South University Online
Week 4 Assignment 2
September 12, 2014
Hamric, Hanson, O’Grady & Tracy (2014) define competencies as “a broad area of skillful performance.” Competencies include activities implemented by advanced practice nurses while providing direct patient care and the processes, knowledge and skills used in all aspects of advanced practice. There are seven core competencies associated with the advanced practice registered nurse. In addition to the seven core competencies, nurse practitioner education and nurse administrator education have additional competencies needed to become proficient in each of those roles (The American Organization of Nurse Executives (AONE) 2011; The National Organization of Nurse Practitioner Faculties (NONPF), 2012). While there is overlap of some of the competencies the nurse executive role and the nurse practitioner role each have specific skills needed to attain expertise in each role. Nurse executives plan, direct, coordinate and supervise health care delivery. He or she must have expert knowledge regarding patient care delivery, marketing, management, ethics, and human resource management, as well as additional knowledge. Due to the wide range of knowledge needed, nurse executives need to attain expertise in many areas. AONE has outlined five competencies and detailed the skills needed for each (2011). According to AONE communication and relationship-building is a competency that must be mastered in order to cultivate relationships and establish rapport and includes skills such as relationship management, effective communication, influence of behaviors, shared decision making and ability to work with diversity. The professionalism competency includes ethics, evidence-based clinical and management practice, advocacy, and personal and professional accountability (AONE, 2011). The nurse administration works at the executive level so professionalism must be maintained. Nursing leadership must be upheld by mastery of skills like foundational thinking skills, change management and succession planning. The business skills competency can be met by the nurse administrator upon mastering business management, human resource management, marketing and strategic management and information management and technology (AONE, 2011). The health care system which the nurse executive manages can be a large complex system, such as an acute care hospital that has a level I trauma center, a pediatric unit, labor and delivery unit, cardiac intensive care, and neonatology. Because of this complexity competency of health care environment knowledge must be mastered and includes the skills of clinical practice knowledge, delivery models, health care economics and policy, governance, patient safety, quality improvement and case management (AONE, 2011). According to the National Organization of Nurse Practitioner Faculties (2012), upon graduation from a nurse practitioner program the graduate must possess mine competencies without regard to the population of focus. By mastering these competencies the nurse practitioner will have the skills and knowledge needed to practice independently. NPs provide direct patient care so the competencies and skills needed differ slightly from the competencies needed for nurse administrator. The practice inquiry competencies and the quality competencies are similar in that they both involve using knowledge gained from clinical practice to improve health care quality. Quality competencies include using best evidence to improve clinical practice, evaluating access to care, cost, quality and safety, organizational structure, financing, marketing and policy decisions and their impact on health care quality. Practice inquiry competencies involve applying clinical investigative skills, practice inquiry, analyzing clinical guidelines, generating knowledge from clinical practice and providing leadership...
References: Hamric, A. B., Hanson,C. M., O’Grady, E. T., Tracy, M. F. (2014) Advanced Practice Nursing: An Integrative Approach, 5th Ed. [VitalSource Digital Version]. St. Louis, MO: Elsevier Saunders.
The American Organization of Nurse Executives. 2011. The AONE Nurse Executive Competencies. Retrieved September 11, 2014 from http://www.aone.org/resources/leadership%20tools/nursecomp.shtml
The National Organization of Nurse Practitioner Faculties. 2012. Nurse Practitioner Core Competencies April 2011, Amended 2012. Retrieved September 11, 2014 from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf
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