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  1. Paul, Fiona DNP, RN, CPNP
  2. Abecassis, Leah MSN, RN, CCRN, CWOCN
  3. Freiberger, Dawn MSN, RN, CCTC
  4. Hamilton, Susan MS, RN, CCRN, CWOCN
  5. Kelly, Pamela MS, RN, CPNP
  6. Klements, Elizabeth MS, PPCNP-BC, AE-C
  7. LaGrasta, Christine DNP, RN, CPNP-PC/AC
  8. Lemire, Lindsay MSN, RN, FNP-BC, NP-C
  9. O'Donnell, Ellen MSN, RN, CPNP-BC
  10. Patisteas, Erin MSN, RN, FNP-BC
  11. Phinney, Caitlin MSN, RN, FNP-BC
  12. Conwell, Karen MSN, RN, CPNP
  13. Saia, Theresa DNP, RN, CPNP
  14. Whelan, Katherine MSN, NP-C, CCRN
  15. Wood, Laura J. DNP, RN
  16. O'Brien, Patricia MSN, CPNP-AC, PPCNP-BC


The process of developing a 3-tiered advanced practice RN (APRN) competency-based professional advancement model at Boston Children's Hospital is described. The model recognizes the contributions of entry-level and expert APRNs to advanced clinical practice and outcomes, impact, and leadership, while incorporating the tenets of Patricia Benner's Novice to Expert Model and the American Association of Critical- Care Nurses Synergy Model of Care.