Develop a 4–6-page proposal for executive leadership that addresses  changes you would like to see within your organization that would  advance the field of nursing. Nursing is in the midst of many changes. In this assessment you  will consider how you can be a driving force to bring about needed  change within the field of nursing. Collaborative interprofessional groups are at the heart of resolving  contemporary nursing issues. The work of groups and teams is based on  strong decision-making and problem-solving skills, led by effective and  engaged leaders. Nurses leading collaborative teams are critical for  resolving a number of issues such as errors in medications, accidents  involving patients, and unsafe shortcuts. Nurses truly are expert problem-solvers. Tucker and Edmondson  (2002) found that nurses utilized problem-solving skills so often that  it had become a routine aspect of a nurse’s day. However, nurses must be  able to maximize their problem-solving skills in order to lead health  care teams in addressing challenges, identifying evidence-based  solutions, and implementing those solutions. Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. , , 87–113. To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include: Or you can narrow the scope to an issue within your own organization: Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change. Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references. Address the following in your proposal: Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Title: Proposal for Advancing the Field of Nursing through Organizational Changes


Nursing as a profession is continuously evolving, driven by advances in healthcare, technology, and changing patient needs. In order to stay at the forefront of the field and provide the highest quality of care, it is essential for organizations to adapt and implement changes that promote innovation and collaboration. This proposal aims to address the need for such changes within our organization, with the ultimate goal of advancing the field of nursing.

Problem Statement:

The current healthcare landscape presents several challenges and opportunities for nursing professionals. These include errors in medication administration, patient accidents, and the need for evidence-based practice. Addressing these challenges requires enhanced problem-solving skills and effective leadership from nurses. However, it is important to recognize that nursing professionals can maximize their impact and drive change by working collaboratively in interprofessional teams.


The objective of this proposal is to outline specific changes that should be made within our organization to foster collaboration and improve problem-solving skills among nursing professionals. By creating an environment that supports interprofessional teamwork and encourages innovation, we can drive positive change within the field of nursing and enhance the quality of care delivered to our patients.


1. Establishing interdisciplinary teams:
a. Create interdisciplinary teams comprising nurses, physicians, pharmacists, and other healthcare professionals.
b. Assign team leaders who are trained in effective leadership and have a strong understanding of the principles of nursing.
c. Provide ongoing education and training opportunities for team members to enhance their communication and collaboration skills.

2. Promoting evidence-based practice:
a. Develop a framework for promoting evidence-based practice within the organization.
b. Provide resources and support for nurses to access and utilize evidence-based guidelines in their decision-making processes.
c. Encourage interdisciplinary teams to incorporate evidence-based practices into their team-based approach to problem-solving.

3. Implementing a culture of continuous improvement:
a. Foster a culture of continuous improvement by encouraging nurses to identify areas for improvement and innovative solutions.
b. Establish mechanisms for regular feedback and review of processes, allowing for timely adjustments and improvements.
c. Recognize and celebrate the contributions of nurses who play a role in driving positive change within the organization.

4. Enhancing problem-solving skills:
a. Provide specialized training in problem-solving techniques for all nursing professionals.
b. Encourage nurses to actively participate in problem-solving exercises and share their insights and expertise with interdisciplinary teams.
c. Develop simulation and case-based learning opportunities to enhance problem-solving skills in a controlled and supportive environment.

Expected Outcomes:

1. Improved patient safety: By fostering collaboration and enhancing problem-solving skills, the proposed changes will significantly reduce errors in medication administration, patient accidents, and unsafe shortcuts.

2. Enhanced quality of care: Incorporating evidence-based practices and promoting interdisciplinary teamwork will ensure that the care delivered to patients is based on the latest research and best practices.

3. Increased nurse satisfaction: Empowering and engaging nurses in the change process will lead to increased job satisfaction and retention.

4. Advancement of the field of nursing: By implementing these changes, our organization can serve as a model for other healthcare institutions, contributing to the advancement of nursing as a profession.


Modern nursing requires nurses to be adaptable, knowledgeable, and effective leaders. By implementing the proposed changes, our organization can foster a culture of collaboration, innovation, and evidence-based practice, thereby advancing the field of nursing. Through enhanced problem-solving skills and effective leadership, nurses can drive positive change and improve patient outcomes. It is imperative that executive leadership recognizes the importance of these changes and supports their implementation for the betterment of our organization and the field of nursing as a whole.


Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem-solving behavior. , , 87–113.

(Note: The reference cited here is a placeholder. Please include relevant scholarly and professional resources that support the proposed changes in the final version of the proposal.)