Planning is the key to successful completion of this course and  program-related objectives. The Individual Success Plan (ISP) assignment  requires early collaboration with the course faculty and your clinical  preceptor. Students must establish a plan for successful completion of:
The  required 50 community direct clinical practice experience hours, 50  leadership direct clinical practice experience hours, and 25 indirect  care experience hours. 
Completion of work associated with program competencies. 

Work associated with completion of the student’s capstone project change proposal.
Students  will use the Individual Success Plan to develop an individual plan for  completing practice hours and course objectives. As a part of this  process, students will identify the number of hours set aside to meet  course goals.
Student expectations and instructions for completing  the ISP document are provided in the “NRS-465 Individual Success Plan”  template.

The Individual Success Plan is a clinical document that  is necessary to meet clinical requirements for this course. Therefore,  the form should be submitted with the preceptor’s hand-written  signature. A typed electronic signature will not be accepted.
Students  should apply concepts from prior courses to critically examine and  improve their current practice. Students are expected to integrate  scholarly readings to develop case reports that demonstrate increasingly  complex and proficient practice.
After the ISP has been developed  by the student and approved by the course faculty, students will  initiate a preconference with the faculty and preceptor to review the  ISP.
DISC 1, The National Academy of Medicine (formerly the Institute of Medicine)  championed the goal that 90% of clinical decisions will be  evidence-based by 2020. A recent systematic review of the published  literature indicates that evidence-based practice (EBP) implementation  remains deficient despite an ongoing effort to increase implementation.  Discuss two barriers that might hold nursing practice from achieving  this goal and suggest ways in which the identified barriers may be  addressed. DISC 2 In preparation for your assignment this week, brainstorm two to three  clinical practice problems or issues you can develop into a nursing  practice change. What indicates these are clinical issues in nursing  practice? Support your discussion with two peer-reviewed journal  articles
NRS-465 Individual Success Plan
REQUIRED PRACTICE HOURS:
•
100 direct clinical experience (50 hours community/50 hours leadership)
•
25 indirect care experience hours
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Complete Contact Information
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Student Information
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Name:
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GCU
E-mail:
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Phone Number:
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Course Faculty Information
GCU
Name:
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E-mail:
Phone Number:
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Practicum Preceptor
Information
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Name:
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E-mail:
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Practice Setting
Phone Number:
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© 2024. Grand Canyon University. All Rights Reserved.
ISP Instructions
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.
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Topic
Topic 1
Graded Assignment
Indirect Care Experience Assignments
1.
1.
List of potential topics for the change proposal
1.
2.
Search the literature for supporting journal articles
Topic selection based on assessment of clinical site
1.
Search the literature for supporting journal articles
1.
2.
Implementation Plan with objectives and measurable outcomes
taking into account sociocultural and linguistic considerations
Midterm Clinical Evaluation Tool
Individual Success Plan (ISP)
Topic 2
Topic 3
1.
2.
PICOT Question Development
Reflection Journal Entry
Topic 4
1.
Literature Evaluation Table
Topic 5
Topic 6
1.
Literature Review
1.
List of resources
Topic 7
1.
Reflection Journal Entry
1.
2.
Development of evaluation plan
Remediation-if required
Topic 8
1.
Written Capstone Project
Change Proposal
Topic 9
1.
Reflection Journal Entry
1.
Professional Presentation development
Topic 10
1.
2.
3.
Finalized ISP
Scholarly Activity Summary
Benchmark – Reflection Journal
Summary
1.
2.
3.
Dissemination reflection
Final Clinical Evaluation Tool
Practice Clinical Evaluation Tool-Student Evaluation of Preceptor
and Site
3
Application-based
Learning Course
Assignments
List of
Current
Course
Objectives
Assignment
Date Due
Self-Assessment:
Programmatic
Domains and
Competencies
(see Appendix A)
Completion of ISP
Capstone Project Topic
Selection and Approval
PICOT Question
Development
Topic 3 Reflection Journal
Literature Evaluation Table
Implementation Plan
List of Resources
Literature Review
Topic 7 Reflection Journal
Evaluation Plan
Written Capstone Project
Change Proposal
Topic 9 Reflection Journal
Presentation Development
Presentation Dissemination
and Reflection
Scholarly Activity Summary
Clinical Practice Hours
4
Self-Assessment: GCU
RN-to-BSN University
Mission Critical
Competencies
(see Appendix A)
Date
Assignment
Completed
Midterm and Final Clinical
Evaluation Tool Completion
Student Evaluation of
Preceptor and Agency
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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.
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APPENDIX A:
GCU RN-to-BSN Domains and Competencies
A.
University’s Mission Critical Competencies
How does this Individual Success Plan support the GCU Mission?
MC1: Effective Communication: Therapeutic communication is central to baccalaureate
nursing practice. Students gain an understanding of their ethical responsibility and how verbal
and written communication affects others intellectually and emotionally. Students begin to use
nursing terminology and taxonomies within the practice of professional and therapeutic
communication. Courses require students to write scholarly papers, prepare presentations,
develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing,
synthesizing, and evaluating scientific evidence needed to improve patient outcomes and
professional practice.
MC3: Christian Worldview: Students will apply a Christian worldview within a global society
and examine ethical issues from the framework of a clearly articulated system of professional
values. Students will engage in discussion of values-based decisions made from a Christian
perspective.
MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is
introduced to baccalaureate students in the foundational curriculum. Some courses will focus on
the human experience across the world health continuum. The World Health Organization
(WHO) definitions of health, health disparities, and determinants of health are foundational to
nursing practice.
MC5: Leadership: Students are required to develop skills and knowledge associated with their
professional role. Courses require students to develop self-leadership skills such as time
management, setting priorities, self-control, and evaluation of their abilities and performance.
B.
Domains and Competencies
How does this Individual Success Plan support the Program Domains and Competencies?
Domain 1: Knowledge for Nursing Practice
1.3:
Demonstrate clinical judgment founded on a broad knowledge base. [AACN 1.3a, 1.3b,
1.3c] – Benchmark
Domain 2: Person-Centered Care
2.5:
Develop a plan of care. [AACN 2.5d] – Benchmark
2.8:
Promote self-care management. [AACN 2.8d]
© 2024. Grand Canyon University. All Rights Reserved.
Domain 3: Population Health
3.1:
Manage population health. [AACN 3.1a, 3.1b, 3.1c, 3.1f, 3.1g]
3.2:
Engage in effective partnerships. [AACN 3.2a, 3.2b]
3.3:
Consider the socioeconomic impact of the delivery of health care. [AACN 3.3b]
3.5:
Demonstrate advocacy strategies. [AACN 3.5a, 3.5b, 3.5c, 3.5d]
Domain 4: Scholarship for the Nursing Discipline
4.1:
Advance the scholarship of nursing. [AACN 4.1a, 4.1b, 4.1c, 4.1d, 4.1e, 4.1f, 4.1g] –
Benchmark
4.2:
Integrate best evidence into nursing practice. [AACN 4.2a, 4.2b, 4.2c, 4.2d, 4.2e] –
Benchmark
Domain 5: Quality and Safety
5.1:
Apply quality improvement principles in care delivery. [AACN 5.1a, 5.1c, 5.1f, 5.1g,
5.1h] – Benchmark
Domain 6: Interprofessional Partnerships
6.1:
Communicate in a manner that facilitates a partnership approach to quality care
delivery. [AACN 6.1a, 6.1b]
6.2:
Perform effectively in different team roles, using principles and values of team
dynamics. [AACN 6.2d]
6.3:
Use knowledge of nursing and other professions to address healthcare needs. [AACN
6.3a, 6.3b, 6.3c] – Benchmark
6.4:
Work with other professions to maintain a climate of mutual learning, respect, and
shared values. [AACN 6.4a, 6.4b, 6.4d] – Benchmark
2
Domain 7: Systems-Based Practice
7.1:
Apply knowledge of systems to work effectively across the continuum of care.
[AACN 7.1a, 7.1d] – Benchmark
7.2:
Incorporate consideration of cost-effectiveness of care. [AACN 7.2b, 7.2d, 7.2e, 7.2f]
– Benchmark
7.3:
Optimize system effectiveness through application of innovation and evidence-based
practice. [AACN 7.3a, 7.3c] – Benchmark
Domain 8: Informatics and Healthcare Technologies
8.1:
Describe the various information and communication technology tools used in the
care of patients, communities, and populations. [AACN 8.1a, 8.1b]
8.3:
Use information and communication technologies and informatics processes to
deliver safe nursing care to diverse populations in a variety of settings. [AACN 8.3a,
8.3d]
Domain 9: Professionalism
9.1:
Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission
to society. [AACN 9.1b, 9.1d]
9.2:
Employ participatory approach to nursing care. [AACN 9.2g]
9.3:
Demonstrate accountability to the individual, society, and the profession. [AACN
9.3a, 9.3d, 9.3e, 9.3h]
9.5:
Demonstrate the professional identity of nursing. [AACN 9.5d]
9.6:
Integrate diversity, equity, and inclusion as core to one’s professional identity.
[AACN 9.6b] – Benchmark
Domain 10: Personal, Professional, and Leadership Development
10.2: Demonstrate a spirit of inquiry that fosters flexibility and professional maturity.
[AACN 10.2a, 10.2b, 10.2c, 10.2d]
10.3:
Develop capacity for leadership. [AACN 10.3c, 10.3d, 10.3e, 10.3f, 10.3g, 10.3h]
3