Systems Leadership Project, Part B:PURPOSE
The Course Project is a two-part series assignment, Part A was completed as the final assignment for NR712; and, Part B is to be completed in NR713.
Part A
Part A consisted of identify a quality improvement or evidence and knowledge based issue in an area of nursing practice (e.g., hospital, clinic, public health, non-governmental agency, global health, policy) relevant to your role as a DNP, and an area of interest for you (e.g., addressing hospital throughout issues as a nurse executive, changing the clinic staffing matrix of an interdisciplinary clinic, lean and six sigma improvement strategies, identifying areas of nursing program growth as an administrative dean of an online nursing program). Part A consisted of identifying the significance of the problem and addressing the issue with supporting evidence from current literature.
Part B- Review part A paper Attached and complete Part B (Writer 1019)
Part B, to be completed as the final assignment for NR713, will relate to addressing the problem area through the use of various strategies and techniques – e.g., would the most optimal way to address the problem be through team collaboration, designing a business plan, addressing throughput issues, conducting a gap analysis, and/or utilizing financial techniques in addressing the needed change effort. Once the strategies are identified, the next step of this project will entail designing an implementation plan to address the problem area and the DNP leader’s role in the change process. The final step of the project will be to identify three measurable outcomes to assess the success of the implementation plan.
COURSE OUTCOMES
Through this assignment, the student will demonstrate the ability to:
• CO 1: Integrate interprofessional collaboration and the DNP indirect care role across diverse healthcare settings. (PO #4 and 8)
• CO 2: Utilize DNP leadership strategies for advancing healthcare policy in selected healthcare systems change. (PO #2, 3, and 4)
• CO 7: Compare and contrast driving and restraining forces that shape DNP leader response to advance quality and safety initiatives in healthcare using selected healthcare systems change. (PO #4 and 9)
POINTS
This assignment is worth a total of 275 points.
DUE DATE
Part B is to be submitted to the Dropbox by Sunday, end of Week 6, by 11:59 p.m. MT.
REQUIREMENTS
Part A of this assignment consisted of identifying a quality improvement or evidence and knowledge based issue in an area of nursing practice relevant to your role as a DNP-prepared nurse. You were to identify the significance of the problem and your role as a DNP in addressing the issue with supporting evidence from current literature.
The following objectives are to be addressed in Part B.
Use of the following subheadings to organize the content of the paper:
a. Problem Area of Impact
b. Strategies and Techniques
c. Implementation Plan
d. Your Role as a DNP-Prepared Leader
e. Measurable Outcomes

1. Describe how the problem area impacts the three system levels within the organizational structure—microsystem, mesosystem, and macrosystem. (1 page)
a. At what system level will change be most required to address the problem area—microsystem, mesosystem, or macrosystem level?
b. Will the problem be addressed by focusing on only one of the system levels?
c. Will all system levels be included when addressing the problem area?
2. Identify and describe the financial techniques or strategies that will be used to address the problem area. There is not correct answer, rather you are to use a systems thinking approach in order to address the problem area as thoroughly and efficiently as possible. (2 pages)
a. Identify the most optimal strategy in addressing the problem area such as conducting a throughput analysis and identifying the various bottlenecks within the system, SWOT analysis to discover the range of staffing matrices used by competing hospitals, using a strategic process and identifying key stakeholders when creating a new culture of safety.
b. Will other strategies need to be used to address the problem area or will one strategy suffice at this point in time?
c. Will strategies cross over all three system levels?
3. Describe the implementation plan to address the problem area. (2 pages)
a. Who needs to be involved in creating change; list the key stakeholders that need to be involved in this project.
b. Document the steps of the process as it currently exists using a flow chart; perform a gap analysis, and design the steps of the new process that will address the gaps and improve the problem area.
c. Design a timeline for completing the steps of the new process.
4. Describe your role as the DNP leader is supporting the change process. (2 pages)
a. What leadership skills will you utilize to lead the change effort?
b. How will you deal with individuals at the three levels of the system, as well as stakeholders with differing opinions?
c. How will you assure there is reawakened passion for the change effort to be sustained?
5. Identify and define three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) to measure the success of your implementation plan. (1 page)
a. Will the measurable outcomes be measured at the three system levels—micro, meso, and macrosystem levels?
b. What are the expectations of the customers and patients?
c. What is in the literature about this particular indicator and outcome?
Criteria for Format and Special Instructions
1. The paper (excluding the title page and references page) should be 8-10 pages. Points will be lost for not meeting this length requirement. Estimated page length for each section of the paper is outlined in the description of the assignment section.
2. Font and sizes acceptable: 12-point Times New Roman or 11-point Ariel.
3. This assignment is excluded from Turnitin, in accordance with Turnitin policy. Check with the instructor for more information.
4. The textbooks required for this course may not be used as a reference for this assignment.
5. A minimum of 10 scholarly references must be used. Scholarly references need to be current, 5-8 years or less (anonymous authors or web pages are not acceptable).
6. Title page, body of paper, and reference page must follow APA guidelines as found in the sixth edition of the manual. This includes the use of headings for each section or topic of the paper.
7. Ideas and information that come from readings must be cited and referenced correctly.
8. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the sixth edition of the APA manual.
9. This paper is worth 275 total points and will be graded on quality of topic, quality of paper information, use of citations, grammar, and sentence structure.
DIRECTIONS AND GRADING CRITERIA
Category Points % Description
Introduction 0 0 Brief introduction to the paper, but no subtitle of introduction is used per APA format requirements.
Problem Area of Impact 40 13% Describe how the problem area impacts the three system levels within the organizational structure—microsystem, mesosystem, and macrosystem.
Strategies and Techniques 50 18% Identify and describe the financial techniques or strategies that will be used to address the problem area.
Implementation Plan 50 24% Describe the implementation plan to address the problem area.
Your Role as a DNP Leader 50 18% Describe your roles the DNP leader is supporting the change process.
Measurable Outcomes 35 18% Identify and define three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) to measure the success of your implementation plan.
APA Format 10 2% Title page, body of paper, and reference page must follow APA guidelines as found in the sixth edition of the manual. This includes the use of headings for each section or topic of the paper.

Citations in Text 15 5% Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics 25 10% Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the sixth edition of the APA manual.

Total 275 points 100%
A quality assignment will meet or exceed all of the above requirements.

GRADING RUBRIC
Assignment Criteria A
(100–92%)
Outstanding or highest level of performance B
(91–84%)
Very good or high level of performance C
(83–76%)
Competent or satisfactory level of performance F
(75–0%)
Poor or failing or unsatisfactory level of performance
Content
Possible Points = 225 Points
Problem Area of Impact
40 points 37–40 points 34–36 points 30–33 points 0–29 points
Description of how the problem area impacts the three system levels within the organizational structure includes all of the following.
System level the change will be required to address the problem area.
Problem addressed by focusing on only one of the system levels.
Whether all system levels will be included in addressing the problem area. Description of how the problem area impacts the three system levels within the organizational structure includes two of the following.
System level the change will be required to address the problem area.
Problem addressed by focusing on only one of the system levels.
Whether all system levels will be included in addressing the problem area. Description of how the problem area impacts the three system levels within the organizational structure includes one of the following.
System level the change will be required to address the problem area.
Problem addressed by focusing on only one of the system levels.
Whether all system levels will be included in addressing the problem area. Description of how the problem area impacts the three system levels within the organizational structure does not include the following.
System level the change will be required to address the problem area.
Problem addressed by focusing on only one of the system levels.
Whether all system levels will be included in addressing the problem area.
Strategies and Techniques
50 points 46–50 points 42–45 points 38–41 points 0–37 points
Identification and description of financial techniques or strategies used to address the problem area includes all of the following.
Description of optimal strategy in addressing the problem area.
Description of other strategies used to address the problem area.
Description of strategies that cross over all three system levels.
Identification and description of financial techniques or strategies used to address the problem area includes two of the following.
Description of optimal strategy in addressing the problem area.
Description of other strategies used to address the problem area.
Description of strategies that cross over all three system levels.
Identification and description of financial techniques or strategies used to address the problem area includes one of the following.
Description of optimal strategy in addressing the problem area.
Description of other strategies used to address the problem area.
Description of strategies that cross over all three system levels.
Identification and description of financial techniques or strategies used to address the problem area does not include the following.
Description of optimal strategy in addressing the problem area.
Description of other strategies used to address the problem area.
Description of strategies that cross over all three system levels.

Implementation Plan
50 points 46–50 points 42–45 points 38–41 points 0–37 points
Description of the implementation plan to address the problem area includes all of the following.
Members involved in creating change.
Design of the new process that addresses the gaps and improvement of the problem area.
Design a timeline for completing the steps of the new process.
Description of the implementation plan to address the problem area includes two of the following.
Members involved in creating change.
Design of the new process that addresses the gaps and improvement of the problem area.
Design a timeline for completing the steps of the new process.
Description of the implementation plan to address the problem area includes one of the following.
Members involved in creating change.
Design of the new process that addresses the gaps and improvement of the problem area.
Design a timeline for completing the steps of the new process.
Description of the implementation plan to address the problem area does not include the following.
Members involved in creating change.
Design of the new process that addresses the gaps and improvement of the problem area.
Design a timeline for completing the steps of the new process.

Your Role as a DNP Leader
50 points 46–50 points 42–45 points 38–41 points 0–37 points
Description of the DNP leader’s role in supporting the change process includes all of the following.
Leadership skills used to lead the change effort
Stakeholders relationships.
Sustaining change efforts. Description of the DNP leader’s role in supporting the change process includes two of the following.
Leadership skills used to lead the change effort
Stakeholders relationships.
Sustaining change efforts. Description of the DNP leader’s role in supporting the change process includes one of the following.
Leadership skills used to lead the change effort
Stakeholders relationships.
Sustaining change efforts. Description of the DNP leader’s role in supporting the change process does not include the following.
Leadership skills used to lead the change effort
Stakeholders relationships.
Sustaining change efforts.
Measurable Outcomes
35 points 3235 points 29–31 points 27–28 points 0–26 points
Identification of three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) includes all of following.
Identification of whether the outcomes will be measured at the three system levels.
Expectations of the customers and patients.
Literature support of outcomes. Identification of three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) includes two of following.
Identification of whether the outcomes will be measured at the three system levels.
Expectations of the customers and patients.
Literature support of outcomes. Identification of three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) includes one of following.
Identification of whether the outcomes will be measured at the three system levels.
Expectations of the customers and patients.
Literature support of outcomes. Identification of three measurable outcomes (e.g., patient satisfaction scores, nurse engagement scores, clinical outcomes) does not include the following.
Identification of whether the outcomes will be measured at the three system levels.
Expectations of the customers and patients.
Literature support of outcomes.
Content Subtotal _____ of 225 points
Format
Possible Points = 50 points
APA Style
10 points 9–10 points 8 points 7 points 0–6 points
There are zero to one APA format error in the text, title page, and reference page(s),
AND
correctly formatted headings identify all sections of the paper. There are two to four APA format errors in the text, title page, and/or reference page(s),
AND
correctly formatted headings identify all sections of the paper. There are –five to six APA format errors in the text, title page, or reference page (s).
OR
Correctly formatted headings do not identify all sections of the paper. There are more than seven APA format errors in the text, title page, or reference page (s).
OR
There are no headings in the paper.
Citations
15 points 14–15 points 13 points 11–12 points 0–10 points
There are zero to one error in the crediting of ideas and information that contributed to knowledge. There are two to three errors in the crediting of ideas and information from sources that contributed to knowledge. There are four to five errors in the crediting of ideas and information from sources that contributed to knowledge. There are six or more errors in the crediting of ideas and information from sources that contributed to knowledge.
Writing Quality
25 points 23–25 points 21–22 points 19–20 points 0–18 points
One to two errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the sixth edition of the APA manual,
AND
paper meets page-length requirements. Three to five exceptions or errors to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the sixth edition of the APA manual,
AND
paper meets page-length requirements. Six to seven errors and exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the sixth edition of the APA manual.
OR
Paper does not meet page-length requirements. Eight or more errors and exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the sixth edition of the APA manual.

Format Subtotal _____ of 50 points
Total Points

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