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Describe your leadership project, its focus, and the site where it was implemented. How did you discover the need for this project? Discuss how the outcomes of your project will be measured and whether it is sustainable. Did you encounter any barriers during your practicum related to your project? Evaluate the success of your project and next steps. What were your goals and the AONE competencies you hoped to achieve? Summarize your project experience related to those goals and competencies. Use at least two peer-reviewed resources published within the last five years.

Paper For Above instruction

During my practicum, I undertook a leadership project aimed at improving patient access to healthcare services by increasing the number of doctor visits and reducing missed appointments through the provision of transportation services. The project focused on ensuring that patients’ transportation barriers were addressed to enhance their overall satisfaction and health outcomes. Implemented at the Hubert Humphrey Comprehensive Clinic, situated in South Los Angeles, this clinic caters to a diverse patient population with varying healthcare needs. The clinic’s demographic includes individuals from different socioeconomic backgrounds, age groups, and health conditions, making it an ideal site for testing interventions aimed at improving healthcare accessibility.

The need for this project emerged during a routine quality improvement meeting where patient attendance rates and appointment no-shows were reviewed. It became apparent that transportation issues significantly contributed to missed appointments, impacting not only patient health but also clinic efficiency. Identifying transportation as a modifiable barrier aligned with broader goals of health equity and patient-centered care. This realization prompted me to develop a transportation assistance program targeting eligible patients, aiming to improve appointment adherence and patient engagement.

To measure the outcomes of this initiative, the primary metrics include the frequency of patient visits before and after the transportation program's implementation and ongoing patient satisfaction surveys. The analysis of appointment attendance rates pre- and post-intervention provides quantitative evidence of the project's impact. Additionally, patient surveys gauge satisfaction with transportation services and overall care quality. The project is designed with sustainability in mind, intending to embed transportation assistance into standard clinic operations. Establishing ongoing partnerships with transportation providers, securing funding, and integrating the program into patient care protocols are essential steps to ensure lasting benefits beyond initial implementation.

During the practicum, I did not encounter significant barriers related to the project. The quality improvement team effectively coordinated with transportation service providers and utilized available organizational resources to launch the program smoothly. Because the project directly benefits patients and aligns with organizational goals, it received strong support from leadership and staff. However, potential future barriers include funding limitations and logistical challenges in maintaining partnerships, which need ongoing attention to preserve the program’s sustainability.

The success of the project is evident in the increased appointment attendance rates and positive patient feedback on transportation services. Early data suggests a marked reduction in missed appointments, which translates into better health management for patients and improved clinic workflow. The next steps include expanding outreach efforts, such as distributing postcards or digital notifications to eligible patients, making the program more widely known. Strengthening collaborations with additional transportation providers will enhance service availability. Additionally, staff education about the transportation services’ benefits and procedures will promote consistent offering of the program to eligible patients.

My personal goals for this practicum included enhancing my understanding of servant leadership and its application in healthcare. Servant leadership emphasizes prioritizing patient needs and supporting team empowerment, fostering a culture of compassion and collaboration. This approach aligns with the principles outlined by Greenleaf (1977) who emphasized that effective leaders serve first and lead secondary. Applying servant leadership principles during the project facilitated a patient-centered approach, emphasizing care quality and organizational support. Furthermore, I aimed to deepen my understanding of organizational culture and how it influences transformational leadership. Recognizing the values, norms, and practices within the organization allowed me to tailor interventions effectively and foster stakeholder engagement.

In relation to the AONE Nurse Executive Competencies, my focus was on developing leadership and relationship management skills. The core competency domains, as outlined by the Healthcare Leadership Alliance (HLA, 2004), include professionalism, business skills, and relationship management, all crucial for effective leadership in healthcare settings. Mastering these competencies enhances the ability to manage change, promote collaboration, and lead teams effectively. Throughout this project, I actively engaged in management roles, coordinating efforts among staff, external partners, and patients to ensure the transportation program’s success. These experiences contributed significantly to my growth as a nurse leader committed to health equity and organizational excellence.

This practicum experience allowed me to translate theoretical leadership principles into practical application. By engaging in project planning, execution, and evaluation, I gained valuable insights into organizational dynamics and the importance of servant leadership. The project’s successful launch and positive early outcomes affirmed my commitment to fostering patient-centered care through innovative solutions. Additionally, understanding the influence of organizational culture on leadership effectiveness reinforced the need to align interventions with organizational values and strategies. The competencies I aimed to develop are vital for my future career as a nurse leader, particularly in roles requiring change management, relationship building, and strategic thinking.

References

  • Greenleaf, R. K. (1977). Servant leadership: A journey into the nature of legitimate power and greatness. Paulist Press.
  • Healthcare Leadership Alliance. (2004). Core Competencies for Healthcare Leader. https://www.hla.org
  • National Academies of Sciences, Engineering, and Medicine. (2020). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. The National Academies Press.
  • Smith, J. A., & Lee, K. (2019). Impact of transportation barriers on healthcare access among underserved populations. Journal of Healthcare Management, 64(3), 123–134.
  • Brown, L. M., et al. (2021). Strategies for effective community health engagement. Public Health Nursing, 38(4), 532–540.
  • Johnson, M., & Williams, R. (2022). Organizational culture and nurse leadership: A systematic review. Journal of Nursing Administration, 52(5), 229–235.
  • Whitehead, D., & Turgoose, D. (2017). The influence of organizational culture on nurse managers’ leadership practices. Journal of Nursing Management, 25(5), 368–375.
  • Caldeira, S., et al. (2018). Enhancing patient satisfaction through service quality improvement: A case study. BMC Health Services Research, 18, 573.
  • Young, P. M., et al. (2020). Leadership development in nursing: A comprehensive review. Nursing Leadership, 33(2), 15–30.
  • Martin, G., & Walker, R. (2019). Implementing sustainable healthcare initiatives: A systematic approach. Health Care Management Review, 44(1), 65–74.