Competencies for Advanced Nursing Practice 1st Edition by Susan Hinchliff, Rosemary Rogers 0340927682 9780340927687

Competencies for Advanced Nursing Practice 1st Edition by Susan Hinchliff, Rosemary Rogers – Ebook PDF Instant Download/Delivery. 0340927682, 9780340927687

Full download Competencies for Advanced Nursing Practice 1st Edition after payment

Product details:

ISBN 10: 0340927682

ISBN 13: 9780340927687

Author: Susan Hinchliff, Rosemary Rogers

Competencies for Advanced Nursing Practice is the first and definitive book to deliver guidance for practitioners working to be recognized for their advanced nursing practice. Written by experienced academics and advanced nurse practitioners from a variety of clinical backgrounds, this handbook will support nurses on their journey towards adv

Competencies for Advanced Nursing Practice 1st Table of contents:

1. What is Advanced Nursing Practice?

Introduction

Background

History and Development of Advanced Nurse Practitioner Roles

Defining the Practice of Advanced Nurse Practitioners

Educational Preparation of Advanced Nurse Practitioners

Future Issues

Conclusion

Acknowledgement

References

2. The Legal and Regulatory Implications of Advanced Nursing Practice

Introduction

The Regulatory Environments Applying to Clinical Practice

Civil law

Duty of care

Standard of the duty of care

Breach in the standard of care

Causation and harm

Reasonable forseeability

Connection between the negligent act and the alleged harm

Breach of duty of care but no causation

Defences

Criminal law

Employment law

Employer’s responsibility

Professional regulation

Advanced Nursing Practice

What’s in a name?

Higher standard of care

Bolam v. Friern Hmc[1958] (see Box 2.1 on p. 24)

Wilsher v. Essex Aha [1988] (see Box 2.2 on p. 24)

R. v. Adomako[1995] (Box 2.3)

Boundaries of the advanced nursing practice role

Initiated by the employing organization

Skill-matching

Setting the boundaries

Competent advanced nursing practice

Standard of care

Common and accepted practice

Evidence-based practice

Keeping up-to-date

Clinical supervision

Awareness of limits of competence

Whistleblowing

Entrepreneurial activities

Where the advanced practitioner is the employer

Personal indemnity

Vicarious liability for permanent employees (full-time or part-time)

Liability for practitioners who are not permanently employed

Additional insurance cover

Health and safety requirement for employers

Where the advanced practitioner is a partner in a practice

Common and accepted practice

Justification

Accountability

Confidentiality and access to health records

Leadership and responsibility

Leading the team

Delegation

Team liability

Consent

Consent and mental incapacity

The capacity principles

‘Best interests’ decision

Duty to consult

Conclusion

Cases

References

3. Domain 1: The Nurse–Patient Relationship

Introduction

Specific Competencies

Creates a climate of mutual trust and establishes partnerships with patients, carers and families

Validates and checks findings with patients

Creates a relationship with patients that acknowledges their strengths and knowledge and assists them in addressing their needs

Communicates a sense of ‘being there’ for the patient, carers and families and provides comfort and emotional support

Evaluates the impact of life transitions on the health/ illness status of patients and the impact of health/ illness on patients’ lives (individuals, families, carers and communities)

Applies principles of empowerment in promoting behaviour change

Preserves the patient’s control over decision-making, assesses the patient’s commitment to the jointly determined plan of care and fosters personal responsibility for health

Maintains confidentiality while recording data, plans and results in a manner that preserves the dignity and privacy of the patient

Monitors and reflects on own emotional response to interactions with patients’ carers and families and uses this knowledge to further therapeutic interaction

Considers the patient’s needs when bringing closure to the nurse–patient relationship and provides a safe transition to another care provider

Conclusion

References

Further Reading

4. Domain 2: Respecting Culture and Diversity

Introduction

Defining Culture, Ethnicity and Diversity

Culture

Ethnicity

Diversity

Legal and Ethical Considerations In Advanced Nursing Practice

Patient autonomy and choice

Related cultural competencies

Critical reflection

Feedback

Cultural Competence

Cultural awareness

Cultural knowledge

Cultural skills

Cultural encounter

Health

Concepts of health and illness experience

Ethnocentrism

The Health Belief Model and Explanation of Health Behaviours

Lay health beliefs

Explanatory models of illness

Related cultural competencies

Critical reflection

Related cultural competencies

Critical reflection

Feedback for Scenarios 4.2 and 4.3

Spiritual Competence

Related cultural competencies

Related spiritual competencies

Critical reflection

Feedback

Related cultural competencies

Related spiritual competencies

Critical reflection

Feedback

Definition of Spirituality and Religion and Meeting the Needs of Patients

Barriers to Achieving Cultural, Linguistic and Religious Competence

Critical reflection

Feedback

Cultural Linguistics

Related cultural competencies

Related spiritual competencies

Critical reflection

Feedback

Conclusion

Practical Steps In Achieving Domain 2: Cultural and Religious Competencies

Suggestions for achieving cultural and religious competencies

Tools for developing competencies

Eliminating Linguistic Barriers

Examples for achieving religious and spiritual competencies

References

Further Reading and Resources

5. Domain 3: Management of Patient Health/Illness Status

Introduction

Background

Collecting Evidence For Domain 3

Type of evidence

Diagnosis

Use of investigations

Patient expectations, beliefs and concerns

Clinical decision-making

Use of antibiotics

Self-care advice and treatment

Conclusion

Obtains, analyses and interprets history, presenting symptoms, physical findings and diagnostic information to develop the appropriate differential diagnoses

Diagnoses and manages acute and long-term conditions while attending to the patient’s response to the illness experience

Prioritizes health problems and intervenes appropriately, including initiation of effective emergency care

Employs appropriate diagnostic and therapeutic interventions and regimens with attention to safety, cost, invasiveness, simplicity, acceptability, adherence and efficacy

Formulates an action-plan based on scientific rationale, evidence-based standards of care, and practice guidelines

Provides guidance, counselling, advice and support regarding management of the health/illness condition

Demonstrates critical thinking and diagnostic reasoning skills in clinical decision-making

Analyses the data collected to determine the health status

Demonstrates knowledge of the pathophysiology of acute or chronic diseases or conditions commonly seen in practice

Applies theories and evidence-based practice pertinent to guide practice

Evaluates the use of complementary/alternative therapies used by patients for safety and potential interaction

Integrates appropriate non-drug-based treatment methods into a plan of management

Orders, may perform, and interprets common screening and diagnostic tests

Introduction

The prescribing dilemma

Reflection

Conclusion

Provides health promotion and disease-prevention services to patients who are healthy or who have acute and/or chronic conditions

Provides health education through anticipatory guidance and counselling to promote health, reduce risk factors, and prevent disease and disability

Develops and uses a follow-up system within the practice workplace to ensure that patients receive appropriate services

Employs appropriate diagnostic and therapeutic interventions and regimens with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy

Formulates an action plan based on scientific rationale, evidence-based standards of care, and practice guidelines

Provides guidance, counselling, advice and support regarding management of the health/illness condition

Demonstrates critical thinking and diagnostic reasoning skills in clinical decision-making

Formulates a problem list and prioritized management plan

Demonstrates knowledge of the pathophysiology of acute or chronic diseases or conditions commonly seen in practice

Applies principles of epidemiology and demography in clinical practice by recognizing populations at risk, patterns of disease, and effectiveness of prevention and intervention

Provides information and advice to patients and carers concerning drug regimens, side-effects and interaction, in an appropriate form

If legally authorized, prescribes medications based on efficacy, safety, and cost from the formulary

Schedules follow-up visits appropriately to monitor patients and evaluate health/illness care

Diagnoses and manages acute and long-term conditions while attending to the patient’s response to the illness experience

Prioritizes health problems and intervenes appropriately, including initiation of effective emergency care

Initiates appropriate and timely consultation and/or referral when the problem exceeds the nurse’s scope of practice and/or expertise

Assesses and intervenes to assist the patient in complex, urgent or emergency situations

Rapidly assesses the patient’s unstable and complex health care problems through synthesis and prioritization of historical and immediately derived data

Diagnoses unstable and complex health care problems using collaboration and consultation with the multiprofessional health care team as indicated by setting, speciality, and individual knowledge and experience

Obtains a comprehensive problem-focused health history from the patient or carer

Performs a comprehensive problem-focused, age-appropriate physical examination

Analyses the data collected to determine health status of the patient

Assesses, diagnoses, monitors, coordinates, and manages the health/illness status of patients during acute and enduring episodes

Communicates the patient’s health status using appropriate terminology, format and technology

Works collaboratively with other health professionals and agencies as appropriate

Recognizes environmental health problems affecting patients and provides health protection interventions that promote healthy environments for individuals, families and communities

Analyses and interprets history, presenting symptoms, physical findings, and diagnostic information to develop the appropriate differential diagnoses

Diagnoses and manages acute and long-term conditions while attending to the patient’s response to the illness experience

Prioritizes health problems and intervenes appropriately, including initiation of effective emergency care

Formulates an action plan based on scientific rationale, evidence-based standards of care, and practice guidelines

Provides guidance, counselling, advice and support regarding management of the health/illness condition

Initiates appropriate and timely consultation and/or referral when the problem exceeds the nurse’s scope of practice and/or expertise

Plans and implements diagnostic strategies and therapeutic interventions to help patients with unstable and complex health care problems regain stability and restore health, in collaboration with the patient and multiprofessional health care team

Rapidly and continuously evaluates the patient’s changing condition and response to therapeutic interventions and modifies the plan of care for optimal patient outcome

Obtains a comprehensive problem-focused health history from the patient or carer

Performs a comprehensive problem-focused, age-appropriate physical examination

Analyses the data collected to determine health status of the patient

Assesses, diagnoses, monitors, coordinates and manages the health/illness status of patients during acute and enduring episodes

Communicates the patient’s health status using appropriate terminology, format and technology

Uses community/public health assessment information in evaluating patient needs, initiating referrals, coordinating care and programme planning

Applies principles of evidence-based practice pertinent to their area of practice

Provides information and advice to patients and carers concerning drug regimens, side-effects and interaction, in an appropriate form

Orders, may perform, and interprets common screening and diagnostic tests

Evaluates results of interventions using accepted outcome criteria, revises the plan accordingly, and consults/refers when needed

Conclusion

References

6. Domain 4: The Education Function

Introduction

The Health of the Population

Perspectives From Policy

The expert patient: a new approach to chronic disease management for the 21st century

Choosing health: making healthy choices easier

Our health, our care, our say: a new direction for community services

The Developing Roles and Functions of the Nurse

Promoting Health: Models and Theoretical Perspectives

Introducing the Anp Students

Reflections on the Education Function of the Role

Practice, Policy, Theoretical Perspectives and Role Development

The expert patient

Choosing health

Red hat: my feelings

Black hat: negative side

Yellow hat: positive side

Green hat: application to practice

Blue hat: application to other situations

Our health, our care, our say

Reflections and Concluding Thoughts

References

7. Domain 5: Professional Role

Introduction

Develops and Implements the Advanced Nurse Practitioner Role

Uses evidence and research to implement the role

Functions in a variety of role dimensions: health care provider, coordinator, consultant, educator, coach, advocate, administrator, researcher, role model and leader

Interprets and markets the role to the public, legislators, policy makers and other health care professions

Directs Care

Prioritizes: coordinates and meets multiple needs for culturally diverse patients (see also Chapter 4)

Uses sound judgement in assessing conflicting priorities and needs

Builds and maintains a therapeutic team to provide optimum therapy

Obtains specialist and referral care for patients while remaining the primary care provider

Acts as an advocate for the patient to ensure health needs are met consistent with patient’s wishes

Consults with other health care providers and public/independent agencies

Incorporates current technology appropriately in care delivery

Uses information systems to support decision-making and to improve care

Provides Leadership

Is actively involved in a professional association

Evaluates implications of contemporary health policy on health care providers and consumers

Participates in legislative and policy-making activities that influence an advanced level of nursing practice and the health of communities

Advocates for access to quality, cost-effective health care

Evaluates the relationship between community/public health issues and social problems as they impact on the health care of patients (poverty, literacy, violence, etc.)

Actively engages in continuous professional development and maintains a suitable record of this development

Conclusion

References

Further Reading

8. Domain 6: Managing and Negotiating Health Care Delivery Systems

Introduction

The Anp: Managing and Negotiating Health Care Delivery

The Scenario and Analysis Structure

The portfolio evidence

‘Managing’ Health Care Delivery Systems

The management aspect

The management scenario analysis

The management portfolio of evidence

‘Negotiating’ Health Care Delivery Systems

Negotiating

The negotiating scenario analysis

The negotiation portfolio of evidence

Conclusion

References

Further Reading

Advanced practice: scope of practice, role development

Health policy and organizations

9. Domain 7: Monitoring and Ensuring the Quality of Health Care Practice

Introduction

Professional, Ethical and Legal Considerations

Incorporates professional/legal standards into advanced clinical practice

Acts ethically to meet the needs of the patient

Assumes accountability for practice and strives to attain the highest standards of practice

Evaluating Responses to Health Care and Revising Practice

Actively seeks and participates in peer review of own practice

Evaluates the patient’s response to the health care provided and the effectiveness of care

Interprets and uses the outcomes of care to revise care delivery strategies and improve the quality of care

Actively seeks and participates in peer review of own practice

Working Within the Health Care Team

Collaborates and/or consults with members of the health care team about variations in health outcomes

Evaluates patient follow-up and outcomes, including consultation and referral

Evidence-Based Practice

Promotes and uses an evidence-based approach to patient management that critically evaluates and applies research findings pertinent to patient care management and outcomes

Monitors current evidence-based literature in order to improve quality care

Continuing Professional Development

Accepts personal responsibility for professional development and the maintenance of professional competence and credential

Professional development for the organization

Professional development for the individual

The Anp’S Role In Maintaining His Or Her Own Professional Competence

Engages in clinical supervision and self-evaluation and uses this to improve care and practice

Actively seeks and participates in peer review of own practice

Accepts personal responsibility for professional development and the maintenance of professional competence and credential

The Anp’S Practice and Quality Improvement

Monitors quality of own practice and participates in continuous improvement

Research

Patient satisfaction

Audit trails

Feedback

Conclusion

References

10. Collecting the Evidence

Introduction

What is Accreditation?

Differences between academic and professional accreditation

Academic accreditation

Professional accreditation

Supporting the path to professional accreditation

The Benefits of Professional Accreditation

What is meant by evidence?

What constitutes evidence?

Critical incident reflections

Direct observation of practice

Notes of clinical supervision, facilitation

360° feedback

User perspectives: patient narratives, patient stories

Outcomes

Action learning

Other methods of collecting evidence

Writing your narrative

Capturing the Evidence

Professional portfolios

What to include in your portfolio

The evidence

Peer Review of the Evidence

Conclusion

References

Appendix 1: Mapping of the Nmc-Proposed Competencies Against the Knowledge and Skills Framework

Reference

Appendix 2: Nurse Practitioner Radiograph Referral Guidelines

Appendix 3: Portfolio Development

Portfolio Development

Reference

Appendix 4: Learning Contract Example

Example: Statement of Practice Competence

Appendix 5: Learning Contract Guide

Organization and Planning

People also search for Competencies for Advanced Nursing Practice 1st: 

4 nursing competencies

qsen competencies nursing examples

8 competencies of a physician

seven core competencies of advanced practice nursing