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Summary:
The Clinical Nurse Educator (CNE) practices within the UPHS professional practice model and exhibits UPHS core values, which reflect its mission. Based on a specialized knowledge base, the CNE designs, implements and evaluates standards of practice that improve the delivery of high quality, comprehensive care to individuals, families and population.
The CNE is a clinical leadership position that includes the traditional components of patient care, consultation, research utilization and education with the aims of upholding practice standards, contributing to the professional development of others and shaping/influencing nursing practice within the organization.
The CNE actively supports organizational goals. Specifically, the CNE facilitates the implementation of organizational initiatives that integrates evidence/research, professional/regulatory standards, and demonstrates system savvy. The CNE re-frames clinical practice issues/initiatives to highlight the implications so that various groups (e.g. clinicians-educators-administrators) can respond to or incorporate concerns into practice changes.
A hallmark of CNE practice is the management of complex patient-family situations. As a clinical leader, the CNE serves as a vital liaison to communicate and negotiate multiple perspectives within the organization in a respectful and effective manner to achieve/advocate positive change and delivery of appropriate and ethical care.
The CNE's leadership style embodies a sense of moral agency that is depicted by collaboratively addressing and/or resolving problematic or ethical issues in a manner that upholds right and good care. In particular, the CNE conveys a presence that simultaneously responds to the immediate patient and family needs while empowering others to effectively manage the clinical situation.
The CNE interacts with staff in a manner that recognizes their developmental needs and promotes their understanding of issues/knowledge and reflective practice.
The implementation of any CNE position varies and evolves over time in response to patient population needs, new clinical science/evidence, organizational goals and changes within the health system locally and nationally. As such, the CNE and appropriate clinical leadership collaborate to implement initiatives and mutually establish clinically relevant accountabilities.
The CNE demonstrates sophisticated judgment in balancing the competing demands of the position.
The CNE demonstrates a knowledge base within a specialty area that may include caring for people ranging in age from infancy to the elderly. The CNE is self-directed and purposeful in maintaining current professional knowledge and competence within specialty area.
The domains of evidence-based practice and research, safety, professionalism, person and family centered care, leadership, informatics/technology, teamwork and continuous quality improvement frame the work of the CNE.
Within the professional practice model, the CNE facilitates an environment of support that facilitates and preserves the autonomy and accountability of the primary and associate nurse roles.
Responsibilities:
Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care and system effectiveness. Research Competency: Conducts work of thorough and systematic inquiry. Includes the search for, interpretation, and use of evidence in clinical practice and quality improvement, as well as active participation in the conduct of research. Assumes accountability for health care outcomes. Develops evidence based clinical interventions and systems to achieve defined patient and system outcomes. Evaluates care outcomes with focus on nursing interventions. Assimilates and applies research-based information to design, implement and evaluate patient plans of care. Contributes to interdisciplinary plans of care based on best practice guidelines and evidence-based practice (EBP). Leads system change to improve clinical and system level processes and outcomes.
Safety: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Ethical Decision-Making, Moral Agency and Advocacy, Sytems Analyst/Risk Anticipator Competency: Identify, articulate, and take action on ethical concerns at the patient, family, health care provider, system, political, community, social, economic and public policy levels. Participates in systems review to critically evaluate and anticipate risks to client safety to improve quality of client care delivery. Presents healthcare issues through appropriate channels to facilitate change. Conducts investigations and follow-up to Penn Safety Nets. Participates in root cause analysis (RCA), evaluates outcome data and barriers in creating action plan related to the analysis. Works with quality improvement teams, engages in designing and implementing a process for improving patient safety. Presents and disseminates information to appropriate personnel.
Professionalism: The nurse demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. UPHS Organizational Competency: UPHS has defined skills, knowledge and behaviors as key for giving great service and great value. Recognizes the responsibility to develop staff and integrate the values and behaviors expected to fulfill their role. Actively pursues new knowledge and skills needed in the role. Develops a lifelong learning plan. Speaks in a public forum. Participates in a professional organization. Participates in committee work. Promotes the care of patients and families in light of the ANA Nursing Standards of Care and the Code of Ethics. Differentiates between outcomes that require care process modification at the individual level and at the system level.
Person and Family Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Direct Care Competency: Direct interaction with staff, patients, families, groups of patients and community to promote health or well-being and improve quality of life. Characterized by a holistic perspective in the advanced nursing management of health, illness, and disease states. Creates an environment that facilitates learning and the achievement of desired cognitive, affective and psychomotor outcomes. Effects change through advocacy for the profession, interdisciplinary health care team and patient Identifies clinical and cost outcomes that improve patient safety, effectiveness, timeliness, efficiency, quality and patient centered care. Assists staff in the development of innovative, cost-effective programs or protocols of care. Identifies health care related issues, communicates effectively to achieve quality outcomes. Participates in the development of change in policy within the health care organization.
Leadership: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Systems Leadership Competency: The ability to manage change and empower others to influence clinical practice and political processes both within and across systems. Communicates effectively, utilizing techniques of conflict resolution and active listening. Facilitates the provision of clinically competent care through staff education, role modeling, teambuilding and healthy work environment. Discovers, disseminates and applies evidence for practice and for changing practice. Coaching Competency: Skillful guidance and teaching to advance the care of patients, families, groups of patients, and the profession of nursing. Analyzes interdisciplinary patterns of communication and chain of command both internal and external to the unit. Uses appropriate teaching/learning principles and strategies with current information, materials, technologies to facilitate learning. Conducts health care education based on risk profile, patient self-management. Develops, implements and evaluates supplemental education for unit specific needs.
Informatics/Technology: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. IT competency: The ability to manage technology in complex health care settings. Uses information systems and technology at the point of care to improve health care outcomes. Prepares and analyzes reports from EMR and quality data to improve patient outcomes. Evaluates the impact of new technologies and innovations on nursing staff, patients, families and the health system. Provides information to team on new technologies.
Teamwork: Effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Collaboration Competency: Working jointly with others to optimize clinical outcomes. Collaborates at an advanced level by committing to authentic engagement and constructive patient, family, system, and population-focused problem-solving. Engages in scholarship. Properly delegates and utilizes nursing team resources. Serves as a leader and partner in the interdisciplinary health care team that promotes safety, culturally competent care and clinical excellence. Conducts a multidisciplinary team meeting. Incorporates patient and family in the care team. Identifies patient centered clinical and cost-effective outcomes that improve safety, timeliness, efficiency and quality. Builds partnerships within the health system.
Continuous Quality Improvement (CQI): Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective and equitable. Consultation Competency: Patient, staff, or system-focused interaction between professionals in which the consultant is recognized as having specialized expertise and assists consulted with problem solving. Develops and maintains competence in the role of the CPS. Provides consultation to staff, providers and interdisciplinary team. Synthesizes data, information and knowledge to evaluate and achieve optimal patient care and care environment outcomes. Coordinates care based on desired outcomes consistent with evidence-based guidelines an quality care standards. Analyzes unit-based resources and set priorities for maximizing outcomes.
Credentials:
Registered Nurse - PA (Required)
Basic Cardiac Life Support (Required)
Education or Equivalent Experience: Previous HVICU experience is Required
Bachelor of Arts or Science (Required)
Education Specialization: Nursing Equivalent Experience
Master of Arts or Science
Education Specialization: Nursing Equivalent Experience:
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