​Exhibits leadership qualities required to manage nursing care safely and effectively. This domain includes concordance with the HMC Code of Leadership as the operating framework.

Exhibits leadership qualities and manages nursing care safely, efficiently and ethically.

Performance Criteria:
  • Applies clinical reasoning, critical thinking and problem solving skills to the organization, provision, management and evaluation of care.
  • Provides leadership for establishment and implementation of goals related to nursing practice.
  • Participates in decision-making processes regarding decisions which impact on nursing practice at all levels.
  • Participates in the Performance Management Program.
  • Participates on hospital/departmental committees.
  • Participates in continuing education activities.
  • Accountable to align activities and performance with strategic goals and objectives of HMC.
  • Contributes to unit/program/departmental strategic planning.    
  • Provides leadership to and participates in professional organizations.
  • Collaborates and consults with others to develop quality and risk management strategies and/or practices.
  • Advocates to influence health care practice, policy and outcomes.
  • Monitors and ensures the quality of health care practices at HMC and beyond by providing leadership in the establishment of standards, policies and procedures relevant to nursing practice.
  • Creates and maintains medical directives/proctor agreements and/or clinical pathways necessary to support clinical practice.
  • Maintains knowledge of current legislative and regulatory issues related to NP practice.
  • Manages self, and where appropriate organizes others, to ensure effective workload prioritization and time management.
  • Provides feedback, offers suggestions for change and deals effectively with the impact of change on own practice, the team and/or on the organization.
  • Advocates for, and contributes to, the creation and maintenance of a positive working   environment and team working.
  • Participates in mentorship and coaching of others to maximize the effectiveness of nursing interventions, the provision of quality health care and the profession.
  • Acts as an expert nurse role model for colleagues, students and other members of the care team by treating all with respect, trust and dignity.
  • Seeks ways to advance nursing autonomy and accountability.
  • Promotes and maintain a positive image of nursing.
  • Assumes leadership responsibilities, as appropriate, in the delivery of nursing and health care.
  • Demonstrates clinical leadership in the design and evaluation of services for health promotion, health protection or the prevention of injury and/or illness.
  • Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
  • Uses leadership, team building, negotiation, and conflict resolution skills to build partnerships within and across systems, including communities.
  • Practices collegially with medical staff and other members of the healthcare team so that all providers’ unique contributions to health outcomes will be enhanced.
  • Provides leadership in conflict management and negotiation to address problems in the healthcare system.
Quality Improvement and Safety
Ensures nursing practice meets organizational quality and safety standards and guidelines and participates in continuous quality improvement.

Performance criteria:
  • Practices in accordance with approved quality standards and guidelines reflecting recognized evidence based best practice.
  • Seeks evidence from a wide range of credible sources to maintain, extend and evaluate the quality of nursing care.
  • Acts immediately and appropriately in accordance with the national and/or institutional disaster plan as needed, assuming a leadership role in triage and coordination of care for patients.
  •    Implements quality assurance and risk management strategies.
  • Ensures a safe environment by identifying actual and potential risks and takes timely action to meet national legislation and workplace health and safety principles.
  • Acknowledges  own  limitations  in  knowledge,  judgment  and/or  skills,  and  functions within  those limitations.
  • Recognizes less than optimum or unsafe practice in self and others and intervenes, records and reports, and acts to access and/or provides support to ensure remediation of deficiencies.
  • Participates in ongoing quality improvement and risk management initiatives.
  • Adheres to and implements infection control policies and procedures.
  • Communicates and records safety concerns to the relevant authority and documents response.
  • Evaluates factors related to safety, effectiveness, availability, and cost to design and implement best practices.
  • Serves as a resource to various populations for the purpose of influencing the delivery of healthcare and the formation of policy.
  • Uses the change process to influence the introduction of innovations and adaptations to specialist practice and service organization.
  • Evaluates impact of CNS and other nursing practice on systems of care using nurse sensitive outcomes.
  • Provides leadership in planning data collection and quality monitoring.
Delegation and Supervision
Delegates and provides supervision to team members according to their competence and scope of practice

Performance Criteria:
  • Delegates to others, activities commensurate with their abilities and scope of practice.
  • Uses a range of supportive strategies when supervising aspects of care delegated to others.
  • Maintains accountability and responsibility when delegating aspects of care to others.