Description

A clinical exemplar is a narrative account of a clinical situation over and above the nurse’s normal job practice responsibility, which has happened in the last calendar year. This exemplar should demonstrate:

  • advanced clinical judgment and/or
  • an innovative intervention that impacted a patient or patient’s family outcome in a positive way.

Clinical exemplars must be typed, double-spaced, use 12-point font, with a minimum of 250 words and a maximum of three pages. Do not use identifiable patient information.

Clinical exemplars should illustrate at least one of the Institute of Medicine’s six specific aims for healthcare system improvement:

  • Safe: Avoiding injuries to patients from care that is intended to help them
  • Effective: Providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those not likely to benefit
  • Patient-centered: Providing care that is respectful and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.
  • Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.
  • Efficient: Avoiding waste, including waste of equipment, supplies, ideas and energy
  • Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location and socioeconomic status

Clinical Exemplars should include the following, in a question/response format:

  • What was the context of the situation? (Shift, event, etc.) What concerns did you have for the patient during the situation?
  • What actions did you take to positively impact the patient?
  • How were complications, if any, managed or prevented?
  • What was the final outcome?
  • How did this situation demonstrate advanced clinical judgment or an innovative intervention that impacted a patient or their family positively?
  • Which Institute of Medicine Aim for Healthcare Improvement was demonstrated in this situation? Describe.
  • What lessons were learned?
  • Which Target Zero Error Prevention Tools were utilized? Describe.

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