Addressing the Four Dimensions (Nine Criteria) of Nursing Practice

Assignment: Addressing the Four Dimensions (Nine Criteria) of Nursing Practice.

The following guidance is provided to optimize your success with this process.  Although daunting at times, your thoughtful responses to each of the Nine Criteria within the Four Dimensions are critical to the outcome of your salary determination.

The NPSB has an opportunity to qualify you at one of three grades:  Nurse I, Nurse II, or Nurse III.  Within Nurse I, there are also three levels—Level 1, Level 2, and Level 3.  When considering your responses, be advised of the following qualification standards for each grade:





Nurse II

:  Bachelor’s Degree in Nursing required.  (Associate in Nursing/Diploma with Bachelor’s in a health-related field may be considered).  In each of the Four Dimensions, the Board will expect

UNIT

level contributions and leadership.



Nurse III

:  Master’s Degree in Nursing required. (BSN with Master’s in a health-related field may be considered).  In each of the Four Dimensions,

SUSTAINED LEADERSHIP

resulting in program contributions and outcomes

BEYOND THE UNIT/PRACTICE SETTING

.  That is, involvement at the

ORGANIZATIONAL LEVEL

is expected.

NOTE:  Both educational requirements and meeting the Four Dimension standards for that particular grade are required to be recommended for that grade.

The Four Dimensions of Nursing Practice are as follows:

Nursing Practice

(Practice, Ethics, Resource Utilization);

Professional Role-Leadership

(Education/Career Development, Performance);

Collaboration

(Collegiality, Collaboration), and

Scientific Inquiry

(Quality of Care, Research).

NOTE:  Leadership is not one of the dimensions, but leadership principles are expected to be woven throughout the established categories.

Each of the Nine Criteria should be addressed by you citing


examples


(at least one) to support the qualifications standards.  One example may suffice to support all criteria under a single Dimension, but all criteria must be met…NOT just the Dimension.  As a template for your response, the following guidance is offered:


What is done? – ACTION


For Whom? – POPULATION


What difference did it make? – OUTCOME


When? – SUSTAINABILITY

Please see the following table for additional guidance:

*****   If you want additional information/clarification, please see

http://vaww1.va.gov/NURSING/psb.asp

Criteria
Nurse I

Nurse II
Nurse III

Nursing Practice


PRACTICE

Demo Independence;


No charge activities required


Demo Leadership;


Charge Nurse/Unit Level

Leadership at Service, Service Line, or Medical Center Level; looking for organized processes or systems

ETHICS

Assumes responsibility for Individual judgments/actions

Serves as resource in indentifying ethical issues
Leadership in anticipating risks, resolving ethical issues and dilemmas, analyzing trends, and taking appropriate action

RESOURCE UTILIZATION
Effectively plans/directs flow of patient care and nursing resources Identifies potential problems involving resources or pt safety and takes action to avert (Team/Unit) Manages and analyzes resources, evaluates options and takes actions that impact organization outcomes beyond the unit/practice area.

Professional Role


EDUCATION/CAREER DEVELOPMENT
Seeks knowledge for indiv competency (indiv educ plan/reads health care literature) Participates in educational activities to enhance role performance at the unit/team level Implements educational plan to meet changing needs of program/ service


PERFORMANCE
Incorporates feedback into personal development (self-assessment) Self-evaluation

and

evaluation of others
Self-evaluation and evaluation of program or service effectiveness (recommending/implementing changes)

Collaboration


COLLEGIALITY
Attends/participates in staff meetings and in-services. Educates colleagues, preceptor and mentoring roles Coaches in team building:  active involvement in group accomplishments; sharing expertise outside of the facility.

COLLABORATION
Team participation, interpersonal skills, develops collaborative plans of care Uses group process to identify, analyze, and resolve care problems Leadership and decision-making role in use of group process for interdisciplinary problem-solving beyond unit/practice setting.

Scientific Inquiry


QUALITY OF CARE
Use QI findings to guide OWN practice (NOT the RN providing quality care) Participates in QI activities (data collection, analysis, recommendations, etc)  at the Unit level Initiates/Leads QI activities at the program, service, and/or facility level

RESEARCH
Awareness of research; uses to validate/change own practice Uses research to validate or change Work group/Team practice Demonstrates leadership in collaboration with others in research activities, across programs/services, to validate & improve practice



NPSB Input


Nine Criteria of Nursing Practice


Name

:

Date

:


NURSING PRACTICE DIMENSION:

PRACTICE–                      Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-

ETHICS–                           Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-

RESOURCE–                    Action:

UTILIZATION

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:


PROFESSIONAL ROLE DIMENSION:

EDUCATION–                  Action:

CARRER DEV

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-

PERFORMANCE–           Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-


COLLABORATION DIMENSION:

COLLEGIALITY–            Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-

COLLABORATION-         Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-


SCIENTIFIC INQUIRY DIMENSION:

QUALITY OF CARE–     Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

————————————————————————————-

RESEARCH–                    Action:

Population:

Outcome(s):

Sustainability:

–   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –   –

Action:

Population:

Outcome(s):

Sustainability:

_______________________________________________(Your Signature/Date on last page)

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