GCU Week 3 Quality Improvement Initiative Program

GCU Week 3 Quality Improvement Initiative Program

Executive Summary Feedback Form Student Name:__________________ Date of Interview:________________ Section & Faculty Name:_________________________________ Provider Information Employee Name : Last Credentials: First M.I. Title: (I.e. MS, RN, etc.) Organization: Phone Number: E-mail Address: Feedback Section The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using non-traditional experiences for practicing nurses. These experiences come in the form of direct and

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indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities. This activity is intended to foster demonstration of skills related to leadership and management. Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts: 1. 2. Do you believe the proposal would be approved if formally proposed? What are some strengths and weaknesses of the proposal? _______________________________ _________________ Signature of Individual Providing Feedback Date Signed NOTE: Acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud).
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