LEADERSHIP PORTFOLIO

Development of the Leadership Portfolio was supported in part by the Nursing Graduate Leadership Enhancement for Culturally Competent Care: Children and Adolescents with Special Health Care Needs, Families and Communities Training Grant, Number 5 T80 MC 00002-37, funded by the Maternal and Child Health Bureau, Public Health Service, U.S. Department of Health and Human Services. The contents, however, are in no way the responsibility of the U.S. Department of Health and Human Services."


Maternal and Child Health Bureau,
Health Resources & Services Administration, & the
University of Washington School of Nursing

Nursing Leadership Enhancement for Culturally Competent Care:
Children and Adolescents with Special Health Care Needs, Families and Communities

First Name:
Last Name:

Email Address: * Required

Faculty Advisor:

Student Status:

SELECT THE CURRENT QUARTER :

PART I. - LEADERSHIP

1. DESCRIBE YOUR LEADERSHIP ACTIVITY IN THE SPACE BELOW. PLEASE BE AS DETAILED AS POSSIBLE.

2. DOES THE ACTIVITY DESCRIBED ABOVE INVOLVE (choose only 1):

A. Infrastructure Building
B. Population-based Approaches
C. Advocacy Services
D. Direct Health Care Services

Based on your choice above, please go directly to that ACTIVITY below and complete ONLY ONE of Activity A, B, C or D:

2A. INFRASTRUCTURE BUILDING

Does your leadership activity primarily involve INFRASTRUCTURE BUILDING? If so, check the MAIN sub-category that applies below (choose only 1).

Needs Assessment
Program Planning
Evaluation/ QA, Cost and Outcomes
Policy Development/ Implementation
Standards Development
Information Systems
Systems/ Care Coordination


2B. POPULATION-BASED APPROACHES

Does your leadership activity primarily involve POPULATION-BASED APPROACHES? If so, check the MAIN sub-category that applies below (choose only 1).

Primary Prevention Programs
Secondary Prevention Programs
Tertiary Prevention Programs


2C. ADVOCACY SERVICES

Does your leadership activity primarily involve ADVOCACY SERVICES? If so, check the MAIN sub-category that applies below (choose only 1).

Family Support
Accessibility
Health Education
Ally Building with Families/ Advocacy Groups


2D. DIRECT HEALTH CARE SERVICES

Does your leadership activity primarily involve DIRECT HEALTH CARE SERVICES? If so, check the MAIN sub-category that applies below (choose only 1).

Family-Centered Health Care
Comprehensive/ Coordinated Care
Interdisciplinary
Community-based

3. IDENTIFY IN THE SPACE BELOW ONE WAY THAT THE ACTIVITY STRENGTHENED YOUR SKILLS, PERSONALLY, IN LEADERSHIP. RELATE YOUR DESCRIPTION TO THE SUB-CATEGORY (i.e., Needs Assessment) YOU CHOSE ABOVE. INCLUDE PLAN FOR HOW YOU WILL BUILD ON THIS STRENGTH.




PART II. - CULTURAL COMPETENCE

1. IN WHAT WAYS DID YOUR ACTIVITY INCORPORATE ELEMENTS OF CULTURAL COMPETENCE? CHOOSE FROM THE LIST BELOW AND CHECK THE KEY ELEMENTS THAT APPLY.

IF YOUR FIRST ACTIVITY DID NOT INVOLVE CULTURAL COMPETENCE, THEN IDENTIFY A SECOND ACTIVITY THAT DOES IN THE SPACE BELOW.

Scientific Mindness
Dynamic Sizing
Cultural Self/ System-Assessment and Adaptation
Cultural Acknowledgement and Respect
Conscious of Dynamics Inherent when Cultures Interact


2. IDENTIFY IN THE SPACE BELOW ONE WAY THAT THE ACTIVITY STRENGTHENED YOUR SKILLS, PERSONALLY, IN CULTURAL COMPETENCE. RELATE YOUR DESCRIPTION TO THE SUB-CATEGORY (i.e., Scientific Mindedness) YOU CHOSE ABOVE. INCLUDE PLAN FOR HOW YOU WILL BUILD ON THIS STRENGTH.