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Competency-based Professional Advancement Model for Advanced Practice RNs

Paul, Fiona, DNP, RN, CPNP; Abecassis, Leah, MSN, RN, CCRN, CWOCN; Freiberger, Dawn, MSN, RN, CCTC; Hamilton, Susan, MS, RN, CCRN, CWOCN; Kelly, Pamela, MS, RN, CPNP; Klements, Elizabeth, MS, PPCNP-BC, AE-C; LaGrasta, Christine, DNP, RN, CPNP-PC/AC; Lemire, Lindsay, MSN, RN, FNP-BC, NP-C; O'Donnell, Ellen, MSN, RN, CPNP-BC; Patisteas, Erin, MSN, RN, FNP-BC; Phinney, Caitlin, MSN, RN, FNP-BC; Conwell, Karen, MSN, RN, CPNP; Saia, Theresa, DNP, RN, CPNP; Whelan, Katherine, MSN, NP-C, CCRN; Wood, Laura J., DNP, RN; O'Brien, Patricia, MSN, CPNP-AC, PPCNP-BC

JONA: The Journal of Nursing Administration: February 2019 - Volume 49 - Issue 2 - p 66–72
doi: 10.1097/NNA.0000000000000719

The process of developing a 3-tiered advanced practice RN (APRN) competency-based professional advancement model at Boston Children's Hospital is described. The model recognizes the contributions of entry-level and expert APRNs to advanced clinical practice and outcomes, impact, and leadership, while incorporating the tenets of Patricia Benner's Novice to Expert Model and the American Association of Critical- Care Nurses Synergy Model of Care.

Author Affiliations: Nurse Practitioner (Dr Paul), Center for Motility and Functional Gastrointestinal Disorders; Clinical Nurse Specialist (Ms Abecassis), Medical Intensive Care; Clinical Nurse Specialist (Ms Freiberger), Pulmonary/Pediatric Transplant Center; Clinical Nurse Specialist (Ms Hamilton), Medical Surgical Intensive Care; Nurse Practitioner (Ms Kelly), Urology and Urodynamics; Clinical Nurse Specialist (Ms Klements), Asthma and Medicine Patient Services; Nurse Practitioner (Dr LaGrasta), Cardiovascular Surgical Services; Nurse Practitioner (Mss Lemire, O'Donnell, and Phinney), General Surgery; Nurse Practitioner (Ms Patisteas), Orthopedic Surgery; Professional Development Specialist (Ms Conwell), Clinical Education and Informatics; Nurse Practitioner (Dr Saia), Cardiology; Nurse Practitioner (Ms Whelan), Cardiac Intensive Care; Senior VP, Patient Care Operations and Chief Nursing Officer (Dr Wood); and Nurse Practitioner (Ms O'Brien), Cardiology: Boston Children's Hospital, Massachusetts.

The authors declare no conflicts of interest.

Correspondence: Dr Paul, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115 (

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