
EVIDENCE OF GROWTH:
PROFESSIONAL LEVEL

American Organization for Nursing Leadership (AONL) Nurse Manager Competencies
The AONL Nurse Manager Competencies© represent the functional knowledge, skills, abilities and personal characteristics required to produce a set of activities that generate observable and measurable outcomes. The Nurse Manager Competencies© are based on the AONL Nurse Leader Core Competencies©.
In the AONL Nurse Leader Core Competency model©, the anchoring domain, Leader Within, anchors the five core domains: Business Skills and Principles; Communication and Relationship Building; Knowledge of the Health Care Environment; Professionalism; and Leadership. It is the driver of motivation, beliefs, values and interests, and recognizes that the influence and significance of education, experience and understanding oneself is essential. A circle represents each core domain. The gradient border symbolizes the influence of both the art and science of nursing and the open center informs the role specific functional competencies driven by the core domain. The overlap depicts the interrelatedness of the domains in practice. The Leadership domain’s placement in the center supports and enables this interrelatedness of requisite knowledge, skills and abilities between and among the core domains.

THE ANCHORING DOMAIN: LEADER WITHIN
REFLECTIVE PRACTICE
• Demonstrates reflective practice and an understanding that all leadership begins from within.
• Solicits feedback from trusted sources about personal strengths and opportunities for improvement, incorporating the information into practice.
• Recognizes the contribution of mental models on behavior.
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FOUNDATIONAL THINKING
• Learns from challenges, setbacks and failures as well as successes.
• Recognizes the role of beliefs, values and influences in one’s own method of decision-making.
• Maintains curiosity and an eagerness to explore.
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CAREER DEVELOPMENT
• Seeks coaching and mentorship from others in career planning and development.
• Develops a personal and professional career plan and measures progress.
• Recognizes and responds appropriately to career opportunities.
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PERSONAL AND PROFESSIONAL ACCOUNTABILITY
• Participates in life-long learning.
• Maintains competency through nationally recognized certification.
• Participates in professional organizations that advance one’s leadership and career development.
• Prioritizes self-care health behaviors through daily practices and routines; practices healthy work-life integration.

Financial Management
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Maintains knowledge of reimbursement models that affect care delivery.
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Participates in creation of department budget.
Strategic Management
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Utilizes multiple sources of evidence-based data in goal setting and decision-making.
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Aligns and creates nursing/clinical objectives, goals and tactics required to achieve the organization's strategic outcomes.
Human Resource Management
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Builds and manages a diverse workforce based on organizational, professional nursing, clinical goals and outcomes, data, budget considerations, and staffing needs.
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Manages a multisector workforce and a variety of work situations.
NUR 560 Financial Statement Analysis:
This assignment taught me, the nurse leaders, to navigate through the ever-changing reimbursement models while aiming to meet the requirements of pay for performance models; control costs; plan for the future; and close the gap during a time of political unknowns of healthcare reform.
NUR 601 Strategic Plan Review:
Allowed students to extract concepts and theories from the predominate knowledge base to shape their professional philosophies in a dynamic group context.
A comprehensive, factual business plan linked to strong data. The plan includes a cover. Also contains a budget hat is complete and ties to the organization's strategy and mission. ​

Relationship Management
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Interprets organizational and strategic strategic realities (e.g., labor costs, different models of care delivery, key performance indicators (KPI), supply chain disruption, etc.) to navigate changes.​
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Recognizes the impact on staff from the organization's decisions and takes appropriate action.
Effective Communication
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​Identifies and understands different communication styles.
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Builds trust by listening to and engaging staff and others. ​
Influencing Behaviors
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Exchanges ideas to gain cooperation from others to accomplish goals.
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Coaches staff in their development (e.g., conflict management, active listening, communications, etc.).
BUS 505 Retention and Productivity:
Developed skills to formulate practices and policies which integrate various human resource management issues in a manner to aid an organization in the attainment of competitive advantage.
BUS 504 Emotional Intelligence:
Defined the concept and components of emotional intelligence while self-evaluating the individual student's emotional intelligence strengths and opportunities.
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Nursing Practice & Application
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Assists with the development of care delivery models and environmental design to ensure the delivery of safe patient care that is evidence-based, accessible, affordable, and equitable.
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Integrates patient quality & safety measures into the care environment.
Economics & Policy
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Maintains Knowledge of population health.
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Influences health care policy through advocacy at various levels of government, as it affects safety, quality, accessibility and affordability of health care.
Regulation​
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Maintains knowledge of regulatory and accreditation standard/rule changes.
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Ensures compliance with accreditation standards and local, state, and federal regulatory standards.
Evidence Based Practice
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Evaluates current department/unit practices to determine strengths and barriers in implementing evidence-based practices. ​
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Promotes integration of evidence-based research into practice at the unit level.
Patient Safety & Quality
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Maintains knowledge of patient safety and improvement sciences.
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Participates in risk assessment (e.g, FMEA, root cause analysis, etc.) to ensure safe, compliant and effective care delivery.
BUS 571 Clinical Support Systems:
Developed knowledge and critical thinking in relation to economic recession and the factors that contributed to the financial collapse of 2008.
NUR 612 Chest Pain Policy Paper:
Facilitated development and implementation of an evidence-based policy change that directly impacts current care.

Professional Accountability
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Upholds professional ethical principles in decision-making through personal, department/unit and staff accountability.
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Supports, promotes, and role models standards of nursing and leadership professional practice (clinical, educational, certification, and leadership) for colleagues and constituents.
Health Equity & Social Determinants of Health
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Reviews organization's needs assessment to identify current health equity issues.
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Monitors performance data to ensure the delivery of culturally competent care.
Organizational Accountability
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Aligns behavior with personal values and determines fit with the organization's culture.
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Ensures the voice of the patient is central and present in decision-making.
Governance
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Interacts with and educates the organization's governing body regarding health care and the value of nursing as directed by senior relationship.
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Assists leadership in preparing reports for the Board.
BUS 505 Equal Opportunity Policy:
Strengthened the nurse leader's understanding and application of human resources laws as they apply to equal opportunity employment.
NUR 612 Social Determinants of Health:
Social determinants of health (SDOH) identify that the conditions in the places where people live, learn, work, and play affect a wide range of health risks and outcomes (CDC). I was able to assess and understand the impact incarceration has on individuals and their health.

Systems & Complex Adaptive Thinking
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Builds a shared vision that articulates and influences others to translate vision into action.
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Develops new insights into situations by questioning conventional approaches.
Change Management
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Acts as a catalyst for change by seeking new information and ideas.
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Utilizes common change models (e.g., Kotter, Lewin) and other tools for change (e.g., PDSA, LEAN methods).
Diversity, Belonging and Inclusion
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Recognizes unconscious and systemic bias occurs in care delivery, business operations, and through external influences.
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Creates, promotes, and protects a culture that supports staff, patients/clients and stakeholders.
Decision Making
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Seizes opportunities and takes calculated risks to advance department/unit's mission and vision.
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Fosters professional governance in philosophy, structure, and implementation.
Transformation & Innovation
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Encourages the use of organization's framework on advancing innovation. Allocates resources for the development of innovation teams or methods.
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Allocates resources fro the development of innovation teams or methods.
NUR 614 Leadership Development Plan:
Allowed the nurse leader to identify individual strengths and opportunities for growth in their own leadership development.
NUR 614 Compendium of Leadership Topics:
Built a broader foundation of understanding related to organizational climate and culture, communication and emotional Intelligence, conflict resolution, fiscal responsibility and sources of funding, influence versus power and leadership and management, and innovation, systems thinking, change management
NUR 614 Leadership Experience Log:
Evidences the nature of leadership learning throughout the course with a professional mentor.
Self-Assessment
Over the past two years, I have continued my professional development journey while expanding knowledge in the areas outlined in the AONL Nurse Manager Competencies. I have evidenced my existing knowledge base while expanding in areas related to executive leadership and business operations. I have spent significant amounts of time focusing on my areas of strength, but more importantly, my opportunities for improvement. While I have excelled in my current program, I intend to continue on for my doctorate degree in nursing leadership to achieve a terminal degree and fruther strengthen my ability to perform at a high level.
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