Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
| RELATIONSHIP MANAGEMENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Organizational structure and relationship |
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| Build collaborative relationships |
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| Develop and maintain medical staff relationships |
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| Provide internal customer service |
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| Practice and value shared decision making |
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| COMMUNICATION SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Sensitive to what is correct behavior when communicating with diverse cultures, internal, and external |
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| Communicate organizational mission, vision, objectives, and priorities |
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| Prepare and deliver business communications, including meeting agendas, presentations, business reports, and project communications plans |
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| Present results of data analysis to decision makers |
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| Provide and receive constructive feedback |
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| FACILITATION AND NEGOTIATION | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Mediation, negotiation, and dispute resolution techniques |
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| Team building techniques |
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| Create, participate in, and lead teams |
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| Facilitate group dynamics, process, meetings, and discussions |
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| LEADERSHIP | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Leadership styles/techniques |
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| Potential impacts and consequences of decision making |
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| Establish a compelling organizational vision and goals |
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| Hold self and others accountable for organizational goal attainment |
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| Promote and manage change |
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| Promote continuous organization learning/improvement |
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| HEALTHCARE SYSTEMS AND ORGANIZATIONS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Managed care models, structures, and environment |
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| Levels of healthcare along the continuum of care |
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| Evidence-based management practice |
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| The interrelationships among access, quality, cost, resource allocation, accountability, and community |
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| The patient experience (e.g., cultural differences, expectations) |
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| Healthcare technological research and advancements |
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| Organization and delivery of healthcare |
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| Regulatory and administrative environment in which the organization functions |
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| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Infant (Birth - 1 year) |
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| Preschooler (ages 2-5 years) |
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| Childhood (ages 6-12 years) |
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| Adolescents (ages 13-21 years) |
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| Young Adults (ages 22-39 years) |
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| Adults (ages 40-64 years) |
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| Older Adults (ages 65-79 years) |
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| Elderly (ages 80+ years) |
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| BUSINESS SKILLS AND KNOWLEDGE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
| Ability to analyze and evaluate information to support a decision or recommendation |
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| Collect and analyze data from internal and external sources relevant to each situation |
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| Techniques for business plan development, implementation, and assessment |
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| The functions of organizational policies and procedures |
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| Promote and apply problem-solving philosophies |
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| Demonstrate critical thinking and analysis |
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| Systems thinking |
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| Facilities planning |
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