​Exhibits leadership qualities required to manage nursing care safely and effectively. This domain includes concordance with the HMC Code of Behaviours as the operating framework. 
 
Leadership
Exhibits leadership qualities and manages nursing care safely, efficiently and ethically.

Performance Criteria:
  • Applies clinical reasoning, critical thinking and problem solving skills to the organization, provision, management and evaluation of care.
  • Manages self, and where appropriate organizes others, to ensure effective workload prioritization and time management.
  • Provides feedback, offers suggestions for change and deals effectively with the impact of change on own practice, the team and/or on the organization.
  • Advocates for, and contributes to, the creation and maintenance of a positive working environment and team working.
  • Participates in mentorship and coaching of others to maximize the effectiveness of nursing interventions, the provision of quality health care and the profession.
  • Acts as a role model for colleagues, students and other members of the care team by treating all with respect, trust and dignity.
  • Seeks ways to advance nursing autonomy and accountability.
  • Promotes and maintain a positive image of nursing.
  • Assumes leadership responsibilities, as appropriate, in the delivery of nursing and health care. 
Quality Improvement and Safety
Ensures nursing practice meets organizational quality and safety standards and guidelines and participates in continuous quality improvement.

Performance Criteria:
  • Practices in accordance with approved quality standards and guidelines reflecting recognized evidence based best practice.
  • Seeks evidence from a wide range of credible sources to maintain, extend and evaluate the quality of nursing care.
  • Acts immediately and appropriately in accordance with the national and/or institutional disaster plan as needed assuming a leadership role in triage and coordination of care for patients.
  • Implements quality assurance and risk management strategies.
  • Ensures a safe environment by identifying actual and potential risks and takes timely action to meet national legislation and workplace health and safety principles.
  • Acknowledges own limitations in knowledge, judgment and/or skills, and functions within those limitations.
  • Recognizes less than optimum or unsafe practice in self and others and intervenes, records and reports, and acts to access and/or provides support to ensure remediation of deficiencies.
  • Participates in ongoing quality improvement and risk management initiatives.
  • Adheres to and implements infection control policies and procedures.
  • Communicates and records safety concerns to the relevant authority and documents response. 
Delegation and Supervision
Delegates and provides supervision to team members according to their competence and scope of practice. 

Performance Criteria:
  • Delegates to others, activities commensurate with their abilities and scope of practice.
  • Uses a range of supportive strategies when supervising aspects of care delegated to others. 
  • Maintains accountability and responsibility when delegating aspects of care to others.