1. Basic Human Needs - Responds to others' priorities regarding safety, physical, psychological and social needs.
The professional nurse exhibits understanding of basic human needs by demonstrating:
a. Attention to emotional, social, and self-esteem needs
b. Regular assessment and maintenance of comfort
c. Knowledge of basic physiology and pathophysiology
d. Knowledge of human emotions during health and illness
e. Knowledge of human development across the life span
f. Knowledge of pain and suffering, pain interventions and pain comfort/theories.
g. Provides safe patient care as evidenced by:
1. Using barcode medication verification (BMV) during medication administrations
2. Completing accurate documentation in the electronic health record
3. Completing assessments accurately and in a timely manner
4. Individualizing care plans specific to the needs of the patient
5. Providing consistent attention to airway, intake, elimination, sleep, rest, mobility and hygiene needs 5%
2. Human Respect - Honors worth of humans through unconditional acceptance as evidenced by:
a. Handling of the body with care
b. Demonstrating knowledge of patient rights and incorporating into daily practice
c. Calling patients by their preferred name
d. Demonstrating use of eye contact and physical contact appropriately
e. Speaking respectfully and professionally in a soothing tone 5%
3. Appreciation of Unique Meanings - Concerned with understanding others frame of reference.
The professional nurse demonstrates an appreciation of unique meanings by:
a. Using active listening
b. Exemplifying a non-judgmental attitude
c. Tolerating both positive and negative ideas or expressions
d. Demonstrating flexibility
e. Eliciting patient values and preferences
f. Recognizing and appreciating diversity
g. Developing personal relationships with patients/significant others 5%
4. Affiliation Needs - Engages family/caregivers in health care situations.
The professional nurse demonstrates recognition and understanding of affiliation needs by:
a. Demonstrating knowledge of individual patient's family situation and routines
b. Demonstrating knowledge of family theories
c. Being responsive to families
d. Engaging family members in health decisions per patients' wishes
e. Allowing family members' presence
f. Involving family
g. Conducting routine family meetings
h. Sharing available resources with families
i. Establishing, maintaining and discontinuing appropriately therapeutic relationships with patients/families 5%
5. Mutual Problem Solving - Professional behaviors that help patients and families understand how to confront, learn about, and think about their health and illness; involves a reciprocal, shared approach with resulting decisions acceptable to involved parties.
The professional nurse demonstrates mutual problem solving by:
a. Providing information, using up to date literature, approved tools including EMMI and demonstrates knowledge of patient's unique learning approach.
b. Validating patient knowledge through use of teach back method
c. Accepting feedback from patients and adopting patient ideas
d. Prioritizing and individualizing care delivery based on professional judgment
e. Using listening skills and demonstrating knowledge of how to engage others 5%
6. Attentive Reassurance - Listens and concentrates on others. Is reliable, available and attentive.
The professional nurse demonstrates attentive reassurance by being:
a. Optimistic
b. Accessible to patients and families
c. Available and re-confirming that availability
d. Confident; demonstrating assertiveness knowledge
e. Reassuring
f. Self-reliant and demonstrating self- knowledge
g. Clarifying misperceptions-Using HEART as needed 5%
7. Encouraging Manner - The professional nurse communicates an attitude that is supportive, open, positive and tolerant by demonstrating:
a. Knowledge and effective use of THR communication tools (AIDET, HEART, Error Prevention Tools: Speak up for Safety, Question and Resolve)
b. Supportive verbal and non-verbal demeanor
c. Enthusiasm
d. Positive feedback
e. Supportive view of the system
f. Empowering, inspiring behaviors 5%
8. Healing Environment - The professional nurse creates settings that provide privacy, safety, confidentiality and tranquility demonstrated by:
a. Establishing a safe environment
b. Using frequent checks/surveillance including national patient safety goals(NPSG)
c. Providing safety information and associated teach-backs
d. Validating the call system is in place
e. Completing accurate, timely and comprehensive hand offs
f. Maintaining privacy and confidentiality
g. Ensuring clean and pleasant surroundings
h. Demonstrating knowledge of and effectively using Error Prevention safety/communications tools
i. Demonstrating knowledge of current evidence related to prevention of adverse outcomes
j. Using safety enhancing technologies recognizing the benefits and limitations of them
k. Demonstrating understanding of the ethical standard, fidelity 5%
Teamwork -- "Individuals caring for individuals, together"
1. Communicates and collaborates with all members of the health care team:
a. Delegates effectively by making efficient use of staff time and expertise
b. Uses SBAR format in communicating with physicians and other interdisciplinary team members
c. Uses hand off communication tool and/or processes appropriately for any change in caregivers across shifts and departments.
d. Identifies patient needs and coordinates care and resources to facilitate patient throughput/flow
e. Manages up other team members, intra and inter-departmentally looking for opportunities to positively recognize co-workers to leaders, patients, families and team.
f. Demonstrates flexibility and helps co-workers when needed
g. Follows attendance commitments by being timely and reliable
2. Incorporates Error Prevention Tools into practice and participates in High Reliability organizational training.
3. Promotes a cost effective team
a. Demonstrates judicious use of resources including supplies, products and equipment
b. Identifies ineffective and costly practices and provides suggestions for improvement
c. Incorporates innovation and technology in daily practice to enhance efficiencies
4. Leads by example by giving priority to doing the right thing for patient care
5. Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and patient acuity 25%
Shared Decision Making
1. Actively participates in the Shared Governance model at unit, entity, and/or system level.
2. Actively engages in finding solutions for unit, division and/or entity concerns or issues.
a. Participates in process improvement activities at the unit, entity and/or system level
b. Seeks innovative ideas or promotes evidenced based practice changes among team
3. Uses multiple available tools to stay informed of changes, updates and communications.
a. Reads and responds to email as requested
b. Reviews meeting minutes when unable to attend in person
c. Meets staff meeting attendance participation rates as per department standard
4. Demonstrates the ability to respectfully listen to others' opinions.
5. Collaborates with physicians and interdisciplinary team members to promote safe individualized care.
a. Acceptable use of SBAR when communicating.
b. Supports interdisciplinary meetings such as daily care briefings, rounds, family conferences and
support groups for optimal patient outcomes
6. Promotes the Magnet and/or Pathways to Excellence standards throughout the organization. 20%
Professional Development
1. A. Participates in change and seeks opportunities for professional and personal growth.
a. Actively engages in peer to peer review
b. Willingly accepts feedback from colleagues including peers, leaders and other disciplines
c. Utilizes feedback to seek opportunities for advancing professional growth
2. Understands, promotes, and values evidence-based practices, quality improvement, and/or research, and utilizes them in practice.
a. Follows guidelines and recommendations defined by regulatory or professional practice agencies
b. Provides daily care that achieves outcome targets for Reliable Care Blueprints, NPSG, employee satisfaction, patient and family experience, NDNQI and other unit/organizational metrics
3. Demonstrates commitment to lifelong learning and development.
a. Maintains annual competencies
b. Attends in-services and training useful to area of practice
c. Shares with peers evidence based practice updates, policy changes, new technology and other pertinent information from conferences or meetings.
4. Demonstrates a commitment to advancing the professional practice of nursing.
a. Incorporates ethical principles from the ANA Code of Ethics
b. Adheres to the Nursing Practice Act
c. Identifies realistic and measurable goals at least annually
d. Identifies and participates in a standardized system tool for Self-Assessment and Evaluation, Peer to Peer feedback, and professional goal development/career planning
e. Participates in advancing professional practice as evidenced by:
1. Advancing Education
2. Certification
3. NCAP participation for eligible nursing staff
4. Professional organization membership
5. Other as described in employee comments 15%