Unit: Nursing
Program: Nursing (PhD)
Degree: Doctorate
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








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

statement), caring,


respect for self and others,

collegiality, and

ethical behavior.

1.2. Ethical

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.

1.1. The

Master’s prepared

nurse demonstrate

s accountabili ty for

specialist legal scope

of practice, professional standards

and code of ethics.

1.2. It is a responsibilit y of the

Master’s prepared

nurse to participate

in professional organization

s to support nursing


1.3. Ethical analysis and

clinical reasoning

are required for


nursing practice.

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

nursing practice.

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

in professional

organization s to develop policy and

standards for nursing


1.2. In positions of

responsibilit y, the PhD

prepared nurse

advocates for the ethical

conduct of practice.

of nursing

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…

2.1. Ongoing

reflection, critical


and evaluation of one’s professional and personal life improves

nursing practice.

2.2. Reflection and

self-analysis encourage self- awareness and self-care.

2.3. Pursuing and

2.1. The Master’s

prepared nurse


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

nurse critically


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.

and political

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

constant, the

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

knowledge- generating


3.3. Analyzes epidemiological,

biostatistical, environmental,

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

and supervision.

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

risk and

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

practice decisions.

4.5. Leadership skills are required to

teach, coach, and mentor other

members of the healthcare team.

improvement of

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

receive constructive


5.4. Colleagues create a positive environment for each other that values holistic client care.

5.1. Collaborative

strategies are required in the


coordination, and evaluation of patient-centered care.

5.2. The Master’s prepared nurse

understands other

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

and collaborative

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

and interprofessional

teams to create change in health

care and complex healthcare delivery systems.

5.1. The PhD nurse

participates in collaborative

team(s) to

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

improve practice

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


healthcare outcomes.

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

community of

interest in preparation of professional nurses.

equitable and

efficient prevention services through population based health promotion and disease prevention services.

including policy

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,

improve health

status/access patterns, and/or address gaps in care of individuals, aggregates, or populations.

6.7. Evaluates care delivery models

and/or strategies

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

and groups

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,

and advocacy.

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

diverse cultures

is expected of the advanced

practice nurse.

7.3. Advanced knowledge of the

effects of

bio/psycho/social determinants of health is required to design, evaluate, and implement

patient care.

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


provide essential

information for

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

uses information

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

from practice;

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

involving data

8.1. The PhD nurse participates in collaborative team(s) to generate empirical knowledge that improves practice, health care outcomes, and policy change.

care across

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.

extraction from

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

risk reduction

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

equipped to

design care for a clinical or


based population.

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.

Department Website URL: http://www.nursing.hawaii.edu/sites/web41.its.hawaii.edu.www.nursing.hawaii.edu/files/image/documents/Nursing%20Program%20Outcomes_Fall%202010.pdf
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:

Curriculum Map File(s) from 2013:

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.)

Course instructor(s)
Faculty committee
Ad hoc faculty group
Department chairperson
Persons or organization outside the university
Faculty advisor
Advisors (in student support services)
Students (graduate or undergraduate)

10) How did they evaluate, analyze, or interpret the evidence? (Check all that apply.)

Used a rubric or scoring guide
Scored exams/tests/quizzes
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.