 pages, but NO MORE than 9 pages, not counting references and cover page.
**Submission**
Text Editor
_Word count: 0_
**Details & Information**
Rubric Details
**Maximum Score**
100 points
·
**Integration of Knowledge- The paper provides adequate information to aid in searching and implementing the QI project. All key information is summarized from various sections of the paper such as background, local problem, methods, interventions, results, conclusions**
25% of total result
**Excellent**
The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas.
**The nature and significance of the local problem is explained. There is a description of the intervention(s) in sufficient detail that others could reproduce it and there are specifics of the team involved in the work described.**
25% of total result
**Excellent**
The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.
**Depth of Discussion and Cohesiveness There is the inclusion of informal or formal frameworks, models, concepts, and/or theories used to explain the problem, any reasons or assumptions that were used to develop the intervention(s), and reasons why the intervention(s) was expected to work**
25% of total result
**Excellent**
In-depth discussion and elaboration in all sections of the paper. Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources. There is an introduction and a conclusion in the submission.
**Sources REFERENCES Must DOI Numbers**
7% of total result
**Excellent**
5 current sources are used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative. All REFERENCES have DOI Numbers for me to look them up
**APA adherence and Citation in text**
6% of total result
**Excellent**
Fewer than 5 incomplete citations and/or quotations, and APA format errors. The paper is developed using APA-approved headings throughout the paper.
**Spelling and Grammar**
12% of total result
**Excellent**
Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.
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**## OulineResearchfeedback.docx**
2
**Research Paper Outline**
Natalia Gomez
Florida National University
Nursing Leadership and Management
Dr. Nora Hernandez-Pupo
January 17, 2026
**Research Paper Outline**
**I. Introduction**
1. Background
Leadership is an important element of successful QI programs because leaders determine organizational culture, involvement of staff, and the long-term sustainability of improvement processes. Leadership behaviors in nursing and healthcare contexts have a direct influence on the design, implementation, and evaluation of the QI project, so the role of leadership must be considered an indispensable aspect of quality patient care.
2. Thesis Statement
Healthcare leadership is crucial to promoting quality improvement efforts through the establishment of a safety culture, employee engagement, and the implementation of evidence-based leadership practices to deliver sustainable patient outcomes.
**II. Body**
**The Leadership Role in Quality Improvement.**
Point A: Initiating Culture of Safety and Quality.
1. Supporting evidence: Quality and safety commitment by the leadership predetermines the expectations of the staff behavior and responsibility that is the basis of the successful QI programs.
2. Supporting evidence: Transformational leaders facilitate open communication and psychological safety, and they can make healthcare professionals report mistakes and engage in improvement activities without fear of reprisal (El-Sayed et al., 2025).
Point B: Strategic Vision and Organizational Alignment.
1. Supporting evidence: Good leaders orient QI initiatives to organizational objectives and make sure that the improvement efforts advocate the external mission and vision of the healthcare organization (Ginsburg et al., 2024).
2. Supporting evidence: The leader's participation in QI planning improves the resource distribution, prioritization of the initiatives, and sustainability of the quality improvement programs.
**Leadership Behaviors and their influence on the QI outcomes.**
Point A: Transformational Leadership.
1. Supporting evidence: Transformational leadership is considered to have a positive impact on nurse satisfaction, engagement, and readiness to take part in the quality improvement efforts.
2. Supporting evidence: Motivated and encouraging leaders facilitate innovation and continued improvement that are the key aspects of effective QI programs (Giesen et al., 2024).
Point B: Shared and Collaborative Leadership.
1. Supporting evidence: Shared leadership models enable frontline staff through decision-making processes that involve them in quality and patient safety (Curșeu et al., 2025).
2. Supporting evidence: Interdisciplinary teamwork is an advantage of collaborative leadership, as it results in better communication, fewer mistakes, and successful QI intervention implementation.
**Successful QI Initiatives Leadership Competencies.**
1. Supporting evidence: The leaders should use the information and evidence to steer QI efforts such that the interventions are effective, measurable, and consistent with best practices (Endalamaw et al., 2024).
2. Supporting evidence: Data interpretation skills help leaders review the findings, detect deficiencies in care, and provide informed changes to the improvement approaches (Giesen et al., 2024).
**III. Conclusion**
**Point A: Overview of Key Arguments.**
1. Leadership is a core component of quality improvement, which has an impact on organizational culture, employee involvement, and the effectiveness of quality improvement programs.
2. QI outcomes and patient safety are improved with the help of transformational and collaborative leadership styles, high competencies in evidence-based practice, and change management.
**Point B: Powerful Final Statement**
1. Proactive role model healthcare leaders are needed to promote and exemplify quality improvement principles as a means of enhancing patient-centered care, bettering outcomes, and making quality programs long-term successful in complex healthcare systems.
## Attempt feedback Suggestions to Strengthen the Final Paper 1. Align the outline with the assignment prompt The assignment requires: • Three IT projects • Health data literacy • Data types and sources • Project team roles • Monitoring and sustainment Your outline focuses on leadership in QI but does not address these required components. You will need to restructure your final paper to match the assignment expectations. 2. Expand the thesis to reflect assignment requirements Your thesis is strong but should explicitly reference: • IT projects • Data literacy • QI implementation in a heart failure unit This will ensure alignment with the rubric. 3. Add specificity to leadership behaviors You mention leadership styles but could deepen the analysis by discussing: • How leaders use data to drive QI • How leaders support informatics adoption • How leaders manage resistance to change This will strengthen the applied leadership component. 4. Add QI methodology Consider integrating: • RCA • PDSA cycles • Measurement strategies • Datadriven decisionmaking This will align your paper with QI best practices. 5. Strengthen the conclusion Your conclusion is clear but could be more integrative by: • Synthesizing leadership styles + QI outcomes • Reinforcing how leadership directly impacts patient safety • Highlighting implications for practice Your outline is wellwritten, evidencebased, and demonstrates strong understanding of leadership theory. However, it does not yet align with the specific assignment requirements, which focus on IT projects, data literacy, and QI implementation in a heart failure unit. With restructuring and expansion to meet the prompt, your final paper can be excellent. Show less Rubric Rubric Result **75/ 100** · **Learning Activity Question** 50% of total result **25** **Unsatisfactory** The learning activity questions are not answered comprehensively. All the following elements are included: a. The problem or issue you are not presented and clearly explained, and the outline has multiple lapses in format and structure. There is no introduction to the problem being presented.
## **References**
Curșeu, P. L., van Rijswijk, J., & Schruijer, S. (2025). Collaborative and shared leadership dynamics in healthcare action teams: A systematic literature review.
_Journal of Healthcare Leadership_,
_Volume 17_, 877–899. https://doi.org/10.2147/jhl.s520534
El-Sayed, B. K. M., Mohmed, E. A. T., Baddar, F. M., & Khattab, S. M. K. (2025). Insights from critical care nurses: Role of leadership coaching in enhancing incident reporting culture: A cross-sectional study.
_BMC Nursing_,
_24_(1). https://doi.org/10.1186/s12912-025-03791-6
Endalamaw, A., Khatri, R. B., Mengistu, T. S., Erku, D., Wolka, E., Zewdie, A., & Assefa, Y. (2024). A scoping review of continuous quality improvement in healthcare system: Conceptualization, models and tools, barriers and facilitators, and impact.
_BioMed Central Health Services Research_,
_24_(1), 487. https://doi.org/10.1186/s12913-024-10828-0
Giesen, J., Berings, M., Bakker‐Jacobs, A., Vermeulen, H., Waal, G. H., & Vught, A. V. (2024). Facilitating an evidence‐based quality improvement learning culture in nursing teams through coaching and identification of key influencing factors: An action research approach.
_Journal of Advanced Nursing_. https://doi.org/10.1111/jan.16679
Ginsburg, L., Easterbrook, A., Geerts, A., Berta, W., Dreumel, L. van, Estabrooks, C. A., Norton, P. G., & Wagg, A. (2024). “We listened and supported and depended on each other”: A qualitative study of how leadership influences implementation of QI interventions.
_BMJ Quality & Safety_,
_34_(3), bmjqs-017795. https://doi.org/10.1136/bmjqs-2024-017795