N108: Transition to the Registered Professional Nurse Role Study Guide
Public health nurse Clinical research coordinator
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Informatics 1.14 Competencies Shared by all Levels of Professional Nursing Nurses often play key roles in advancing patient-centered care and often act as catalysts for initiating and integrating partnership practices in daily care. Additionally, nurses who consistently partner with patients and families in their daily practice serve as important role models and mentors to others. Patient-centered care is not a new concept. It is an innovative approach to the planning, delivery, and evaluation of health care grounded in mutually beneficial partnerships among health care providers, patients, and families. While improving outcomes in health care is not always a straight-forward process, evidence-based positive outcomes in terms of quality, safety, and patient/family satisfaction continue to build support for patient-centered practice, further supporting its validity and importance. Nurses promoting patient-centered care display four essential competencies: • Cognitively skilled: Nurses think about the nature of things to make sense of their world. They grasp conceptually what is necessary to achieve valued goals and offer scientific rationale for the patient’s plan of care. They select nursing interventions most likely to have desired outcomes. • Technically skilled: Nurses are able to manipulate equipment skillfully to produce a desired outcome or result, often requiring manual dexterity and good eye-hand coordination. Nurses use technical equipment and are able to creatively adapt equipment to the needs of individual patients. • Interpersonally skilled: Nurses establish andmaintain caring relationships to achieve valued goals and to affirm worth of those in the relationship. Nurses use interactions with patients, significant others, and colleagues to affirm their worth. Nurses elicit personal strengths and abilities of patients and their significant others to achieve valued goals and expectations. This skill provides the healthcare team with knowledge about the patient’s valued goals and expectations, and nurses work collaboratively with other members of the healthcare team as a credible and respected colleague to reach goals. • Ethically and legally skilled: The nurse conducts oneself in a manner consistent with a personal moral code and professional role responsibilities. The nurse is trusted to act in ways that advance the interest of patients, act as an effective patient advocate, and mediate ethical conflicts among the patient, significant others, and the healthcare team. They also practice nursing faithful to the tenets of the professional codes of ethics and standards of practice while using legal safeguards that reduce the risk of litigation.