NRS 465 Individual Success Plan (ISP)

NRS 465 Individual Success Plan (ISP)

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for NRS-465, the Applied Evidence-Based Project 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.

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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 care experience 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. By the end of the course, your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains and 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 and Competencies (Appendix A) related to this course.
  • The major deliverables of the course are listed. Show the topic/course objectives that apply to each deliverable and 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 outside of scheduled practicum experience time at the practicum site.
  • Within the Individual Success Plan, ensure you identify all graded course assignments and indirect care experience assignments listed in the table on the next page.


Topic Graded Assignment Indirect Care Experience Assignments
Topic 1 1.       Individual Success Plan (ISP) 1.       List of potential topics for the change proposal
Topic 2 1.       Search the literature for supporting journal articles

2.       Topic selection based on assessment of clinical site

Topic 3 1.       PICOT Question Development

2.       Reflection Journal Entry

1.       Search the literature for supporting journal articles
Topic 4 1.       Literature Evaluation Table  
Topic 5 Benchmark-Capstone change project implementation plan 1.       Implementation Plan with objectives and measurable outcomes taking into account sociocultural and linguistic considerations

2.       Midterm Clinical Evaluation Tool

Topic 6 1.       Literature Review 1.       List of resources
Topic 7 1.       Reflection Journal Entry 1.       Development of evaluation plan

2.       Remediation-if required

Topic 8 1.       Written Capstone Project Change Proposal 1.       Change project integration based on the proposal

2.       Apply evidence-bases research steps and processes as foundation

3.       Address clinically oriented problem or issue in future practice

Topic 9 1.       Reflection Journal Entry 1.       Professional Presentation development
Topic 10 1.       Finalized ISP

2.       Scholarly Activity Summary

3.       Benchmark – Reflection Journal Summary

1.       Dissemination reflection

2.       Final Clinical Evaluation Tool

3.       Practice Clinical Evaluation Tool-Student Evaluation of Preceptor and Site


Application-based Learning Course Assignments List of Current Course Objectives Assignment Date Due Self-Assessment: Programmatic Domains and Competencies
(see Appendix A)
Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies
(see Appendix A)
Date Assignment Completed
Completion of ISP Create and develop an in-depth plan to successfully complete the course 3/24/2024 4:1; 8.1:; MC1; MC2
Capstone Project Topic Selection and Approval Demonstrate inter-professional collaboration in creating a topic for capstone project change proposal

Develop solution to address a clinical practice issue and enhance patient outcomes

Link the developed solution to quality care delivery for the targeted population

3/31/2024 1.3; 2.5; 3.1; 3.2; 4.1; 4.2 MC1; MC2; MC5
PICOT Question Development Create a PICOT question integrating an evidence-based nursing practice intervention 3/25/2024 1.3; 4.1; 4.2; 10.2; 6.1 MC1; MC2; MC5
Topic 3 Reflection Journal Engage in a reflective practice based on the aims, principles and roles in revalidating aspects of nursing.

Ensure that nurses consider the decisions and actions they take in care provision

4/1/2024 2.8; 4.1; 4.2; 6.3 MC1; MC2: MC4
Literature Evaluation Table Synthesis of evidence-based research articles that support the selected and approved capstone change project proposal topic 4/8/2024 4.1; 4.2; 9.1; 9.2; 10.2; 10.3; 6.3 MC1; MC2; MC4; MC5
Implementation Plan Identify stakeholders for implementation of proposed change

Develop a solution to address a clinical practice aspect for enhancing patient outcomes

Discuss the effects of the proposed nursing practice intervention

Discuss implementation steps and strategies for the proposed nursing practice intervention for the capstone change proposal

4/21/2024 1.3; 2.5; 3.2; 4.1; 4.2; 5.1; 6.3; 6.4; 8.1; 9.1; MC1; MC2; MC4: MC5
List of Resources Identify core resources to support the proposed capstone change project topic based on their evidence

Synthesize resources based on their importance to the project

3/30/2024 1.3; 4.1; 4.2; 8.1; 9.1 MC1; MC2; MC4
Literature Review Demonstrate a synopsis of reviewed literature based on the evaluation table to determine strengths and level of evidence 4/14/2024 4.1; 4.2; 9.1; 9.2; 10.1; 10.2; 6.3; 10.2 MC1; MC2; MC4; MC5
Topic 7 Reflection Journal Demonstrate important learning events that have occurred throughout the course and practicum

Reflect on the relationship and practicum site experience with the preceptor and other stakeholders

5/5/2024 1.3;4.1;4.2;6.1;6.2; 6.3; 9.1; 9.2; 10.2 MC1; MC2; MC4; MC5
Evaluation Plan Create an evaluation plan to assess the outcomes of the proposed nursing practice intervention for a change proposal

Explain effects of policy, economics, and regulations on care outcomes

5/5/2024 1.3; 3.2; 3.3; 4.1; 4.2; 5.1; 6.1; 6.2; 8.1; 9.2; 10.2 MC1; MC2; M4; MC5
Written Capstone Project Change Proposal Synthesize aspects of a project change proposal into a final project

Identify possible barriers to the implementation of the proposed change project

Propose solutions for addressing the possible challenges or barriers

Apply evidence-based research processes and steps as the foundation to address a clinically oriented issue in future practice

5/12/24 1.3; 3.1; 4.1; 4.2; 6.3; 6.4; 7.1; 7.3; 8.1; 9.2; 10.2; 10.3 MC1; MC2; MC4; MC5
Topic 9 Reflection Journal Integrate reflective practice into practicum journal to enhance learning about events during the course 5/19/2024 1.3; 3.2; 3.3; 4.1; 6.1; 6.3; 9.2 MC1; MC2; MC4; MC5
Presentation Development Demonstrate effective presentation skills based on the proposed project change

Integrate critical and analytical skills to make presentations capturing the developed solution to the practice issue or problem

Review and integrate faculty feedback to enhance the proposed solution to meet patient or population needs

5/19/2024 1.3; 2.5; 3.2; 4.1; 4.2; 6.3; 6.4; 7.3; 8.1; 9.1
Presentation Dissemination and Reflection Disseminate the proposed change proposal to the identified nursing problem

Reflection on the presentation of the proposed change project intervention

Demonstrate inter-personal collaboration and respect for views and opinions of other professionals on disseminating the capstone project change proposal

Demonstrate self-efficacy based on one’s professional development

5/26/2024 1.3; 2.5; 2.8; 3.2; 3.5; 4.1; 4.2; 5.1; 6.1; 6.3; 6.4; 7.1; 7.3; 8.1; 8.3; 9.2; 9.6; 10.3 MC1; MC2; MC3; MC4; MC5
Scholarly Activity Summary Demonstrate integration of learned concepts in clinical settings

Demonstrate integration and communication aspects for the selected practicum site

Demonstrate participation in scholarly activity through interdisciplinary collaboration and partnership

5/26/2024 1.3; 2.5; 3.1; 4.1; 4.2; 6.2; 6.3; 7.1; 8.1; 9.2 MC1; MC2; MC3; MC5
Clinical Practice Hours Apply clinical leadership concepts, skills, and decision-making in provision of high-quality nursing care through inter-professional collaboration 5/26/24 1.3; 2.5; 3.5; 4.1; 4.2; 6.1; 6.2; 7.3; 8.1; 9.3; 10.2 MC1; MC2; MC4; MC5
Midterm and Final Clinical Evaluation Tool Completion Demonstrate completion of all assigned deliverables, assessments, and evaluating and the documentation of 100 clinical hours

Demonstrate need for remediation and successful completion with preceptor and faculty

4/21/2024 1.3; 4.1; 4.2; 6.1; 6.2; 6.3; 6.4; 7.1; 8.1; 9.1; 9.2; 9.3; 9.5; 9.6; 10.2; 10.3 MC1; MC2; MC4; MC5
Student Evaluation of Preceptor and Agency Demonstrate effective engagement and interactions with the preceptor and agency

Enhance effective communication approaches and inter-professional and interdisciplinary collaboration

5/26/24 1.3; 4.1; 4.2; 3.2; 5.1; 6.3; 6.4; 7.3; 9.3; 9.4; 10.2 MC1; MC2; MC4


By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been completed with your guidance.


Student Signature
Preceptor Signature [Upon Initiation of Course]
Preceptor Signature [Upon Completion of Course]


The “NRS-465 Individual Success Plan” is a clinical document that is necessary to meet clinical requirements for this course. Therefore, this form should be submitted with the preceptor’s hand-written signature. A typed electronic signature will not be accepted. It is acceptable for the student to type his/her signature as noted above.




GCU RN-to-BSN Domains and Competencies

  1. University’s Mission Critical Competencies

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

MC5: Leadership: Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.


  1. Domains and Competencies

How does this Individual Success Plan support the Program Domains and Competencies?

Domain 1: Knowledge for Nursing Practice

1.3:      Demonstrate clinical judgment founded on a broad knowledge base. [AACN 1.3a, 1.3b, 1.3c] – Benchmark



Domain 2: Person-Centered Care

2.5:      Develop a plan of care. [AACN 2.5d] – Benchmark


2.8:      Promote self-care management. [AACN 2.8d]



Domain 3: Population Health

3.1:      Manage population health. [AACN 3.1a, 3.1b, 3.1c, 3.1f, 3.1g]


3.2:      Engage in effective partnerships. [AACN 3.2a, 3.2b]


3.3:      Consider the socioeconomic impact of the delivery of health care. [AACN 3.3b] 


3.5:      Demonstrate advocacy strategies. [AACN 3.5a, 3.5b, 3.5c, 3.5d]



Domain 4: Scholarship for the Nursing Discipline

4.1:      Advance the scholarship of nursing. [AACN 4.1a, 4.1b, 4.1c, 4.1d, 4.1e, 4.1f, 4.1g] – Benchmark


4.2:      Integrate best evidence into nursing practice. [AACN 4.2a, 4.2b, 4.2c, 4.2d, 4.2e] – Benchmark



Domain 5: Quality and Safety

5.1:      Apply quality improvement principles in care delivery. [AACN 5.1a, 5.1c, 5.1f, 5.1g, 5.1h] – Benchmark



Domain 6: Interprofessional Partnerships

6.1:      Communicate in a manner that facilitates a partnership approach to quality care delivery. [AACN 6.1a, 6.1b]


6.2:      Perform effectively in different team roles, using principles and values of team dynamics. [AACN 6.2d]


6.3:      Use knowledge of nursing and other professions to address healthcare needs. [AACN 6.3a, 6.3b, 6.3c] – Benchmark


6.4:      Work with other professions to maintain a climate of mutual learning, respect, and shared values. [AACN 6.4a, 6.4b, 6.4d] – Benchmark



Domain 7: Systems-Based Practice

7.1:      Apply knowledge of systems to work effectively across the continuum of care. [AACN 7.1a, 7.1d] – Benchmark


7.2:      Incorporate consideration of cost-effectiveness of care. [AACN 7.2b, 7.2d, 7.2e, 7.2f] – Benchmark


7.3:      Optimize system effectiveness through application of innovation and evidence-based practice. [AACN 7.3a, 7.3c] – Benchmark



Domain 8: Informatics and Healthcare Technologies

8.1:      Describe the various information and communication technology tools used in the care of patients, communities, and populations. [AACN 8.1a, 8.1b]


8.3:      Use information and communication technologies and informatics processes to deliver safe nursing care to diverse populations in a variety of settings. [AACN 8.3a, 8.3d]



Domain 9: Professionalism

9.1:      Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society. [AACN 9.1b, 9.1d]


9.2:      Employ participatory approach to nursing care. [AACN 9.2g]


9.3:      Demonstrate accountability to the individual, society, and the profession. [AACN 9.3a, 9.3d, 9.3e, 9.3h]


9.5:      Demonstrate the professional identity of nursing. [AACN 9.5d]


9.6:      Integrate diversity, equity, and inclusion as core to one’s professional identity. [AACN 9.6b] – Benchmark



Domain 10: Personal, Professional, and Leadership Development

10.2:    Demonstrate a spirit of inquiry that fosters flexibility and professional maturity. [AACN 10.2a, 10.2b, 10.2c, 10.2d]


10.3:          Develop capacity for leadership. [AACN 10.3c, 10.3d, 10.3e, 10.3f, 10.3g, 10.3h]


Assessment Description

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your clinical preceptor. Students must establish a plan for successful completion of:

  1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice experience hours, and 25 indirect care experience hours.
  2. Completion of work associated with program competencies.
  3. Work associated with completion of the student’s capstone project change proposal.

Students will use the Individual Success Plan to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “NRS-465 Individual Success Plan” template.

The Individual Success Plan is a clinical document that is necessary to meet clinical requirements for this course. Therefore, the form should be submitted with the preceptor’s hand-written signature. A typed electronic signature will not be accepted.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

You are not required to submit this assignment to LopesWrite.



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