NURS FPX 4005 Assessment 4 Stakeholder Presentation
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date
NURS FPX 4005 Assessment 3 Managing Human and Financial Resources Exam
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date
NURS FPX 4005 Assessment 2 Interdisciplinary Collaboration and Professionalism Exam
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date
NURS FPX 4005 Assessment 1 Collaboration and Leadership Reflection Exams
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date
NURS FPX 4005 Assessment 5
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date
NURS FPX 4005 Assessment 4
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date Stakeholder Presentation Addressing Delays in Diabetes Education at St. Paul Regional Health Center Hi, Brianna here. I will guide you through addressing delays in implementing an integrated diabetes education program at St. Paul Regional Health Center (SPRHC). Fragmented care coordination and inconsistent communication hinder real-time collaboration, affecting patient adherence to self-management. This assessment presents an interdisciplinary care plan to improve communication, patient education, and diabetes management. Organizational Issue: A critical issue at SPRHC is the delay in implementing an integrated diabetes education program, which affects patient adherence to self-management strategies. These delays stem from fragmented care coordination, inconsistent communication among interdisciplinary teams, and the absence of a structured workflow for patient education. Impact on Patient Outcomes and Staff Morale The lack of real-time collaboration between primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists often results in misaligned treatment plans. This contributes to poor glycemic control, increased hospital readmissions, and higher long-term healthcare costs. Additionally, inefficient coordination lowers staff morale as unclear roles and ineffective workflows increase burnout rates. Supporting Evidence for an Integrated Approach Tandan et al. (2024) conducted a systematic review and meta-analysis of 54 studies to assess the impact of team-based interventions on chronic disease outcomes. The study found significant reductions in systolic blood pressure (−5.88 mmHg), diastolic blood pressure (−3.23 mmHg), and HbA1C (−0.38%) when 4–5 teamwork components were involved. These findings support the need for a structured, interdisciplinary diabetes education program at SPRHC. Importance of the Issue: NURS FPX 4005 Assessment 4 Filling gaps in diabetes education and interdisciplinary practice at SPRHC is necessary to provide high-quality, patient-focused care. A formalized diabetes education program will enhance workflow effectiveness by setting up standardized protocols, shared decision-making, and common EHR templates, ensuring real-time treatment adjustments through weekly interdisciplinary rounds. Enhancing Teamwork and Efficiency Improving coordination among primary care providers, nurses, dietitians, pharmacists, and behavioral health professionals will optimize clinical outcomes while fostering a team-oriented work environment. Efficient communication and minimized treatment variability will enhance job satisfaction and allow providers to deliver evidence-based care. Long-Term Benefits This initiative aligns with SPRHC’s mission to provide comprehensive diabetes care, build patient trust, and promote long-term patient participation. It will reduce hospital readmissions, lower healthcare costs, and improve overall organizational effectiveness. Importance of an Interdisciplinary Team Approach At SPRHC, enhanced care coordination between primary care providers, endocrinologists, diabetes educators, dietitians, pharmacists, and behavioral health professionals is key to optimizing Type 2 diabetes care. Key Strategies for a Multidisciplinary Process Interdisciplinary Team Roles Each professional in the diabetes care team plays a vital role in improving patient outcomes. Attaining Better Results Enhancing interdisciplinary collaboration at SPRHC will lead to improved patient outcomes and care effectiveness. Formalized communication approaches like SBAR will reduce errors and strengthen self-management training. Evidence-Based Impact of Interdisciplinary Care Nurchis et al. (2022) found that interprofessional collaboration improved patient satisfaction (SMD 0.32) and psychological well-being (SMD 0.18), with positive effects on self-care and quality of life. EHR integration facilitates real-time information sharing, allowing healthcare providers to make timely, evidence-based decisions on medication adjustments and behavioral interventions (Tamunobarafiri et al., 2024). Consequences of Inaction Failure to adopt an interdisciplinary diabetes management program at SPRHC can have severe adverse effects, including: Implementation and Resource Management Developing an effective interdisciplinary diabetes education program at SPRHC requires strategic planning and resource allocation using the Plan-Do-Study-Act (PDSA) cycle. PDSA Implementation Steps Resource Management & Cost Considerations The estimated annual cost for training programs, EHR upgrades, and patient education materials ranges between $250,000 and $450,000. However, this investment is expected to yield significant savings through reduced hospitalization rates and improved patient adherence (ADA, 2024). Optimizing resource allocation across physicians, nurses, pharmacists, dietitians, and IT specialists will enhance care coordination and long-term diabetes management efficiency. Role of Technology Technology plays a crucial role in improving diabetes care coordination at SPRHC. Evaluation of Outcomes To assess the success of SPRHC’s interdisciplinary diabetes management program, KPIs will track communication efficiency, staff adherence, and patient outcomes. Conclusion An interdisciplinary diabetes education program at SPRHC will improve care coordination, reduce treatment errors, and enhance patient outcomes. By leveraging EHR systems, implementing structured training, and maintaining ongoing evaluations, SPRHC will strengthen diabetes management and reduce hospital readmissions. References ADA. (2024). About Diabetes |American Diabetes Association. Diabetes.org. https://diabetes.org/about-diabetesColvin, C. L., Akinyelure, O. P., Rajan, M., Safford, M. M., Carson, A. P., Muntner, P., Colantonio, L. D., & Kern, L. M. (2023). Diabetes, Gaps in Care Coordination, and Preventable Adverse Events. 29(6), e162–e168. https://doi.org/10.37765/ajmc.2023.89374Dhediya, R., Chadha, M., Bhattacharya, A. D., Godbole, S., & Godbole, S. (2022). Role of telemedicine in diabetes management. Journal of Diabetes Science and Technology, 17(3), 193229682210811. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210114/ NURS FPX 4005 Assessment 4 Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis of patient-reported outcomes. Journal of Personalized Medicine, 12(4). https://doi.org/10.3390/jpm12040643Tamunobarafiri, G., Aderonke, J., Cosmos, C., None Mojeed Dayo Ajegbile, & None Samira Abdul. (2024). Integrating electronic health records systems across borders: Technical challenges and policy solutions. International Medical Science Research Journal, 4(7), 788–796. https://doi.org/10.51594/imsrj.v4i7.1357Tandan, M., Dunlea, S., Cullen, W., & Bury, G. (2024). Teamwork and its impact on chronic disease clinical outcomes in primary care: A systematic review and meta-analysis. Public Health, 229, 88–115. https://doi.org/10.1016/j.puhe.2024.01.019
NURS FPX 4005 Assessment 3
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date Interdisciplinary Plan Proposal The increasing prevalence of Type 2 diabetes at St. Paul Regional Health Center necessitates a comprehensive, interdisciplinary approach to patient-centered education and care coordination. Many patients struggle with self-management due to limited education, poor nutritional guidance, and psychological barriers (Adhikari et al., 2021). This proposal aims to implement a structured diabetes education program within the outpatient diabetes management department. The program will take a team-based approach to improving self-care behaviors and reducing diabetes complications. Objective The primary objective of this plan is to establish an interdisciplinary diabetes education program. This initiative will involve primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. The goal is to enhance patient adherence to self-management practices. Research indicates that interdisciplinary care leads to improved patient outcomes and lower healthcare costs (Nurchis et al., 2022). Questions and Predictions Several key questions will guide the implementation and evaluation of this program. Change Theories and Leadership Strategies Kotter’s 8-Step Change Model will guide the implementation of this program. This model emphasizes the need to create urgency around diabetes management, gain leadership support, and secure employee buy-in (Miles et al., 2023). The process will begin by raising awareness of diabetes self-management gaps and demonstrating the benefits of interdisciplinary collaboration. NURS FPX 4005 Assessment 3 A transformational leadership approach will also be utilized. Transformational leaders inspire team members through shared vision, collaboration, and innovation (Ystaas et al., 2023). This leadership style will encourage team participation, ensure sustained commitment, and promote shared decision-making. Team Collaboration Strategy Effective collaboration among healthcare professionals is essential for successful implementation. Each team member will have specific roles: Weekly interdisciplinary meetings will facilitate teamwork, discuss patient progress, and adjust care plans. A shared electronic health record (EHR) system will enhance communication and reduce treatment gaps. Studies show that interdisciplinary teams using EHRs improve care coordination and reduce medication errors (Robertson et al., 2022). Required Organizational Resources Successful implementation of this program requires investments in staffing, training, and technology. Training will focus on diabetes education, motivational interviewing techniques, and interdisciplinary collaboration (Ng et al., 2023). Necessary equipment includes educational materials, blood glucose monitors, and telehealth technology for virtual consultations. The estimated initial investment is $50,000 for training, educational materials, and technology. However, long-term savings of approximately $100,000 per year are projected due to reduced hospitalizations and emergency department visits. Coordination with the hospital’s IT department will be necessary for EHR integration and approval from hospital administration for resource allocation (Robertson et al., 2022). NURS FPX 4005 Assessment 3 Failure to implement this plan will likely result in continued patient non-adherence, increased hospital readmissions, and higher healthcare costs. Without structured education and support, patients are at risk for severe complications such as cardiovascular disease, kidney failure, and amputations. These complications significantly impact both healthcare costs and patients’ quality of life (Nurchis et al., 2022). By adopting an interdisciplinary diabetes education program, St. Paul Regional Health Center can improve patient outcomes and alleviate financial burdens. Conclusion This program offers a structured approach to improving diabetes management through interdisciplinary collaboration. With dedicated training and technology integration, patients will receive enhanced education and support, leading to better health outcomes and reduced hospital visits. Over time, the initiative will result in cost savings and improved quality of care. References Adhikari, M., Devkota, H. R., & Cesuroglu, T. (2021). Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal- multiple stakeholders’ perspective. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11308-4 Haque, W. Z., Demidowich, A. P., Sidhaye, A., Golden, S. H., & Zilbermint, M. (2021). The financial impact of an inpatient diabetes management service. Current Diabetes Reports, 21(2). https://doi.org/10.1007/s11892-020-01374-0 Miles, M. C., Richardson, K. M., Wolfe, R., Hairston, K., Cleveland, M., Kelly, C., Lippert, J., Mastandrea, N., & Pruitt, Z. (2023). Using Kotter’s change management framework to redesign departmental GME recruitment. Journal of Graduate Medical Education, 15(1), 98–104. https://pmc.ncbi.nlm.nih.gov/articles/PMC9934828/ NURS FPX 4005 Assessment 3 Ng, Y. K., Shah, N. M., Chen, T. F., Loganadan, N. K., Kong, S. H., Cheng, Y. Y., Sharifudin, S. S. M., & Chong, W. W. (2023). Impact of a training program on hospital pharmacists’ patient-centered communication attitudes and behaviors. Exploratory Research in Clinical and Social Pharmacy, 11, 100325. https://doi.org/10.1016/j.rcsop.2023.100325 Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis of patient-reported outcomes. Journal of Personalized Medicine, 12(4). https://doi.org/10.3390/jpm12040643 Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., & Leykum, L. (2021). Evidence-based processes to prevent readmissions: More is better, a ten-site observational study. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06193-x NURS FPX 4005 Assessment 3 Robertson, S. T., Rosbergen, I. C. M., Jones, A. B., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559. https://doi.org/10.1055/s-0042-1748855 Segal, Y., & Gunturu, S. (2024). Psychological issues associated with obesity. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK603747/ Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108
NURS FPX 4005 Assessment 2
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date Interview and Interdisciplinary Issue Identification This paper explores an interview with a healthcare professional to identify a critical issue within an organization that would benefit from an interdisciplinary solution. It summarizes the interview findings, change theories, leadership strategies, and collaboration approaches to address the problem effectively. Interview Summary Background of the Interviewee The interviewee is a charge nurse with over five years of experience at St. Michael’s Medical Center, an acute care facility specializing in emergency medicine, surgery, and chronic disease management. Their role includes supervising nursing staff, coordinating with departments, and managing patient care. Identified Communication Challenges The discussion focused on communication delays between nursing staff and physicians during emergencies. These issues often arise during patient handovers and critical care interventions. Previous attempts to resolve them included standardized handoff tools and staff training. However, inconsistent adherence and sustainability issues limited their effectiveness. Organizational Factors The organization fosters a supportive culture, but staff often work independently within their expertise, leading to fragmentation. The interviewee emphasized the need for a stronger communication framework and interdisciplinary engagement strategies to improve teamwork and patient care. Interview Techniques Open-ended questions encouraged detailed responses, allowing the conversation to flow naturally (Slade & Sergent, 2023). A semi-structured format provided flexibility to explore emerging topics. Active listening techniques, such as paraphrasing and clarifying, ensured accurate understanding. The interview concluded with a summary to validate information and allow further input from the interviewee. Issue Identification Communication Breakdown in Critical Care A significant issue identified was the communication breakdown between nurses and physicians, particularly during handovers and emergency care. These gaps can lead to delays, confusion, and potential patient safety risks. An evidence-based interdisciplinary approach is crucial for resolving these issues. Proposed Interdisciplinary Approach Interdisciplinary collaboration enhances communication by integrating standardized tools and teamwork training. Research indicates that structured handoff protocols and team-building exercises improve staff coordination and trust (Eva et al., 2024). Encouraging continuous feedback fosters innovation, leading to sustained improvements. A culture of mutual respect and collaboration creates a cohesive environment for safe, high-quality care. Change Theory and Interdisciplinary Solution Application of Lewin’s Change Theory Kurt Lewin’s Change Theory provides a structured approach to organizational change. The three stages—unfreezing, changing, and refreezing—help address communication issues effectively (Smith et al., 2022). NURS FPX 4005 Assessment 2 This model facilitates sustainable transformation by ensuring long-term adherence to improved communication strategies. Leadership Strategy and Interdisciplinary Solution Transformational Leadership Approach Transformational leadership plays a crucial role in addressing communication challenges. Leaders inspire team members to work toward a common goal by fostering innovation and professional growth. Open communication, mentorship, and trust-building are essential elements of this approach (Jankelová & Joniaková, 2021). Encouraging Standardized Communication Practices Transformational leaders model desired behaviors and support the implementation of structured handoff protocols. They also provide training and monitor progress. Research supports this approach as an effective strategy to enhance interdisciplinary collaboration and improve patient outcomes (Jankelová & Joniaková, 2021). Collaboration Approach for Interdisciplinary Teams TeamSTEPPS Framework The TeamSTEPPS framework is an evidence-based approach that enhances teamwork and communication in healthcare settings. It emphasizes clear communication, mutual respect, and shared goals (Hassan et al., 2024). Structured Training and Role Clarification The framework provides structured training, role clarification, and feedback mechanisms. These strategies help resolve communication breakdowns during patient handovers. Implementing TeamSTEPPS fosters a culture of collaboration where every team member understands their roles and responsibilities, leading to better coordination and fewer errors (Hassan et al., 2024). Conclusion Addressing communication breakdowns through interdisciplinary collaboration is essential for improving patient care. Applying Lewin’s Change Theory, transformational leadership, and evidence-based frameworks like TeamSTEPPS fosters a cohesive and efficient healthcare environment. These strategies promote teamwork, enhance communication, and drive sustainable organizational improvements. References Eva, T. P., Afroze, R., & Sarker, M. A. R. (2024). The impact of leadership, communication, and teamwork practices on employee trust in the workplace. Management Dynamics in the Knowledge Economy, 12(3), 241–261. https://doi.org/10.2478/mdke-2024-0015 Hassan, A. E., Mohammed, F. A., Zakaria, A. M., & Ibrahim, I. A. (2024). Evaluating the effect of TeamSTEPPS on teamwork perceptions and patient safety culture among newly graduated nurses. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01850-y Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. Healthcare, 9(3), 346. https://doi.org/10.3390/healthcare9030346 NURS FPX 4005 Assessment 2 Simons, M., Goossensen, A., & Nies, H. (2022). Interventions fostering interdisciplinary and inter-organizational collaboration in health and social care; an integrative literature review. Journal of Interprofessional Education & Practice, 28(28), 100515. https://doi.org/10.1016/j.xjep.2022.100515 Slade, S., & Sergent, S. R. (2023). Interview techniques. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK526083/ Smith, T. G., Norasi, H., Herbst, K. M., Kendrick, M. L., Curry, T. B., Grantcharov, T. P., Palter, V. N., Hallbeck, M. S., & Cleary, S. P. (2022). Creating a practical transformational change management model for novel artificial intelligence–enabled technology implementation in the operating room. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 6(6), 584–596. https://doi.org/10.1016/j.mayocpiqo.2022.09.004
NURS FPX 4005 Assessment 1
Student Name Capella University NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations Prof. Name Date Collaboration and Leadership Reflection The Role of Transformational Leadership in Healthcare Transformational leadership plays a crucial role in fostering collaboration within healthcare settings. Effective leadership enhances teamwork, strengthens communication, and ultimately improves patient outcomes. As a nurse, I have observed firsthand how strong leadership can create a supportive work environment. In this reflection, I will analyze an interdisciplinary collaboration experience and evaluate the impact of different leadership styles. Interdisciplinary Collaboration Experience Addressing Medication Errors Through Teamwork During my practice, I was part of an interdisciplinary team tasked with reducing medication errors. Nurses, physicians, and pharmacists worked together to improve patient safety through structured communication. However, we faced challenges due to inconsistent documentation in the Electronic Health Record (EHR). NURS FPX 4005 Assessment 1 To address this issue, nurses initiated team huddles at the beginning of each shift. These meetings allowed us to review medication orders and clarify any discrepancies. Additionally, we developed a shared documentation process, ensuring real-time updates in the EHR. This approach fostered teamwork, open communication, and a shared sense of responsibility. Overcoming Resistance to Change Despite the benefits, some team members resisted the new workflow. Those accustomed to traditional documentation methods struggled to adapt. Delays in updating medication orders caused frustration among nurses. A structured change management approach could have mitigated these challenges. Clear role definitions and additional training on the new documentation process would have enhanced adoption and efficiency. Effective vs. Ineffective Leadership in Collaboration The Power of Transformational Leadership Leadership plays a critical role in guiding interdisciplinary teams. In this experience, transformational leadership proved highly effective. This style encourages open dialogue, fosters shared decision-making, and focuses on long-term improvements (Mekonnen & Bayissa, 2023). Leaders who embraced this approach facilitated teamwork and empowered staff members to contribute actively. The Limitations of Transactional Leadership In contrast, transactional leadership was less effective. This style prioritizes short-term problem-solving and rigid hierarchies (Mekonnen & Bayissa, 2023). Leaders who adhered to this approach often resorted to punitive measures rather than empowerment. As a result, staff members felt discouraged, leading to resistance and limited collaboration. The transformational approach, on the other hand, increased engagement and willingness to embrace new strategies. Best-Practice Leadership Strategies Encouraging a Shared Vision Integrating transformational leadership can significantly enhance interdisciplinary teamwork. One essential strategy is promoting a shared vision. Leaders who clearly articulate goals and expectations foster higher engagement and collaboration among healthcare teams (Liu et al., 2022). Investing in Continuous Professional Development Another key strategy is continuous professional development. Leadership training and mentorship programs help nurses build confidence and develop the skills needed for team-based care (Shen & Tucker, 2024). Providing these opportunities encourages proactive participation in collaborative healthcare settings. Best-Practice Interdisciplinary Collaboration Strategies Implementing Structured Communication Tools To enhance collaboration, healthcare teams should adopt evidence-based strategies. One such approach is the use of structured communication tools, such as SBAR (Situation, Background, Assessment, Recommendation). This standardizes communication and reduces errors, improving overall patient safety. Conducting Interdisciplinary Rounds Regular team meetings, also known as interdisciplinary rounds, ensure alignment in care plans. These discussions foster mutual understanding and enhance coordination among healthcare professionals (Samardzic et al., 2020). Leveraging Technology for Collaboration Technology-driven collaboration is another effective strategy. Integrated EHR systems allow real-time data sharing, minimizing discrepancies and improving patient care efficiency (Calduch et al., 2021). Proper implementation of these tools strengthens interdisciplinary teamwork. Developing Leadership Skills Enhancing Change Management Skills To become a more effective leader, it is crucial to develop strong change management skills. Participating in leadership training programs focused on conflict resolution and team motivation can improve these abilities (Shen & Tucker, 2024). Engaging in Mentorship Opportunities Serving as both a mentor and a mentee offers valuable leadership insights. Engaging in mentorship helps refine leadership approaches and strengthens collaboration within healthcare teams. Advocating for Team-Based Decision-Making Ensuring all voices are heard in patient care discussions fosters an inclusive and supportive environment. Leaders who advocate for team-based decision-making enhance collaboration and improve healthcare outcomes. Conclusion Reflecting on my interdisciplinary collaboration experience has reinforced the importance of transformational leadership in healthcare. By inspiring and empowering team members, nurses can drive meaningful change and enhance patient outcomes. Developing strong leadership skills will allow me to contribute more effectively to patient-centered care. References Calduch, E., Muscat, N., Krishnamurthy, R. S., & Ortiz, D. (2021). Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews. International Journal of Medical Informatics, 152(1), 104507. https://doi.org/10.1016/j.ijmedinf.2021.104507 Liu, M., Zhang, P., Zhu, Y., & Li, Y. (2022). How and when does visionary leadership promote followers’ taking charge? The roles of inclusion of leader in self and future orientation. Psychology Research and Behavior Management, 15(2), 1917–1929. https://doi.org/10.2147/PRBM.S366939 NURS FPX 4005 Assessment 1 Mekonnen, M., & Bayissa, Z. (2023). The effect of transformational and transactional leadership styles on organizational readiness for change among health professionals. SAGE Open Nursing, 9(9). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336755/ Samardzic, M., Doekhie, K. D., & Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(2), 1–42. https://doi.org/10.1186/s12960-019-0411-3 Shen, Q., & Tucker, S. (2024). Fostering leadership development and growth of nurse leaders: Experiences from Midwest Nursing Research Society Leadership Academy. Nursing Outlook, 72(6), 102293. https://doi.org/10.1016/j.outlook.2024.102293