Download DOMAIN: Clinical Skills and Knowledge

Professional Development Framework Manager Voice
DOMAIN: Clinical Skills and Knowledge
A
Performs assessment and
identifies appropriate nursing
diagnosis and/or patient care
standard with assistance.
Recognizes data and
identifies obvious nursing
diagnoses.
Practice is guided primarily
by policies, procedures, and
standards.
Identifies expected outcomes
and nursing interventions to
meet identified diagnoses
and maintain standards of
clinical practice.
C
D
NURSING PROCESS
Assessment
Independently and
Independently and
completely performs focused
consistently performs goalassessment to provide most
focused and individualized
effective patient care for a
assessment when caring for
given patient population.
all patients, including those
with complex
Recognizes specialty data.
pathophysiological and
psychosocial needs.
Nursing Diagnosis
Prioritizes key nursing
Individualizes nursing
diagnoses to address
diagnoses based on
physical and psychosocial/
assessment data.
emotional areas.
Planning/Implementation/Evaluation
Practice is driven by theory
Practice relies on previous
and experience.
experience for focused
analysis of problems and
solutions with individual
patient modification in order
to meet outcomes.
Independently develops,
implements, and evaluates
plan of care that recognizes
subtle changes in patient’s
condition and adapts plan as
needed.
Accommodates unplanned
events and evaluates/
responds appropriately with
speed, efficiency, flexibility,
and confidence.
E
Comments
Exhibits highly developed
assessment abilities that
exemplify a comprehensive
understanding of the total
patient/family situation.
Individualizes nursing
diagnoses based on
assessment data and
integrates that with the
diagnoses & priorities of
other disciplines in order to
provide holistic care.
Practice is driven by an
intuitive base and is selfdirected, flexible, and
innovative.
Is consistently effective in
providing holistic care that
ensures positive change
even in the most challenging
patient care situations.
Evaluates patients based on
basic standards.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Clinical Skills and Knowledge (continued)
A
C
Utilizes standard unit
technology and with
assistance uses advanced
technology as appropriate.
Utilizes computer correctly for
basic functions, including:
 Groupwise

CareWeb – labs and
radiology results reporting
 Omnicell
 Mandatory Programs/
Competencies
 Policies and procedures.
With assistance, identifies
basic patient/family learning
needs.
Initiates teaching using
patient teaching protocols,
patient care standards and
critical paths.
D
Technology
Becomes expert and
Utilizes standard unit
resource for use of
technology and uses
standard unit technology
advanced technology as
and advanced technology
appropriate.
as appropriate.
Utilizes computer for basic
functions as well as reference
on patient conditions and
treatment.
Becomes resource for use
of computer.
Patient/Family Education
Accurately assesses patient/
Identifies learning needs of
family’s readiness to learn,
designated populations.
organizes and executes
individualized teaching plan,
evaluates patient’s
understanding and modifies
Works collaboratively to
approach as necessary.
develop strategies to meet
these learning needs.
Seeks out additional patient
education resources beyond
unit.
Seeks out challenging
patient/family education
opportunities.
Utilizes patient education
resources on the unit.
Identifies location of and
utilizes hospital policies and
unit procedures and
protocols.
Revises and develops
patient education
materials.
Policy/Procedure/Protocols
Teaches and functions as a
Demonstrates ease in
resource in the application
application of hospital
of hospital policies, and
policies and unit procedures
unit procedures and
and protocols.
protocols.
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Name of Applicant:
Manager Initials:
E
Takes a leadership role in
evaluating technology and
its potential for use.
Able to conduct literature
search through library
functions – CINAHL,
Cochrane, Medline,
PubMed.
Anticipates patient/family
learning needs and utilizes a
variety of teaching strategies
appropriate to the patient’s
needs.
Serves as expert resource
and facilitates other staff in
improving patient
education.
Collaborates with other
disciplines to develop
and/or implement
patient/family teaching
programs.
***Researches, revises, and
develops hospital policies
and unit procedures and
protocols utilizing
appropriate channels and
resources.
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Clinical Skills and Knowledge (continued)
A
C
D
Promoting Culture of Safety
Unit expert and resource
Adheres to hospital policies
Identifies and intervenes
on medications applicable
related to medication safety:
when there are concerns
to their unit/clinical setting.
related to medication safety,
 Order writing conventions
providing feedback to staff
 Correct administration
members involved.
considerations
 Double checks and other
established policies and
practices
Familiar with and follows
standards related to patient
and staff safety.
Admission assessment, flow
sheets, MARs, and other
applicable documentation
forms are completed in a
timely manner according to
policy with minimal guidance.
Facilitates others related to
patient and staff safety;
actively works toward
prevention of potential
injury.
Documentation
Involved in ongoing quality
Consults documentation to
monitoring of
identify trends in patient
documentation of nursing
status and enhance
care and patient outcome.
continuity of assessment and
ongoing nursing care.
E
***Advocates for culture of
safety through knowledge,
problem solving, and
system changes.
Anticipates and intervenes
related to patient and staff
safety.
***Participates in the
development of
documentation tools,
standards, and/or policy.
DOMAIN: Therapeutic Relationships: An intentional interactive relationship with patients and families that is caring, clear, boundaried, positive and professional. It encompasses
the philosophy of the institution, empowerment of the care givers and empowerment of the patient/family.
A
C
D
E
Comments
Therapeutic Communication
Consistently role models
Recognizes how the nurse:
Possesses clarity on ones
Intuitively uses expert
patient/family relationship
own values and how they
individualized therapeutic
therapeutic communication
impacts the patient
effect interactions,
communication based on
with patient/family.
experience.
relationships and boundary
patient and family needs.
setting.
Introduces self as a
Registered Nurse and
describes role.
Individualizes communication
based on assessment of the
patients and families.
Initiates consultation/leadership with the healthcare team
to share and promote
collaborative approach to
patient and family care.
Shares and promotes
collaborative approach to
patient and family care.
Consistently wears
identification. Establishes
open communication.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Therapeutic Relationships, continued
A
C
D
Empowerment – Nurse, Patient, Family
Recognizes the need for
Incorporates patient/family in
Invites patients and families
patient and family to
planning and implementing
to actively participate in plan
participate in care.
care.
of care to foster growth and
competence.
Comments
E
Maximizes patient/family
participation in decision
making and goal setting
along the continuum of care.
Seeks help as appropriate to
assess readiness for
participation in care.
Compassion
Demonstrates empathy in
Plans and provides nursing
interactions with patient/
care that promotes intentional
families.
caring.
Actively listens to patient/
family concerns in a
respectful manner.
Intuitive understanding of
patient/family experience and
is proactive in providing
creative approaches to
optimize comfort and support.
Shows kindness and caring
with patients/families.
Recognizes, respects, and
supports patient/family rights
and maintains confidentiality.
Aware of UMHS patient rights
and responsibility.
Aware of and values the
diversity in patient and
families.
Advocacy and Ethics
Mobilizes appropriate
Challenges situations and/or
resources in response to
decisions that obstruct
situations that have the
positive patient outcomes
potential to negatively impact
and works to reduce barriers.
patient/family outcomes.
Recognizes ethical issues
Anticipates patient/family
and seeks assistance in
needs.
addressing them.
Valuing of Diversity with Patients and Family
Seeks to learn about and
Demonstrates actions that
optimize the unique
incorporate the rich traditions,
contribution inherent in the
beliefs, and values of patients
diversity and culture of each
and families.
individual.
Begins to incorporate
diversity considerations in
patient care.
Embraces visible and
invisible diversity; seeks out
perspectives from those of
different backgrounds and
cultures.
Integrates understandings of
populations into patient care.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Challenges and adapts
systems to maximize the
benefits for patient care.
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Professional Relationships: An intentional interactive relationship with the health care team that is marked by mutual regard, trust, and active engagement.
A
C
D
E
Comments
Collaboration with the Health Care Team
Recognizes role of each
Initiates, recognizes and
Is sought out by members of
Through shared values and a
member of the health care
values professional
the multi-disciplinary health
clear professional identify,
demonstrates and role
team.
collaborative communication
care team.
models an interdisciplinary
and the positive effect on
patient outcomes.
collaborative approach to
patient care.
Aware of importance of team
collaboration and with
guidance begins to initiate
collaborative communication.
Identifies and utilizes
collaborative resources.
Initiates referrals.
Monitors referrals.
Frequently initiates consults
with health care team.
Participates and/or leads
team care conference.
Actively collaborates with
other health professionals in
delivering care.
Recognizes the impact of
one’s behavior on others.
Recognizes need and calls
for team conference.
Acts as resource to
nursing and health care
team.
Identifies self as member of
nursing and health care
teams.
Valuing Teams/Teamwork
Functions as an independent
Fosters mutual regard,
and supportive team
respect, and trust.
member.
Begins to generate trust,
respect, and compassion
within the workgroup.
Provides assistance to
others.
Demonstrates flexibility.
Takes responsibility for
developing beginning team
relationships.
Demonstrates empathy and
compassion in interactions
with team members.
Creates conditions and
relationships that promote
creative, innovative, and
positive processes and
outcomes.
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Name of Applicant:
Manager Initials:
Demonstrates team values
that orient people to care
about performance and
success of others.
Recognizes value of
conflict in individual and
organization learning and
growth.
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Professional Relationships, continued
A
Seeks assistance with
resolving conflict.
C
Approaches conflict
situations in a constructive
manner.
Meets professional
commitments consistently.
Valuing Teams/Teamwork, continued
D
E
Role models behaviors that
demonstrate compassion and
caring.
Fosters other’s development
of conflict resolution skills.
Comments
Demonstrates active
engagement to enhance
patient care and promote a
positive workplace.
Asks for and accepts help
when needed.
Acknowledges when conflict
exists.
Aware of and values diversity
in all members of the health
care team.
Valuing of Diversity in Team
Role models and helps to
Seeks to learn about and
optimize the unique
establish group norms that
contribution inherent in the
promote valuing of all health
diversity and culture of each
care team members.
individual on the health care
team.
Comments
Depends on diversity of
workforce to enrich and build
great places to work.
Recognizes own biases and
begins to demonstrate
empathy as a member of the
health care team.
Functions as part of nursing
team; able to describe and
begin to use 5 Rights of
Delegation when delegating
to UAP:
 Right task
 Right circumstances
 Right person
 Right communication
 Right supervision and
evaluation
Delegation
Readily able to delegate to
Recognizes and values
UAP according to the 5
interdependent relationships.
Rights of Delegation.
Adaptable, flexible, and
consistently effective in
delegation.
Facilitates continuity of care
and nursing work flow
through nurse-to-nurse
delegation.
Demonstrates foresight in
anticipating and planning to
meet patient and family
concerns.
Recognizes value of nurseto-nurse delegation.
Recognizes strengths of
other team members that
would benefit the patient and
the team – aligns skill sets of
individual nurses/UAP to
specific patients.
Successfully organizes and
coordinates multiple
activities, requests, and
needs.
Develops work processes
that maximize team work.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Professional Development: Committed to the professional development of self and others.
A
C
D
E
Self
***Sets goals for
***Sets goals in self
Engages in self assessment
Sets goals for knowledge/
knowledge/skill
directed manner and
related to orientation and
skill enhancement within the
enhancement within and
actively seeks out
ongoing learning needs and
practice setting.
beyond the practice
opportunities for
seeks out unit resources to
setting.
knowledge/skill
assist in meeting needs.
enhancement within and
beyond the practice
setting.
Completes mandatory/
competency requirements
during orientation and
annually.
Seeks out additional learning
experiences within practice
area:
 Unit specific certifications
 Consultation with experts
 Inservices/rounds
 Collaborating with
multidisciplinary team
With guidance, provides
respectful feedback to
preceptors, peers, and
Manager related to
orientation and initial learning
experience.
Participates in peer feedback.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Attends inservice(s)/CE
within and beyond practice
area.
Comments
***Evidence of advancing
professional identity (at
least one):
 Certification in specialty
(ACCN, ANCC Specialty
Areas)
 Active participation in
Professional
organization (i.e.:
clinical specialty
organizations, UMPNC,
MNA, ANA, UAN)
 Active membership/
leadership role in
institutional groups
related to nursing
Contributions to Others
Works to create and
Shares in/contributes to
sustain a culture that is
others knowledge/skill
supportive and rewards
development in practice
and recognizes
setting, examples include:
professionalism.
 Conducts inservices
 Develops staff
education tools
 Acts as interdisciplinary
clinical resource and
informal mentor
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Professional Development, continued
A
C
Expands knowledge of the
feedback process:
 Formal training

Authentic, accountable,
respectful, relevant to
clinical performance
 Identifiable/attributable
(not anonymous)
Contributes to others
knowledge and skill
development in practice
setting.
Contributions to Others, continued
D
E
Takes a leadership role in
Mentors nurse colleagues
building and maintaining
in achievement of
an environment where all
Professional Development
team members thrive.
Framework progression.
Recognizes professional
strengths in others and
builds upon them.
Comments
***Acts as a clinical
resource/liaison beyond
the unit setting
 Specialty resource
 Other units
May act as preceptor of new
and present staff when
applicable.
Utilizes own
knowledge/skills to improve
professional development
environment on the unit.
DOMAIN: Advancing Practice through Innovation and Research: Demonstrates ongoing innovation by reviewing, critiquing and applying existing evidence to practice.
Continually improves practice by applying performance improvement methodologies.
Innovation (creative solutions to everyday problems)
A
C
D
E
Comments
Takes on leadership role in
Has knowledge of and
Identifies areas for creative
Independently seeks out
relation to innovations/
supports established nursing
improvement in practice
opportunities to share
improvements in practice
improvement
setting and seeks out
information and influence
setting.
projects/endeavors in
resources and avenues to
evidence based nursing
practice setting.
address them (unit practice
practice.
council, content experts,
etc.).
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
DOMAIN: Advancing Practice through Innovation and Research, continued
Innovation, continued
A
C
D
Reads evidence based
Reads clinical articles.
Demonstrates an awareness
articles related to area of
of current literature in area of
practice.
practice, including journal
club, inservices, etc.
Research
C
D
***Participates in unit/area
Identifies individual patient
based/institutional
problems which require
Continuous Quality
investigation.
Improvement projects.
A
Participates in unit/area
based Continuous Quality
Improvement projects.
Participates in unit/area
based research, as
appropriate.
Presents at unit based
educational forums.
E
Evaluates effectiveness of
innovation/practice changes
Comments
E
Implements change in
practice for a population of
patients based on the
application of current
research findings and
evaluates effectiveness of
practice changes.
Comments
Makes recommendations for
changes in practice based on
findings.
***Shares findings of
Continuous Quality
Improvement projects, such
as:
 Unit presentation
 Rounds
 Poster
 Publishing
Applies current literature/
research to problems in
practice area.
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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Professional Development Framework Manager Voice
Manager Summary Comments (optional):
Signature and Date:
Bolded entries relate to contribution
Name of Applicant:
Manager Initials:
***Relate to contribution outside of one’s home unit
Date:
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