NCM Training Plan

I am a recent baccalaureate graduate of Charleston Southern University. I received my Bachelor of Science in Nursing in May of 2015. On June 20, 2015, I received my NCLEX-RN results and became a registered nurse in the state of South Carolina. After considering my options for a graduate program, I happily accepted my offer from Case Western Reserve University and moved to Cleveland to pursue my graduate studies. Over the course of my undergraduate career, theories were included in the curriculum but not in depth. It is for this reason that I am excited to partake in this course – to learn the foundational and applicable theories of the nursing profession.

Throughout this clinical semester, I have worked with several different registered nurses (RNs) and have been able to develop mentoring relationships with many of the staff on the unit. During our time together, I interviewed several of my nurse mentors and elicited information regarding their nursing experiences and the culture of the environment in which they work. The following conversations provide a summarization of my nurse mentors’ responses to the selected interview questions.

You are a nurse who works in a busy A&E department in a city hospital. Because you are experienced and highly regarded your manager has asked you to mentor some new nurses who have just qualified.

As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation.

This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).

Many healthcare organizations set goals and objections and write mission statements that reflect the way they want the public to see how healthcare is provided. This is done to guide how their healthcare providers practice daily. In order to meet these goals and objects it is necessary to have in place processes and procedures to ensure the results will be what is expected which is a positive patient experience and outcome. In order for our organization to reach this goal there is a coaching and execution package that will provide step-by-step processes and procedures to ensure that everyone is doing the same thing at the same time

During the first three years I will work as a nurse practitioner in an urgent care/occupational health care setting serving individuals living in low socioeconomic areas. Providing urgent care treatment in an underserved community is important to me, as these communities are in dire need of healthcare providers who speak their language and understand their culture. I hope to make a difference in these communities by encouraging prevention. In order to be worthy of serving this population, I will need to partner with a practice that will take me under their wing and help me reach my highest professional development potential.

The first step to obtaining necessary approval and support from administration and staff will be the preparation of a cohesive written report, accompanied by an electronic presentation. The more research I do on the subject, the better. My support staff and administration want to know how the evidence supports my suggested changes. Therefore, the research component of my project is very important at this stage. After the completion of the initial report and design of presentation, I need to make a scheduled delivery of the presentation to the health care organization's leadership and its staff members.

Newly licensed nurses face many challenges upon starting their first clinical roles. They are vulnerable,

This enhancement is necessary since the needs of patients and the technology used in hospitals are changing; therefore, nurses have to keep their practice updated to maintain high-quality care. The report also advocates the inclusion of training on leadership, research and evidence-based treatment, teamwork, and specialization in the areas such as community and public health (Puetz, 2013). In general, educated nurses provide well-informed care to patients and their families. The aim of the IOM report is to transform the nursing profession.

I began to think about where the NPR would be most valuable and supportive to the nursing staff. As a newer process to nurses, the goal of this project would be for staff nurses to feel comfortable in the NPR and not intimidated. Another goal is that nurses will feel more accountable for the care they provide and the team around them.

Jamal and I look forward to collaborating with you to deliver the PEI train-the-trainer (TTT) workshop for Nurses. Before selecting and finalizing dates, I would like to propose changes to the PEI TTT Process to ensure successful training implementation. Based on our discussion, Nursing leaders have a solid plan to train 1800 Nurses by the end of 3rd quarter. However, based on my professional experience as well as feedback from PEI trainers, we are not properly preparing “trainers” to deliver training for this important initiative that is critical to our survival as a system.

I would utilize a flow chart in the physician clinic to identify potential causes, experiment with a process design, identify possible causes, investigate causes, and identify process analysis/optimization (Davis & Goetsch, 2010). I would use a flow chart to document the process of patient flow from entry to exit to determine the steps and function of each area and identify potential causes that impact patient flow. The flow chart would be developed by a the quality improvement team that consist of 2 front-line employees from each area (front desk, triage, lab, x-ray, provider and check-out). The QI team would meet for one hour prior to the start of the clinic 2 days per week to develop the workflow process chart. Once the initial draft was complete it would be distributed to the employees and leaders for review. The QI team members would obtain information from their staff on the process and report findings to the QI team. The flow chart would be edited until the actual patient flow is documented correctly. Then the team would review the flow chart and inefficient areas that will need to be changed. The proposed changes would then be drafted onto a revised version of the flow chart for evaualtion

The purpose of orientation is to motivate employees, reduce turnover rates, and to lower the new employee anxieties (Ragsdale, 2005). Nurses have a great responsibility regardless of the positions and roles they play. The orientation program is needed to help nurses understand the responsibility of the position and to build the confidence they need to succeed. Whether a nurse has experience or not, transitioning into a new position can be thrilling or threatening (Dellasega, 2009). Nurses transitioning to an advanced practice role or specialty roles may require more support. The goals of the nurse manager orientation are to orientate managers to the mission and values, provide overview of the structure, decision making bodies, and key functions, and to articulate specific expectations about performance and responsibility for compliance (New Manager Orientation Program).

used in any organization without disrupting the current nursing process. This is why I want to