professional advancement model for nurses office of clinical practice & professional development...
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Professional Advancement Professional Advancement Model for NursesModel for Nurses
Office of Clinical Practice & Professional DevelopmentOffice of Clinical Practice & Professional [email protected]. [email protected]. Copyright 2009Copyright 2009
Copyright, 2009Copyright, 2009 University of Maryland Medical Center, BalUniversity of Maryland Medical Center, Baltimore, MD.timore, MD.
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Brief BackgroundBrief Background Professional Practice Partnership in effect for Professional Practice Partnership in effect for
the past 15 years without significant changethe past 15 years without significant change
Nurses’ feedback indicated they were Nurses’ feedback indicated they were interested on more opportunities for interested on more opportunities for professional growth and advancementprofessional growth and advancement
A Design Team convened on November 2006 to A Design Team convened on November 2006 to design the Professional Advancement Model. design the Professional Advancement Model. The membership included 53 staff RNs (of The membership included 53 staff RNs (of varying experience, tenure, shift), and varying experience, tenure, shift), and management (directors, and managers)management (directors, and managers)
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PurposePurpose The role of the registered nurse is pivotal to the success of The role of the registered nurse is pivotal to the success of
the relationship-based care model and forms the foundation the relationship-based care model and forms the foundation of the Professional Advancement Model. UMMC nurses:of the Professional Advancement Model. UMMC nurses:
• Direct our practice through our governance structure. Direct our practice through our governance structure.
• Contribute to the development of the body of nursing Contribute to the development of the body of nursing knowledge through research, evidence-based practice, and knowledge through research, evidence-based practice, and performance improvement. performance improvement.
• Practice the art and science of nursing to the full extent of our Practice the art and science of nursing to the full extent of our licensure; and share our knowledge with patients, families, licensure; and share our knowledge with patients, families, interdisciplinary colleagues and peers.interdisciplinary colleagues and peers.
The model provides opportunities for advancement through The model provides opportunities for advancement through nurses’ contributions to patient care, nursing practice, and nurses’ contributions to patient care, nursing practice, and the profession of nursing.the profession of nursing.
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ObjectivesObjectivesPurposePurpose Provide opportunity for nurses have choice to move Provide opportunity for nurses have choice to move
beyond entry level role based on interest in beyond entry level role based on interest in professional development, and increasing professional development, and increasing responsibility and accountability for leading nursing responsibility and accountability for leading nursing practice and care deliverypractice and care delivery
ObjectivesObjectives• Enhance professional growth and development Enhance professional growth and development • Provide recognition for professional contributions Provide recognition for professional contributions • Encourage involvement of bedside nurses in decisions Encourage involvement of bedside nurses in decisions
that support/enhance patient care outcomesthat support/enhance patient care outcomes• Provide motivation for direct care nurses to pursue higher Provide motivation for direct care nurses to pursue higher
education, certification and other professional education, certification and other professional achievements achievements
• Recruit & retain the highest caliber of nurses at UMMCRecruit & retain the highest caliber of nurses at UMMC
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Elements of Each RoleElements of Each Role Nurses in all roles are expected to contribute in Nurses in all roles are expected to contribute in
the following areas:the following areas:• Clinical Practice and Care DeliveryClinical Practice and Care Delivery• Professional DevelopmentProfessional Development• Service Quality & SafetyService Quality & Safety• Unit OperationsUnit Operations
Criteria developed for each role that define Criteria developed for each role that define performance expectationsperformance expectations
Advancement in the new model requires the nurse Advancement in the new model requires the nurse to meet defined criteria related to Clinical to meet defined criteria related to Clinical Practice, Professional Development, Safety, and Practice, Professional Development, Safety, and Unit Operations.Unit Operations.
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New Roles and Job TitlesNew Roles and Job TitlesNew TitleNew Title
Clinical Nurse IClinical Nurse I
Clinical Nurse IIClinical Nurse II
Senior Clinical Nurse ISenior Clinical Nurse I
Senior Clinical Nurse IISenior Clinical Nurse II
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Clinical Nurse IClinical Nurse I
New grad or nurse with less than 12 New grad or nurse with less than 12
months experience. months experience.
Become competent in nursing practice and Become competent in nursing practice and
learn the institution. learn the institution.
Begin participation in unit governance.Begin participation in unit governance.
Successfully pass the probationary Successfully pass the probationary
period within 6 months.period within 6 months.
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Clinical Nurse IIClinical Nurse IIThe minimum role for all nurses at UMMC with The minimum role for all nurses at UMMC with < 12 months experience.< 12 months experience.
Practice and adhere to the guidelines specified Practice and adhere to the guidelines specified in the UMMC Professional Nurse Role.in the UMMC Professional Nurse Role.
Competent in the skills/knowledge required for Competent in the skills/knowledge required for all nurses beyond the entry level role. all nurses beyond the entry level role.
Full participation in unit governance.Full participation in unit governance.
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Senior Clinical Nurse ISenior Clinical Nurse IThis role is aimed for the nurse who is a clinical This role is aimed for the nurse who is a clinical and professional leader at the unit level. and professional leader at the unit level.
Advances evidence based practices.Advances evidence based practices.
Leads unit governance initiatives.Leads unit governance initiatives.
Mentors others to achieve and grow in the role of Mentors others to achieve and grow in the role of
the professional nurse.the professional nurse.
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Senior Clinical Nurse IISenior Clinical Nurse IIDesigned for the nurse who has achieved expertise and Designed for the nurse who has achieved expertise and
leadership in the clinical and professional role, within the leadership in the clinical and professional role, within the
unit and beyond. unit and beyond.
Leads and evaluates evidence based practice.Leads and evaluates evidence based practice.
Actively participates and/or leads organizational initiatives.Actively participates and/or leads organizational initiatives.
Mentors and coaches nurses and other disciplines.Mentors and coaches nurses and other disciplines.
Exemplifies the role of the professional nurse.Exemplifies the role of the professional nurse.
Demonstrates active involvement in clinical & professional Demonstrates active involvement in clinical & professional
nursing beyond the walls of the unit and/or organization.nursing beyond the walls of the unit and/or organization.
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How Do I Apply?How Do I Apply? Clinical Nurse I may advance to Clinical Clinical Nurse I may advance to Clinical
Nurse II at end of probation, if fulfilling Nurse II at end of probation, if fulfilling requirementsrequirements
Decisions for CNII occur at the Manager’s Decisions for CNII occur at the Manager’s levellevel
Applications for promotion to SCNI and Applications for promotion to SCNI and SCN II are submitted to the Transition SCN II are submitted to the Transition Team through the Office of Professional Team through the Office of Professional Development (S10B02)Development (S10B02)
Submissions accepted every 3 months.Submissions accepted every 3 months.
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RecommendationsRecommendations Read the role descriptions and criteria Read the role descriptions and criteria
carefully carefully Complete the individual RN assessment Complete the individual RN assessment
tool to get a general idea of what role you tool to get a general idea of what role you qualify forqualify for
Meet with your manager or designee to Meet with your manager or designee to discussdiscuss
Start your nursing portfolio and application Start your nursing portfolio and application packetpacket
Copyright, 2009Copyright, 2009 University of Maryland Medical Center, BalUniversity of Maryland Medical Center, Baltimore, MD.timore, MD.
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New Opportunities for EveryoneNew Opportunities for Everyone Membership in professional organizationsMembership in professional organizations Continuing Education requirements (varies Continuing Education requirements (varies
according to role)according to role) Recognition and rewards of participation and Recognition and rewards of participation and
involvement at all levels (unit, organization, involvement at all levels (unit, organization, community)community)
Copyright, 2009Copyright, 2009 University of Maryland Medical Center, BalUniversity of Maryland Medical Center, Baltimore, MD.timore, MD.
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Application ProcessApplication Process Discussion with Manager Discussion with Manager Compose your portfolio Compose your portfolio Draft application packet Draft application packet Obtain letter of recommendation Obtain letter of recommendation
from manager and one peer reviewfrom manager and one peer review Submit within timeline – opportunity Submit within timeline – opportunity
to apply every 3 months.to apply every 3 months.
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Transition TeamTransition Team The Team reviews applications for The Team reviews applications for
advancement to SCNI and SCNII roles advancement to SCNI and SCNII roles and make recommendationsand make recommendations
Team members consist of Director, Team members consist of Director, Managers, Clinical Nurses, Charge Managers, Clinical Nurses, Charge Nurses, CPPDNurses, CPPD
Meets quarterlyMeets quarterly RN not meeting the requirements of a RN not meeting the requirements of a
role can re-apply as early as the next role can re-apply as early as the next application period.application period.
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For More InformationFor More Information
If you have question about this If you have question about this model, contact:model, contact:
[email protected]@umm.edu.