Nurse Manager Learning Domain Framework

There are several leadership competencies that need to be considered and developed to be a successful nursing leader and manager in an organization. An individual must analyze and develop a personal plan to improve their leadership skills to reach their goals of becoming a successful leader in healthcare. The American Organization of Nurse Executive (AONE) uses Nurse Manager Learning Domain Framework to develop the competencies for nurse managers (2015). This framework has three primary domains that build the skills necessary for a nurse manager, which are the science, the art, and the leader within (AONE, 2015).

The Science The science of leadership looks at the manager's ability to improve the management of the business of the complex

Financial management is the ability to for the nurse leaders to understand the impact on nursing outcomes and staffing impact the financial aspect within in their institute (Sherman & Pross, 2010). This competency includes the ability to recognize the impact of reimbursement on revenue along with anticipating the effects of changes in reimbursement due to the political environment (AONE, 2015). The nurse manager must envision ways to maximize care efficiency and throughput with a strong understanding of value-based purchasing and quality of outcomes. The nurse manager must have the ability to create a budget, monitor, and analysis of the budget with the ability to communicate variances. Furthermore, they must be able to investigate the future evaluating the anticipated revenue and expenses. Lastly, have the knowledge and skill to create a capital budget which includes the ability to communicate justification effectively and cost-benefit analysis (AONE,

The art of leadership is broken down into three areas of the nurse manager learning domain framework (AONE, 2015). These areas include human resource leadership skills, relationship management and influencing behaviors, and diversity (AONE, 2015). Human resource leadership skills. Human resource leadership skills related to the competencies of the nurse manager in performance management, staff development, and staff retention (AONE, 2015). Performance management in the art of leadership is the ability of the nurse manager to conduct staff evaluations, assist with goal-setting, continuous performance development, monitoring staff, initiate corrective actions and in tough cases termination of staff. Staff development has evolved into the education of staff and needs assessment, ensure validation of competencies, promotion of professional development, facilitation of leadership development and identifying and developing staff as part of a planning program (AONE, 2015). Staff retention is a critical area for a nurse manager, as the cost replacing staff can cost a facility close to $75,000 (Roussel, Thomas, & Harris, 2016). The retention of staff for the nurse manager includes assessing staff satisfaction, developing and implementation of strategies to address satisfaction