One of the most important skills for a nurse executive to have is the ability to write an executive summary. An executive summary is a concise yet thorough accounting of a larger report or proposal for change. For example, when an institution has an accreditation visit, many criteria must be met. Therefore, the report received from the accreditors will be lengthy. The stakeholders, i. e., higher-level leaders, will need to be given a report that contains key areas of concern, the impact of the issue on organizational operations and the quality of health care delivery, what is proposed for correcting the issue and the organizational impact of the intervention. The executive summary is based on the evidence found in the report and other factors.

Case Scenario
As the chief quality and safety officer, you have been leading the initiative for the healthcare system to obtain MagnetT status from the American Nurses Credentialing Center (ANCC). The facility applied, was visited, and has received the report. The report identifies a deficiency (or deficiencies) in one of the Five Magnet Model* components. A solution must be implemented that shows improvement in the area within the next six months, at which time another visit will be scheduled.

For this assignment, you will create an executive summary of the report addressed to the board of directors of the healthcare facility. You will choose a Force of Magnetism within one of the MagnetT model components for your focus. The executive summary will include all the following: (1) a description of one of the five Magnet components within which a deficiency (or deficiencies) exists, (2) the specific “Force of Magnetism” that is deficient, (3) the criterion used by the examiners to the indicate the deficiency and the evidence/metric used, (4) an analysis of their findings and possible solutions to resolve the issue, and (5) the impact of the deficiency and recommended solutions on the organization. 

The Five Magnet Model Components* are listed below. Choose one of these upon which to focus your…… The link to the ANCC website where these components are described is provided at the beginning of the assignment. Within each component, the “Forces of Magnetism” are listed. The description of how these are measured, or the evidence examined to determine compliance, is also generally described on the web page. Choose one of the Forces to explore more deeply and describe how your facility was deficient. From this, you will be able to propose two potential solutions to address the deficiency found by the examiners. In your description of criteria/findings, you will need to identify the specific criteria used and the evidence of the deficiency.

Magnet Model Components:

• Transformational Leadership
      Force #1: Quality of Nursing Leadership
      Force #3: Management Style
• Structural Empowerment
      Force #2: Organizational Structure
      Force #4: Personnel Policies and Programs
      Force #10: Community and Healthcare Organization
      Force #12: Image of Nursing
      Force #14: Professional Development
• Exemplary Professional Practice
      Force #5: Professional Models of Care
      Force #8: Consultation and Resources
      Force #9: Autonomy
      Force #11: Nurses as Teachers
      Force #13: Interdisciplinary Relationships
• New Knowledge, Innovations & Improvements
      Force #7: Quality Improvement
• Empirical Quality Results
      Force #6: Quality of Care

4 discussions 

discuss mood stabilizers 

 Two to three page 

Details:

1. Selecting EBP Model for your EBP Question 
   Select one of the common EBP models that you think it best fits your PICOT question and then explain/justify your selection considering the following:  
   • The clarity and conciseness of the model’s concepts and organization  
   • The diagrammatic representation of the model and the ability to assimilate the concepts and organizes the step of the desired EBP changes 
   • The comprehensiveness of the model from the beginning stages to implementation and evaluation of outcomes 
   • The easiness of the use when concepts are applied to direct EBP changes and practice issues in clinical settings 
   • The flexibility of the model to be applied to various populations of patients, EBP projects, initiatives, and programs 
   • The use and popularity of the model in the published literature 
   • This assignment should be no more than 2-3 pages (not including the title or references pages).     
     Common EBP Models: 
   1. The Stetler Model of Evidence-Based Practice  
   2. The Iowa Model of Evidence-Based Practice to promote quality care 
   3. The Model for Evidence-Based Practice Change  
   4. The Advancing Research and Clinical practice through close Collaboration (ARCC) model for implementation and sustainability of EBP  
   5. The Promoting Action on Research Implementation in Health Services (PARIHS) framework  
   6. The Clinical Scholar model  
   7. The Johns Hopkins Nursing Evidence-Based Practice model  
   8. The ACE Star Model of Knowledge Transformation 

 

B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

1.  Identify each of the following PICO components of the clinical practice problem:

•   P: patient, population, or problem

•   I: intervention

•   C: comparison

•   O: outcome

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

2.  Describe the research methodology used in the research-based article.

3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the research-based article.

5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article.

a.  Explain how the article helps answer your EBP question.

D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.

E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation. 

3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.

4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.

F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.