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NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect
Clinical Experience Hours.
Complete Contact Information
P Student Information GCU
R Name: Rozina Moffitt
A
C E-mail:
T m
I Phone Number: 972-965-8821
C
E Course Faculty Information GCU
E
Name:
Victoria Yu
X
P E-mail:
E 505-269-1162
R Phone Number:
I
Practicum Preceptor Practice Setting
E
N Information
C Name: Melinda Pate
E
E-mail:
Phone Number: 817-706-5277
ISP Instructions
© 2015. Grand Canyon University. All Rights Reserved.
,Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone 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 clinical practice 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. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains
& 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 &
Competencies (Appendix A) related to that course.
Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, 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.
Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in
the table on the next page.
© 2015. Grand Canyon University. All Rights Reserved.
, Topic Graded Assignment Indirect Clinical Assignments
Topic 1 1. Individual Success Plan 1. List of potential topics for the change proposal
2. Reflection Journal Entry
Topic 2 1. Topic Selection Approval 1. Search the literature for supporting journal articles
Paper 2. Summary of topic category; community or leadership
2. Reflection Journal Entry
Topic 3 1. PICOT Question Paper 1. List of objectives
2. Reflection Journal Entry
Topic 4 1. Literature Evaluation 1. List of measurable outcomes
Table
2. Reflection Journal Entry
Topic 5 1. Reflection Journal Entry 1. Summary of the strategic plan
2. Midterm Evaluation Tool
Topic 6 1. Literature Review Table 1. List of resources
2. Reflection Journal Entry
Topic 7 1. Reflection Journal Entry 1. Summary of the evaluation plan
2. Remediation-if required
Topic 8 1. Benchmark Written
Capstone Project Change
Proposal
2. Reflection Journal Entry
Topic 9 1. Reflection Journal Entry 1. Professional Presentation
Topic 10 1. Finalized ISP 1. Summary of presentation
2. Scholarly Activity 2. Final Clinical Evaluation Tool
Summary 3. Practice Clinical Evaluation Tool-Agency
3. Benchmark-Reflection 4. Practice Clinical Evaluation Tool-Preceptor
Journal Summary
Application-based List of Current Assignmen Self- Self-Assessment: Date
© 2015. Grand Canyon University. All Rights Reserved.
NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect
Clinical Experience Hours.
Complete Contact Information
P Student Information GCU
R Name: Rozina Moffitt
A
C E-mail:
T m
I Phone Number: 972-965-8821
C
E Course Faculty Information GCU
E
Name:
Victoria Yu
X
P E-mail:
E 505-269-1162
R Phone Number:
I
Practicum Preceptor Practice Setting
E
N Information
C Name: Melinda Pate
E
E-mail:
Phone Number: 817-706-5277
ISP Instructions
© 2015. Grand Canyon University. All Rights Reserved.
,Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone 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 clinical practice 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. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains
& 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 &
Competencies (Appendix A) related to that course.
Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, 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.
Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in
the table on the next page.
© 2015. Grand Canyon University. All Rights Reserved.
, Topic Graded Assignment Indirect Clinical Assignments
Topic 1 1. Individual Success Plan 1. List of potential topics for the change proposal
2. Reflection Journal Entry
Topic 2 1. Topic Selection Approval 1. Search the literature for supporting journal articles
Paper 2. Summary of topic category; community or leadership
2. Reflection Journal Entry
Topic 3 1. PICOT Question Paper 1. List of objectives
2. Reflection Journal Entry
Topic 4 1. Literature Evaluation 1. List of measurable outcomes
Table
2. Reflection Journal Entry
Topic 5 1. Reflection Journal Entry 1. Summary of the strategic plan
2. Midterm Evaluation Tool
Topic 6 1. Literature Review Table 1. List of resources
2. Reflection Journal Entry
Topic 7 1. Reflection Journal Entry 1. Summary of the evaluation plan
2. Remediation-if required
Topic 8 1. Benchmark Written
Capstone Project Change
Proposal
2. Reflection Journal Entry
Topic 9 1. Reflection Journal Entry 1. Professional Presentation
Topic 10 1. Finalized ISP 1. Summary of presentation
2. Scholarly Activity 2. Final Clinical Evaluation Tool
Summary 3. Practice Clinical Evaluation Tool-Agency
3. Benchmark-Reflection 4. Practice Clinical Evaluation Tool-Preceptor
Journal Summary
Application-based List of Current Assignmen Self- Self-Assessment: Date
© 2015. Grand Canyon University. All Rights Reserved.
