Consideration for Nurse III Self-Assessment Tool
You may complete your self-assessment with responses below, by attaching examples
of how you have met the requirements, or a combination of both. Attachments could
include power point presentations, process improvement projects, committee minutes,
or other documents that illustrate how you have met the requirement. Regardless of
how you choose to showcase your accomplishments, make sure that you fully address
each of the five dimensions within the nurse qualification standards: Practice,
Patient Driven Care, Leadership, Professional Development, and
Evidence-Based Practice/Research. You should be able to clearly identify the following
within each of your examples:
Action what specifically did you do? Did you identify an issue, lead a process
improvement initiative, participate in improving patient outcomes, etc.?
Population who was impacted by your action? Was it an individual patient, a
unit, a workgroup, a program, a service, a facility/ organization, or a region, etc.?
Outcome what difference did your action make? How did a performance
measure, nursing sensitive indicator, satisfaction, process, etc. change?
Your examples at the Nurse III grade should focus on improving outcomes beyond the
immediate practice setting. Examples of locations beyond the immediate practice
setting must be broad and complex such as multifaceted programs or services with
outcomes impacting the organizational level or beyond.
Topics/Examples
1) Remote Patient monitoring program for CHF, COPD and DM
2) Falls Prevention ‘
3) Preceptorship
Use all topics above
DIMENSIONS OF PRACTICE: To best showcase your professional nursing practice,
you are encouraged to provide specific examples for each dimension.
PRACTICE: Demonstrates expertise in professional practice using the nursing process
(assessment, diagnosis, outcome identification, planning, implementation, and
evaluation) with improved evidence-based and/or data-driven outcomes beyond the
immediate practice setting:
Action Population. outcomes
PATIENT DRIVEN CARE: Leads initiatives to improve patient
experience. Satisfaction and/or safety beyond the immediate practice setting:
Action. Population. Outcomes
LEADERSHIP: Communicates and collaborates as an effective leader of the
interprofessional team, at the expert level, with improved evidence-based and/or
data-driven outcomes beyond the immediate practice setting:
Action. population. Outcomes
PROFESSIONAL DEVELOPMENT: Enhances knowledge base and practice
evaluation, at the expert level, with improved outcomes beyond the immediate practice
setting:
Action. Population. outcomes
EVIDENCE-BASED PRACTICE/RESEARCH: Leads the identification and integration of
evidence-based practice/research with clinical expertise to improve quality of care and
resource utilization at the expert level with improved outcomes beyond the immediate
practice setting:
Action Population. outcomes
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