Program: Nursing (PhD)
Date: Wed Nov 27, 2013 - 4:47:37 pm
1) Below are your program's student learning outcomes (SLOs). Please update as needed.
University of Hawai`i at Mānoa
School of Nursing and Dental Hygiene
Department of Nursing
BS, MS, DNP and PhD in Nursing Competencies
The competencies arise from the understanding of nursing as a theory-guided, evidenced -based discipline. Graduates from the curriculum are expected to possess distinctive values, attitudes, habits and skills in both professional behaviors and nursing care competencies that are described in this document. The professional competencies--define the values, attitudes and practices that competent nurses embody and may share with members of other professions; the nursing care competencies--define relationship capabilities that nurses need to work with clients and colleagues, the knowledge and skills of practicing nursing and competencies that encompass understanding of the broader health care system. In all cases, the client is defined as the recipient of care, is considered active participant in care, and includes the individual, family or community. Nursing care competencies recognize that a competent nurse provides safe care across the lifespan directed toward the goals of helping clients (individuals, families or communities) promote health, recover from acute illness and/or manage a chronic illness and support a peaceful and comfortable death. The following document describes the key competencies within the context of professional expectations for baccalaureate, masters, DNP and PhD prepared nurses. At the conclusion of the program each graduate from the UHM SONDH is prepared to begin practice in their respective role guided by these professional competencies and expectations.
Professional actions are based on core nursing values, professional standards of practice, and the law.
Develops insight through reflective practice, self-analysis, and self care
Engages in ongoing self-directed learning and provides care based on evidence supported by research
Demonstrates leadership in nursing and health care
Collaborates as part of a health care team
Practices within, utilizes, and contributes to the broader health care system
Practices client-centered care
Communicates effectively and uses technology
Demonstrates clinical judgment/critical thinking in the delivery of care of clients while maintaining
MASTERS IN NURSING
DOCTOR OF NURSING
DOCTORATE IN NURSING
1. A competent nurse’s professional actions are based on core nursing values, professional standards of practice, and the law.
1.1. Core nursing
values include social justice
(from the ANA
respect for self and others,
dilemmas are embedded in clinical practice; an obligation of nurses is to
notice, interpret respond and
reflect on these
dilemmas using ethical principles and
frameworks as a guideline.
1.3. It is essential for nurses to participate in
discussions of ethical issues in
health care as they affect communities,
society, and health
1.4. Professional nursing functions within legally defined standards of practice and state specific regulations.
s accountabili ty for
specialist legal scope
of practice, professional standards
and code of ethics.
1.2. It is a responsibilit y of the
nurse to participate
in professional organization
s to support nursing
1.3. Ethical analysis and
are required for
1.4. The Master’s prepared nurse articulates and actualizes a personal philosophy
1.1. The DNP prepared nurse
integrates nursing science with knowledge from
ethics, the biophysical, psychosocial, analytical,
and organizational sciences as the basis for the highest level of
1.2. Uses science-based theories and concepts to:
• determine the nature and significance of health and health care delivery phenomena;
• describe the actions and advanced strategies to enhance, alleviate and ameliorate health and health care delivery phenomena as appropriate; and
• evaluate outcomes.
1.3. Develops and evaluate
new practice approaches based on nursing theories and theories from other disciplines.
1.4. Develops and evaluate care delivery approaches
that meet current and
future needs of patient populations based on
scientific findings in
nursing and other clinical sciences as well as organizational, political, and economic sciences.
1.5. Develops and evaluate
1.1. It is
expected that the
nurse prepared at
the PhD level will lead efforts
organization s to develop policy and
standards for nursing
1.2. In positions of
responsibilit y, the PhD
advocates for the ethical
conduct of practice.
that incorporates ethics, values, and professional standards.
effective strategies for
managing the ethical dilemmas inherent in patient care, the health care organization, and research.
1.6. Provides leadership in the evaluation and resolution of ethical and legal issues within healthcare systems relating to the use of information, information technology, communication networks, and patient care technology.
1.7. Advocates for social justice, equity, and ethical policies within all healthcare arenas.
1.8. Designs, implements, and evaluates therapeutic
interventions based on
nursing science and other sciences.
2. A competent nurse develops insight through reflective practice, self-analysis, and self care through the understanding that…
and evaluation of one’s professional and personal life improves
2.2. Reflection and
self-analysis encourage self- awareness and self-care.
2.3. Pursuing and
2.1. The Master’s
engages in self reflection in order to design strategies that promote lifelong learning of self to guide advanced practice.
2.1. The DNP nurse critically
examines data-based sources and individual
experiences to analyze
and develop leadership strategies for dealing with social, ethical, cultural, economic and political issues related to nursing, health care, and research.
2.1. The PhD
data-based sources and individual experiences to analyze and develop leadership strategies for dealing with social, ethical, cultural, economic
healthy behaviors enhance nurses’ ability to care for client.
issues related to nursing, health care, and research.
3. A competent nurse engages in ongoing self-directed learning and provides care based on
evidence supported by research with the understanding that . . .
3.1. Knowledge and
skills are dynamic and evolving, in
order to maintain competency one
must continuously update their knowledge using
reliable, current sources of
information from the biological, social, medical,
public health, and nursing sciences.
3.2. The nurse uses legitimate sources
of evidence for decision-making such as research
evidence, standards of care,
community perspectives and practical wisdom
gained from experience.
3.3. As “best practices” are continuously
modified and new interventions are
nurse incorporates changes into
3.1. The Master’s
prepared nurse critically
examines and utilizes evidence-
based sources to support advanced practice.
3.2. In specialist nursing, the
practitioner is able to identify problems
amenable to research.
3.3. The Master’s prepared nurse
participates in the process of evaluating
evidence in collaboration with
other members of the health care team.
3.4. The Master’s prepared nurse
maintains competency through the
development of a personal plan for
lifelong learning and continued
3.1. The DNP nurse
uses analytic methods to
critically appraise existing literature
and other evidence to determine and
implement the best evidence of
3.2. Functions as a practice
specialist/consulta nt in collaborative
3.3. Analyzes epidemiological,
and other appropriate scientific data
related to individual,
aggregate, and population health.
3.1. The PhD nurse
develops and uses existing and
evolving knowledge to
improve nursing education and practice.
3.2. The PhD nurse conducts research
to improve and maintain the
health of a diverse
3.3. The PhD nurse employs
models for applying research evidence to nursing practice.
3.4. The PhD nurse disseminates
outcomes and findings from
research improve practice and health care outcomes.
3.5. Professional practice obligations dictate that one will demonstrate initiative and self- direction in seeking ways to improve health
and health care.
4. A competent nurse demonstrates leadership in nursing and health care through the
understanding that …
4.1. An effective nurse
is able to take a leadership role to meet client needs, improve the
health care system, and
community problem solving.
4.2. A competent
nurse effectively uses management principles, strategies, and tools.
4.3. An effective nurse works with the health care team including the delegation of responsibilities
4.1. The Master’s
prepared nurse is expected to demonstrate leadership skills and decision making in the provision of nursing care, team coordination, and accountability for care delivery at
the micro-systems level.
4.2. Assuming a leadership role for
patient safety and quality improvement
initiatives is expected from a
master’s prepared nurse.
4.3. Advanced nursing requires an understanding of
how healthcare delivery systems
are organized and financed and how this affects patient
4.4. The Master’s prepared nurse articulates to a variety of audiences the
4.1. The DNP nurse
ensures accountability for quality of health care and patient safety for populations with whom they work.
• Uses advanced communication skills/processes to lead quality improvement and patient safety initiatives in health care systems.
• Employs principles of business, finance, economics, and health policy to practice initiatives that will improve the quality of care delivery.
• Develops and/or monitor budgets for practice initiatives.
• Analyzes the cost- effectiveness of practice initiatives accounting for
3.1. The PhD nurse
assumes a leadership role in the development of research and clinical practice models to
improve outcomes to meet health
care needs of culturally diverse
3.2. The PhD nurse assumes a
leadership role in conducting and
using research findings and other health information
to design and evaluate systems
of care for culturally diverse
evidence base for
4.5. Leadership skills are required to
teach, coach, and mentor other
members of the healthcare team.
health care outcomes.
• Demonstrates sensitivity to diverse organizational cultures and populations, including patients and providers.
4.2. Demonstrates leadership in the development and implementation of institutional,
local, state, federal, and/or international health policy.
4.3. Influences policy makers through
participation on committees, boards, or task forces at the institutional, local, state,
regional, national, and/or
international levels to improve
health care delivery and outcomes.
4.4. Advocates for the nursing profession
within the policy and healthcare communities.
4.5. Develops, evaluates, and provides leadership for health care policy that shapes health care financing, regulation, and delivery.
4.6. Guides, mentors,
and supports other nurses to achieve excellence in nursing practice.
5. A competent nurse collaborates as part of a health care team.
5.1. The client is an
essential member of the healthcare
5.2. A collegial team is essential for success in serving clients.
5.3. Effective team members must be
able to give and
5.4. Colleagues create a positive environment for each other that values holistic client care.
strategies are required in the
coordination, and evaluation of patient-centered care.
5.2. The Master’s prepared nurse
professions’ scope of practice, and
highly developed strategies to support communication among team members, patients, and health care professionals.
5.3. The Master’s prepared nurse
critical skills in leading inter-
teams and partnerships.
5.4. Coordinating comprehensive care for patients within and across settings and among care providers is expected of the master’s prepared nurse.
5.1. The DNP nurse
employs effective communication
skills in the development and implementation of practice models, peer review, practice guidelines, health policy, standards of care, and/or other scholarly products.
5.2. Leads interprofessional
teams in the analysis of
complex practice and organizational issues.
5.3. Employs consultative and
leadership skills with intraprofessional
teams to create change in health
care and complex healthcare delivery systems.
5.1. The PhD nurse
participates in collaborative
generate empirical knowledge that improves practice, health care outcomes, and policy change.
6. A competent nurse practices within, utilizes, and contributes to the broader health care system.
6.1. All components of
the healthcare system must be incorporated when providing interdisciplinary care.
6.2. The effective nurse contributes
to improvements of the health care
system through involvement in policy, decision-
making processes, and political
6.1. The Master’s
prepared nurse is charged with bringing the nursing perspective to policy development by advocating for policies that improve the health of the public and the profession of nursing.
6.2. Practice guidelines to
and the care environment are developed by the Master’s prepared nurse.
6.3. The Masters’ prepared nurse is expected to analyze how policies influence the structure and financing of health care practice and health outcomes on an
institutional, local, and state
6.4. Examining the effect of legal and
processes on nursing practice,
delivery, and outcomes is the responsibility of the Master’s prepared nurse.
6.5. The Master’s prepared nurse advances
6.1. The DNP nurse
designs and implements processes to evaluate outcomes of practice, practice patterns, and systems of care within a practice setting, health care organization, or community
against national benchmarks to
variances in practice outcomes and population trends.
6.2. Applies relevant findings to develop practice guidelines and improve practice and the practice environment.
6.3. Disseminates findings from
practice and research to
6.4. Designs, selects,
uses, and evaluates programs that evaluate and monitor outcomes of care, care systems, and quality improvement including consumer use of health care information systems.
6.5. Educates others,
6.1 The PhD nurse
assumes a leadership role in the political process to improve the quality and safety of health care and advance nursing education.
6.2 The PhD nurse develops
programs that are accountable to the
interest in preparation of professional nurses.
efficient prevention services through population based health promotion and disease prevention services.
makers at all levels, regarding nursing, health policy, and patient care outcomes.
6.6. Synthesizes concepts, including psychosocial dimensions and cultural diversity, related to clinical prevention and population health in developing, implementing, and evaluating interventions to address health
promotion/disease prevention efforts,
status/access patterns, and/or address gaps in care of individuals, aggregates, or populations.
6.7. Evaluates care delivery models
using concepts related to community, environmental and occupational health, and cultural and socioeconomic dimensions of health.
6.8. Conducts a comprehensive and systematic assessment of health and illness parameters in complex situations,
diverse and culturally sensitive approaches.
6.9. Educates and guides individuals
through complex health and
7. A competent nurse practices client-centered care.
7.1. Effective care is centered around a respectful relationship
with the client that is based on empathy, caring, mutual trust,
7.2. Nursing practice should reflect
the attitudes, beliefs and values of
7.3. An understanding
of the culture
and history of the community is fundamental in the practice of nursing.
7.1. Advanced nursing includes advocating for patients, families, caregivers, and members of the healthcare team.
7.2. Preparing clinical practice
guidelines appropriate for
is expected of the advanced
7.3. Advanced knowledge of the
bio/psycho/social determinants of health is required to design, evaluate, and implement
7.1. The DNP nurse
designs, directs, and evaluates quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care.
7.2. Evaluates consumer health
information sources for
accuracy, timeliness, and
7.3. Critically analyzes health policy proposals, health policies, and related issues from the perspective of consumers, nursing, other health professions, and other
stakeholders in policy and public forums.
7.1 The PhD nurse generates nursing knowledge about health care systems and care models.
8. A competent nurse communicates and uses technology effectively through the understanding that …
8.1. Effective use of communication is an essential part of all interventions to establish caring and therapeutic relationships to educate and advocate for clients.
8.2. When working with colleagues or clients, it is important to ensure that accurate, timely and complete communication has occurred.
8.3. Successful communication
attention to elements of cultural influences, variations in the use of language and a participatory approach.
8.4. Information and communication
delivery of effective nursing care.
8.1. The Master’s prepared nurse demonstrates effective communication across and within all professional spheres including the interdisciplinary team, peers, clients and the community.
8.2. The Master’s prepared nurse
technology and research methods appropriately to identify gaps in evidence for practice and collect appropriate and accurate data to generate
evidence for nursing practice.
8.3. The Master’s prepared nurse analyzes current
and emerging technologies to
optimize patient safety, cost effectiveness,
and outcomes of care.
8.4. The Master’s prepared nurse in a leadership
position implements the
use of information
technologies to coordinate and integrate patient
care and transitions of
8.1. The DNP nurse
uses information technology and research methods appropriately to collect appropriate and accurate data to generate
evidence for nursing practice; inform and guide the design of databases that generate meaningful evidence for nursing practice; analyze data
design evidence- based
predict and analyze outcomes; examine patterns of behavior and outcomes; identify gaps in evidence for practice.
8.2. Analyzes and communicate critical elements necessary to the selection, use and evaluation of health care information systems and patient care technology.
8.3. Demonstrates the conceptual
ability and technical skills to develop and
execute an evaluation plan
8.1. The PhD nurse participates in collaborative team(s) to generate empirical knowledge that improves practice, health care outcomes, and policy change.
settings and among healthcare providers.
8.5. The Master’s prepared nurse
holds the responsibility of ensuring the use
of ethical principles and
legal policies in the integration and use of patient
care and information
technologies into care delivery.
practice information systems and databases.
8.4. Develops and sustains
relationships and partnerships with
(individual, family or group) and other professionals to facilitate optimal care and patient outcomes.
9. A competent nurse demonstrates clinical judgment/critical thinking in the delivery of care of clients while maintaining safety through…
9.1. Analysis and integration of available data.
9.2. Implementation of prioritized
care based on
evaluation of data.
9.3. Evaluation and
analysis of the nurse’s personal clinical performance
9.4. A competent nurse engages in
activities, recognizes, communicates and intervenes to promote client safety.
9.1. The Master’s prepared nurse must critically analyze the best evidence to determine practice implications.
9.2. The delivery of advanced nursing
care to diverse
populations requires an integration of knowledge of nursing and related sciences.
9.3. The Master’s prepared nurse is
design care for a clinical or
9.4. The Master’s prepared nurse
uses quality improvement
practices to ensure patient safety and the
highest quality nursing care.
9.5. A professional environment with high level
communication skills is required
for peer review, advocacy for patients and
families, reporting of
errors, and professional
9.6. The Master’s prepared nurse is
expected to identify factors to
9.1. The DNP nurse
demonstrates advanced levels or clinical judgment, systems thinking, and
accountability in designing,
delivering, and evaluating
evidence-based care to improve patient outcomes.
9.2. Uses conceptual and analytical
skills in evaluating the
links among practice, organizational,
fiscal, and policy issues.
9.1. The PhD nurse systematically investigates a clinically focused area of nursing to advance health care in culturally diverse populations.
mitigate risks in
the practice setting.
9.7. The Master’s
prepared nurse uses epidemiological, social, and environmental data for drawing inferences regarding the health status of patient populations and interventions to promote and preserve health and healthy lifestyles.
2) Your program's SLOs are published as follows. Please update as needed.
Student Handbook. URL, if available online: http://www.nursing.hawaii.edu/sites/web41.its.hawaii.edu.www.nursing.hawaii.edu/files/documents/DON%20Student%20Handbook%202010-2011.pdf
Information Sheet, Flyer, or Brochure URL, if available online:
UHM Catalog. Page Number:
Course Syllabi. URL, if available online: NA
Other: Accreditation Materials
3) Select one option:
- File (03/16/2020)
4) For your program, the percentage of courses that have course SLOs explicitly stated on the syllabus, a website, or other publicly available document is as follows. Please update as needed.
5) Did your program engage in any program assessment activities between June 1, 2012 and September 30, 2013? (e.g., establishing/revising outcomes, aligning the curriculum to outcomes, collecting evidence, interpreting evidence, using results, revising the assessment plan, creating surveys or tests, etc.)
No (skip to question 14)
6) For the period June 1, 2012 to September 30, 2013: State the assessment question(s) and/or assessment goals. Include the SLOs that were targeted, if applicable.
See DON Evaluation Matrix for all DON programs submitted in BS report.
7) State the type(s) of evidence gathered to answer the assessment question and/or meet the assessment goals that were given in Question #6.
See Evaluation Matrix for all DON programs submitted in DON report.
8) State how many persons submitted evidence that was evaluated. If applicable, please include the sampling technique used.
The process for data collection for each assessment is described in the Evaluation Matrix. All PhD students were sent electronic surveys by email.
9) Who interpreted or analyzed the evidence that was collected? (Check all that apply.)
Ad hoc faculty group
Persons or organization outside the university
Advisors (in student support services)
Students (graduate or undergraduate)
10) How did they evaluate, analyze, or interpret the evidence? (Check all that apply.)
Used professional judgment (no rubric or scoring guide used)
Compiled survey results
Used qualitative methods on interview, focus group, open-ended response data
External organization/person analyzed data (e.g., external organization administered and scored the nursing licensing exam)
11) For the assessment question(s) and/or assessment goal(s) stated in Question #6:
Summarize the actual results.
All courses met assessment criteria.
12) State how the program used the results or plans to use the results. Please be specific.
Will continue to monitor for continuous quality improvement.
13) Beyond the results, were there additional conclusions or discoveries?
This can include insights about assessment procedures, teaching and learning, program aspects and so on.
14) If the program did not engage in assessment activities, please explain.
Or, if the program did engage in assessment activities, please add any other important information here.
The PhD program conducts three annual summer intensives (newly admitted, year 2 cohort, year 3 cohort). Each summer intensive session is evaluated for participant satisfaction and effectiveness. Participant feedback is used to modify and improve future summer intensive sessions.