| Course | NUR 404 Professional Nurse Concepts Intermediate |
|---|---|
| Module | Module 4 |
| Paper type | Group presentation slides with speaker notes |
| Length | About 372 words, 4 pages |
| Format | APA 7 slide deck with speaker notes |
| School | Arizona State University |
| Program | BSN in Nursing |
| Updated | October 2026 |
Free sample paper for NUR 404 Module 4
Seeing the Whole Hospital: Domain 7, Systems-Based Practice, for the New Graduate Nurse
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
NUR 404: Professional Nurse Concepts: Intermediate
Instructor Name
Month Day, Year
Slide 1: Seeing the Whole Hospital
Group members and domain.
Speaker notes: (Member 1) In clinical we learned to care for patients one at a time. Domain 7 asks us to notice the system around them.
Slide 2: What the Essentials Are
Ten domains of competency for professional nursing education, adopted in 2021 to move education toward competency-based learning.
Speaker notes: (Member 1) The AACN Essentials describe what nurses should be able to do at entry and advanced levels (American Association of Colleges of Nursing, 2021).
Slide 3: Domain 7 in Plain Words
Respond to and lead within complex systems of health care; coordinate resources to provide safe, quality, equitable care.
Speaker notes: (Member 2) At entry level, this means understanding how our unit connects to pharmacy, transport, case management and the community.
Slide 4: Systems Thinking
Seeing patterns and relationships, not only events; asking why problems repeat.
Speaker notes: (Member 2) Quality and safety educators argue that systems thinking is the key that ties safety competencies together (Dolansky & Moore, 2013).
Slide 5: What We Saw in Clinical
Discharges delayed waiting for one signature; pumps borrowed between units; patients readmitted because follow-up was not arranged.
Speaker notes: (Member 3) Each of these looked like a single problem but repeated because of how the system was set up.
Slide 6: A Systems Example
Our bladder scan proposal: scanners missing and uncharged, a routine order that skipped scanning, no feedback on catheter days.
Speaker notes: (Member 3) Fixing it required equipment, orders and data, not just reminding nurses, which national catheter guidance also emphasizes (Gould et al., 2010).
Slide 7: How a New Graduate Shows Domain 7
Report system problems through proper channels; join a unit council; learn how the unit's budget and staffing work; coordinate discharges early.
Speaker notes: (Member 4) None of these require a title, only curiosity about why things happen.
Slide 8: Barriers
Time pressure; feeling too new to speak up; not knowing who owns a problem.
Speaker notes: (Member 4) Asking "who owns this?" is itself a systems-based practice skill.
Slide 9: Questions and Peer Feedback
Where have you seen a system problem in clinical that looked like an individual mistake?
Speaker notes: (All) Thanks for listening; we look forward to your comments.
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf
Dolansky, M. A., & Moore, S. M. (2013). Quality and Safety Education for Nurses (QSEN): The key is systems thinking. OJIN: The Online Journal of Issues in Nursing, 18(3), Manuscript 1. https://doi.org/10.3912/OJIN.Vol18No03Man01
Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee. (2010). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control & Hospital Epidemiology, 31(4), 319-326. https://doi.org/10.1086/651091
NUR 404 Module 4 instructions, in plain terms
The Essentials presentation is one of four NUR 404 group presentations, which together make up 40 of the 100 course points. Each group presents one of the ten domains of nursing in the AACN Essentials: Core Competencies for Professional Nursing Education, then watches classmates' presentations and offers constructive feedback. Canvas lists any domain assignments, the time limit and the rubric. Expect to explain the domain in plain language, connect it to concepts from the course, give examples from clinical experience and show how a new graduate nurse can demonstrate the competency. Reading the domain's competency statements closely, and choosing examples your audience will recognize, keeps the presentation from becoming a recitation of the document.
Inside the NUR 404 Module 4 example
The nine slides list what the audience sees, and the notes beneath name who speaks. The deck opens with what the Essentials are and then restates Domain 7 in plain words for entry-level nurses. A slide links the domain to systems thinking and quality and safety education, and the next two slides draw examples from the group's clinical units, including the bladder scan problem from an earlier presentation, linked to national guidance. Practical ways a new graduate can show the competency, barriers and a question for peers close the deck. Three sources support it, including the Essentials document. The examples come from clinical units the audience knows, which makes the domain concrete.
NUR 404 Module 4 rubric: what earns full marks
Faculty grading this talk will probably look for a correct reading of the assigned domain, connection to course concepts, relevant clinical examples, practical application for new graduates, organization, delivery and peer feedback. Credit flows to groups that translate formal competency language into concrete behaviors. Examples from clinical make the domain real for the audience. Linking the domain to related frameworks, such as systems thinking or safety education, shows depth. Practical steps for a new nurse show readiness for practice. Balanced speaking time across members helps the delivery mark. Examples that show a system rather than an individual mistake fit this domain best. Practical behaviors for a first-year nurse make the talk useful.
NUR 404 Module 4 help: mistakes that cost marks
A common weakness is reading the domain's competency list aloud. Explain what it means at the bedside and give examples. Another is choosing examples that do not fit the domain; make sure each one shows the competency you are presenting. Cite the Essentials document directly. Name your assigned domain and the time limit, and the desk can outline a deck for your group. Connect your domain to an earlier course presentation if it fits. Prepare a discussion question for peers. Pick examples that clearly show a system pattern. End on a question that asks classmates for cases from their own units. Rehearse the clinical examples so each takes less than a minute.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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NUR 404 Module 4 questions, answered
Where can I find a free NUR 404 Module 4 sample paper?
A full NUR 404 Essentials presentation sample on Domain 7, Systems-Based Practice, with clinical examples and speaker notes, is on this page.
What are the AACN Essentials?
The national competencies for professional nursing education, organized into ten domains and adopted in 2021.
What is Domain 7 of the Essentials?
Systems-Based Practice: responding to and leading within complex systems of health care to provide safe, quality, equitable care.
How can a new nurse show systems-based practice?
By reporting system problems through proper channels, joining unit councils, coordinating discharges early and asking who owns recurring problems.
How many Essentials domains are there?
There are ten, covering everything from the knowledge base of nursing to quality, systems, informatics, professionalism and personal growth.