Essential Functions: Patient and Family Centered Care: -Recognizes the patient or the patient's designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs.-Manages more complex patient care assignments appropriate to skill level.-Participates in building consensus and resolving conflict in the context of patient care.-Demonstrates the ability to see the "big picture".-Uses clinical experience and historical patient responses as a way to develop and refine practice.-Is able to speak to the patient about advanced care planning, values and end-of-life care before the need for an acute decision arises.-Evaluates and considers the implementation of alternative approaches to establishing a healing environment.-Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family-centered care.-Ensures the systems within the area of practice support patient-centered care. Evidence-Based Practice and Research: -Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness.-Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice.-Questions current practice and develops a sense of clinical inquiry.-Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation.-Locates current evidence and resources related to clinical practice.