NURSE MANAGERS CERTIFICATION PROGRAM

SELF-ASSESSMENT TOOL FOR LEVEL 3 CERTIFICATION

Place a tick mark in corresponding frequency column if you demonstrate the behavior indicated in the
second column as the situation arises at the workplace. Consistency in demonstrating the specified
behavior while meeting the standard required for performance is gauged using the frequency terms:
Rarely, Sometimes, and Always.

Performance Criteria Rarely Sometimes Always Comments

I PLANNING
A. Technical Skills
1. Health care Policies / Standards
1.1 Executes the existing healthcare policies to
be used in planning Nursing care
1.2 Utilizes standards of practice of nursing
service
2. Healthcare Environment
2.1 Identifies the SWOT Analysis of the unit
B. Critical thinking Skills
1. Health care programs
1.1 Facilities implementation of health care
Program
2. Succession Planning
2.1 Identifies staff for work force succession
based on established criteria
C. Interpersonal Skills
1. Communication & Relationship Building
1.1 Collaborates with members of the health
team to enhance communication &
relationship building
II ORGANIZING
A. Technical Skills
1. Organizational Structure
1.1 Implements the organizational structure in
the clinical unit
2. Staffing
2.1 Implements distribution of staff based on
acuity of care
3. Human Resource Management
3.1 Implements Human resource Policies in
the clinical unit
4. Information Technology Management
4.1 Gathers relevant information &
communicates to staff
B. Critical Thinking Skills
1. Business Skills
1.1 Prepares the budget plan of the unit

1.2 Uses marketing strategies of the hospital

and the nursing service
2. Patient Care Delivery Model
 2.1 Applies patient care delivery model
C. Interpersonal Skills
1. Building & Nurturing Teams
1.1 Engages leadership in terms of
responsibilities & accountability
III Leading
A. Technical Skills
1. Leadership & Governance
1.1 Implements the vision, mission, objectives
& core values of the nursing service in the care
of patient.
1.2 Implements strategic & operational plans
1.3 Applies standards of nursing practice in the
care of patients.
B. CRITICAL THINKING SKILSS
1. Ethics
1.1 Practices ethical standards & core values in
everyday work & activities
2. Understanding Diversity

2.1 Applies policies on culture of shared

governance
C. INTERPERSONAL SKILLS
1. Professionalism
1.1 Demonstrates professional demeanor
(integrity, honesty, etc.)
1.2 Ensures application of new learning thru
continuing professional development
2. Change Management
2.1 Supports staff for improvement of care
3. Conflict Management
3.1 Manages conflict in the unit
4. Political Proficiency
4.1 Practices political harmonization
IV CONTROLLING
A. Technical Skills
1. Performance Indicators
1.1. Ensures Staff of meeting performance
objectives in the clinical unit
B. Critical Thinking Skills
1. Quality management
1.1 Utilizes quality improvement techniques
C. Interpersonal Skills
1. Performance Management
1.1 Assesses staff strengths & areas for
development
V RESEARCH
A. Technical Skills
1. Research
1.1 Identifies areas of interest for research &
evidence based practice