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Pages:
3 pages/β‰ˆ825 words
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2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 12.96
Topic:

Nursing Dimensions for Experienced Registered Nurse/Advanced Practice Registered Nurse

Essay Instructions:

Self-Assessment Tool for Experienced Registered Nurse/Advanced Practice Registered Nurse Applicant
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. The VA Nurse Qualification Standards are based on VA Handbook 5005/27, Part II, Appendix G6. When considering your responses, be advised of the following minimum qualification standards for each grade:
Please note that the education levels identified in the statements below are the MINIMUM education required for the grade.
Nurse I: In each of the Four Dimensions, the NPSB is looking for INDIVIDUAL growth and development in clinical practice to increasing levels of self-direction.
Nurse I, Level 1: Associate Degree/Diploma in Nursing required with no RN experience; Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.
Nurse I, Level 2: Associate Degree/Diploma in Nursing required with approximately 1 year of RN experience, Demonstrates integration of biopsychosocial concepts, cognitive skills, and technically competent practice in providing care to clients with basic or complex needs.
Nurse I, Level 3: Associate Degree/Diploma in Nursing required with approximately 2-3 years of RN experience, Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.
Nurse II: In each of the Four Dimensions, the NPSB will expect UNIT level contributions and leadership. Bachelor’s Degree in Nursing required with approximately 2-3 years of RN experience. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
Nurse III: In each of the Four Dimensions, the NPSB will expect SUSTAINED LEADERSHIP resulting in program contributions and outcomes BEYOND THE UNIT/PRACTICE SETTING. That is, involvement at the
ORGANIZATIONAL LEVEL is expected. Master’s Degree in Nursing or related field required with approximately 2-3 years of RN experience. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
NOTE: The educational level, years of experience and meeting the Four Dimension standards for the particular grades are required to be recommended for that grade.
**Document the action you did, the population your action affected, what difference it made and is the outcome sustainable on the following pages. Feel free to add additional pages as needed. **
Practice: (Practice/Ethics/Resource Utilization)
Describe your experience related to:
• Providing care to clients in a professional practice setting.
• Applying the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to systems or processes at the unit/team/work group, and program/service level to improve care.
Indicate your experience guiding and directing others who provide care.
• Making decisions and taking actions in an ethical manner, including your responsibility/accountability for nursing judgments and action.
• Safeguarding client privacy and confidentiality. Providing care in a non-judgmental, non-discriminatory manner, respecting the values and belief of members of all cultures.
• Identifying potential problems involving resources and/or safety. Describe how you managed the situation and the outcome.
Professional Development: (Education/Career Development/Performance)
Describe your experience related to:
• Attending educational programs to improve clinical knowledge and enhance role performance of self and others
• Assessing educational needs to implement program or service practice changes
• Evaluating the performance of yourself and others
• Using professional standards of care and practice to evaluate programs and/or service activities
Collaboration: (Collaboration/Collegiality)
Describe your experience related to:
• Collaborating with others to identify, analyze, and resolve problems affecting care using the group process.
• Serving as a preceptor and/or mentor
• Establishing professional relationships with peers and seeking out colleagues for mutual information exchange.
• Making sustained contributions to the professional development of peers, colleagues, and others by sharing your
expertise within and/or outside the health care facility
Scientific Inquiry: (Quality of Care and Research)
Describe your experience related to:
• Systematically evaluating and improving the quality and effectiveness of nursing practice and health care
delivery
• Identifying a problem area in nursing practice.
• Initiating/participating in quality improvement that result in improved outcomes at the unit and program level
• Using research to validate and/or change work group practice
• Collaborating with others in research activities to improve care

Essay Sample Content Preview:

VA NURSING DIMENSIONS
Student’s Name
Institutional Affiliation
Course
Instructor
Date
Practice: (Practice/Ethics/Resource Utilization)
As a nurse in a medical-surgical unit, I have gained diverse experience in applying the nursing process to enhance patient care at the system level. For example, I led a six-month quality improvement project to reduce pressure ulcers among 50 hospitalized patients by 40%. I assessed the current practice, identified gaps and areas for improvement, developed an outcome measure, implemented interventions, and evaluated the results. I received an award from the hospital for this project. I also protect the privacy and confidentiality of clients by following the policies and procedures for personal health information, such as using secure passwords, locking files, and shredding documents. I respect the diversity of cultures, values, and beliefs and provide care without bias or discrimination. I communicate effectively with clients from diverse cultures by adapting my approach to understand their perspectives, preferences, and values. For instance, I use interpreters when needed, ask open-ended questions, and avoid making assumptions. Moreover, I identify and manage potential problems that involve resources and safety. For instance, during the COVID-19 pandemic, I noticed the unit’s supply of personal protective equipment (PPE) was low. I reported the situation to the unit manager and the infection control officer. I suggested strategies to optimize PPE, such as extending the wear time of masks and gowns, reusing face shields and goggles, and prioritizing high-risk procedures. I also educated and trained other staff on the proper use and disposal of PPE. By doing so, I helped the unit maintain an adequate supply of PPE and prevent infection transmission among staff and patients.
Professional Development: (Education/Career Development/Performance)
As a nurse educator, I am preparing for my role by pursuing my degree in nursing education and attending workshops and seminars on topics such as curriculum development, teaching strategies, evaluation methods, and online learning. I share my learning with my colleagues and mentor new nurse educators in the program. I also conduct educational needs assessments and implement various programs to address the learning gaps and preferences of the staff nurses in the unit. For example, I developed and implemented a continuing education program to update their knowledge and skills on evidence-based practice, quality improvement, and patient safety based on a needs assessment survey. I evaluate my performance and that of others by providing and seeking feedback and suggestions for improvement. I also set goals and action plans to enhance my teaching competencies and career development (Hardavella et al., 2017). I use professional standards of care and practi...
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