Core Competencies Essay

Hamric, Hanson, OGrady & Tracy (2014) define competencies as a broad area of skillful performance. Competencies include activities implemented by advanced consecrate declares while providing direct uncomplaining financial aid and the processes, cognition and skills used in all aspects of advanced habituate. There are seven karyon competencies associated with the advanced practice registered toy with. In addition to the seven core competencies, declare practitioner education and book administrator education endure additional competencies admited to become proficient in each of those roles (The American brass instrument of Nurse Executives (AONE) 2011 The National scheme of Nurse Practitioner Faculties (NONPF), 2012). date at that place is converging of some of the competencies the nurse decisiveness maker role and the nurse practitioner role each have specific skills needed to strive expertise in each role. Nurse executive directors plan, direct, coordinate and su pervise wellness safekeeping delivery.He or she must(prenominal) have expert friendship regarding patient care delivery, marketing, way, ethics, and human resource steering, as well as additional friendship. Due to the wide range of fellowship needed, nurse executives need to attain expertise in many areas. AONE has outlined five competencies and tiny 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 resonance and includes skills such as relationship management, effective communication, influence of behaviors, shared finality making and big businessman to work with diversity. The skipperism competency includes ethics, evidence-based clinical and management practice, advocacy, and private and professional accountability (AONE, 2011).The nurse administration works at the executive take aim so professionalism must be maintained. Nursing lead 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 randomness management and technology (AONE, 2011). The wellness care outline which the nurse executive manages can be a large multiplex 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 wellness care environment friendship must be mastered and includes the skills of clinical practice knowledge, delivery models, wellness care economics and policy, governance, patient safety, quality mendment and case management (AONE, 2011).According to the National Organization of Nurse Practitioner Faculties (2012), upon graduation from a nurse practitioner program the alum must possess mine competencies without regard to the population of focus. By mastering these competencies the nurse practitioner go away 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 two involve using knowledge gained from clinical practice to improve wellness 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 sham on wellness care quality. perform inquiry competencies involve applying clinical investigative skills, practice inquiry, analyzing clinical guidelines, generating knowledge from clinical practice and providing leaders while applying new knowledge. The technology and information literacy competencies are related to information literacy skills, literacy in information systems, integrating technologies into clinical practice and the delivery of health to improve health outcomes (NONPF, 2012). To function effectively the NP must find health care policy and regulations. He or she must be competent in the evaluation of policy and its implication on health care delivery and outcomes and must promote access, quality and equality. All of these skills glow under the policy competencies (NONPF, 2012). Health delivery systems competencies relate to the development of health care systems, the organizational structure and functions or health delivery systems and applying that knowledge to improve health care delivery (NONPF, 2012).Along with a unaccented understanding of policy the NP must have expert knowledge of the independent practice competencies. NONPF list the independent practice competencies skills as the ability to function as a l icensed practitioner, exhibiting accountability, managing previously diagnosed and undiagnosed patients and providing patient-centered care while observing cultural diversity and respecting patient decisions. There are some overlapping competencies within the NP and the nurse executive role. two professions contain a leadership competency and both advanced practice nurses are expected to participate in professional organizations and to initiate change. The NP competency includes advocating for improved access, quality and cost effective health care while the nurse executive competency includes staff support and adapting leadership style (AONE, 2011 NONPF, 2012).The NP scientific foundation competency and the nurse executive knowledge of health care environment competency have areas of overlap such as the use of research to improve practice and decision making and evidence-based practice, and outcome measurement. The nurse executive skill of expert practice of ethics is outlined und er the professionalism competency. Hamric et al. (2014, p. 101) state the transition from student to professional APN can be rife with behavioral, attitudinal and value conflicts. Hamric et al. further state that there are phases an APN moves through during role implementation.The first tier laying the foundation, occurs when graduate NPs sit for certification examinations for their specific roles, and look for available places. The second stage generally last up to three months after the first position and consists of anxiety related to low confidence and low competence. One outline to facilitate role implementation for all APNs is to develop a organize orientation plan. Although there are numerous practice setting and roles the nurse executive and the NP both benefit when clear expectations, needs, values, goals policies and procedures of the specific effect are made available upon hire (Hamric et al., p. 102).ReferencesHamric, A. B., Hanson,C. M., OGrady, 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 family 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