Professional Portfolio

The Johns Hopkins University School of Nursing

Table of Contents

Academic Course of Study 3

Clinical Nurse Specialist/Health Systems Management Dual Track Nurse Educator Certificate

Professional & Educational Goals 4-13

Professional Goal Statement Educational Objective

CNS Core Competencies Personal Professional & Educational Goals

Clinical Summary 14

Scholarly Products 15

Scholarly Papers Research Projects Educational Projects Policy (TBD) Business Plan

Resume/CV 16-21

Transcript TBD

Letters of Reference TBD

Appendices A-D (Papers) TBD

Academic Course of Study1

Clinical Nurse Specialist/Health Systems Management Dual Track COURSE NUMBER COURSE NAME CREDITS

Core Courses

NR 110.500 Philosophical, Theoretical, and Ethical Basis for Nursing 3

NR 110.501 Intermediate Biostatistics 3

NR 110.503 Applications of Research to Practice 3

NR 110.504 Context of Health Care for Advanced Practice Nursing 3

Advanced Practice Core Courses

NR 110.502 Physiology/Pathophysiology I 3

NR 110.508 Clinical Pharmacology 3

NR 110.536* or 537*

Advanced Health Assessment and Measurement: Adult/Geriatric or Pediatric Variations

1

NR 110.549 Advanced Health Assessment & Measurement 2

Specialty Courses

NR 110.512 Strategies in Nursing Management 3

NR 110.520* CNS Role Specialty Practicum I 3

NR 110.521* CNS Specialty Practicum II 3

NR 110.522* CNS Outcomes Specialty Practicum III 3

NR 110.546 Health Promotion/Disease Prevention 1

NR 110.560 Program Development & Evaluation in Health Care 2

NR 110.605 Leadership & Management in Health Care 3

NR 110.608 Business Plan 1

Education Requirement 3

Financial Management Requirement 3

Organization Management Theory Requirement 3

TOTAL 49-50

* Course has a clinical component

Nurse Educator Certificate

COURSE NUMBER COURSE NAME CREDITS

NR110.540 Teaching Strategies in Nursing 3

NR110.830 The Evolving Roles of the Nurse Educator 3

NR110.542 Educational Evaluation 3

NR110.638 Curriculum Theory and Design 3

TOTAL 12

1 Adapted from: http://www.nursing.jhu.edu/academics/academic_programs/

Professional & Educational Goals

Professional Goal Statement

My professional goal upon completion of the JHUSON MSN/CNS, Adult Health/Health Systems Management program with certification as a Nurse Educator is to find a full-time position that will allow me to translate my theoretical and clinical knowledge into individual, staff, and systems improvements in an acute care adult health setting.

Educational Objective

Upon completion of this MSN program, I will be able to successfully practice within the aspects delineated by the National Association of Clinical Nurse Specialists competencies.

CNS Core Competencies

Modes of Accomplishment Documentation of Accomplishment

1. Use knowledge of differential illness diagnoses and treatments in comprehensive, holistic assessments of patients within the context of disease, diagnosis, treatments. The outcome of differential diagnosis of illness is to explicate etiology(ies) that require nursing interventions to prevent or alleviate the illness;

Didactic Course Work: NR110.536 Advanced Health Assessment and Measurement – Adult/Geriatric Variations NR100.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice NR100.508 Clinical Pharmacology Clinical Practicum: NR110.536 Advanced Health Assessment and Measurement – Adult/Geriatric Variations NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care

Increased fluency in adult/geriatric assessments. PowerPoint Presentation with Concept Map: Esophageal Varices and Alcohol Metabolism Increased knowledge of pharmacological interventions. Completed 3 episodic and 3 comprehensive history and physical evaluations. Project with PowerPoint Presentation: Overview of Congestive Heart Failure for New Graduate Orientation. PowerPoint Presentation with Case Study: Matters of the Heart

2. Design, implement, and evaluate innovative

individual and/or population-based programs of care to achieve desired quality, cost-effective, and nurse-sensitive outcomes.

Didactic Course Work: NR100.810 Theory and Concepts of Health Behavior and Health Promotion NR110.560 Program Development and Evaluation in Health Care Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Paper: Electronic Health Record Adoption: A Blended-Learning Approach Logic Model: New Graduate Nurse Satisfaction Measurement Paper: New Graduate Nurse Orientation: An Effective Retention Strategy Paper: Outcomes Analysis: STAT Medication Management Project PowerPoint Presentation: Streamlining STAT Medications

3. Serve as educator/leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes.

Didactic Course Work: NR110.404 Information Technology in Nursing NR110.540 Strategies for Teaching/Clinical Teaching in Nursing NR110.830 The Evolving Roles of the Nurse Educator

Project: Voice-Over PowerPoint Presentation: Mexico, Let’s Wash Today for a Safer Tomorrow: An H1N1 Prevention Educational Guide for Healthcare Workers in Mexico.

Multimedia Prezi Presentation: “A Clin-Who?”: A Brief Overview of the Clinical Nurse Specialist Role Project: Teaching Plan for CNS Prezi Presentation. Paper: Nurse Educators and Gen Y: A Teaching Perspective PowerPoint Presentation: Millenials

Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care

Paper with PowerPoint Presentation: New Graduate RN Orientation: Patient Presentation, Disease Management, and Education for Congestive Heart Failure. Case Study with PowerPoint Presentation: Matters of the Heart: Patient presentation, Disease Management, Patient/ Staff/Systems Assessment, Cultural Competence for Acute Coronary Syndrome.

4. Advance nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes.

Didactic Course Work: NR110.503 Application of Research to Practice NR110.504 Context of Healthcare for Advanced Practice Nursing NR110.599 Independent Study: Course Evaluation Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Paper: State of the Science on Electronic Health Record Implementation Strategies in Hospitals: Role of the Nurse Paper: Need for Electronic Health Record Adoption Project: Online Wiki: “Am I Covered”: An Overview of Healthcare Financing Project: Assessment of and implementation of a best-practice in course evaluations. Implementation of a New Graduate RN Orientation Program. Implementation of an evidence-based STAT medication access project in the hospital.

5. Lead multidisciplinary groups to facilitate Didactic Course Work:

collaboration with other disciplines in the attainment of outcomes across the continuum of care.

NR110.560 Program Development and Evaluation in Health Care NR110.599 Independent Study: ACT Program Clinical Practicum: NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Increased knowledge of multidisciplinary collaboration in program development and execution. Collaborated with Medicine and Health Systems Management Residents to design and implement a project. Recommended the use of local Sigma Theta Tau Chapter resources for a hospital research day in a Research Council Meeting. ?? Led intra-departmental project meetings with Pharmacy to develop a STAT medication management process in the hospital.

6. Interpret the dimensions of nursing care requiring resources at the system level, and provide leadership to assure that the system adequately supports the delivery of nursing care.

Didactic Course Work: NR110.560 Program Development and Evaluation in Health Care Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care

Project: Logic Model, Statement of Focus, Action Plan, and Budget creation for New Graduate Nurse Satisfaction Measurement. Hospital-wide implementation of Alaris Infusion Pumps: Staff/Vendor and nursing leadership coordination by CNS. Evaluated the hospital-wide implementation of Central Line Associated Blood-Stream Infection (CLABSI) Interventions. Examined the Magnet Status interventions

NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

such as the creation of a research-handbook for the staff nurse. Analyzed STAT medication orders and delivery process to create a streamlined management of urgent medications. Increased knowledge of the Comprehensive Unit-Based Safety Program (CUSP) and Translating Research Into Practice (TRIP) Models. Attended national CLABSI and CUSP Coaching Teleconferences.

7. Expand the practice of nursing through ongoing generation and acquisition of scientific knowledge and skills to maintain expert clinical competencies that leads to desired outcomes.

Didactic Course Work: NR110.500 Philosophical, Theoretical, and Ethical Basis for Nursing NR110.501 Intermediate Biostatistics NR110.503 Application of Research to Practice Clinical Practicum: NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care

Increased knowledge about ethical, middle-range, and grand nursing theories. Paper: Genetic Testing through an Ethical Lens Analyzed and interpreted statistical findings in nursing research. Researched the State of the Science on Electronic Health Record Implementation Strategies in Hospitals. Attended Chesapeake Critical Care Consortium classes for Cardiovascular Care: EKG Interpretation, Pathophysiology, Pharmacologic Management, Emergency

NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Monitoring and Management. Attended national CLABSI and CUSP Coaching Teleconferences.

8. Demonstrate professional citizenship and fiscal responsibility in the health care system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care.

Didactic Course Work: NR110.560 Program Development and Evaluation in Health Care Clinical Practicum: NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Created a budget for a prospective New Graduate Nurse Satisfaction Measurement Project. Assisted in policy revisions for the Peripherally Inserted Central Catheter (PICC) Policy. Attended the Mid-Atlantic CNS Affiliate Fall Meeting.

Personal Professional & Educational Goals 1. Relate how the diverse roles of the CNS may

be expressed in my own future CNS practice.

Didactic Course Work: NR110.504 Context of Healthcare for Advanced Practice Nursing NR110.540 Strategies for Teaching/Clinical Teaching in Nursing Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III:

Identified personal strengths that compliment the attributes and competencies of the CNS. Created a multimedia presentation that summarizes the CNS role for incoming CNS students in the Online CNS track at the JHUSON. Preliminary associations drawn from CNS Weekly Logs. Application of CNS roles integrated in

Acute/Critical Care clinical practice

through interdisciplinary initiatives, outcomes analysis, and educational efforts.

2. Associate underlying pathophysiology to relevant clinical problems for staff/self education.

Didactic Course Work: NR100.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care

Created a concept map to make associations about a disease process and underlying pathophysiology. Presented an overview of CHF to New Graduate RNs: related signs and symptoms to pathophysiology. Participated in 4 Chesapeake Critical Care Consortium classes related to Cardiovascular Care: EKG Interpretation, Pathophysiology, Pharmacologic Management, Emergency Monitoring and Management.

3. Identify and utilize creative teaching-learning strategies to improve comprehension of a clinical issue for a patient/staff nurse.

Didactic Course Work: NR110.404 Information Technology in Nursing NR100.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice NR110.540

Created a Voice-Over PowerPoint presentation: Mexico, Let’s Wash Today for a Safer Tomorrow: An H1N1 Prevention Educational Guide for Healthcare Workers in Mexico. Created a concept map to make associations about a disease process and underlying pathophysiology: Esophageal Varices Increased knowledge

Strategies for Teaching/Clinical Teaching in Nursing NR100.830 The Evolving Roles of the Nurse Educator Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

of the Top 100 Educational teaching-learning strategies of 2009. Increased knowledge of teaching-learning theories and frameworks to guide teaching strategies. Utilized multi-media videos in a PowerPoint Presentation to demonstrate the learning needs of Generation Y students: Millenials. Utilized concept maps to delineate relationships between roles of the nurse educator and nursing education. Administered crossword puzzles and a case-study to educate New Graduate Nurses about CHF. Utilized role-play and a case-study to illustrate the dynamic of all CNS core competencies during issue resolution: Matters of the Heart. Created a Voice-Over-PowerPoint Presentation about STAT Medication management for a department-wide nursing meeting.

4. Identify current evidence-based practices and emerging trends in healthcare.

Didactic Course Work: NR110.503 Application of Research to Practice

Researched best practices for Electronic Health Record Implementation Strategies.

Clinical Practicum: NR110.520 CNS Role Specialty Practicum I: Acute/Critical Care NR110.521 CNS Role Specialty Practicum II: Acute/Critical Care NR110.522 CNS Role Specialty Practicum III: Acute/Critical Care

Researched best practices for New Graduate Nurse Orientation Programs. Utilized f the 2009 Focused Updates for ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults recommendations for CHF Overview Presentation. Utilized the 2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention and the 2007 Guidelines for the management of patients with unstable angina/non ST-elevation myocardial infarction executive summary for the Matters of the Heart Presentation. Investigated best-practices regarding STAT medication management and the use of a completely computerized medication dispensing system in the hospital.

5. Identify strategies for successful program development and implementation.

Didactic Course Work: NR110.560 Program Development and Evaluation in Health Care NR100.810 Theory and Concepts of Health Behavior and Health Promotion Clinical Practicum:

Increased knowledge of program design, planning, and evaluation strategies. Increased knowledge of theoretical frameworks that guide program development and evaluation.

CLINICAL SUMMARY OF CNS PROGRAM OF STUDY Semester, Year

Clinical Hours Completed

Preceptor, credentials, clinical site; population characteristics; scope of influence (e.g. patient,

staff, organization)

Title of scholarly products (e.g.,

manuscript, PPT presentation, CE program, pt ed program, etc)

List associated CNS skills and competencies

addressed during each experience

(must relate to CNS Scope and Standards)

Fall 2009: NR110.536 Clinical hours completed: 83

Preceptor: Mary Donnelly Strozzo, MS, MPH, CRNP Population characteristics: Adults (18-65 yrs) Caucasian/African-

American/Asian/ Hispanic Scope of influence: Patient

Scholarly projects: Comprehensive

Health History History of Present

Illness Episodic History and

Physical

CNS competencies Direct Care Educator Research

Spring 2010:NR110.520 Clinical hours completed: 168

Preceptor: Rona D. Corral-Stewart, MSN, RN, CNS Population characteristics: New Graduate RNs at a

community/acute-care hospital

Scope of influence: Staff

Scholarly project: New Graduate

Orientation Program CHF Overview

Presentation

CNS competencies Collaboration Coaching Research Educator Leadership

Summer 2010:NR110.521 Clinical hours completed: 168

Preceptor: Deborah Harper, RN, MS Population characteristics: Cardiac patients at a

community/acute-care hospital.

Scope of influence: Patient

Scholarly project: Matters of the Heart

Case Study

CNS competencies Research Educator Leadership Collaboration

Fall 2010: NR110.522 Clinical hours completed: 168

Preceptor: Melinda Sawyer, RN,

MSN, PCCN Population characteristics:

Data and outcomes analysis.

Scope of influence:

System

Scholarly project:

Outcomes Analysis

CNS competencies Collaboration Leadership Research Consultant Consultant

Scholarly Products

Papers 1. Need for Electronic Health Record Adoption 2. Electronic Health Record Adoption: A Blended- Learning Approach 3. Electronic Health Record Implementation Strategies in Hospitals: The Role of the

Nurse 4. Nurse Educators and Generation Y: A Teaching Perspective 5. New Graduate Nurse Orientation: An Effective Retention Strategy

Research projects TBD Educational projects 1. Logic Model: New Graduate Nurse Satisfaction Measurement

2. Online Wiki: “Am I Covered?”: An Overview of Healthcare Financing 3. PowerPoint Presentation with Case Study: Matters of the Heart 4. PowerPoint Presentation with Concept Map: Esophageal Varices and Alcohol

Metabolism 5. PowerPoint Presentation with Learning Activity: CHF Overview and Nursing

Management 6. PowerPoint Presentation: Millenials. 7. Voice-Over PowerPoint Presentation: Mexico, Let’s Wash Today for a Safer

Tomorrow: An H1N1 Prevention Educational Guide for Healthcare Workers in Mexico.

8. Voice-Over-PowerPoint Presentation: State of the Science: Electronic Health Record Adoption in the Hospital: The Role of the Nurse

9. Voice-Over-PowerPoint Presentation: Streamlining STAT Medication Management in the Hospital

10. Voice-Over-PowerPoint-Prezi Presentation: “A Clin-Who?: A Brief Overview of the Clinical Nurse Specialist Role