The Dana Farber Cancer Institute (DFCI) the Director of Advanced Practice Nursing provides clinical oversight for Pediatric and Adult Advanced Practice Nurses with accountability to the Chief NP in the Departments of Nursing.   This leader is accountable for APRN practice standards, regulatory compliance, credentialing, and professional advancement.  He/she is accountable in his/her area of practice for assuring continuous improvement and excellence in the quality and safety of patient care within interprofessional teams across the adult and pediatric services.  As a Nurse leader in the Department of Nursing the APRN director will be a member of NPCS leadership and will participate in all strategic and other decision making at the nursing leadership level.  The APRN director will be an active participant of the NP Practice Committee and will assure compliance with regulations and clinical practice standards around APP credentialing, onboarding, and practice oversight at DFCI. 

The APRN director will provide clinical leadership and staff supervision and promotes professional growth for all APRN staff.  The APRN director demonstrates systems thinking, inclusive behaviors, collaboration, clinical judgment, clinical inquiry, facilitation of learning and advocacy for patients and staff.  He/she uses theoretical, evidence-based, and experiential knowledge to advance clinical practice and serves as a mentor to all DFCI APRNs.  The Mission, Vision and Core values of the Dana-Farber Cancer Institute and the Department of Nursing are incorporated into all areas of practices.

This position is 20 hours APRN director and 20 NP clinical hours per week. 

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Practice Environment:   accountable to Chief NP and ACNO:

1. Maintains a clinical practice
2. Participates with the ACNOs, Chief NP, PA leadership and physician leadership in establishing models of care, workflows and job expectations for Nurse Practitioners at DFCI
3. Leads and participates in Quality improvement and scholarly activities that contribute to improved patient outcomes, advanced clinical practice and the role of APRNs
4. Disseminates work in the literature and at local and national conferences
5. Creates an environment that supports and celebrates the professional growth of APRNs and registered

nurses

6. Actively supports and recruits, onboards and develops new NPs in the proper procedures and standards

and ensures implementation of administrative clinical practice

7. Assures the use of and adherence to evidence informed practice/standards for nursing.
8. Responsible for creating and maintaining a therapeutic, healing, patient and family centered environment for APRN practice.
9. Assures the practice environment supports reflective practice, e.g. through the use of 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 compliance with regulatory requirements, i.e. licensure, credentialing, ongoing professional performance evaluations (OPPE), education, annual competencies and screening for ongoing employment
• Collaborates with the ACNOs to assure appropriate personnel to meet the needs of the designated patient oncology population.
• Implements staffing patterns responsive to the dynamic care environment, in accordance with RVU targets with guidance form the ACNO and Chief NP.
• Interview, hires and oversees the orientation of new nurse practitioners considering departmental, divisional, local and individual employee needs that are determined by previous experiences and reason abilities as well as former clinical settings.

Professional Development

• Participates in self performance appraisal process that is ongoing
• Seeks feedback from his/her professional colleagues
• Shares strengths and areas to be developed with Associate Chief Nursing Officer (ACNO) and Chief NP as well as collaborating MD.
• Maintains necessary clinical and managerial expertise through evidence-based practice
• Participates in service and department wide development of APRNs
• Demonstrates commitment to lifelong learning through active participation in professional organizations.

OTHER RESPONSIBILTIES

1. Serves as a clinical leader/coach, mentor to nurses and NPs throughout the enterprise
2. Promotes staff participation in both personal and professional annual goal setting for their clinical setting as well as the department and institute
3. Supports and encourages doctoral education enrollment and degree attainment within the APRN group.
4. 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.
5. Provides ongoing formal and informal feedback regarding performance to staff members and champions peer review processes with the APRN staff
6. Delegates authority and/or responsibility to others as appropriate while maintaining overall responsibility for clinical practice
7. Demonstrates consistent, fair and just leadership
8. Assures NP staff participate in local based decision making, DFCI nursing committees and as well as participation in institutional committees
9. Conducts clinical reviews and participates in response to patient complaints, quality management issues and risk management request as necessary.

PRACTICE EXCELLENCE AND IMPROVEMENT

1. Contributes to planning, implementing and evaluation the quality of NPs practice, inclusive of nurse sensitive indicators and patient satisfaction in collaboration with the Chief NP
2. Utilizes performance improvement methodologies in collaboration with department and hospital-based quality leaders to assure an environment of continuous quality improvement.
3. Actively translates quality improvement finding into daily NP practice and strategic planning for meaningful clinical QI projects
4. Communicates and translates outcomes to staff and interdisciplinary colleagues, assuring staff’s active participation in addressing quality improvement opportunities
5. Service as resource on clinical matters to assure a proactive environment that promotes optimal patient outcomes
6.  

KNOWLEDGE, SKILLS AND ABILITIES REQUIED

1. Must have demonstrated clinical competency as an NP and continue to contribute within a Disease center as a practicing NP
2. 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
3. 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.

PATIENT CONTACT:

Yes.

SPECIAL WORKING CONDITIONS:

Works in clinic and office settings with possible exposure to infectious diseases through airborne transmission or contact with blood or body fluids.

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong.  As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff.  Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

MINIMUM JOB QUALIFICATIONS:

1. Current Nurse Practitioner Licensed as a Registered Nurse in the Commonwealth of Massachusetts
2. Doctorate degree in nursing required
3. NP clinical experience and NP certification required (ACCN, ANCC, AANCP)
4. Previous leadership experience with demonstrated management ability recommended.
5. Minimum of 3-5 years oncology experience required, leadership experience preferred

SUPERVISORY RESPONSIBILITIES: 

1. Supervises the APRN performance in areas of accountability to Medicine and Nursing
2. Supervises staff APRNs in his/her area of practice

SUPERVISORS:   

1. Accountable to Chief Nurse Practitioner and the ACNO as articulated below.

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