Exemplary Professional Practice (EP)

Question 1

EP1EO

Answer 1

Two examples are required (one example must be from ambulatory care setting, if applicable):

a. Provide two examples, with supporting evidence, of an improved outcome associated with an evidenced-base change made by clinical nurses in alignment with the organization’s professional practice model (PPM).
- Outcome data must be in the form of a graph and a data table.
- Provide a schematic of the PPM.

Question 2

EP2EO

Answer 2

• Present all eligible RN satisfaction data (inpatient care, ambulatory care, and all administrative settings) and include all nursing levels collected and benchmarked by the vendor at the unit- or clinic-level, to demonstrate outperformance of the mean, median, or other measure of central tendency (benchmark provide by the vendor’s national database). Submit results of most recent survey completed within 30 months prior to document submission. ‘
• Provide overall participation rate.
• Select 4 of the 7 categories and present data for each unit- categories must be consistent across the organization (inpatient and outpatient).

Question 3

EP3

Answer 3

a. Provide one example, with supporting evidence, of nurse(s) partnering with patient(s), families, or both to influence change in the organization.

Question 4

EP4EO

Answer 4

a. Provide one example, with supporting evidence, of an improvement in patient outcome associated with one (internal or external) expert or multiple (internal or external) experts’ recommended change in nursing practice.
b. Patient outcome data must be submitted in the form of a graph and a table.

Question 5

EP5

Answer 5

a. Provide one example with supporting evidence, of nurses’ participation in interprofessional collaborative practice to ensure coordination of care across the spectrum of healthcare services.

Question 6

EP6EO

Answer 6

a. Provide one example, with supporting evidence, of an improvement in a defined patient population outcome associated with nurse participation in an interprofessional collaborative plan of care.
- Patient outcome must be in the form of a graph and a table.

Question 7

EP7EO

Answer 7

a. Provide one example, with supporting evidence, of an improved outcome associated with an interprofessional quality improvement activity, led, or co-led by a nurse (exclusive of the CNO).
- Outcome data must be in the form of a graph and data table.
AND

b. Provide one example, with supporting evidence, of an improved outcome associated with an interprofessional quality improvement activity, led, or co-led by a clinical nurse.
- Outcome data must be in the form of a graph and data table.

Question 8

EP8EO

Answer 8

a. Provide one example, with supporting evidence, of an improved patient outcome associated with an interprofessional education activity led or co-led by a nurse (exclusive of the CNO).
- Patient outcome data must be in the form of a graph and a data table.

Question 9

EP9

Answer 9

a. Provide an example, with supporting evidence, of a time when clinical nurses collaborated with an assistance vice president (AVP)/nurse director to evaluate data in order to address an identified unit-level staffing need.
AND

b. Provide one example, with supporting evidence, of improvement of a clinical unit’s nurse turnover rate associated with clinical nurses’ participation of nursing retention activities.

Question 10

EP10EO

Answer 10

a. Provide one example, with supporting evidence, of an improvement in the organization’s nurse turnover rates associated with clinical nurses’ participation in nursing retention activities.
- Turnover rate data must be in the form of a graph and a data table.
- Data presented must be at the organization level.
b. Provide one example, with supporting evidence, of improvement of a clinical unit’s nurse turnover rate associated with clinical nurses’ participation in nursing retention activities.
c. Turnover rate data must be in the form of a graph and a data table.
d. Data presented must be at the unit level.

Question 11

EP11

Answer 11

Choose three of the following:

a. Provide one example, with supporting evidence, of the use of periodic formal performance review for CNO that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.
b. Provide one example, with supporting evidence, of the use of periodic formal performance review for an AVP/nurse director that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.
c. Provide one example, with supporting evidence, of the use of periodic formal performance review for a nurse manager that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.
d. Provide one example, with supporting evidence, of the use of periodic formal performance review for an advanced practice registered nurse (APRN) that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.
e. Provide one example, with supporting evidence, of the use of periodic formal performance review for a clinical nurse that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.

Question 12

EP12

Answer 12

a. Provide one example, with supporting evidence, of clinical nurses having the authority and freedom to make nursing care decisions within the full scope of their nursing practice.

Question 13

EP13

Answer 13

a. Provide one example, with supporting evidence, of nurses applying available resources to address ethical issues related to clinical practice.

Question 14

EP14

Answer 14

a. Provide one example, with supporting evidence, of a security issue resolved with clinical nurse’s or clinical nurse’s contributions to an interprofessional group.

Question 15

EP15EO

Answer 15

a. Provide one example, with supporting evidence, 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.
- Provide a copy of the organization’s safety strategy.
- Nurse-specific outcome data must be submitted in the form of a graph with a data table.

Question 16

EP16EO

Answer 16

a. Provide one example, with supporting evidence, of an improved workplace safety outcome associated with clinical nurse involvement in the evaluation of patient safety data at the unit level.
- Patient outcome data must be submitted in the form of a graph with a data table.

Question 17

EP17

Answer 17

a. Provide one example, with supporting evidence, of a nurse-driven initiative based on patient feedback that was received as a result of a service recovery effort.

Question 18

EP18EO

Answer 18

a. Provide eight of the most recent consecutive quarters of unit- or clinic-level nurse-sensitive, clinical indicator data to demonstrate outperformance of the mean, median, or other measures of central tendency (benchmark provided by the vendor’s national database). Data must be the most recent eight complete quarters available from the vendor(s). Select and report data for all applicable inpatient units.
- The required patient indicators for all inpatient care organizations include falls with injury, hospital-acquired pressure injuries (HAPI) stage 2 or above, and two others from the following list.

Question 19

EP19EO

Answer 19

a. Provide two nurse-sensitive clinical indicators from the most recent eight quarters of unit- or clinic-level nurse-sensitive, clinical indicator data from the ambulatory setting (e.g., emergency department(s), ambulatory surgery center(s), and nurse-run clinics(s)), to demonstrate outperformance of the mean, median, or other measures of central tendency (benchmark provided by the vendor’s national database), or the highest available level. Data must be the most recent eight complete quarters available from the vendor(s).

Question 20

EP20EO

Answer 20

a. Provide the most recent eight consecutive quarters of inpatient satisfaction data at the unit level collected to demonstrate outperformance of the mean, median, and other measure of central tendency (benchmark provided by the vendor’s national database).

Question 21

EP21EO

Answer 21

a. Provide the most recent eight consecutive quarters of ambulatory care setting patient satisfaction data at the unit level collected to demonstrate outperformance of the mean, median, and other measure of central tendency (benchmark provided by the vendor’s national database).