Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Michelle Koopman


Doctor of Nursing Practice


Background: The lack of a standardized nursing competency model for a large healthcare organization prevented it from opportunity as a system.

Objective: This evidence-based project's purpose was to select a nursing competency model that a large healthcare organization will use to evaluate nurses, standardize nursing competency training language for the healthcare organization, develop an education plan for nurse educators on the selected nursing competency model, and develop an implementation plan for the nursing competency model.

Methods: This project utilized a three-cycle Plan-Do-Study-Act (PDSA) change framework. Cycle One involved nursing leaders from the eight hospitals and 60 clinics of the large healthcare organization to evaluate different nursing competency models discussed in the literature, decide on the model, and evaluate the consensus on the model. Cycle Two involved creating an educational session on the selected nursing competency model for ongoing competencies for a pilot group of nurse educators, including collecting pre-and post-education survey data. Cycle Three involved creating and outlining the implementation/sustainability plan for the selected nursing competency model focused on the organizational needs.

Results: For Cycle One, a hybrid nursing competency model was selected for the organization. For Cycle Two, there was an increase in the educators' knowledge of the model after receiving the education on it. For Cycle Three, nine buckets of work were identified to implement the nursing competency model successfully.

Conclusions: There needs to be a nursing competency model used throughout the large healthcare organization to evaluate nursing team members consistently to ensure they can deliver consistent, high-quality, safe patient care.

Nursing Implications: Nurse-led change was made using a PDSA change framework. For successful implementation of a nursing competency model at healthcare organizations, all key stakeholders must participate and all have an equal voice, the model needs to incorporate a nursing theory and organizational requirements, and there needs to be a comprehensive implementation plan, which includes the rights steps in the correct order.

Available for download on Wednesday, June 28, 2023