Levels, Domains & Behaviors
The three Levels of nursing practice within the Role Specific Advancement Model are based in part on the Benner Model of Knowledge and Skill Acquisition.
There are 10 Domains of Nursing Practice described in the Role Specific Advancement Model:
Behaviors describe the expected performance of a nurse at each Level of RSAM. Behaviors are described for each Domain of Nursing Practice. When viewed from “Competent/Role Entry” across the grid to “Expert” and finally to “Mastery” increasingly advanced behaviors are evident within each domain. Per Contract Addendum D, Section B, 8): Meeting a preponderance (vast majority) of behaviors in the Role Specific Advancement Model is the basis for advancement.
Click on one of the following 4 roles to open a pdf document describing the work done at that level, as well as its 10 domains and 3 levels.
Begin the process by printing a copy of the Self Assessment Tool for your role:
*These are in MS Word format. You may type into them and then print and/or save to your own file system.
When considering an application for advancement in the Role Specific Advancement Model, Clinical Care Coordinators, Educational Nurse Coordinators, RN Case Managers, and Flight Nurse Specialists should take the time for self-reflection.
- your most memorable patient situations
- what stories you might tell about your practice
- your professional contributions and accomplishments in your immediate practice environment and beyond
As you work your way through the grid, you will quite possibly find that the behaviors which describe your individual practice are scattered over several levels. Circle the ones that you feel best describe you. You may find that looking at the behaviors helps you set goals for yourself for the future.
When you have an idea of what RSAM Level most aligns with your practice and where you believe you can demonstrate meeting the vast majority of behaviors, go to the Application Portfolio section on this website and look at the application requirements. Be sure to read through the checklist.
As you write drafts and gather required documents, you may wish to contact a coach (see the Coach section on the Tools & Resources page) for feedback, support and encouragement.
Target Audience: UMHS Nursing | Author/Contact: Stephanie Minerath | Web Publisher: April Stingo | Reviewed: 3/14/2016