Practicum Experience: Journal Entry
Practicum Experience: Journal Entry
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency.
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Write My Essay For MeTo prepare for this course’s Practicum Experience, address the following in your Practicum Journal:
•Select and describe a nursing theory to guide your practice.
•Develop goals and objectives for your Practicum Experience in this course.
When developing your goals and objectives, be sure to keep the seven domains of practice in mind.
NATIONAL ORGANIZATION OF NURSE PRACTITIONER FACULTIES
DOMAINS AND CORE COMPETENCIES OF NURSE PRACTITIONER PRACTICE
MARCH 2006
Although the language used to articulate these Domains and CoreCompetencies was significantly revised from the 2002 and earlier versions to reduce redundancy and facilitate measurement and evaluation, the content remains the same. Based on feedback from nurse educators, it became evident that the 2002 and earlier competencies as stated were often redundant and their large number unwieldy when attempting to construct evaluation instruments. NONPF obtained consultation from experts in competency evaluation and measurement to help identify future directions. NONPF undertook further refinement of these competencies to enhance their usability The purpose of this revision was not to change the content of the competencies but rather to revise the language and pesentation to facilitate measurement and evaluation. The resulting articulation of the Coe Competencies reduces the number of terminal competencies to be measured by removing redundant competencies that appeared in several of the seven domains and by clustering competencies into aggregates.
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All Nurse Practitioners should be able to demonstrate these core competencies at graduation. Each set of specialty competencies builds upon this set of core competencies. Throughout the competencies, patient is defined as the individual, family, group, and/or community.
DOMAIN ONE: Management of Patient Health/Illness Status
COMPETENCIES
The nurse practitioner demonstrates competence in the management of patient health/illness status when she/he:
- Provides health promotion services
- Provides disease prevention services
- Provides health protection interventions
- Provides anticipatory guidance
- Provides counseling
- Promotes healthy environments
- Incorporates community needs, strengths, and resources into practice
- Applies principles of epidemiology and demography in clinical practice
- Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making
- Obtains a health history from the patient
- Performs a physical examination
- Differentiates between normal, variations of normal and abnormal findings
- Employs screening and diagnostic strategies
1 - Analyzes data to determine health status
- Develops differential diagnosis
- Formulates a diagnosis
- Prioritizes health needs/problems
- Formulates an evidence-based action plan
- Initiates therapeutic interventions
- Manages the health/illness status over time
- Prescribes medications within legal authorization
- Counsels the patient on the use of complementary/alternative therapies
- Evaluates outcomes of care
- Communicates effectively using professional terminology, format, and technology
- Provides for continuity of care
DOMAIN 2: The Nurse Practitioner-Patient Relationship
COMPETENCIES
The nurse practitioner demonstrates competence in the nurse/patient relationship when she/he: - Attends to the patient’s responses to changes in health status and care
- Creates a climate of mutual trust
- Provides comfort and emotional support
- Applies principles for behavioral change
- Preserves the patient’s control over decision making
- Negotiates a mutually acceptable plan of care
- Maintains confidentiality and privacy
- Respects the patient’s inherent worth and dignity
- Uses self-reflection to further a therapeutic relationship
- Maintains professional boundaries
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DOMAIN 3: The Teaching-Coaching Function
COMPETENCIES
The nurse practitioner demonstrates competence in the teaching-coaching function when she/he: - Assesses the patient’s educational needs
- Creates an effective learning environment
- Designs a personalized plan for learning
- Provides health education
- Coaches the patient for behavioral changes
- Evaluates the outcomes of patient education
DOMAIN 4 Professional Role
COMPETENCIES
The nurse practitioner demonstrates competence in the professional role when she/he: - Demonstrates evidence-based approaches to care
- Delivers safe care
- Functions in a variety of roles
- Communicates personal strengths and professional limits
- Advocates for the advanced practice role of the nurse
- Markets the nurse practitioner role
- Participates as a member of health care teams
- Collaborates with other health care providers
- Consults with other health care providers
- Advocates for the patient
- Acts ethically
- Incorporates current technology
- Evaluates implications of health policy
- Participates in policy making activities
- Provides leadership
- Accepts personal responsibility for professional development
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DOMAIN 5: Managing and Negotiating Health Care Delivery Systems
COMPETENCIES
The nurse practitioner demonstrates competence in managing and negotiating health care delivery systems when she/he: - Incorporates access, cost, efficacy and quality when making care decisions
- Demonstrates current knowledge of health care system financing as it affects delivery of care
- Analyzes organizational structure, functions, and resources to affect delivery of care
- Practices within an authorized scope of practice
- Applies business strategies
- Evaluates the impact of the health care delivery system on care.
- Participates in all aspects of community health programs
- Advocates for policies that positively affect health care
- Negotiates legislative change to influence health care delivery systems
DOMAIN 6: Monitoring and Ensuring the Quality of Health Care Practice
COMPETENCIES
The nurse practitioner demonstrates competence in monitoring and ensuring the quality of health care practice when she/he: - Monitors quality of care
- Assumes accountability for practice
- Engages in continuous quality improvement
DOMAIN 7: Culturally-Sensitive Care
COMPETENCIES
The nurse practitioner demonstrates competence in culturally-sensitive care when she/he: - Prevents personal biases from interfering with the delivery of quality care
- Provides culturally sensitive care
- Assists patients of diverse cultures to access quality care
- Incorporates cultural preferences, values, health beliefs and behaviors into the management plan
- Assists patients and families to meet their spiritual needs
- Incorporates patient’s spiritual beliefs in care
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