A description of the applicant organization, including history, demographics of the population served, demographics of the RN staff.
The most recent copies of: Reports prepared annually for the organization’s stakeholders (including nursing and organizational reports; these may be combined); Quality plans; Patient safety plan; and Strategic plans for the organization and nursing services (including nursing and organizational plans; these may be combined).
Provide: The current Chief Nursing Officer’s (CNO) job description; CNO’s curriculum vitae or resume; The organizational chart(s); The nursing organizational chart(s); A description of the CNO’s structural and operational relationships to all areas in which nursing is practiced; and Names and credentials, of all individuals serving as the CNO, in the 48 months preceding document submission.
Provide the policies and procedures that govern and guide continuing professional development programs
Provide a description and the policies, procedures, charters, or bylaws of the organization’s shared decision-making structure.
Provide a description and/or policies, or equivalent evidence of, the process by which the CNO (or designee) participates in the following: Credentialing, privileging, and evaluating of all Advanced Practiced Registered Nurses (APRNs); Reprivileging of all APRNs.
Provide the policies, or equivalent evidence, that depict the organization’s workplace advocacy initiatives for all staff, regarding the following issues: Caregiver well-being; Diversity, equity, and inclusion; Rights; Confidentiality; Care for the impaired practitioner; and Zero tolerance for bullying, incivility, and workplace violence.
Provide the policies, or equivalent evidence, that depict the organization’s initiatives for patients and families, regarding the following issues: Diversity, equity, and inclusion; Cultural competence
Provide the policy or equivalent evidence, which permits and encourages nurses to: Confidentially express concerns regarding their professional practice environment, without retribution. Address the identification and management of problems related to incompetent, unsafe, or unprofessional practice or conduct. Address interprofessional conflict.
Provide both of the following: A letter signed and dated by the chair of the governing body responsible for the protection of human research participants that attests to this requirement; A signed and dated attestation which states the organization has educated and trained appropriate staff to determine if the research is to be exempt from full IRB review. Include the exempt determinations are approved by the Human Research Protections Program governing body.
Provide a table of nursing research studies (ongoing and completed) within the most recent 48 months.
Provide one example, with supporting evidence, of an initiative in nursing practice that is consistent with the organization’s mission statement.
Provide one example, with supporting evidence, of a Nurse Assistant Vice President’s (AVP’s)/Nurse Director’s or Nurse Manager’s participation in an initiative which promoted workplace diversity, equity, and/or inclusion and is consistent with the organization’s strategic plan.
Using the required empirical outcomes presentation format, provide one example of an improved patient outcome that aligns with a goal in the nursing strategic plan.
Provide one example, with supporting evidence, of a Nurse AVP’s/Nurse Director’s advocacy for resources to support an organizational goal.
Provide one example, with supporting evidence, of a Nurse Manager’s advocacy for resources to support a unit goal.
Provide one example, with supporting evidence, of the CNO’s advocacy for and acquisition of organizational resources specific to nurses’ well-being.
Provide one example, with supporting evidence, of a nurse’s(s’) (exclusive of the CNO) advocacy for and acquisition of resources specific to nurses’ well-being at the unit or department/division level.
Provide one example, with supporting evidence, of the CNO’s leadership that led to a strategic organizational change beyond the scope of nursing.
Provide one example, with supporting evidence, of Nurse AVP/Nurse Director’s or Nurse Manager’s leadership that successfully guided nurses through change.
Using the required empirical outcomes presentation format, provide one example of an improved patient outcome, associated with a Nurse AVP’s/Director’s OR Nurse Manager’s membership in an organization-level, decision-making group.
Provide one example, with supporting evidence, of an individual mentoring plan or an established mentoring program for clinical nurse(s).
Provide one example, with supporting evidence, of an individual mentoring plan or an established mentoring program for Nurse Manager(s).
Using the required empirical outcomes (EO) presentation format, provide one example of an improved outcome where a clinical nurse(s) used data to advocate for the acquisition of a resource, in support of the care delivery system(s).
Provide an example, with supporting evidence, of a nurse’s(s’) advocacy for individual or community health promotion at an external forum where decisions impacting healthcare are made.
Using the required empirical outcomes (EO) presentation format, provide one example of an improvement in patient care OR the nurse practice environment, associated with communication between Clinical nurse and the Nurse AVP/Nurse Director.
Using the required empirical outcomes (EO) presentation format, provide one example of an improvement in patient care OR the nurse practice environment, associated with communication between Clinical nurse and the Nurse AVP/Nurse Director.
Using the required empirical outcomes (EO) presentation format, provide an example of an improved patient outcome associated with the participation of clinical nurse(s) serving as a member(s) of an organization-level interprofessional decision-making group.
Using the required empirical outcomes (EO) presentation format, provide an example from an ambulatory care setting, of an improved patient outcome associated with the participation of clinical nurse(s) serving as a member(s) of an organization-level interprofessional decision-making group.
Using the required empirical outcomes (EO) presentation format, provide one example of an improved outcome associated with an evidence-based change in nursing practice that occurred due to a clinical nurse’s(s’) affiliation with a professional organization.
Using the required empirical outcomes (EO) format, provide one example of an improved outcome associated with the application of nursing standards of practice implemented due to a clinical nurse’s(s’) participation in a nursing professional organization.
Provide a narrative description of the organization’s action plan for registered nurses’ progress toward obtaining professional certification. Must include: state the targeted goal; how the target was established; what strategies were utilized to achieve or maintain the target; how the nurses are supported to achieve or maintain professional board certification.
Provide graphed data (displayed as a percentage) of baseline data, plus two years of data, demonstrating nursing has met or exceeded a targeted goal at the organizational level, for improvement in professional board certification.
Provide a narrative description of a unit's or division's action plan for RNs progress toward obtaining professional board certification. The narrative must include state the targeted goal, how the target goal was established, what strategies were used to achieve or maintain the target, and how the nurses are supported to achieve or maintain professional board certification. Supporting evidence is not required.
Provide graphed data (displayed as a percentage) of baseline data, plus two years of data, demonstrating nursing has met or exceeded a targeted goal at the unit or division level, for improvement in professional board certification.
Provide a narrative description of the organization's action plan for RNs progress toward obtaining a baccalaureate degree or higher degree in nursing. The narrative must include state the targeted goal, how the target goal was established, what strategies were used to achieve or maintain the target >/80%, and how the nurses are supported to achieve or maintain baccalaureate or higher degree in nursing.
Provide graphed data (displayed as a percentage) of baseline data, plus two years of data, demonstrating the organization progressing toward (or maintaining) ≥80% of professional registered nurses who have earned a baccalaureate or higher degree in nursing.
Using the required empirical outcomes presentation format, provide an example of an improved patient outcome associated with knowledge gained from a nurse’s(s’) participation in a professional development activity.
Using the required empirical outcomes (EO) presentation format, provide an example of an improved patient outcome associated with a nursing needs assessment and a related implementation plan at the ambulatory care setting, unit, or division level.
Using the required empirical outcomes (EO) presentation format, provide an example of an improved patient outcome associated with a nursing needs assessment and a related implementation plan in an ambulatory care setting.
Provide evidence of a nationally accredited transition to practice program. A copy of the certificate awarded by the nationally accredited program is sufficient evidence to meet the standard.
Provide one example, with supporting evidence, of the organization’s support of a nurse(s) who volunteer(s) in a local or regional community healthcare initiative which aligns with Healthy People 2030 or the United Nations’ Sustainable Development Goals.
Provide one example, with supporting evidence, of the organization’s support of a clinical nurse(s) who volunteer(s) in a population health outreach initiative, either local or global.
Provide one example, with supporting evidence, of a nurse or group of nurses in the delivery of culturally and/or socially sensitive care.
Provide one example, with supporting evidence, of a nurse or group of nurses delivering culturally and/or socially sensitive care in an ambulatory area.
Provide one example, with supporting evidence, of the organization’s recognition of a clinical nurse(s) for their contribution(s) in addressing the strategic priorities of the organization.
Provide one example, with supporting evidence, of the organization’s recognition of a nurse(s) in an ambulatory care setting for their contribution(s) in addressing the strategic priorities of the organization.
Provide one example, with supporting evidence, of the organization’s recognition of an interprofessional group (inclusive of nursing) for their contribution(s) in influencing the clinical care of patients.
Using the required empirical outcomes presentation format, provide one example of an improved outcome associated with an evidence-based change made by clinical nurses in alignment with the organization’s professional practice model (PPM).
Using the required empirical outcomes presentation format, provide one example, from an ambulatory care setting, of an improved outcome associated with an evidence-based change made by nurses in alignment with the organization’s professional practice model (PPM).
Provide one example, with supporting evidence, of clinical nurses using shared decision-making to change the nurse practice environment.
Provide all eligible registered nurse satisfaction/ registered nurse engagement data to demonstrate outperformance of the benchmark provided by the vendor's national database. Provide unit- or ambulatory care setting-level data for all settings (inpatient care, ambulatory care, and administrative settings) and include all registered nursing levels where collected and benchmarked by the vendor.
Provide one example, with supporting evidence, of nurse(s) collaborating with patient(s), families, or both, to influence change in the organization.
Using the required empirical outcomes presentation format, provide one example of an improved patient outcome associated with one or more experts’ recommended change in nursing practice.
Provide one example, with supporting evidence, of nurse’s(s’) participation in interprofessional collaborative practice to ensure coordination of care from an inpatient setting to an ambulatory care setting.
Provide one example, with supporting evidence, of nurse’s(s’) participation in interprofessional collaborative practice to ensure coordination of care from an ambulatory care setting to an inpatient setting.
Using the required empirical outcomes presentation format, provide one example of an improvement in a specific patient population outcome associated with nurse’s(s’) participation in an interprofessional collaborative plan of care.
Using the required empirical outcomes presentation format, provide one example of an improved outcome associated with an interprofessional quality initiative led or co-led by a nurse (exclusive of the CNO).
Using the required empirical outcomes presentation format, provide one example from an ambulatory care setting of an improved outcome associated with an interprofessional quality initiative led or co-led by a nurse (exclusive of the CNO).
Using the required empirical outcomes presentation format, provide one example of an education activity led or co-led by a nurse(s) (exclusive of the CNO) for an interprofessional team which led to an improved patient outcome.
Provide an example with supporting evidence, when a clinical nurse(s) collaborated with a Nurse Assistant Vice President (AVP)/Nurse Director to evaluate data to address a unit-level staffing need.
Provide one example with supporting evidence, when nurse(s) collaborated with a Nurse AVP/Director to evaluate data to meet an operational need (not workforce related).
Provide one example, with supporting evidence, when nurse(s) collaborated with a nurse AVP/Nurse Director and/or Nurse Manager during budgeting to acquire new or redistribute existing resources.
Provide one example, with supporting evidence, of the organization meeting a targeted goal at the organizational level, for improvement in the nurse turnover rate associated with clinical nurses’ participation in nursing retention activities.
Provide one example, with supporting evidence, of clinical nurses having the autonomy to make nursing care decisions within the full scope of their nursing practice.
Provide one example, with supporting evidence of nurse(s) as participant(s) of an interprofessional team, applying available resources to address ethical issues related to clinical practice.
Using the required empirical outcomes (EO) presentation format, provide one example of an improved workplace safety outcome for nurses, specific to violence (e.g., physical or psychological violence, threats of incivility) toward nurses in the workplace.
Using the required empirical outcomes presentation format, provide one example of an improved patient safety outcome associated with clinical nurse involvement in the evaluation of patient safety data at the unit level.
Provide one example, with supporting evidence, of an initiative led or co-led by a clinical nurse(s), to address patient experience based on patient feedback from patient(s) and/or families.
Provide four nurse-sensitive clinical quality indicators for all eligible patient units. Data provided must reflect eight of the most recent consecutive and complete quarters of inpatient, unit-level graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database
Provide four nurse-sensitive clinical quality indicators for all eligible patient units. Data provided must reflect eight of the most recent consecutive and complete quarters of inpatient, unit-level graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database
Provide four nurse-sensitive clinical quality indicators for all eligible patient units. Data provided must reflect eight of the most recent consecutive and complete quarters of inpatient, unit-level graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database
Provide four nurse-sensitive clinical quality indicators for all eligible patient units. Data provided must reflect eight of the most recent consecutive and complete quarters of inpatient, unit-level graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database
Provide three nurse-sensitive clinical quality indicators for all eligible ambulatory care settings. Data provided must reflect the most recent eight consecutive and complete quarters of ambulatory setting graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database or at the highest available level.
Provide three nurse-sensitive clinical quality indicators for all eligible ambulatory care settings. Data provided must reflect the most recent eight consecutive and complete quarters of ambulatory setting graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database or at the highest available level.
Provide three nurse-sensitive clinical quality indicators for all eligible ambulatory care settings. Data provided must reflect the most recent eight consecutive and complete quarters of ambulatory setting graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database or at the highest available level.
Provide four inpatient patient experience category data for all eligible inpatient units. Provide eight quarters of inpatient, unit-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four inpatient patient experience category data for all eligible inpatient units. Provide eight quarters of inpatient, unit-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four inpatient patient experience category data for all eligible inpatient units. Provide eight quarters of inpatient, unit-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four inpatient patient experience category data for all eligible inpatient units. Provide eight quarters of inpatient, unit-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four ambulatory care setting patient experience category data for all eligible areas. Provide eight quarters of ambulatory care setting-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four ambulatory care setting patient experience category data for all eligible areas. Provide eight quarters of ambulatory care setting-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four ambulatory care setting patient experience category data for all eligible areas. Provide eight quarters of ambulatory care setting-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide four ambulatory care setting patient experience category data for all eligible areas. Provide eight quarters of ambulatory care setting-level data to demonstrate outperformance of the benchmark provided by the vendor’s national database.
Provide a description, with supporting evidence, of the infrastructure that supports nursing research in the organization.
Provide a synopsis of one completed nursing research study conducted in the applicant organization that is institutional review board-approved (IRB-approved) or determined exempt by organizational review.
Provide two examples, with supporting evidence, of how clinical nurses disseminated the organization’s completed nursing research study to internal audiences.
Provide two examples, with supporting evidence, of how clinical nurses disseminated the organization’s completed nursing research study to internal audiences.
Provide one example, with supporting evidence, of how clinical nurses disseminated the organization’s completed nursing research study to external audiences.
Provide one example, with supporting evidence, of how a clinical nurse(s) implemented an evidence-based practice that is new or a revision to existing practice within the organization.
Provide one example, with supporting evidence, of how a clinical nurse(s) implemented an evidence-based practice that is new or a revision to existing practice in an ambulatory care setting within the organization.
Provide one example, with supporting evidence, of how clinical nurse(s) implemented a professional organization’s specialty standards or guidelines in the organization.
Provide one example, with supporting evidence, of an innovation implemented within the organization involving nursing.
Using the required empirical outcomes presentation format, provide one example of an improved outcome in a care setting associated with a clinical nurse(s) involvement in the adoption of technology.
Using the required empirical outcomes (EO) presentation format, provide one example of an improved outcome in an ambulatory care setting associated with a clinical nurse(s) involvement in the adoption of technology.
Using the required empirical outcomes presentation format, provide one example of an improved outcome associated with nurse involvement with the design or redesign of the physical environment.
Using the required empirical outcomes (EO) presentation format, provide one example of an improved outcome associated with clinical nurse involvement with the design or redesign of workflow.