Purpose of assignment is to integrate all the readings, discussions, and power points into a synthesis paper.

1. Paper should not exceed 8 pages, excluding abstract and references.
2. Limit the description of the issue to 1 page of the 8 page maximum.
3. The guidelines for the paper are below.

 Guidelines:

 Since all in this course have had nursing experience, you no doubt have been faced with nursing practice situations and issues that have been very worrisome, difficult and perhaps impossible to accept.  As a nurse prepared at the doctoral level, you will be equipped with the knowledge, skills, and credentials to be the leader that influences the changes necessary to address the issue.

 For this assignment, choose one issue that you believe needs to be resolved, is a circumstance that you feel should not be accepted by professional nurses and others, and you conclude you cannot continue to accept.  In the syllabus this assignment is called “What I as a DNP Prepared Nurse Will Absolutely Advocate For”.  This is not to be a small issue.  Think big. Your approach to influencing the resolution of the problem will be by working at a broad system level (macrosystem).   Or, the issue might be a broad professional issue. The paper should include discussion on the following components:

(A description is not sufficient – Analysis is the key.)

 Identification and Description of the Issue Background and an Analysis as why the Issue is of concern Your Plan, which should include:

• What do you think needs to be changed, what change do you propose, what evidence (empirical and/or theoretical is there for proposing the change
• Major Stakeholders
• Change Theory
• Collaboration – Collaborators and their Role, including the approaches you will use to engage others
• Cultural Implications (all aspects of culture – quality/safety culture, tolerance for change, spoken
• and unspoken values
• Underlying Values and their Role in the issue and the proposed solution
• Desired Outcomes
• Evaluation—When and How