Preconference Evaluation: Individual Success Plan (ISP)
Assignment Overview:
In this course, the Individual Success Plan (ISP) assignment is a collaborative effort between you and the course faculty. Its purpose is to create a plan that ensures successful completion of specific requirements for your program. These requirements include:
- Completing the required practice immersion hours.
- Fulfilling program competencies.
- Engaging in work associated with the completion of your Direct Practice Improvement (DPI) Project.
Preconference Meeting:
For certain courses, such as DNP-815A, 840A, 830A, 955A, 960A, and 965A, a preconference meeting is required. This meeting involves you and your preceptor/mentor reviewing course- and learner-specific learning objectives, roles, responsibilities, and expectations during the practice immersion experience. Faculty and preceptor/mentor information will be shared, and any requested course or program information will be provided by you. During the meeting, you’ll discuss course and practice immersion goals, including potential projects. The faculty will review the submitted document and approve proposed projects. Additionally, an introductory email will be sent to your preceptor/mentor.
General Requirements:
Follow these guidelines for successful completion of the assignment:
- Find and download Individual Success Plan (ISP) and Direct Practice Improvement (DPI) timeline documents in the DNP PI Workspace.
- Review the DNP Program Milestones document in the DNP PI Workspace to identify applicable domains, competencies, and milestones for this course.
- Plan your practice immersion experiences to address each competency, specifying the hours you’ll dedicate to meet your goals. Apply concepts from core courses and integrate scholarly readings for case reports.
- Use the ISP to develop a personal plan, showcasing major milestones and deliverables in the timeline.
- Within the ISP, specify deliverables such as DNP practice immersion contracts, comprehensive logs of practice hours, evaluations, updated CV, scholarly activities, competency self-assessment, reflective journal, course goals, and faculty/preceptor approvals.
- While an ISP is required, a mentor signature is not needed for DNP-801A, 805A, or DNP-810A. However, preconference and postconference/evaluation meetings with preceptors/mentors are mandatory for all DNP courses from DNP-815A onward. These meetings may be face-to-face or virtual, and a signed document must be uploaded by the end of Topic 1.
- Discuss course- and learner-specific objectives during each conference, as you are responsible for completing all mandated program experiences.
- Use APA style for your writing assignments, with the APA Style Guide available in the Student Success Center.
- Review the rubric before starting the assignment to understand expectations for successful completion.
- While not required for LopesWrite, submit the assignment using the digital classroom’s assignment dropbox. Additionally, upload the deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for future reference.
Follow these steps for your course:
- Identify Deliverables:
- Figure out the specific things you need to complete for this course. Discuss this with your faculty, and keep them updated if there are any changes to your plan.
- List Challenges:
- Think about the challenges you might face during your practice immersion hours and meeting competency requirements. Jot them down. How could you overcome these challenges?
- Preconference Evaluation:
- Before certain courses, like DNP-801, there’s a meeting. Make sure to update your faculty or chair with any changes to your Individual Success Plan (ISP).
- Contact Information:
- Fill out the Contact Information table at the start of the ISP resource. Sign it and put the date when you finish.
- Read ISP Document:
- Go through the ISP document, paying attention to Learner Expectations, Derivation of the ISP, and Instructions for Completing the ISP.
- Complete ISP:
- Follow the instructions in the document and complete the Individual Success Plan (ISP).
This way, you’re all set to tackle the course, keep your faculty in the loop, and overcome any challenges that come your way!
Individual Success Plan (including Pre and Post Conference documentation)
Course # 801A PRACTICE!! -No submission 801A
Target Practice Hours: 0 (Based on individual hours required to total 1,000 post-baccalaureate hours. Check your course syllabus for details.)
DNP-801 Preconference Evaluation: Individual Success Plan (ISP)
| P | R | A | C | T | I | C | E |
| I | M | M | E | R | S | I | O |
Complete Contact Information
Learner Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Course Faculty/Chair Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Mentor/Content Expert/Preceptor Information:
| Practice Setting | |
| Name: | ENTER MENTOR INFORMATION HERE IF YOU HAVE ONE! OR “No mentor yet” |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan: Always check the DC Network for updated versions of this plan for each course.
Instructions:
Use this form to create your Individual Success Plan (ISP) for each course, starting in DNP-805A through graduation. Your ISP outlines what you need to accomplish for success in your current course and the entire program. Share it with your mentor, preceptor, or content expert (CE) during week one and by the end of week eight of each course. For DNP-955A, 960A, and 965A, it is due week 16.
- Mentors: Required by DNP-815A. If you don’t have one in DNP 805A or DNP-810A, still submit your ISP in weeks one and eight. For the mentor signature, type “I do not have a mentor.” No courses after DNP-810A without a mentor.
- Mid-Conference: For DNP-815A, DNP-830A, DNP-840A, DNP-955A, DNP-960A, DNP-965A, and extension courses, schedule a mid-conference between faculty/chair, mentor (preceptor), and learner before week five (week 8 for 900 level courses). Upload it into the week five dropbox.
- Case Logs: Use Typhon or Lopes tracker for weekly Case Logs related to application-based learning assignments. Enter hours before course completion, as faculty won’t approve later entries.
- Independent Study Assignments: Collaborate with course faculty and mentor, preceptor, or CE for a plan. Submit to your instructor via the Private Forum if no dropbox is available.
Programmatic Requirements:
To graduate, meet these requirements:
- Completion of required practice hours.
- Completion of work associated with all DNP and GCU program competencies.
- Successful defense and completion of your Direct Practice Improvement Project, including Dean’s signature.
Deficiencies may require additional extension courses before Dean’s approval.
Syllabus: Lists immersion hours, which may differ per curriculum. DNP-815 might state 50 hours, while DNP-815A is 100 hours (Direct or Indirect immersion). Direct hours are at the project site; Indirect hours are used for assignments. Actual hours go into Typhon or Lopes tracker substantively. Required practice hours vary; contact your SSC for info.
Remember, it’s your responsibility to gather this information and create a plan for success!
Target Practice Hours: 0 (Individual hours needed to reach 1,000 post-baccalaureate hours. Check your course syllabus for specifics.)
DNP-801 Preconference Evaluation: Individual Success Plan (ISP)
| P | R | A | C | T | I | C | E |
| I | M | M | E | R | S | I | O |
Complete Contact Information
Learner Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Course Faculty/Chair Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Mentor/Content Expert/Preceptor Information:
| Practice Setting | |
| Name: | ENTER MENTOR INFO IF AVAILABLE or “No mentor yet” |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan: Always check the DC Network for updated versions for each course.
Instructions:
Use this form for your Individual Success Plan (ISP) from DNP-805A through graduation. Share it with your mentor, preceptor, or content expert (CE) in week one and by week eight of each course (week 16 for DNP-955A, 960A, and 965A).
- Mentors: Required for DNP-815A. If you don’t have one in DNP 805A or DNP-810A, submit your ISP in weeks one and eight. For the mentor signature, type “I do not have a mentor.” No courses after DNP-810A without a mentor.
- Mid-Conference: For DNP-815A, DNP-830A, DNP-840A, DNP-955A, DNP-960A, DNP-965A, and extension courses, schedule a mid-conference between faculty/chair, mentor (preceptor), and learner before week five (week 8 for 900 level courses). Upload it into the week five dropbox.
- Case Logs: Use Typhon or Lopes tracker for weekly Case Logs related to application-based learning assignments. Enter hours before course completion; faculty won’t approve later entries.
- Independent Study Assignments: Collaborate with course faculty and mentor, preceptor, or CE for a plan. Submit to your instructor via the Private Forum if no dropbox is available.
Programmatic Requirements:
To graduate, meet these requirements:
- Completion of required practice hours.
- Completion of work associated with all DNP and GCU program competencies.
- Successful defense and completion of your Direct Practice Improvement Project, including Dean’s signature.
Deficiencies may require additional extension courses before Dean’s approval.
Syllabus: Lists immersion hours; DNP-815 might state 50 hours, while DNP-815A is 100 hours (Direct or Indirect immersion). Direct hours are at the project site; Indirect hours are used for assignments. Actual hours go into Typhon or Lopes tracker substantively. Required practice hours vary; contact your SSC for info.
Pre, Mid, and Post-Conference Evaluation Guide for DNP Project Courses
| Evaluation Type | Purpose | Timing | Participants | Submission Deadline | Key Actions |
| Pre-conference | Review objectives, roles, expectations, and project goals. | Start of project course (DNP-815A, DNP-830A, DNP-840A, DNP-955A, DNP-960A, DNP-965A, and extension courses) | Student, Faculty, Mentor (Preceptor) | End of Week 1 | Discuss course and project goals, review submitted document, and gain faculty approval. Faculty sends introductory email to Mentor. |
| Mid-term conference | Evaluate student progress, conduct midterm evaluation. | Week 5 of project courses | Student, Faculty, Mentor (Preceptor) | – | Faculty meets with Mentor to conduct midterm evaluation (virtually), Mentor meets with student to review evaluation. If needed, faculty meets with student for remediation. |
| Post-conference | Review and evaluate completion of ISP (Individual Success Plan). | End of each course from DNP-805A through graduation | Student, Mentor (Preceptor) | End of Week 8 | Review ISP, ensure “meets expectations” on Mentor evaluation form, upload ISP, Mentor evaluation, and proof of immersion hours. Faculty validates and reviews before faculty evaluation. |
Individual Success Plan (ISP) – Course #805A
| P | R | A | C | T | I | C | E |
| I | M | M | E | R | S | I | O |
Complete Contact Information
Learner Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Course Faculty/Chair Information:
| GCU | |
| Name: | |
| E-mail: | |
| Phone Number: |
Mentor/Content Expert/Preceptor Information:
| Practice Setting | |
| Name: | ENTER MENTOR INFO IF AVAILABLE or “No mentor yet” |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan: Always check the DC Network for updated versions for each course.
Programmatic Requirements:
Completion of required practice hours, completion of work associated with all DNP and GCU program competencies, successful defense, and completion of your Direct Practice Improvement Project, if applicable.
| Application-Based Learning Course Assignments, Independent Study, Project Site Visits | Challenges (list under assignment) | Date Due | Actions |
| Review Course Objectives and GCU DNP Domains & Competencies. | Create a plan for practice experiences. | Date Complete | – |
| Self-Assessed GCU DNP Domains & Competencies (see appendix). | – | ||
| Programmatic Planning for DPI project. | Summary of Past Feedback | Date Complete | See DNP Program Milestones document in the DC Network |
This guide ensures that you, as a student, stay on track with program requirements and effectively collaborate with faculty and mentors throughout your DNP project courses.
Direct Practice Improvement Project Planning and Progression
Form for Intended Site for DPI Project:
| Element | Details |
| Intended Site for DPI (Approved by OFE) | GCU |
| Site Name | |
| IRB and/or QI Process | Yes/No |
| Site QI/IRB Plan (Including Timeline) | Create a plan for preparing; GCU QI/IRB in DNP-960A |
Contact Information:
| PICOT Question | Department Feedback |
| Name: | |
| E-mail: | Date: |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information:
| Practice Setting | |
| Name: | ENTER MENTOR INFO IF AVAILABLE or “No mentor yet” |
| E-mail: | |
| Phone Number: |
Learner Agreement:
By typing my signature below, I agree to read, understand, and be accountable for the instructions, assignments, and hours. I confirm that all questions have been satisfactorily answered by the faculty and/or program lead. I also agree to provide the mentor, preceptor, or content expert with a copy of the syllabus at or before the time of signature.
| Learner Signature: | Name: | Date: |
Mentor, Preceptor, or Content Expert Signatures:
| Upon Starting the Course (Due Week 1) | Upon Completion of Course (Due Week 8) |
| Name: | Name: |
| MENTOR REQUIRED TO SIGN HERE IF AVAILABLE or “No mentor yet” | MENTOR REQUIRED TO SIGN HERE IF AVAILABLE or “No mentor yet” |
| Date: | Date: |
For the Mentor (Preceptor):
By initialing below, I signify that I have received the necessary information from my student and/or preceptor orientation training before the course.
| Checklist | |
| Copy of or link to Graduate Field Experience Manual | Initials: __________ |
| Copy of or link to the University Policy Handbook | Initials: __________ |
| Faculty Contact Information | Initials: __________ |
Individual Success Plan – Course #810A
| P | R | A | C | T | I | C | E |
| I | M | M | E | R | S | I | O |
Complete Contact Information
| Learner Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Course Faculty/Chair Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Mentor/Content Expert/Preceptor Information | Practice Setting |
| Name: | ENTER MENTOR INFO IF AVAILABLE or “No mentor yet” |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan:
Always check the DC Network for updated versions of this plan for each course.
Programmatic Requirements:
| Application-Based Learning Course Assignments, Independent Study, Project Site Visits | Challenges (list under assignment) | Date Due | Actions |
| Review Course Objectives and GCU DNP Domains & Competencies. | Create a plan for practice experiences. | Date Complete | – |
| Self-Assessed GCU DNP Domains & Competencies (see appendix). | – | ||
| Programmatic Planning for DPI project. | Summary of Past Feedback | Date Complete | See DNP Program Milestones document in the DC Network |
Direct Practice Improvement Project Planning and Progression
Form for Intended Site for DPI Project:
| Element | Details |
| Intended Site for DPI (Approved by OFE) | GCU |
| Site Name | |
| IRB and/or QI Process | Yes/No |
| Site QI/IRB Plan (Including Timeline) | Create a plan for preparing; GCU QI/IRB in DNP-960A |
Contact Information:
| PICOT Question | Department Feedback |
| Name: | |
| E-mail: | Date: |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information:
| Practice Setting | |
| Name: | ENTER MENTOR INFO IF AVAILABLE or “No mentor yet” |
| E-mail: | |
| Phone Number: |
Learner Agreement:
By typing my signature below, I agree to read, understand, and be accountable for the instructions, assignments, and hours. I confirm that all questions have been satisfactorily answered by the faculty and/or program lead. I also agree to provide the mentor, preceptor, or content expert with a copy of the syllabus at or before the time of signature.
| Learner Signature: | Name: | Date: |
Mentor, Preceptor, or Content Expert Signatures:
| Upon Starting the Course (Due Week 1) | Upon Completion of Course (Due Week 8) |
| Name: | Name: |
| MENTOR REQUIRED TO SIGN HERE IF AVAILABLE or “No mentor yet” | MENTOR REQUIRED TO SIGN HERE IF AVAILABLE or “No mentor yet” |
| Date: | Date: |
For the Mentor (Preceptor):
By initialing below, I signify that I have received the necessary information from my student and/or preceptor orientation training before the course.
| Checklist | |
| Copy of or link to Graduate Field Experience Manual | Initials: __________ |
| Copy of or link to the University Policy Handbook | Initials: __________ |
| Faculty Contact Information | Initials: __________ |
Mid-term Conference: Student-Faculty-Mentor (Preceptor)
Review progress towards meeting goals/objectives with rationales provided by the student at the mid-term conference:
| Project updates: | __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
| Concerns: | __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
| Preceptor Signature: | __________________________ | Date: _______________ |
| Student Signature: | __________________________ | Date: _______________ |
Please upload to the week five dropbox as indicated in the syllabus.
Individual Success Plan – Course #815A
| Target Practice Hours | ______________________________ (Based on individual hours required to total 1,000 post-baccalaureate hours. Check your course syllabus for details.) Please note, some students may require more hours based on what they transferred in. Please contact your SSA for incoming hours. |
| P | R | A | C | T | I | C | E |
| I | M | M | E | R | S | I | O |
Complete Contact Information
| Learner Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Course Faculty/Chair Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Mentor/Content Expert/Preceptor Information | Practice Setting |
| Name: | REQUIRED FROM HERE TO GRADUATION! |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan:
Always check the DC Network for updated versions of this plan for each course.
Programmatic Requirements:
| Application-Based Learning Course Assignments, Independent Study, Project Site Visits | Challenges (list under assignment) | Date Due | Actions |
| Review Course Objectives and GCU DNP Domains & Competencies. | Create a plan for practice experiences. | Date Complete | – |
| Self-Assessed GCU DNP Domains & Compet |
Direct Practice Improvement Project Planning and Progression
Throughout your program, the elements of designing, developing, and constructing your DPI project are woven into the curriculum. As you move through the courses, use this form to track your progress and readiness for the DPI project.
| Intended Site for DPI (Approved through OFE) | GCU |
| Site Name | |
| Does your site have an IRB and/or QI process? If yes, what is the process? Create a plan (including a timeline) for preparing for site QI/IRB requirements.* |
| Contact Information | |
| Name | |
| Phone Number |
| PICOT Question | Department Feedback |
| Name | |
| Date: | |
| Phone Number |
| Mentor, Preceptor, or Content Expert Information | Practice Setting |
| Name | |
| Phone Number |
Note: Do not recruit, implement, or collect data until site and GCU QI/IRB designations are given. GCU QI/IRB occurs in DNP-960A.
By typing your signature below, you agree to read, understand, and be accountable for the instructions, assignments, and hours shown above. Additionally, you agree to provide the mentor, preceptor, or content expert (depending on the course) with a copy of the syllabus for the course at or before the time of signature.
| Learner Signature | Name: | Date: |
| Mentor, Preceptor, or Content Expert Signature [Upon Starting the Course: DUE WEEK 1] | Name: | Date: |
| Mentor, Preceptor, or Content Expert Signature [Upon Completion of Course: DUE WEEK 8] | Name: | Date: |
Digital signatures with identifiers are accepted or wet ink.
For the Mentor (Preceptor): By initialing below, I signify that I have received the following information from my student and/or through preceptor orientation training before the course:
- Copy of or link to Graduate Field Experience Manual
- Copy of or link to the University Policy Handbook
- Faculty Contact Information
- Instructions for GCU Practicum/Clinical Tracking System
| Mentor Initials | Received Information |
| _____ | Copy of or link to Graduate Field Experience Manual |
| _____ | Copy of or link to the University Policy Handbook |
| _____ | Faculty Contact Information |
Individual Success Plan (ISP) – Course #825A
| Complete Contact Information | |
| Learner Information | GCU |
| Name | |
| Phone Number |
| Course Faculty/Chair Information | GCU |
| Name | |
| Phone Number |
| Mentor/Content Expert/Preceptor Information | Practice Setting |
| Name | |
| Phone Number |
Updates and Modifications to this Individual Success Plan: Always check the DC Network for updated versions of this plan for each course.
| Application Based Learning Course Assignments, Independent Study, Project Site Visits | Challenges (list under assignment) |
| Date Due |
- Review Course Objectives and GCU DNP Domains & Competencies.
- Create a plan for the practice experiences you plan to seek to address each course objective. Consider how each assignment may relate back to your current project concept.
| Self-Assessed GCU DNP Domains & Competencies (see appendix) | Date Complete |
Programmatic Planning for DPI Project
See DNP Program Milestones document in the DC Network
| Date Due | Summary of Past Feedback | Self-Assessed GCU DNP Domains & Competencies (see appendix) | Date Complete |
Repeat the structure for the subsequent courses (Course #835A, Course #840A, Course #830A) with the relevant information and dates.
Direct Practice Improvement Project Planning and Progression
This document guides you through the planning and progress tracking of your Direct Practice Improvement (DPI) project. Please follow the steps and provide the necessary information as you advance through the courses.
Intended Site for DPI (Approved through OFE): GCU
Site Name:
Does your site have an IRB and/or QI process? If yes, what is the process? Create a plan (including a timeline) for preparing for site QI/IRB requirements.
Contact Information:
| PICOT Question | Department Feedback |
| Name: | Date: |
| E-mail: | |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information:
| Practice Setting |
| Name: |
| E-mail: |
| Phone Number: |
Note: Do not recruit, implement, or collect data until both site and GCU QI/IRB designations have been given. GCU QI/IRB occurs in DNP-960A.
By typing your signature below, you acknowledge understanding and accountability for the instructions, assignments, and hours outlined. Provide your mentor, preceptor, or content expert with a copy of the syllabus for confirmation.
Learner Signature:
| Name: | Date: |
Mentor, Preceptor, or Content Expert Signature:
Upon Starting the Course (Due Week 1)
| Name: | Date: |
Upon Completion of Course (Due Week 8)
| Name: | Date: |
Digital signatures with identifiers are accepted, or use wet ink.
For the Mentor (Preceptor):
By initialing below, you confirm receipt of the following information before the course:
| Copy of or link to Graduate Field Experience Manual | I understand I must complete the course-specific evaluations |
| Copy of or link to the University Policy Handbook | Instructions for GCU Practicum/Clinical Tracking System |
| Faculty Contact Information |
Mid-term Conference: Student-Faculty-Mentor (Preceptor)
Review progress towards meeting goals/objectives with rationales provided by the student at the mid-term conference:
Project updates:
Concerns:
Preceptor Signature: ________________________________________ Date: _______________
Student Signature: ________________________________________ Date: _______________
Please upload to the week five Dropbox as indicated in the syllabus.
Individual Success Plan (including Pre and Post Conference documentation)
Course # 955A
Target Practice Hours: Based on individual hours required to total 1,000 post-baccalaureate hours. Refer to your course syllabus for details.
Complete Contact Information:
| Learner Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Course Faculty/Chair Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Mentor/Content Expert/Preceptor Information | Practice Setting |
| Name: | |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan: Always check the DC Network for updated versions of this plan for each course.
Application-Based Learning Course Assignments, Independent Study, Project Site Visits
| Challenges (list under assignment) |
| Number of Planned Immersion Hours Associated with each Assignment/Project Site | Date Due |
| Review Course Objectives and GCU DNP Domains & Competencies. Create a plan for the practice experiences you plan to seek in order to address each course objective. Consider how each assignment may relate back to your current project concept. |
| Self-Assessed GCU DNP Domains & Competencies (see appendix) | Date Complete |
| Actual Practice Immersion Hours Completed Associated with each assignment (blank until end-of-course) | Date Complete |
Programmatic Planning for DPI Project
See DNP Program Milestones document in the DC Network.
| Summary of Past Feedback | Self-Assessed GCU DNP Domains & Competencies (see appendix) | Date Complete |
Direct Practice Improvement Project Planning and Progression
Elements of the design, development, and construction of the DPI project are integrated throughout the program curriculum.
Intended Site for DPI (Approved through OFE): GCU
Site Name:
Does your site have an IRB and/or QI process? If yes, what is the process? Create a plan (including a timeline) for preparing for site QI/IRB requirements.
Contact Information:
| PICOT Question | Department Feedback |
| Name: | Date: |
| E-mail: | |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information:
| Practice Setting |
| Name: |
| E-mail: |
| Phone Number: |
Note: Do not recruit, implement, or collect data until both site and GCU QI/IRB designations have been given. GCU QI/IRB occurs in DNP-960A.
By typing your signature below, you acknowledge understanding and accountability for the instructions, assignments, and hours outlined. Provide your mentor, preceptor, or content expert with a copy of the syllabus for confirmation.
Learner Signature:
| Name: | Date: |
Mentor, Preceptor, or Content Expert Signature:
Upon Starting the Course (Due Week 1)
| Name: | Date: |
Upon Completion of Course (Due Week 16)
| Name: | Date: |
Digital signatures with identifiers are accepted, or use wet ink.
For the Mentor (Preceptor):
By initialing below, you confirm receipt of the following information before the course:
| Copy of or link to Graduate Field Experience Manual | I understand I must complete the course-specific evaluations |
| Copy of or link to the University Policy Handbook | Instructions for GCU Practicum/Clinical Tracking System |
| Faculty Contact Information |
Mid-term Conference: Student-Faculty-Mentor (Preceptor)
Review progress towards meeting goals/objectives with rationales provided by the student at the mid-term conference:
Project updates:
Concerns:
Preceptor Signature: ________________________________________ Date:
Direct Practice Improvement Project Planning and Progress
This guide helps you plan and track your progress for the Direct Practice Improvement (DPI) project. The DPI project’s design, development, and construction are part of the entire program curriculum. As you move through the courses, use the form below to note your advancements and preparations for the DPI project.
Intended Site for DPI (Ensure approval through OFE): GCU
Site Name:
Does your site have an IRB and/or QI process? If yes, what is the process? Create a plan (including a timeline) for preparing for site QI/IRB requirements.
Contact Information:
| PICOT Question | Department Feedback |
| Name: | Date: |
| E-mail: | |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information:
| Practice Setting |
| Name: |
| E-mail: |
| Phone Number: |
Note: Do not recruit, implement, or collect data until both site and GCU QI/IRB designations have been given. GCU QI/IRB occurs in DNP-960A.
By typing your signature below, you agree to have read, understood, and be accountable for the instructions, assignments, and hours shown above. Additionally, you commit to providing the mentor, preceptor, or content expert (depending on the course) with a copy of the syllabus before obtaining their signature. Mentors, preceptors, or content experts will sign digitally or by wet ink upon initial receipt and at the end of the course to confirm the completion of assignments under their guidance.
Learner Signature:
| Name: | Date: |
Mentor, Preceptor, or Content Expert Signature:
Upon Starting the Course (Due Week 1)
| Name: | Date: |
Upon Completion of Course (Due Week 16)
| Name: | Date: |
Digital signatures with identifiers are accepted, or use wet ink.
For the Mentor (Preceptor):
By initialing below, you confirm receipt of the following information before the course:
| Copy of or link to Graduate Field Experience Manual | I understand I must complete the course-specific evaluations |
| Copy of or link to the University Policy Handbook | Instructions for GCU Practicum/Clinical Tracking System |
| Faculty Contact Information |
Mid-term Conference: Student-Faculty-Mentor (Preceptor)
Review progress towards meeting goals/objectives with rationales provided by the student at the mid-term conference:
Project updates:
Concerns:
Preceptor Signature: ________________________________________ Date: _______________
Student Signature: ________________________________________ Date: _______________
Please upload to the week eight Dropbox as indicated in the syllabus.
Individual Success Plan (including Pre and Post Conference documentation)
Course #: 965A
Target Practice Hours: ____(Based on individual hours required to total 1,000 post-baccalaureate hours. Please refer to your course syllabus regarding hours built into your specific class. Please note, some students require more hours based on what they transferred in. Please contact your SSA for incoming hours DNP-801 Preconference Evaluation: Individual Success Plan (ISP).)
Practice Immersion:
Complete Contact Information
| Learner Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Course Faculty/Chair Information | GCU |
| Name: | |
| E-mail: | |
| Phone Number: |
| Mentor/Content Expert/Preceptor Information | Practice Setting |
| Name: | |
| E-mail: | |
| Phone Number: |
Updates and Modifications to this Individual Success Plan:
Always check the DC Network for updated versions of this plan for each course.
Programmatic Requirements Table:
| Application Based Learning | Course Assignments | Independent Study | Project Site Visits |
| Challenges (list under assignment) | |||
| Number of Planned Immersion Hours Associated with each Assignment/Project Site | Date Due |
Self-Assessed GCU DNP Domains & Competencies (see appendix)
Programmatic Planning for DPI project Table:
| Number of Planned Immersion Hours Associated with each Assignment/Project Site | Date Due | |
Summary of Past Feedback
| Self-Assessed GCU DNP Domains & Competencies (see appendix) | Actual Practice Immersion Hours Completed Associated with each assignment (blank until end-of-course) | Date Complete |
Direct Practice Improvement Project Planning and Progression Table:
Intended Site for DPI (Make sure this is approved through OFE)
| GCU Site Name: |
Contact Information:
| PICOT Question | Department Feedback |
| Name: | |
| E-mail: | Date: |
| Phone Number: |
Mentor, Preceptor, or Content Expert Information
| Practice Setting |
| Name: |
| E-mail: |
| Phone Number: |
Note: Learners should not recruit, implement, or collect data until after both site and GCU QI/IRB designations have been given. GCU QI/IRB occurs in DNP-960A.
By typing in your signature below, you agree 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 and/or program lead. Additionally, you agree to provide the mentor, preceptor, or content expert (depending on the course) with a copy of the syllabus for the course at or before the time of signature. Mentors, preceptors, or content experts will sign digitally or by wet ink upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.
| Learner Signature: | Name: | Date: |
| Mentor, Preceptor, or Content Expert Signature [Upon Starting the Course: DUE WEEK 1] |
| Mentor, Preceptor, or Content Expert Signature [Upon Completion of Course: DUE WEEK 16] |
Digital signatures with identifiers are accepted or wet ink.
For the Mentor (Preceptor):
By initialing below, I signify that I have received the following information from my student and/or through preceptor orientation training before the course:
| _____ Copy of or link to Graduate Field Experience Manual | _____ I understand I must complete the course-specific evaluations |
| _____ Copy of or link to the University Policy Handbook | _____ Instructions for GCU Practicum/Clinical Tracking System |
| _____ Faculty Contact Information |
Mid-term Conference: Student-Faculty-Mentor (preceptor)
Review progress towards meeting goals/objectives with rationales provided by the student at the mid-term conference:
Project updates:
Concerns:
| Preceptor Signature: | Date: |
| Student Signature: | Date: |
Please upload to the week eight Dropbox as indicated in the syllabus.
APPENDIX A: GCU DNP Domains & Competencies
University’s Mission Critical Competencies
How does this Individual Success Plan support the GCU Mission?
| Mission Critical Competencies | Individual Success Plan Support |
| MC1: Effective Communication | The ISP encourages active discussion and scholarly expression, emphasizing the dissemination of findings impacting health outcomes. |
| MC2: Critical Thinking | Critical thinking skills are refined by analyzing, synthesizing, and applying scientific evidence to practice improvement. |
| MC3: Responsible Leadership | Leadership skills are developed through accountability, collaboration, advocacy, and systems thinking. |
| MC4: Global Citizenship | Courses focus on cultural, social, economic, and political trends, fostering awareness and reducing health disparities. |
| MC5: Christian Worldview | Values and ethics from a Christian worldview are integrated, encouraging engagement with diverse populations. |
Domains and Competencies
How does this Individual Success Plan support the DNP Domains and Competencies?
| DNP Domain | Competencies | Individual Success Plan Support |
| Domain 1: Scientific Underpinnings for Practice | 1.1 to 1.4 | Integration of nursing science, application of science-based theories, and development of new approaches based on theories. |
| Domain 2: Leadership and Transformational Change | 2.1 to 2.4 | Application of principles in business, finance, economics, and health policy, along with leadership, advocacy, and resolution of complex issues. |
| Domain 3: Systems Management | 3.1 to 3.4 | Demonstration of conceptual ability, evaluation of health information systems, and design/evaluation of programs for care improvement. |
| Domain 4: Population Management | 4.1 to 4.5 | Analysis of scientific data, development and evaluation of care delivery models, and advocacy for social justice within healthcare arenas. |
| Domain 5: Analytic Foundations for Practice | 5.1 to 5.5 | Application of analytic methods, design/evaluation of quality improvement methodologies, and utilization of information technology for evidence-based practice. |
Direct Practice Improvement Project Groups and Associated Milestones
| Milestones | Courses | Document/Requirements | Completion Date |
| Group One (Pre-DPI Courses) | DNP-801A | Pre/Post ISP Template | Required |
| DNP-801A | Evidence-Based PICOT-D Question, Annotated Bibliography, Evaluation of Research, PICOT-D Question Submission | Required | |
| DNP-805A | Pre/Post ISP Template | Required | |
| DNP-810A | Pre/Post ISP Template | Required | |
| DNP-815A | 10 Strategic Points Document, PICOT-D Submission, Pre/Post ISP Template | Required | |
| DNP-820A | 10 Strategic Points Template, Expanded Comparison Matrix, Pre/Post ISP Template | Required | |
| DNP-825A | Clinical Site QI-IRB Report, Pre/Post ISP Template | Required | |
| DNP-835A | Pre/Post ISP Template, Virtual Nurse Residency Dates | Required | |
| DNP-840A | Comprehensive Assessment, Comparison of Leadership Models & Styles Assignment, Benchmark– Comprehensive Assessment (Part 2), Pre/Post ISP Template | Required | |
| Group Two: DPI Course 1 | DNP-955 | Pre/Post ISP Template, Learner Self-Review, DPI Project Proposal Draft Submission | Required |
| Group Three: DPI Course 2 | DNP-960 | Pre/Post ISP Template, Benchmark-DPI Project Proposal Review, DPI Manuscript Submission | Required |
| Group Four: DPI Course 3 | DNP-965 | Pre/Post ISP Template, DPI Committee Review, DPI Final Project Submission, Defense of Project, Form and Format Reviewer Checklist, DPI Final Project PowerPoint Presentation | Required |
All 0.01 point drop boxes are required for a letter grade.
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