Focus on developing the role of an advanced nursing leader to refine and implement a quality improvement, cost or business analysis, program evaluation, or practice change project with a preceptor to address an issue or problem within an organization. For N181W, four laboratory hours a week for one semester. For N281W, eight laboratory hours a week for one semester. For N381W, one-half lecture hour and ten laboratory hours a week for one semester. Offered on the letter-grade basis only. Prerequisite: Graduate standing and Nursing 381D and 381P; or consent of instructor.