NOF Nursing Core Competency Model

As a nurse, a person is placed at the forefront of the healthcare system. A nurse is often times is the first person a patient interacts with on the healthcare team. That impression is one that can make or break an experience and as a nurse it is your privilege to represent an organization in a professional wholesomeness. There are endless instances where professionalism is the standard that nurses are held to and tasked to maintain (Mackey, 52).

As we further our education to become advanced practice nurses (APNs), it is crucial that we understand the behaviors or core competencies expected of all APNs. For the purpose of this discussion, I will evaluate the core competency of quality and how I will integrate this behavior into my daily practice.

Lewis, Stephens, and Ciak (2016) confirmed that the Quality and Safety Education for Nurses (QSEN) initiative was developed to determine competencies for nursing students based upon Institute of Medicine (IOM) recommendations with the main goal of QSEN is to establish a cultural change toward quality and safety. According to QSEN (2014), addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) are essential components of improving the quality and safety of the healthcare systems. Furthermore, the QSEN six competencies for nursing that targets the KSA to guarantee future graduates to develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement,

Quality improvement efforts and risk management are complementary, and together are key modules of clinical governance. Risk management reinforces quality management in healthcare. This leads to:

The baccalaureate prepared nurse role is crucial in ensuring the successful implementation of quality management in healthcare. The major role of healthcare professionals such as nurses, doctors, and physicians is the delivery of high-quality patient care and safety. However, studies show that some factors that contribute to the low-quality patient care and safety include medical errors, adverse drug events, and negligence of health care providers. The baccalaureate prepared nurse has the responsibility of improving patient outcomes by taking part in quality management processes in the healthcare.

Nursing competencies were derived in order to provide an outline of foundational knowledge baccalaureate prepared nurses should consist of. Amongst the nine competencies, knowledge of quality improvement is essential in the practicing nurse. Quality improvement, also known as total quality improvement or simply abbreviated, QI, can be looked at as an organized value or process to deliver the best possible goods or services to its consumers (Lucy Hood). In other words, QI is a way of enhancing health care delivery by consistently evaluating and changing current practices to

Professionalism is the skill set that society expects from a professional. For a nurse, professionalism is not merely knowing how to take someone’s temperature or how to administer medication. It goes beyond that and consists, not only of job competence, but also includes personal and ethical dimensions. Professionalism requires job knowledge, accountability, advocacy, communication, and ethical decision making.

Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.

The two competencies addressed in this paper are Inter-professional Collaboration and Patient Centered Care. Following are discussions surrounding these competencies, concepts, terms, and relationships to theory. By addressing the role of nursing in shaping these areas, attention was focused on historical components, professional value. attitudes, and documentation based in evidence. The current areas that are influential in healthcare, such as political, financial, on a national and international levels were inspected.

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience.

The diploma course for the enrolled nurse was introduced in 2010 and the nurses completed their course in 2011 and started entering the workforce since 2011 (Jacob, Mckenna & D’Amore, 2013). The RN and other practicing nurses in the workforce are unaware of what qualifications are included and what competencies they can demonstrate, which is confusing for other parties. This results in overlapping the roles of a RNs and ENs. Every year there is changes seen in the competencies and role of an Enrolled nurses. Which is not clarified to the health setting therefore causing more issues. Full range of abilities can be utilized from Enrolled nurse and maintain patient safety if the roles between two different level of nurse are clear (Jacob, McKenna

In the Journal of Advanced Nursing article, Whither Nursing Models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care, author Niall McCrae (2011) discussed key points related to the utilization of nursing models in modern-day clinical practice. With so many advances made since Nightingale times, some argue that evidence-based research and practice should trump the ideas of theorists before them. McCrae cited sources that illustrate a volley of opinions on the topic: are nursing theories essential or are they matters of the past? Upon evaluation of this article, it is evident to the reader that, although they can seem outdated, nursing theories cannot completely be removed from practice as

This organization greatly impacts nursing practice because it is through this organization that nurse excellence and nurse leaders are created. Moreover, the organization plays a significant role in nursing research as they are constantly conducting research and studies toward improving quality of patient care. AACN serves as advocates for nurses in ensuring that they are ready and well equipped through their skills and knowledge to care for the general population. AACN continuously finds ways to improve nursing competency through ways like ensuring nurses are knowledgeable of health policy (Arabi, Rafii, Cheraghi, & Ghiyasvandian, 2014). As a nurse, it would strongly support this organization as they help innovate the future not just for nurses but also for the entre healthcare field. More efficient nurses makes a more efficient team and results to increased patient

Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005; Epstein, 2008; Gutierrez, 2005; Peter, 2008; Radzvin, 2010; Redman and Fry, 2000; Solomon et al. 2005; Sporrong et al. 2006; Wigglelon et al 2010).

The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn the five phases, including assessing, diagnosing, planning, implementing, and evaluating.