How your initiative will improve patient care and outcomes
Three deliverables built from five earlier assignments. The two-minute video is the hardest, because it asks for obstacles in a piece meant to persuade.
Editorial process
Last reviewed · August 25, 2026
The video asks you to name obstacles while advocating
This is a compilation assignment, so the risk is that five separate pieces are stapled together and the seams show. Read the earlier parts as one argument before you build the deck: the proposal identified a problem, the cost-benefit analysis priced it, the patient outcome and waste evaluations said what improves, the partnership section said who else is needed, and the petition asked for the resources. If those five do not agree with each other on the numbers, the compilation is where a reader will notice, and reconciling them is real work worth doing first. Diagrams help here precisely because a flowchart of the current process against the proposed one makes an inconsistency visible immediately. Reconciling them is real work and it is worth doing before a single slide is built, because a compilation is exactly where an inconsistency becomes visible. Diagrams help here precisely because a flowchart of the current process against the proposed one makes an inconsistency visible immediately.
The two-minute video is the interesting deliverable because of what it asks for. Two minutes is about three hundred spoken words, and the brief wants the initiative summarised, short-term and long-term needs distinguished, obstacles identified and benefits emphasised. Naming obstacles inside an advocacy piece feels counterproductive and is exactly right, because the audience is leadership and leadership will think of the obstacles anyway; raising them first is what makes the rest credible. Pick the two real ones, usually the up-front cost against a return that arrives later, and the behaviour change the initiative depends on, and say briefly how each is handled. The annotated bibliography should also be annotated rather than listed, which means each entry states what that article contributes to this initiative rather than summarising the article in the abstract. Three hundred words is not room for a summary and an argument, so the summary has to be a single sentence.
Likely learning objectives
- Reconcile five earlier assignments into one consistent argument.
- Use diagrams to expose inconsistency between current and proposed process.
- Raise obstacles inside an advocacy piece to build credibility.
- Annotate a bibliography by contribution rather than by summary.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
Finalize your sustainability initiative by reviewing parts 1 through 5 of the sustainability initiative assignments: Sustainability initiative proposal Analysis of the costs and benefits associated with your initiative Evaluation of how your initiative will improve patient care and outcomes Evaluation of how your initiative will reduce waste Suggestions for community partnerships and education programs Petition to the leadership for resources to enact the initiative Compile a 20-25 slide presentation of your sustainability initiative. Include diagrams, flowcharts, and other visuals that support your initiative. Create an annotated bibliography that contains each article you identified in the Weeks Two through Five Article Search assignments and post it in a word document. Create a 2-minute executive summary video to advocate for your initiative. Summarize the initiative, discuss short- and long-term sustainable needs, identify obstacles, and emphasize the benefits of the initiative. Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Course-wide instructions that accompany this question
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
What the final compilation requires
- 01A 20-25 slide presentation compiling the sustainability initiative, with diagrams, flowcharts and supporting visuals.
- 02Integration of the proposal, cost-benefit analysis, patient care and outcomes evaluation, waste reduction evaluation, community partnership and education suggestions, and petition for resources.
- 03An annotated bibliography containing each article from the Weeks Two through Five article searches, in a Word document.
- 04A 2-minute executive summary video advocating for the initiative.
- 05The video to summarise the initiative, distinguish short- and long-term sustainable needs, identify obstacles and emphasise benefits.
- 06Three reputable references.
Compilation, bibliography, and the two minutes
The initiative
State the problem, the proposal and the ask in one place.
What the assessor is likely looking for
One coherent statement across five sources.
Costs and benefits reconciled
Present the financial case with consistent figures.
What the assessor is likely looking for
Internal consistency.
Patient outcomes and waste
Show what improves clinically and what is reduced.
What the assessor is likely looking for
Two distinct benefit claims.
Partners and education
Identify who else is required and what they need to know.
What the assessor is likely looking for
Named partners with roles.
The annotated bibliography
State each article's contribution to this initiative.
What the assessor is likely looking for
Contribution rather than summary.
The two-minute video
Summarise, distinguish needs, name obstacles, close on benefit.
What the assessor is likely looking for
Obstacles raised and handled.
Where the sustainability evidence sits
Recommended databases
- PubMed Central
- AHRQ
- Trade and industry publications
- Government agency sites
Search sequence
- 1.Re-read your five earlier submissions and list every figure they contain.
- 2.Find evidence on sustainability initiatives in health care settings.
- 3.Look up implementation sustainment literature for the long-term needs section.
- 4.Check improvement guidance for how benefits are measured over time.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Application of the Concepts of Social Responsibility, Sustainability, and Ethics to Healthcare Organizations
PMC / National Library of Medicine · 2020
Social responsibility, sustainability and ethics in health care, for the framing.
Implementation and Sustainability of a Pharmacy-Led, Hospital-Wide Bedside Medication Delivery Program: A Qualitative Process Evaluation Using RE-AIM
Journal of the American Pharmacists Association · 2019
Implementation and sustainability of a hospital-wide initiative, as a worked example.
Addressing critical barriers for sustainability of asthma stock inhaler policy implementation and results
Annals of Allergy, Asthma & Immunology · 2024
Barriers to sustaining an implemented policy, for the obstacles section.
Section 4: Ways To Approach the Quality Improvement Process
Agency for Healthcare Research and Quality · 2024
AHRQ improvement guidance, for measuring benefit over time.
Quality Improvement Methods (LEAN, PDSA, SIX SIGMA)
StatPearls, NCBI Bookshelf · 2024
Quality improvement methods, for the process diagrams the deck requires.
Before you submit
Common mistakes
- Stapling five assignments together without reconciling their numbers.
- Using visuals decoratively rather than to show the process change.
- Omitting obstacles from the video because it is an advocacy piece.
- Writing bibliography annotations that summarise rather than connect.
- Over-running two minutes, which is roughly three hundred words.
Submission checklist
- Do the five earlier parts agree on the numbers?
- Do the diagrams show current against proposed process?
- Does the video name at least two real obstacles and their handling?
- Are short-term and long-term needs distinguished?
- Does each annotation say what the article contributes here?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.