| Course | NR 575 Acute Care Practicum II |
|---|---|
| Week | 6 |
| Paper type | Transition to practice plan |
| Length | About 900 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | MSN, Adult-Gerontology Acute Care NP (AGACNP) |
| Updated | October 2026 |
Free sample paper for NR 575 Week 6
Transition to Practice Plan: Three Open Items Carried From the Week 5 Appraisal, Each With an Action, a Month, a Sign of Closing and What I Need From Someone Else
Student Name
College of Nursing, Chamberlain University
NR 575: Acute Care Practicum II
Instructor Name
Month Day, Year
Transition to Practice Plan: Three Open Items Carried From the Week 5 Appraisal, Each With an Action, a Month, a Sign of Closing and What I Need From Someone Else
Scope
This plan carries forward the three situations my week 5 appraisal said I would not yet take on alone. It runs from now to six months after I start my first position. It does not include anything the appraisal did not name. Aims that were closed in the appraisal are not repeated here.
Item 1: Rising Plateau Pressure at Night
From the appraisal, situation 1: overnight rise in plateau pressure on a ventilated patient, cause to be sorted out without help at hand.
Action: perform the end-expiratory and end-inspiratory holds and state the likely cause before my preceptor speaks, on at least two patients this term; complete two overnight deterioration scenarios in the simulation lab.
By when: the two unit occasions by the end of this term; the simulation scenarios by the end of next month.
Sign of closing: two cosigned notes in which my stated cause and plan were accepted without change, and the simulation debrief forms.
What I need from others: my preceptor's agreement to let me speak first at the ventilator; the simulation coordinator's scheduling of two scenarios.
Item 2: Relatives Who Disagree
From the appraisal, situation 2: relatives at odds in a goals meeting; last time one person's distress was passed over.
Action: lead the second planned family meeting in week 7; in a structured debrief afterward, review with my preceptor the moment of greatest disagreement.
By when: week 7 of this term for the meeting; within the first three months of my first position, lead at least one further meeting with a senior colleague present.
Sign of closing: my preceptor's written comment on the week 7 meeting describing how I responded to the person most upset; in the first position, a written comment from the senior colleague.
What I need from others: my preceptor's presence at the week 7 meeting; in my first position, an experienced colleague willing to attend one meeting.
Item 3: Comfort Care Without a Specialist
From the appraisal, situation 3: comfort care at the end of life with no palliative specialist present; no evidence from either term.
Action: write the comfort-focused care plan for at least one patient on the unit, reviewed by my preceptor, before week 8; in my first position, ask to round with the palliative care team for one day in the first month.
By when: week 8 for the reviewed plan; first month of employment for the palliative care day.
Sign of closing: the reviewed plan in my file, and a short entry after the palliative care day naming one thing I would now do differently.
What I need from others: my preceptor's help identifying a suitable patient; the palliative care team's agreement in my first position.
Supports Within Reach
My current preceptor has offered to answer questions by email for three months after the term ends. The program's alumni network includes two acute care nurse practitioners at the hospitals where I am applying, and one has agreed to be asked about orientation. Postgraduate fellowship programs for nurse practitioners exist at two hospitals in the region; graduates of such programs have reported higher job satisfaction than those without them (Bush & Lowery, 2016), and I will apply to one.
What Could Knock the Plan Off Its Dates
If the unit has no suitable patient for item 3 before week 8, the reviewed plan will be written for a simulated case in the lab, and the item will carry into my first position. If my first position has no formal orientation, which matters because new nurse practitioners given a formal orientation report an easier move into the role (Barnes, 2015), I will ask in the interview for a named colleague for the first three months. If the fellowship application is unsuccessful, which is possible since places are few, item 2's first-position step still stands. A study of novice nurse practitioners linked a difficult transition to intention to leave the first job (Faraz, 2017), which is why these risks are written down now rather than discovered later.
How Progress Will Be Reported
Each item will be reported in my week 8 closing memo with its state as of that date: closed, partly closed or open, and the evidence. Items that carry into my first position will be listed with their dates so that the next supervisor can see them. I will keep the plan as a single page in my portfolio and update it monthly for the first six months, crossing out items only when the sign of closing has been met, never when the date passes.
What the Plan Is Not
It is not a job search plan, and it does not set goals for a future employer to meet. It names three situations, the evidence that would close each and the people I would need to ask for help. Anything else I learn in my first position will be added after it happens, not predicted now, and dated.
References
Barnes, H. (2015). Exploring the factors that influence nurse practitioner role transition. Journal for Nurse Practitioners, 11(2), 178-183. https://doi.org/10.1016/j.nurpra.2014.11.004
Bush, C. T., & Lowery, B. (2016). Postgraduate nurse practitioner education: Impact on job satisfaction. Journal for Nurse Practitioners, 12(4), 226-234. https://doi.org/10.1016/j.nurpra.2015.11.018
Faraz, A. (2017). Novice nurse practitioner workforce transition and turnover intention in primary care. Journal of the American Association of Nurse Practitioners, 29(1), 26-34. https://doi.org/10.1002/2327-6924.12381
The Chamberlain NR 575 Week 6 instructions
The Week 6 assignment asks for a plan built from the open items in your readiness appraisal. Expect a shorter document than students usually write, mostly a set of blocks, one for each item. Each block restates the open item in the appraisal's own terms, then gives the action, the month by which it should have happened, the sign that would show it had and whatever you need from someone else. Two shorter sections follow: one names the supports genuinely within reach, and the other sets out what could knock the plan off its dates and how you would respond. Items with no parent in the appraisal do not belong.
Inside the NR 575 Week 6 example
The sample states its scope: three situations from the appraisal, from now to six months into the first position. Each block names the situation from the appraisal, then an action, a deadline, a sign of closing and a need, for example two scenarios in the simulation lab with the coordinator's scheduling for the rising plateau pressure. The supports section names the current preceptor's offer, two alumni and a regional fellowship, with a study on postgraduate programs. The risks section gives a fallback for each item and cites studies on orientation and turnover. A section explains how progress will be reported, and the plan closes on what it is not.
Where the points sit in the NR 575 Week 6 rubric
The plan that scores lowest would have made equal sense in week 1: professional development nobody would argue with and nothing the rotation produced. Every block here has a parent in the appraisal. An open item that vanishes from week 5 to week 6 costs a row, so all three appear. Actions without a month, or months without a sign of closing, lose the specificity criterion; each block has both. Drifting into the terms of future employment is marked off topic. Naming what is needed from others, and fallbacks if they cannot help, earns the risk and support rows. A section on how progress will be reported shows the plan will be used after the term.
Common NR 575 Week 6 mistakes, and how to avoid them
The most common NR 575 Week 6 problem is a plan full of general goals, such as attending conferences, unrelated to the appraisal. Another is dropping an open item without explanation. Many plans give actions but no dates, or dates but no evidence of completion. Some plans become job search notes. Few name the help they need from specific people. If your appraisal named different situations, send it; a plan can be drafted with a block for each item, a date, a sign of closing and a fallback. Restate each item in the appraisal's terms so the two documents can be read together, and give every item a fallback.
Get a NR 575 Week 6 example written to your instructions
Upload this week's instructions together with your readiness appraisal, and the example is built straight off the items you left open and returned inside 24-48h, the first one free. If your section publishes a template with fixed fields, include it, because the field list changes how much argument belongs in each block.
More NR 575 papers and AGACNP samples
- NR 575 Week 1: Carried-Over Change Discussion Post
- NR 575 Week 2: Objective Revision Memo
- NR 575 Week 3: Continuity Case Narrative
- NR 575 Week 4: Competency Evidence Map
- NR 575 Week 5: Practice Readiness Appraisal
- NR 575 Week 7: Cumulative Portfolio Entry
- NR 575 Week 8: Practicum Closing Memo
- NR 567 Week 6: Empiric Antibiotic Rationale
- NR 574 Week 6: Exposure Gap Memo
- NR 569 Week 6: Clinical Reasoning Journal
- NR 573 Week 6: Team Communication Debrief
NR 575 Week 6 questions, answered
Is this a job search plan?
No, and treating it as one throws away most of the rubric. The document stays inside the program and is marked on how well it follows from the last rotation: which limits were named, what the writer is doing about each, and by when. Offers, contracts and terms of employment belong to other courses and score nothing here.
How far ahead should the plan run?
Sections differ, and six months is the most common horizon named in the instructions. The span matters less than the attachment: every month written down has to belong to a specific item, and a plan covering a year with three vague stages marks below one covering three months with a named act in each.
What if the rotation left almost nothing open?
Then the plan argues depth rather than repair, and says so in the opening paragraph. Take the items the appraisal closed and name the next version of each: a presentation type seen twice that you want to lead, a decision made with support that you want to make first. That is still a plan built from the record.
Where can I find a free NR 575 Week 6 sample paper?
The full transition plan with three blocks drawn from the readiness appraisal, plus supports and risks, is on this page.
How does the NR 575 Week 6 plan decide when an item is closed?
Each block names a sign of closing, such as cosigned notes or a written comment, and items are crossed out only when that sign is met, never when the date passes.