NR 630 WEEK 1 AND 8, SELF-ASSESSMENT OF PROFESSIONAL COMPETENCIES

NR 630 WEEK 1 AND 8, SELF-ASSESSMENT OF PROFESSIONAL COMPETENCIES Directions: Complete the initial assessment during Week 1 and submit by 11:59 pm midnight MT Sunday of week 1. Complete the End of Practicum Assessment during Week 8 and submit by 11:59 pm MT Wednesday of Week 8. Total Points: 50 Initial assessment Core Competency End of Practicum assessment Circle the number that best represents your development needs at this point in time. 1= minimal learning need related to this behavior 2= need some practice in this area 3=need significant practice in this area Self-assessment of professional competencies will help the graduate student guide their learning experiences in the executive practicum. The following competencies reflect selected core competencies for the student in NR630. These competencies are adapted from the competencies identified by The American Organization of Nurse Executives. It is anticipated that the student will identify a number of areas of development at the initial assessment. Goals to meet these needs will guide development of the Learning Agreement. At the conclusion of the practicum, the student completes the assessment. While it is expected that a student will show growth in the development of skills of the nurse executive, it is not expected that all development needs will be fully met. The student will share the assessment tool with the nurse mentor at the beginning and conclusion of the practicum. This assignment serves as the basis for Week 8 threaded discussion. Circle the number that best represents your development needs at this point in time. 1= minimal learning need related to this behavior 2= need some practice in this area 3=need significant practice in this area I. Competency: Communication and relationship-building 1 ☒ 2 ☐ 3☐ a. Effective Communication • Makes oral presentations to diverse audiences on nursing, healthcare, and organizational issues. • Produces cogent and persuasive written materials to address nursing, healthcare, and organization issues appropriate to the audience • Resolves and manages conflict 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ b. Relationship Management • Builds trusting, collaborative relationships with: staff, peers, other disciplines and ancillary services, physicians, vendors, community leaders, legislators, and nursing and other educational programs • Follows through on promises and concerns • Cares about people as individuals and demonstrates empathy and concern while ensuring that organizational goals and objectives are met • Accomplishes objectives through persuasion, celebrates successes and accomplishments, and communicates a shared visions • Asserts views in non-threatening, non-judgmental ways 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ c. Influencing Behaviors • Creates and communicates a shared vision • Develops, communicate, and monitors behavior expectations 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ d. Diversity • Creates an environment which recognizes and values differences in staff, physicians, patients and communities • Assesses current environment and establishes indicators of progress toward cultural competency • Defines diversity in terns of gender, race, religion, ethnicity, sexual orientation, age, etc • Analyzes population data to identify cultural clusters • Confronts inappropriate behaviors and attitudes toward diverse groups • Develops processes to incorporate cultural beliefs into care 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ e. Shared Decision making • Engages staff and others in decision-making • Promotes decisions that are patient-centered • Provides an environment conducive to opinion-sharing 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ f. Medical Staff Relationships • Builds credibility with physicians as a champion for patient care, quality and nursing professionalism • Collaborates with medical staff leaders in determining needed patient care • Collaborates with physicians to develop patient care protocols, policies and procedures • Collaborates with physicians to determine patient care equipment and facility needs • Facilities disputes involving physicians and nurses or other disciplines 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ g. Academic Relationships • Determines current and future supply and demand for nursing care • Identifies educational needs of existing and potential nursing staff 1 ☐ 2 ☐ 3☐ II. Knowledge of the Healthcare Environment 1 ☒ 2 ☐ 3☐ a. Clinical Practice Knowledge • Maintain knowledge of current nursing practice and the roles and functions of patient care team members • Articulate patient care standards as published by JCAHO, CMS, and professional nursing literature • Understand, articulate, and ensure compliance with the State Nurse Practice Act, State Board of Nursing regulations, regulatory agency standards, and policies of the organization • Ensure that written organization clinical policies and procedures are reviewed and updated in accordance with evidence-based practice 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ b. Delivery Models/Work Design • Maintain current knowledge of patient care delivery systems and innovations • Articulate various delivery systems and patient care models and the advantages/disadvantages of each • Serve as change agent when patient care work/workflow is redesigned 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ c. Healthcare Economics • Articulate federal and state payment systems and regulations, as well as private insurance issues, which affect organization’s finances • Understand and articulate individual organization’s payer mix, CMI and benchmark database 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ d. Healthcare Policy • Articulate federal and state laws and regulations that affect the provision of patient care, e.g., tort reform, malpractice/negligence, reimbursement • Educate patient care team members on the legislative and regulatory processes and methods for influencing both 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ e. Governance • Articulate the role of the governing body of the organization in the following areas: Fiduciary responsibilities, Credentialing, Performance management 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ f. Evidence-Based Practice/Outcome Measurement • Interpret information from research • Utilize research findings for the establishment of standards, practices, and patient care models in the organization • Disseminate research findings to patient care team members 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ g. Patient Safety • Support the development and implementation of an organization-wide patient safety program • Design safe clinical systems, processes, policies and procedures • Monitor clinical activities to identify both expected and unexpected risks • Support a non-punitive reporting environment and a reward system for reporting unsafe practices • Support safety surveys, responding and acting on safety recommendations • Ensure staff is clinically competent and trained on their role in patient safety • Articulate and take action to support the JCAHO National Patient Safety Goals 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ h. Utilization/Case Management • Articulate organization decision-making for the criteria model adopted by the organization 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ i. Quality Improvement/Metrics • Articulate the organization’s QI program and goals • Target outcomes that are evidence-based (comparison data benchmarking) 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ j. Risk Management • Identify areas of risk/liability • Ensure staff is educated on risk management and compliance issues 1 ☐ 2 ☐ 3☐ III. Leadership 1 ☒ 2 ☐ 3☐ a. Foundational Thinking Skills • Address ideas, beliefs or viewpoints that should be given serious consideration • Recognize one's own method of decision-making and the role of beliefs, values and inferences • Critically analyze organizational issues after a review of the evidence • Maintain curiosity and an eagerness to explore new knowledge and ideas • Promote nursing leadership as both a science and an art • Demonstrate reflective leadership and an understanding that all leadership begins from within 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ b. Personal Journey Disciplines • Value and act on feedback that is provided about one's own strengths and weaknesses • Demonstrate the value of lifelong learning through one's own example • Learn from setbacks and failures as well as successes, • Assess one's personal, professional and career goals and undertake career planning • Seek mentorship from respected colleagues 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ c. Systems Thinking • Promote systems thinking as a value in the nursing organization • Consider the impact of nursing decisions on the health care organization as a whole 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ e. Change Management • Utilize change theory to plan for the implementation of organizational changes, • Serve as a change agent, assisting others in understanding the importance, necessity, impact and process of change • Support staff during times of difficult transitions • Recognize one's own reaction to change and strive to remain open to new ideas and approaches • Adapt leadership style to situational needs 1 ☐ 2 ☐ 3☐ IV Professionalism 1 ☒ 2 ☐ 3☐ a. Personal and Professional Accountability • Create an environment that facilities the team to initiate actions that product results • Hold self and others accountable for actions and outcomes, • Create an environment in which others are setting expectations and holding each other accountable • Answer for the results of one's own behaviors and actions. 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ b. Career Planning • Develop own career plan and measure progress according to that plan 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ c. Ethics • Articulate the application of ethical principles to operations • Integrate high ethical standards and core values into everyday work activities • Create an environment that has a reputation for high ethical standards 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ d. Evidence-Based Clinical and Management Practice • Advocate use of documented best practices • Teach and mentor others to routinely utilize evidence-based data and research 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ e. Advocacy • Role model the perspective that patient care is the core of the organization's work 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ f. Active Membership in Professional Organizations • Participate in at least one professional organization 1 ☐ 2 ☐ 3☐ V. Business Skills 1 ☐ 2 ☒ 3☐ a. Financial Management • Articulate business models for healthcare organization and fundamental concepts of economics • Analyze financial statements 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ b. Human Resource Management • Interpret and evaluate employee satisfaction/quality of work surveys • Identify clinical and leadership skills necessary for performing job-related tasks • Identify future skill sets needed to remain competitive 1 ☐ 2 ☐ 3☐ 1 ☐ 2 ☒ 3☐ c. Marketing • Analyze marketing opportunities 1 ☐ 2 ☐ 3☐ 1 ☒ 2 ☐ 3☐ d. Information Management and Technology • Demonstrate basic competency in email, common work processing, spreadsheet, and Internet programs • Recognize the relevance of nursing data for improving practice • Recognize limitations of computer applications • Use telecommunication devises • Utilize hospital database management, decision support, and expert system programs to access information and analyze data from disparate sources for use in planning for patient care processes and systems • Recognize the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment • Demonstrate awareness of societal and technological trends, issues and new developments as they apply to nursing • Demonstrate proficient awareness of legal and ethical issues related to client data, information, and confidentiality 1 ☐ 2 ☐ 3☐ Source of Selected Core Competencies and Task Statements: AONE Nurse Executive Competencies. (2005) The American Organization of Nurse Executives.