Nurses International


The NI Alliance

The Nurses International Clinical Alliance is a membership program established to ensure collaboration, sharing, ongoing development, and evaluation of the Clinical Competency Framework (CCF), a clinical pathway for professional nurse orientation, development, and competency validation that serves as a national and international model for nursing professional development. The NI Clinical Alliance provides shared ownership of evidence-based CCF tools, while continuing the development of evidence-based resources. The tools and framework shared within the NI Clinical Alliance membership develops direct care providers within a nurturing, collaborative, safe, and productive clinical environment. Shared CCF resources include complete models for both preceptor and clinical competency development, as well as, access to excellent didactic resources for academic faculty.

The Clinical Competency Framework (CCF) was initially created as a statewide standardized orientation and clinical competency development and validation process for on-boarding students and new staff members and is now used across the United States of America and globally.

The CCF is a patient safety initiative delivered within a workplace culture of nurture and support. The framework includes resources, forms, instructional materials and process for competency development and validation for direct care providers in the clinical setting.

Resources include specialty specific tools for competency development and validation of capability. The CCF addresses competency assessment and validation for acute, chronic, clinic and home care settings.

The NI Clinical Alliance takes a ‘share and share back’ approach to nurse professional development, thus our pool of resources experiences ongoing growth and updates.

The Clinical Competency Framework (CCF) is a clinical pathway for professional nurse orientation, development, and competency validation that serves as an international model for nurse professional development. The CCF includes standards that deliver both preceptor and clinical competency development, as well as leadership and educator development tools. The CCF develops care providers within a nurturing, collaborative, safe, & productive clinical environment.

The model supports effective orientation, internships, &/or residency programs for newly hired nurses. The competency tools and process fit for new graduate nurse residency programs or on-boarding proficient nurses. The framework provides tools for competency-based development and data collection for each new direct care provider. Research shows that the CCF brings return on investment through decreased turnover, improved safety, lowered costs, and higher satisfaction of staff, preceptors, and managers.

Alfaro-LeFevre, R. (2019). Critical Thinking, Clinical Reasoning, and Clinical Judgment: A Practical Approach ( 7th ed.). Philidelphia: Elsevier.

Alfaro-LeFevre, R. & Boyer, S. (2019) What Are Our Opportunities in Preparing the Next Generation of Nurses and Where Are We Going Wrong? The Journal of Nursing Administration. 49(11):515-516. doi: 10.1097/NNA.0000000000000804

Barba, M., Valdez-Delgado, K., VanFosson, C., Caldwell, N., Boyer, S., Robbins, J., & Mann-Salinas, E. (2019). An Evidence-Based Approach to Precepting New Nurses. American Journal of Nursing, Special Feature – 119(3), 46-51.

Boyer, S. (2017). Clinical Transition Framework: Efficient solutions for transitional support systems. Nurse Leader , Doi: 10.1016/j.mnl.2017.o3.013. .

Boyer, S. (2019). Clinical Transition Framework User Manual. Ascutney, VT: VT Nurses in Partnership, Inc.

Boyer, S., Mann-Salinas, E., & Valdez-Delgado, K. (2018). Clinical Transition Framework: Integrating accountability, sampling, and coaching plans in professional practice development. Journal for Nurses in Professional Development, 34(2):84-91. doi: 10.1097/NND.0000000000000435.

Boyer, S., Mann-Salinas, E., Valdez-Delgado, K., & VanFosson, C. (2019). Using the Delphi technique to determine core components of a Nurse Competency Program. Journal for Nurses in Professional Development, JNPD-19-017R2. DOI: 10.1097/NND.0000000000000569 , Accessed at: on 8/8/2019.

Boyer, S., Valdes-Delgado, K., Huss, J., Barker, A., & Mann-Salinas, E. (2017). Impact of a Nurse Residency Program on Transition to Specialty Practice – Editor’s Pick . Journal for Nurses in Professional Development, 33 (5), 220–227. doi. 10.1097/NND.0000000000000384.

Hawkins, P., & Exstrom, S. (2014, 7 29). Adaptation of a Transition to Practice Program for New Graduates in Acute and Long-term Care Facilities in Urban and Rural Nebraska: A Pilot Study. Retrieved from National Council of State Boards of Nursing (NCSBN):

Lenburg, C. (2009). The COPA Model: A Comprehensive Framework Designed To Promote. Nursing Education Perspectives, 30, 312 – 317.

Lenburg, C. (2010). Competency Outcomes and Performance Assessment for contemporary nursing education. In L. Caputi, Teaching nursing: The art and Science, Volume 2, (2nd ed.) (pp. 175-215). Glen Ellyn, IL: College of DuPage Press.

Lenburg, C., Abdur-Rahman, V., Spencer, T., Boyer, S., & Klein, C. (2011). Implementing the COPA model in nursing education and practice settings: Promoting competence, quality care, and patient safety. Nursing Education Perspectives,, 32 (5), 290-296.

Mann-Salinas, E., Hayes, E., Robbins, J., Sabido, J., Feider, L., Allen, D., & Yoder, L. (2014). A systematic review of the literature to support an evidence-based Precepting Program. Burns, 40(3), 374-387. DOI:

Omer, T. A., Suliman, W. A., & Moola, S. (2016). Roles and responsibilities of nurse preceptors: Perception of preceptors and preceptees. Nurse education in practice, 16(1), 54-59.

Robbins, J. R., Valdez-Delgado, K. K., Caldwell, N. W., Yoder, L. H., Hayes, E. J., Barba, M. G., . . . Mann-Salinas, E. A. (2017). Implementation and outcomes of an evidence-based precepting program for burn nurses. Burns,

The NI Clinical Alliance membership provides access to

Evidence-based preceptor content
Competence development tools
Research content and Academic Resources

Evidence-based preceptor content Competence development  tools Research content