Nursing Leadership and Management ; Executive Summary Feedback Form

Nursing Leadership and Management

Executive Summary Feedback Form

Share your written proposal with your manager, supervisor, or other colleague in a formal leadership position within a health care organization. Complete the “Executive Summary Feedback Form” during the exchange and submit the document.

Student Name:__________________ Section & Faculty Name:_________________________________

Date of Interview:________________               

Provider Information

EmployeeName:                                             

Last        First       M.I.

Credentials:                        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 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.            Do you believe the proposal would be approved if formally proposed?

2.            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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