The Dana-Farber Cancer Institute (DFCI) Nursing Director of Adult Outpatient Palliative Care provides clinical oversight for Adult Advanced Practice Nurses (APRNs) and Oncology Nurse Navigators (ONNs) with accountability to the Senior Nursing Director of Palliative Care in the Department of Psychosocial Oncology and Palliative Care (POPC) and the Department of Nursing and Patient Care Services (NPCS). This leader is accountable for the clinical discipline of nursing with administrative, fiscal, and nursing accountability including practice standards, regulatory compliance, credentialing, and professional advancement. S/he is accountable in his/her area of practice for creating and maintaining a therapeutic, healing, patient and family centered care environment, and assuring continuous improvement and excellence in the quality and safety of patient care within the interprofessional team across adult outpatient palliative care services. As a Nurse leader in POPC and NPCS, the Nursing Director will participate in strategic and other decision making at the nursing leadership level while maintaining collaborative relationships with nursing staff and all disciplines necessary to foster optimal patient outcomes and a professional practice environment. The Palliative Care Nursing Director will assure compliance with regulations and clinical practice standards around APP credentialing, onboarding, and practice oversight at DFCI for the POPC APRNs and ONNs.
The Director of Adult Palliative Care Nursing will provide clinical leadership and staff supervision and promote professional growth for all POPC APRN and ONN staff. The Nursing Director of Palliative Care demonstrates systems thinking, inclusive behaviors, collaboration, clinical judgment, clinical inquiry, facilitation of learning and advocacy for patients and staff. S/he uses theoretical, evidence-based, and experiential knowledge to advance clinical practice and serves as a mentor to palliative care APRNs and ONNs. The Mission, Vision and Core values of the Dana-Farber Cancer Institute and the Department of Psychosocial Oncology and Palliative Care are incorporated into all areas of practices.
PRIMARY DUTIES AND RESPONSIBILITIES:
Practice Environment: accountable to Senior Nursing Director, Palliative Care:
- Maintains a clinical practice in adult palliative care.
- Participates with the Senior Nursing Director, Palliative Care, nursing leadership and physician leadership in establishing models of care, workflows, and job expectations for Nurse Practitioners and ONNS in POPC.
- Leads and participates in Quality improvement and scholarly activities that contribute to improved patient outcomes, advanced clinical practice and the role of APRNs and ONNs.
- Disseminates work in the literature and at local and national conferences.
- Creates an environment that supports and celebrates the professional growth of APRNs and registered Nurses (ONNs).
- Actively supports and recruits, onboards and develops new NPs and ONNs in the proper procedures and standards and ensures implementation of administrative clinical practice.
- Assures the use of and adherence to evidence informed practice/standards for nursing.
- Responsible for creating and maintaining a therapeutic, healing, patient and family centered environment for APRN practice.
- Assures the practice environment supports reflective practice, e.g., using narrative and meets the needs of the relevant patient population.
- Conducts timely assessment of staff learning needs and leads program/projects including quality improvement and evidence-informed projects.
- Collaborates with Nurse Directors (ND) and ACNOs, Chief NP, Clinical Specialists (CS), the Cantor Center and the Center for Clinical and Professional Development within the DFCI enterprise to foster learning at all levels of nursing.
- Facilitates mentoring opportunities for staff to precept and teach NP students.
- Establishes and maintains collaborative relationship with clinical staff, nursing, medical and administrative leadership necessary to assure optimal patient outcomes and the professional practice environment.
- Partners with inter-professional leadership to set mutual goals that advance teamwork, interdisciplinary learning, and a fair and just culture in the care environment.
- Assures APRN and ONN compliance with regulatory requirements, i.e., licensure, credentialing, ongoing professional performance evaluations (OPPE), education, annual competencies, and screening for ongoing employment.
- Implements staffing patterns responsive to the dynamic care environment, in accordance with RVU targets with guidance from the Senior Nursing Director.
- Interview, hires and oversees the orientation of new nurse practitioners and oncology nurse navigators considering departmental, divisional, local and individual employee needs that are determined by previous experiences and reason abilities as well as former clinical settings.
- Participates in self-performance appraisal process that is ongoing
- Seeks feedback from his/her professional colleagues
- Shares strengths and areas to be developed with Senior Nursing Director and collaborating physicians
- Maintains necessary clinical and managerial expertise through evidence-based practice
- Participates in service and department wide development of APRNs and ONNS
- Demonstrates commitment to lifelong learning through active participation in professional organizations
- Serves as a clinical leader/coach and mentor to nurses and NPs.
- Promotes staff participation in both personal and professional annual goal setting for their clinical setting as well as the department and institute.
- Supports and encourages specialty certification within the APRN and ONN group.
- Serves as leader within the community of nursing, in accordance with the standards of the discipline of nursing, including adherence to ANA Code of Ethics.
- Provides ongoing formal and informal feedback regarding performance to staff members and champions peer review processes with the APRN and ONN staff.
- Delegates authority and/or responsibility to others as appropriate while maintaining overall responsibility for clinical practice.
- Demonstrates consistent, fair and just leadership.
- Assures NP and ONN staff participate in local based decision making, DFCI nursing committees and as well as participation in institutional committees.
- Conducts clinical reviews and participates in response to patient complaints, quality management issues and risk management request as necessary.
- Administrative responsibilities including scheduling, time approval, staff reviews, and other duties as assigned.
PRACTICE EXCELLENCE AND IMPROVEMENT
- Contributes to planning, implementing and evaluation of the quality of NPs practice, inclusive of nurse sensitive indicators and patient satisfaction in collaboration with the Senior Nursing Director.
- Utilizes performance improvement methodologies in collaboration with department and hospital-based quality leaders to assure an environment of continuous quality improvement.
- Actively translates quality improvement findings into daily NP practice and strategic planning for meaningful clinical QI projects.
- Communicates and translates outcomes to staff and interdisciplinary colleagues, assuring staff’s active participation in addressing quality improvement opportunities.
- Service as resource on clinical matters to assure a proactive environment that promotes optimal patient outcomes.
- Supervises the APRN and ONN performance in areas of accountability to Nursing and POPC
- Supervises staff APRNs and ONN’s in his/her area of practice
MINIMUM JOB QUALIFICATIONS:
- Current Nurse Practitioner Licensed as a Registered Nurse in the Commonwealth of Massachusetts
- Master’s degree in Nursing required
- NP clinical experience and NP certification required (ACCN, ANCC, AANCP)
- Previous leadership experience with demonstrated management ability recommended
- Minimum of 3-5 years palliative care experience required; leadership experience preferred
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
- Must have demonstrated clinical competency as an NP and continue to contribute within a Disease center as a practicing NP.
- Must possess analytical abilities necessary to organize, to supervise and to evaluate the work of others; to develop and to administer policies, procedures, clinical performance metrics; and utilize current concepts of nursing.
- Must possess strong interpersonal skills to provide effective leadership to staff and to interact with patient, visitors, physicians, other clinical disciples in a variety of hospital settings.