Use this form to develop your Individual Success Plan (ISP) for NRS-465, the Applied Evidence-Based Project and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.
In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect care experience hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. By the end of the course, your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains and Competencies (see Appendix A).
General Requirements
Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:
- Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains and Competencies (Appendix A) related to this course.
- The major deliverables of the course are listed. Show the topic/course objectives that apply to each deliverable and align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).
- Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time or time spent with your preceptor outside of scheduled practicum experience time at the practicum site.
- Within the Individual Success Plan, ensure you identify all graded course assignments and indirect care experience assignments listed in the table on the next page.
| Topic | Graded Assignment | Indirect Care Experience Assignments |
| Topic 1 | 1. Individual Success Plan (ISP) | 1. List of potential topics for the change proposal |
| Topic 2 | 1. Search the literature for supporting journal articles
2. Topic selection based on assessment of clinical site |
|
| Topic 3 | 1. PICOT Question Development
2. Reflection Journal Entry |
1. Search the literature for supporting journal articles |
| Topic 4 | 1. Literature Evaluation Table | |
| Topic 5 | Benchmark-Capstone change project implementation plan | 1. Implementation Plan with objectives and measurable outcomes taking into account sociocultural and linguistic considerations
2. Midterm Clinical Evaluation Tool |
| Topic 6 | 1. Literature Review | 1. List of resources |
| Topic 7 | 1. Reflection Journal Entry | 1. Development of evaluation plan
2. Remediation-if required |
| Topic 8 | 1. Written Capstone Project Change Proposal | 1. Change project integration based on the proposal
2. Apply evidence-bases research steps and processes as foundation 3. Address clinically oriented problem or issue in future practice |
| Topic 9 | 1. Reflection Journal Entry | 1. Professional Presentation development |
| Topic 10 | 1. Finalized ISP
2. Scholarly Activity Summary 3. Benchmark – Reflection Journal Summary |
1. Dissemination reflection
2. Final Clinical Evaluation Tool 3. Practice Clinical Evaluation Tool-Student Evaluation of Preceptor and Site |
| Application-based Learning Course Assignments | List of Current Course Objectives | Assignment Date Due | Self-Assessment: Programmatic Domains and Competencies (see Appendix A) |
Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies (see Appendix A) |
Date Assignment Completed |
| Completion of ISP | Create and develop an in-depth plan to successfully complete the course | 3/24/2024 | 4:1; 8.1:; | MC1; MC2 | |
| Capstone Project Topic Selection and Approval | Demonstrate inter-professional collaboration in creating a topic for capstone project change proposal
Develop solution to address a clinical practice issue and enhance patient outcomes Link the developed solution to quality care delivery for the targeted population |
3/31/2024 | 1.3; 2.5; 3.1; 3.2; 4.1; 4.2 | MC1; MC2; MC5 | |
| PICOT Question Development | Create a PICOT question integrating an evidence-based nursing practice intervention | 3/25/2024 | 1.3; 4.1; 4.2; 10.2; 6.1 | MC1; MC2; MC5 | |
| Topic 3 Reflection Journal | Engage in a reflective practice based on the aims, principles and roles in revalidating aspects of nursing.
Ensure that nurses consider the decisions and actions they take in care provision |
4/1/2024 | 2.8; 4.1; 4.2; 6.3 | MC1; MC2: MC4 | |
| Literature Evaluation Table | Synthesis of evidence-based research articles that support the selected and approved capstone change project proposal topic | 4/8/2024 | 4.1; 4.2; 9.1; 9.2; 10.2; 10.3; 6.3 | MC1; MC2; MC4; MC5 | |
| Implementation Plan | Identify stakeholders for implementation of proposed change
Develop a solution to address a clinical practice aspect for enhancing patient outcomes Discuss the effects of the proposed nursing practice intervention Discuss implementation steps and strategies for the proposed nursing practice intervention for the capstone change proposal |
4/21/2024 | 1.3; 2.5; 3.2; 4.1; 4.2; 5.1; 6.3; 6.4; 8.1; 9.1; | MC1; MC2; MC4: MC5 | |
| List of Resources | Identify core resources to support the proposed capstone change project topic based on their evidence
Synthesize resources based on their importance to the project |
3/30/2024 | 1.3; 4.1; 4.2; 8.1; 9.1 | MC1; MC2; MC4 | |
| Literature Review | Demonstrate a synopsis of reviewed literature based on the evaluation table to determine strengths and level of evidence | 4/14/2024 | 4.1; 4.2; 9.1; 9.2; 10.1; 10.2; 6.3; 10.2 | MC1; MC2; MC4; MC5 | |
| Topic 7 Reflection Journal | Demonstrate important learning events that have occurred throughout the course and practicum
Reflect on the relationship and practicum site experience with the preceptor and other stakeholders |
5/5/2024 | 1.3;4.1;4.2;6.1;6.2; 6.3; 9.1; 9.2; 10.2 | MC1; MC2; MC4; MC5 | |
| Evaluation Plan | Create an evaluation plan to assess the outcomes of the proposed nursing practice intervention for a change proposal
Explain effects of policy, economics, and regulations on care outcomes |
5/5/2024 | 1.3; 3.2; 3.3; 4.1; 4.2; 5.1; 6.1; 6.2; 8.1; 9.2; 10.2 | MC1; MC2; M4; MC5 | |
| Written Capstone Project Change Proposal | Synthesize aspects of a project change proposal into a final project
Identify possible barriers to the implementation of the proposed change project Propose solutions for addressing the possible challenges or barriers Apply evidence-based research processes and steps as the foundation to address a clinically oriented issue in future practice |
5/12/24 | 1.3; 3.1; 4.1; 4.2; 6.3; 6.4; 7.1; 7.3; 8.1; 9.2; 10.2; 10.3 | MC1; MC2; MC4; MC5 | |
| Topic 9 Reflection Journal | Integrate reflective practice into practicum journal to enhance learning about events during the course | 5/19/2024 | 1.3; 3.2; 3.3; 4.1; 6.1; 6.3; 9.2 | MC1; MC2; MC4; MC5 | |
| Presentation Development | Demonstrate effective presentation skills based on the proposed project change
Integrate critical and analytical skills to make presentations capturing the developed solution to the practice issue or problem Review and integrate faculty feedback to enhance the proposed solution to meet patient or population needs |
5/19/2024 | 1.3; 2.5; 3.2; 4.1; 4.2; 6.3; 6.4; 7.3; 8.1; 9.1 | ||
| Presentation Dissemination and Reflection | Disseminate the proposed change proposal to the identified nursing problem
Reflection on the presentation of the proposed change project intervention Demonstrate inter-personal collaboration and respect for views and opinions of other professionals on disseminating the capstone project change proposal Demonstrate self-efficacy based on one’s professional development |
5/26/2024 | 1.3; 2.5; 2.8; 3.2; 3.5; 4.1; 4.2; 5.1; 6.1; 6.3; 6.4; 7.1; 7.3; 8.1; 8.3; 9.2; 9.6; 10.3 | MC1; MC2; MC3; MC4; MC5 | |
| Scholarly Activity Summary | Demonstrate integration of learned concepts in clinical settings
Demonstrate integration and communication aspects for the selected practicum site Demonstrate participation in scholarly activity through interdisciplinary collaboration and partnership |
5/26/2024 | 1.3; 2.5; 3.1; 4.1; 4.2; 6.2; 6.3; 7.1; 8.1; 9.2 | MC1; MC2; MC3; MC5 | |
| Clinical Practice Hours | Apply clinical leadership concepts, skills, and decision-making in provision of high-quality nursing care through inter-professional collaboration | 5/26/24 | 1.3; 2.5; 3.5; 4.1; 4.2; 6.1; 6.2; 7.3; 8.1; 9.3; 10.2 | MC1; MC2; MC4; MC5 | |
| Midterm and Final Clinical Evaluation Tool Completion | Demonstrate completion of all assigned deliverables, assessments, and evaluating and the documentation of 100 clinical hours
Demonstrate need for remediation and successful completion with preceptor and faculty |
4/21/2024 | 1.3; 4.1; 4.2; 6.1; 6.2; 6.3; 6.4; 7.1; 8.1; 9.1; 9.2; 9.3; 9.5; 9.6; 10.2; 10.3 | MC1; MC2; MC4; MC5 | |
| Student Evaluation of Preceptor and Agency | Demonstrate effective engagement and interactions with the preceptor and agency
Enhance effective communication approaches and inter-professional and interdisciplinary collaboration |
5/26/24 | 1.3; 4.1; 4.2; 3.2; 5.1; 6.3; 6.4; 7.3; 9.3; 9.4; 10.2 | MC1; MC2; MC4 |
By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.
Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been completed with your guidance.
| Student Signature | |
| Name: | |
| Signature: | |
| Date: | |
| Preceptor Signature [Upon Initiation of Course] | |
| Name: | |
| Signature: | |
| Date: | |
| Preceptor Signature [Upon Completion of Course] | |
| Name: | |
| Signature: | |
| Date: | |
The “NRS-465 Individual Success Plan” is a clinical document that is necessary to meet clinical requirements for this course. Therefore, this form should be submitted with the preceptor’s hand-written signature. A typed electronic signature will not be accepted. It is acceptable for the student to type his/her signature as noted above.
APPENDIX A:
GCU RN-to-BSN Domains and Competencies
- University’s Mission Critical Competencies