The Four Dimensions of Nursing Practice are as follows: · Nursing Practice (Practice, Ethics, Resource Utilization); · Professional Role-Leadership (Education/Career Development, Perf

The Four Dimensions of Nursing Practice are as follows: 

·         Nursing Practice (Practice, Ethics, Resource Utilization);

·         Professional Role-Leadership (Education/Career Development, Performance);

·         Collaboration (Collegiality, Collaboration) and

·         Scientific Inquiry (Quality of Care, Research).  NOTE:

 Leadership is not one of the dimensions, but leadership principles are expected to be woven throughout the established categories. 

Each of the criteria should be addressed by you citing examples (at least one) to support the qualifications standards. 

One example may suffice to support all criteria under a single Dimension, but all criteria must be met…NOT just the Dimension.  As a template for your response, the following guidance is offered:

                        What was done? – ACTION

                        For Whom? – POPULATION

                        What difference did it make? – OUTCOME

                        When? – SUSTAINABILITY


Nurse I

Nurse II

Nurse III

Nursing Practice


Demo Independence;

No charge activities required

Demo Leadership;

Charge Nurse/Unit Level

Leadership at Service, Service Line, or Medical Center Level; looking for organized processes or systems


Assumes responsibility for Individual judgments/actions

Serves as resource in indentifying ethical issues

Leadership in anticipating risks, resolving ethical issues and dilemmas, analyzing trends, and taking appropriate action


Effectively plans/directs flow of patient care and nursing resources

Identifies potential problems involving resources or pt safety and takes action to avert (Team/Unit)

Manages and analyzes resources, evaluates options and takes actions that impact organization outcomes beyond the unit/practice area. 

Professional Role


Seeks knowledge for indiv competency (indiv educ plan/reads health care literature)

Participates in educational activities to enhance role performance at the unit/team level

Implements educational plan to meet changing needs of program/ service


Incorporates feedback into personal development (self-assessment)

Self-evaluation and evaluation of others

Self-evaluation and evaluation of program or service effectiveness (recommending/implementing changes)



Attends/participates in staff meetings and in-services.

Educates colleagues, preceptor and mentoring roles

Coaches in team building:  active involvement in group accomplishments; sharing expertise outside of the facility.


Team participation, interpersonal skills, develops collaborative plans of care

Uses group process to identify, analyze, and resolve care problems

Leadership and decision-making role in use of group process for interdisciplinary problem-solving beyond unit/practice setting.

Scientific Inquiry


Use QI findings to guide OWN practice (NOT the RN providing quality care)

Participates in QI activities (data collection, analysis, recommendations, etc)  at the Unit level

Initiates/Leads QI activities at the program, service, and/or facility level


Awareness of research; uses to validate/change own practice

Uses research to validate or change Work group/Team practice

Demonstrates leadership in collaboration with others in research activities, across programs/services, to validate & improve practice.

in a tabular form /bulletin.

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