| Course | NR 719 Topics in Advanced Practice Leadership II |
|---|---|
| Week | 1 |
| Paper type | Discussion post with one reply |
| Length | About 540 words |
| Format | Discussion post with APA 7 citations |
| School | Chamberlain University |
| Program | Doctor of Nursing Practice (DNP) |
| Updated | October 2026 |
Free sample paper for NR 719 Week 1
Week 1 Discussion: Initial Post
Status Note on Kilogram Weights for Children, Five Months In: What Moved, What Slipped, and Who Owns It When I Step Back
Initial Post
What the change was meant to move. Last term I proposed that every child in our 26-bed community emergency department be weighed on scales fixed to kilograms, with the figure typed into a field that no longer accepts pounds. The goal was for more than nine in every ten audited children to be weighed in kilograms, three months in a row, against 57% in the summer audit.
What it has moved. The scales and the record field were locked on 11 January 2027. In the monthly audit of 50 pediatric triage records, the measured-in-kilograms share was 44 of 50 in February and 47 or 48 of 50 in every month since: 234 of 250 from February to June, 93.6%. Parent-stated weights fell to 9 of 250. No weight-related safety report has been filed since January, though three in a year was never a count that could show a change in five months.
The Part People Stopped Doing
The one-page card for travel nurses stopped being handed out in April, when I was on leave for two weeks and nobody else owned orientation. In May, two travel nurses recorded parent-stated weights for five children between them, which accounts for more than half of the stated weights since February. The lock held; the teaching around it did not. Implementation research would call that a fidelity gap in one component rather than a failure of the whole change (Proctor et al., 2011).
Who Owns It Now
From July the change belongs to the department's pediatric emergency care coordinator, a role national readiness guidance recommends for every emergency department that sees children (Remick et al., 2018). Our coordinator is a staff nurse given four hours a week, 0.1 of a post, for exactly this kind of work: pediatric equipment, pediatric policies and the monthly audit. The travel nurse card now sits in the coordinator's orientation checklist, not in my head. I keep two things for one more quarter: the monthly audit report to the operations meeting, and the conversation with the other two emergency departments in our system about whether to spread the change.
One category sits outside the budget entirely: my own hours, about 140 over two terms, which were student time and will not exist next year. The coordinator's four hours a week have to cover what my 140 did, and the audit has already been cut from weekly to monthly to fit.
The Question I Leave Open
Should a change that depends on a lock be judged by the lock or by the teaching? Ours held where the system forced it and slipped where it relied on a person remembering. If you have handed over a change, which part slipped first?
Reply to Corinne
Corinne, you wrote that your falls bundle "will be sustained by the unit council". Which member of the council, in which role, and how many hours a month are they paid for it? A council meets; a person audits. If the answer is nobody yet, that may be the most useful sentence in your post.
References
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76. https://doi.org/10.1007/s10488-010-0319-7
Remick, K., Gausche-Hill, M., Joseph, M. M., Brown, K., Snow, S. K., Wright, J. L., American Academy of Pediatrics Committee on Pediatric Emergency Medicine and Section on Surgery, American College of Emergency Physicians Pediatric Emergency Medicine Committee, & Emergency Nurses Association Pediatric Committee. (2018). Pediatric readiness in the emergency department. Pediatrics, 142(5), Article e20182459. https://doi.org/10.1542/peds.2018-2459
What the NR 719 Week 1 assignment asks for
Write the post as a status note from someone who expects to be replaced. In a sentence each, say what the change was meant to move, what it has moved so far, with counts and a period, and what is holding it up. Name the part people stopped doing, if there is one, and say why it slipped. Then do what the week is really testing: name the person or role who owns the work now and what that role is paid to do, because an owner with no capacity is not an owner. Say what stays in your own hands, and for how long. Keep your own unpaid hours separate from the organization's budget. Close with a question for classmates that comes from your handover. In a reply, press a classmate whose ownership sentence has no subject.
How this NR 719 Week 1 example is built
The sample's opening lines restate the goal and report the result: locks on 11 January, 234 of 250 audited records measured in kilograms from February to June and parent-stated weights down to 9. It notes that three safety reports a year could never show a change in five months. A short section explains that the travel nurse card stopped in April and that two nurses who never saw it account for most of the stated weights in May, which the writer calls a gap in one component. The ownership section names the pediatric emergency care coordinator at 0.1 of a post and moves the card into the role's checklist. The writer's 140 hours are counted separately. The reply asks which council member owns a falls bundle.
Reading the NR 719 Week 1 grading rubric
The expensive post is the one that celebrates: the change went well, staff were receptive and leadership was supportive, with nothing a reader could assess because nothing could have come out the other way. Next is ownership in the passive voice, work that will be maintained or sustained by the team, which no accountability criterion can credit. Marks are also lost for confusing scale, describing one unit as if it were the organization, and for leaving the writer's own unfunded hours inside the change's budget. Posts score well when each status line carries a count, when the slipped component is named plainly and when the owner is a role with paid hours.
Common NR 719 Week 1 mistakes, and how to avoid them
Writing a status note that admits what slipped, and naming an owner with real hours, is harder than describing the change's successes. Share your change, your latest figures and how the work is currently staffed. With that, the post can be built as a handover note: what moved and by how much, the component that lapsed and why, the named role taking over and what stays with you for now. Separating your own unpaid hours from the organization's costs is a step most drafts miss. The figures, the setting and the judgment about what slipped are entirely yours.
Get a NR 719 Week 1 example written to your instructions
Send us the discussion prompt as your section words it, the rubric if one is posted, and a line or two about the change you are carrying. We write a custom example against those instructions and return it inside 24 to 48 hours. The first one costs nothing, and it arrives as a model to write from.
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NR 719 Week 1 questions, answered
Does the Week 1 post need measured results from my own project?
Not measured results. What the week typically wants is a defensible account of where a change stands and what is keeping it there, which you can write from what you have observed. The finished example shows the caution that account needs: an indicator described as moving, with the reason it might be moving for other causes stated in the same breath.
How is this different from the discussion in the first half of the sequence?
The earlier course argues about whether a change should happen and which model fits it. This one begins after that decision was made and money was spent. Every prompt here points forward at continuation, cost and audience, so a post that spends its length re-arguing the choice of framework is answering a question the week did not ask.
How long should the post be?
Length varies by section and the posted requirement wins. What the finished example demonstrates is density: roughly four short moves, each carrying one fact, rather than three paragraphs of framing before the first piece of evidence. Doctoral discussion marks tend to follow whether a reader can extract your position without reading twice, not whether you reached a word count.
Where can I find a free NR 719 Week 1 sample paper?
This page carries the full Week 1 handover post on kilogram-only weighing for children, with its reply to a classmate.
What part of the change does the NR 719 Week 1 sample say slipped?
The orientation card for travel nurses, which no one handed out in April, so two new nurses recorded parent-stated weights in May.