ESSENTIAL I ~Scientific UnderpinningsforPractice

1.1 Integrate nursingscience withknowledgefromethics,thebiophysical,psychosocial,analytical,andorganizationalsciencesasthebasisfor thehighestlevelofnursing practice.

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1.2.Use science-basedtheoriesandconcepts to:
  • Determinethenatureandsignificanceofhealthandhealthcaredelivery phenomena.
  • Describe theactionsandadvancedstrategies to enhance,alleviate.
  • Ameliorate healthandhealth caredeliveryphenomenaasappropriate.
  • Evaluateoutcomes.

1.3.Developandevaluate newpracticeapproachesbasedonnursingtheoriesandtheoriesfrom otherdisciplines
ESSENTIAL II~OrganizationalandSystemsLeadershipforQualityImprovementSystemsThinking
2.1. Develop andevaluate caredeliveryapproachesthatmeetcurrentandfutureneedsofpatientpopulationsbasedonscientificfindings in nursingand otherclinicalsciences,as wellas organizational,political,andeconomicsciences.
2.2. Ensureaccountabilityforqualityof health careandpatientsafetyfor populationswithwhomtheywork.
Useadvancedcommunicationskills/processestoleadqualityimprovementandpatientsafetyinitiatives in healthcare.
Employprinciplesofbusiness,finance,economics,andhealthpolicyto developandimplementeffective plansforpractice-leveland/orsystem-widepractice initiativesthatwillimprove thequalityofcaredelivery.
Develop and/ormonitorbudgetsfor practiceinitiatives.
Analyze the cost-effectivenessofpracticeinitiativesaccountingfor risk andimprovementofhealthcareoutcomes.

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Demonstratesensitivityto diverseorganizationalculturesandpopulations,including patientsandproviders.
2.3. Develop and/orevaluateeffectivestrategies for managing theethicaldilemmasinherent inpatientcare,thehealth careorganization,andresearch.
ESSENTIALIII ~ ClinicalScholarshipandAnalytical MethodsforEvidence-basedPractice
3.1. Useanalytic methodsto criticallyappraiseexisting literatureandotherevidencetodetermine andimplementthebestevidenceforpractice.
3.2. Designandimplementprocessestoevaluateoutcomesofpractice,practicepatterns,and systemsofcarewithin a practicesetting,healthcareorganization, or communityagainstnationalbenchmarks to determinevariances inpracticeoutcomesandpopulation trends.
3.3. Design,direct,andevaluatequalityimprovementmethodologies to promotesafe,timely,effective,efficient,equitable,andpatient-centeredcare.
3.4. Applyrelevantfindings todevelop practiceguidelinesandimprove practiceandthepracticeenvironment.
3.5.informationtechnologyandresearchmethodsappropriatelyto:
  • Collectappropriateandaccurate data togenerate evidencefornursingpractice.
  • Informandguide thedesignofdatabasesthatgeneratemeaningfulevidencefor nursingpractice.
  • Analyze data from practice.
  • Designevidence-basedinterventions.
  • Predict andanalyze outcomes.
  • Examine patternsofbehavior andoutcomes.
  • Identifygaps in evidencefor practice.

3.6. Function asa practicespecialist/consultantincollaborativeknowledge-generatingresearch.
3.7. Disseminate findings from evidence-basedpracticeandresearch toimprovehealthcareoutcomes
ESSENTIAL IV~ InformationSystems/Technologyand PatientCareTechnologyfortheImprovementTransformationofHealthcare
4.1. Useanalyticmethodsto criticallyappraiseexisting literatureandotherevidencetodetermine andimplementthebestevidenceforpractice.
4.2. Analyze and communicatecriticalelementsnecessaryto theselection, useandevaluationofhealthcareinformationsystemsandpatientcaretechnology.
4.3. Demonstratetheconceptualabilityandtechnicalskills todevelopandexecute anevaluationplaninvolving dataextraction frompracticeinformation systemsanddatabases.
4.4. Provideleadership in theevaluationandresolutionofethicaland legal issues withinhealthcaresystemsrelating to theuse ofinformation,informationtechnology,communication networks,and patientcaretechnology.
4.5. Evaluateconsumerhealthinformationsourcesfor accuracy,timeliness,andappropriateness.
ESSENTIAL V ~ Health Care PolicyforAdvocacyin Healthcare
5.1. Criticallyanalyze healthpolicyproposals,healthpolicies,andrelated issuesfromtheperspectiveofconsumers,nursing,otherhealthprofessions,and other stakeholdersinpolicyandpublicforums.
5.2. Demonstrateleadershipin thedevelopmentandimplementationofinstitutional, local,state,federal,and/orinternationalhealthpolicy.
5.3. Influencepolicymakersthroughactiveparticipationon
committees,boards, ortaskforces attheinstitutional, local,state,regional,national, and/or internationallevels toimprovehealth caredeliveryand outcomes.
5.4. Educate others,includingpolicymakers at all levels,regardingnursing,healthpolicy, andpatientcareoutcomes.
5.5. Advocatefor thenursingprofession withinthepolicyandhealthcarecommunities.
5.6. Develop,evaluate,andprovideleadershipforhealth carepolicythatshapeshealthcarefinancing, regulation,anddelivery.
5.7. Advocatefor social justice, equity,andethicalpolicieswithinallhealthcarearenas.
ESSENTIAL VI~ InterprofessionalCollaboration for Improving Patient
PopulationHealthOutcomes
6.1. Employeffectivecommunicationandcollaborativeskills in thedevelopmentandimplementationof practicemodels,peerreview, practice guidelines,healthpolicy,standardsofcare,and/orotherscholarlyproducts.
6.2. Leadinterprofessionalteams in theanalysis ofcomplexpracticeandorganizational issues.
6.3. Employconsultative and leadershipskillswithintraprofessionalandinterprofessionalteams tocreatechange inhealthcareandcomplexhealthcaredeliverysystems.
ESSENTIALVII ~ Clinical PreventionandPopulationHealthforImproving the Nation’s Health
7.1. Analyzeepidemiological,biostatistical,environmental,andotherappropriatescientificdatarelatedto individual,aggregate, andpopulation health.
7.2. Synthesizeconcepts,including psychosocialdimensionsandcultural diversity, related to clinicalpreventionandpopulation
health in developing,implementing,andevaluatinginterventionstoaddresshealthpromotion/diseasepreventionefforts,improvehealthstatus/accesspatterns,and/oraddressgaps in careofindividuals,aggregates, or populations.
7.3. Evaluatecaredeliverymodels and/orstrategies using conceptsrelated tocommunity,environmentalandoccupationalhealth,andculturalandsocioeconomicdimensionsofhealth.
ESSENTIALVIII ~ AdvancedNursingPractice
8.1. Conduct acomprehensive and systematicassessmentofhealthand illnessparametersin complexsituations,incorporatingdiverse and culturallysensitiveapproaches.
8.2. Design,implement,andevaluatetherapeuticinterventionsbased onnursingscienceandothersciences.
8.3. Develop and sustain therapeuticrelationshipsandpartnershipswith patients (individual, familyor group)andotherprofessionalstofacilitateoptimal careandpatientoutcomes.
8.4. Demonstrate advancedlevelsofclinicaljudgment,systemsthinking,andaccountabilityin designing,delivering, andevaluatingevidence-basedcare toimprovepatientoutcomes.
8.5. Guide,mentor,andsupportothernurses to achieve excellenceinnursingpractice.

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