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 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 was done? – ACTION
For Whom? – POPULATION
What difference did it make? – OUTCOME
When? – SUSTAINABILITY
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.
in a tabular form /bulletin.
Expert Solution Preview
Introduction:
The Four Dimensions of Nursing Practice play a crucial role in defining the standards and expectations for nurses in their professional careers. As a medical professor designing assignments and evaluating student performance, it is important to understand the criteria under each dimension and cite examples to support the expectations set.
Answer:
Nursing Practice:
PRACTICE: A nurse I demonstrated independence in handling patient care without the need for supervision, ensuring smooth patient care flow. No extra activities were required. A nurse II showed leadership qualities as a charge nurse at the unit level. A nurse III demonstrated leadership at the service, service line, or medical center level by establishing organized processes or systems.
ETHICS: A nurse I assumes responsibility for individual judgments and actions and serves as a resource for identifying ethical issues. A nurse II exhibits leadership by anticipating risks, resolving ethical issues and dilemmas, analyzing trends, and taking appropriate action. A nurse III exhibits leadership in analyzing trends and utilizing ethical principles to make better decisions.
RESOURCE UTILIZATION: A nurse I effectively plans and directs the flow of patient care and nursing resources, taking actions to prevent potential resource-related problems affecting patient safety on the team or unit. A nurse II identifies potential resource or patient safety problems and takes action to prevent them. A nurse III manages and analyzes resources, evaluates options, and takes far-reaching actions for improving organizational outcomes beyond the unit’s or practice area’s boundaries.
Professional Role:
EDUCATION/CAREER DEVELOPMENT: A nurse I seeks knowledge for individual competency by implementing individual educational plans and reading healthcare literature. A nurse II participates in educational activities that enhance role performance at the team/unit level. A nurse III implements education plans that address changing program or service needs.
PERFORMANCE: A nurse I incorporates feedback into personal development through self-assessment. A nurse II conducts self-evaluation and peer evaluation. A nurse III evaluates the effectiveness of programs or services, recommends changes, and implements them.
Collaboration:
COLLEGIALITY: A nurse I attends and participates in staff meetings and in-service. A nurse II educates colleagues and mentors as a preceptor role in team building by getting involved in group accomplishments and sharing expertise outside the facility. A nurse III coaches team-building by taking an active part in group accomplishments and sharing knowledge outside the institution.
COLLABORATION: A nurse I participates in team processes and develops collaborative care plans. A nurse II uses group processes to identify and analyze care problems and collaborates to resolve them. A nurse III assumes leadership and decision-making roles in interdisciplinary problem-solving through group processes.
Scientific Inquiry:
QUALITY OF CARE: A nurse I uses quality improvement findings to guide personal practice. A nurse II participates in quality improvement activities like data collection, analysis, recommendations, and identifying care problems and solving them at the unit level. A nurse III initiates and leads quality improvement activities across programs/services to improve practice.
RESEARCH: A nurse I is aware of research findings and uses them to either validate or change personal practice. A nurse II validates team or workgroup practice through research. A nurse III demonstrates leadership in collaboration with others in research activities across programs/services to validate and improve practice.
