Nursing Master program
AACN’s The Essentials: Core Competencies for Professional Nursing Education (2021)
Domains, Competencies, and Advanced Sub-competencies & MSN PSLOs
AACN Essentials 2021
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MSN PSLOs |
Competency |
Advanced Sub-competency |
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1 Knowledge for Nursing Practice Integration, translation, and application of established and evolving disciplinary nursing knowledge and ways of knowing, as well as knowledge from other disciplines, including a foundation in liberal arts and natural and social sciences. This distinguishes the practice of professional nursing and forms the basis for clinical judgment and innovation in nursing practice. |
1. Synthesize knowledge from the humanities and sciences with the art and science of nursing to inform education, practice, and research.
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1.1e Translate evidence from nursing science as well as other sciences into practice. 1.1f Demonstrate the application of nursing science to practice. 1.1g Integrate an understanding of nursing history in advancing nursing’s influence in health care. |
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1.2 - Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences.
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1.2f Synthesize knowledge from nursing and other disciplines to inform education, practice, and research. 1.2g Apply a systematic and defendable approach to nursing practice decisions. 1.2h Employ ethical decision making to assess, intervene, and evaluate nursing care. 1.2i Demonstrate socially responsible leadership. 1.2j Translate theories from nursing and other disciplines to practice. |
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1.3 - Demonstrate clinical judgment founded on a broad knowledge base.
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1.3d Integrate foundational and advanced specialty knowledge into clinical reasoning. 1.3e Synthesize current and emerging evidence to Influence practice. 1.3f Analyze decision models from nursing and other knowledge domains to improve clinical judgment. |
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Person-centered care focuses on the individual within multiple complicated contexts, including family and/or important others. Person-centered care is holistic, individualized, just, respectful, compassionate, coordinated, evidence-based, and developmentally appropriate. Person-centered care builds on a scientific body of knowledge that guides nursing practice regardless of specialty or functional area.
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2. Model compassionate, holistic person-centered care of diverse individuals, families, groups, populations, and their communities.
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2.1 - Engage with the individual in establishing a caring relationship. |
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2.2 - Communicate effectively with individuals. |
2.2g Advanced - Demonstrate advanced communication skills and techniques using a variety of modalities with diverse audiences. 2.2h Advanced - Design evidence-based, person-centered engagement materials. 2.2i Advanced - Apply individualized information, such as genetic/genomic, pharmacogenetic, and environmental exposure information in the delivery of personalized health care. 2.2j Advanced - Facilitate difficult conversations and disclosure of sensitive information. |
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2.3 - Integrate assessment skills in practice. |
2.3h Advanced - Demonstrate that one’s practice is informed by a comprehensive assessment appropriate to the functional area of advanced nursing practice. |
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2.4 - Diagnose actual or potential health problems and needs. |
2.4f Advanced - Employ context driven, advanced reasoning to the diagnostic and decision-making process. 2.4g Advanced - Integrate advanced scientific knowledge to guide decision making. |
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2.5 - Develop a plan of care. |
2.5h Advanced - Lead and collaborate with an interprofessional team to develop a comprehensive plan of care. 2.5i Advanced - Prioritize risk mitigation strategies to prevent or reduce adverse outcomes. 2.5j Advanced - Develop evidence-based interventions to improve outcomes and safety. 2.5k Advanced - Incorporate innovations into practice when evidence is not available. |
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2.6 - Demonstrate accountability for care delivery. |
2.6e Advanced - Model best care practices to the team. 2.6f Advanced - Monitor aggregate metrics to assure accountability for care outcomes. 2.6g Advanced - Promote delivery of care that supports practice at the full scope of education. 2.6h Advanced - Contribute to the development of policies and processes that promote transparency and accountability. 2.6i Advanced - Apply current and emerging evidence to the development of care guidelines/tools. 2.6j Advanced - Ensure accountability throughout transitions of care across the health continuum. |
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2.7 - Evaluate outcomes of care. |
2.7d Advanced - Analyze data to identify gaps and inequities in care and monitor trends in outcomes. 2.7e Advanced - Monitor epidemiological and system-level aggregate data to determine healthcare outcomes and trends. 2.7f Advanced - Synthesize outcome data to inform evidence-based practice, guidelines, and policies. |
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2.8 - Promote self-care management. |
2.8f Advanced - Develop strategies that promote self-care management. 2.8g Advanced - Incorporate the use of current and emerging technologies to support self-care management. 2.8h Advanced - Employ counseling techniques, including motivational interviewing, to advance wellness and self-care management. 2.8i Advanced - Evaluate adequacy of resources available to support self-care management. 2.8j Advanced - Foster partnerships with community organizations to support self-care management. |
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2.9 - Provide care coordination. |
2.9f Advanced - Evaluate communication pathways among providers and others across settings, systems, and communities. 2.9g Advanced - Develop strategies to optimize care coordination and transitions of care. 2.9h Advanced - Guide the coordination of care across health systems. 2.9i Advanced - Analyze system-level and public policy influence on care coordination. 2.9j Advanced - Participate in system-level change to improve care coordination across settings. |
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3 Population Health Population health spans the healthcare delivery continuum from public health prevention to disease management of populations and describes collaborative activities with both traditional and non-traditional partnerships from affected communities, public health, industry, academia, health care, local government entities, and others for the improvement of equitable population health outcomes. (Kindig & Stoddart, 2003; Kindig, 2007; Swartout & Bishop, 2017; CDC, 2020). |
3. Create partnerships that promote equitable health outcomes and effective advocacy policies to address the social determinants of health across the continuum of care.
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3.1 - Manage population health. |
3.1e Advanced - Apply an understanding of the public health system and its interfaces with clinical health care in addressing population health needs. 3.1j Advanced - Assess the efficacy of a system’s capability to serve a target sub-population’s healthcare needs. 3.1k Advanced - Analyze primary and secondary population health data for multiple populations against relevant benchmarks. 3.1l Advanced - Use established or evolving methods to determine population-focused priorities for care. 3.1m Advanced - Develop a collaborative approach with relevant stakeholders to address population healthcare needs, including evaluation methods. 3.1n Advanced - Collaborate with appropriate stakeholders to implement a sociocultural and linguistically responsive intervention plan. |
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3.2 - Engage in effective partnerships. |
3.2d Advanced - Ascertain collaborative opportunities for individuals and organizations to improve population health. 3.2e Advanced - Challenge biases and barriers that impact population health outcomes. 3.2f Advanced - Evaluate the effectiveness of partnerships for achieving health equity. 3.2g Advanced - Lead partnerships to improve population health outcomes. 3.2h Advanced - Assess preparation and readiness of partners to organize during natural and manmade disasters. |
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3.3 - Consider the socioeconomic impact of the delivery of health care. |
3.3c Advanced - Analyze cost-benefits of selected population-based interventions. 3.3d Advanced - Collaborate with partners to secure and leverage resources necessary for effective, sustainable interventions. 3.3e Advanced - Advocate for interventions that maximize cost-effective, accessible, and equitable resources for populations. 3.3f Advanced - Incorporate ethical principles in resource allocation in achieving equitable health. |
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3.4 - Advance equitable population health policy. |
3.4f Advanced - Identify opportunities to influence the policy process. 3.4g Advanced - Design comprehensive advocacy strategies to support the policy process. 3.4h Advanced - Engage in strategies to influence policy change. 3.4i Advanced - Contribute to policy development at the system, local, regional, or national levels. 3.4j Advanced - Assess the impact of policy changes. 3.4k Advanced - Evaluate the ability of policy to address disparities and inequities within segments of the population. 3.4l Advanced - Evaluate the risks to population health associated with globalization. |
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3.5 Demonstrate advocacy strategies. |
3.5f Advanced - Appraise advocacy priorities for a population. 3.5g Advanced - Strategize with an interdisciplinary group and others to develop effective advocacy approaches. 3.5h Advanced - Engage in relationship-building activities with stakeholders at any level of influence, including system, local, state, national, and/or global. 3.5i Advanced - Demonstrate leadership skills to promote advocacy efforts that include principles of social justice, diversity, equity, and inclusion. |
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3.6 - Advance preparedness to protect population health during disasters and public health emergencies. |
3.6f Advanced - Collaboratively initiate rapid response activities to protect population health. 3.6g Advanced - Participate in ethical decision making that includes diversity, equity, and inclusion in advanced preparedness to protect populations. 3.6h Advanced - Collaborate with interdisciplinary teams to lead preparedness and mitigation efforts to protect population health with attention to the most vulnerable populations. 3.6i Advanced - Coordinate the implementation of evidence-based infection control measures and proper use of personal protective equipment. 3.6j Advanced - Contribute to system-level planning, decision making, and evaluation for disasters and public health emergencies. |
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4 Scholarship for Nursing Practice The generation, synthesis, translation, application, and dissemination of nursing knowledge to improve health and transform health care (AACN, 2018). |
4. Engage in scholarly inquiry that results in translation of evidence to support advanced nursing practice including clinical prevention, wellness, and population health.
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4.1 - Advance the scholarship of nursing. |
4.1h Advanced - Apply and critically evaluate advanced knowledge in a defined area of nursing practice. 4.1i Advanced - Engage in scholarship to advance health. 4.1j Advanced - Discern appropriate applications of quality improvement, research, and evaluation methodologies. 4.1k Advanced - Collaborate to advance one’s scholarship. 4.1l Advanced - Disseminate one’s scholarship to diverse audiences using a variety of approaches or modalities. 4.1m Advanced - Advocate within the interprofessional team and with other stakeholders for the contributions of nursing scholarship. |
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4.2 - Integrate best evidence into nursing practice. |
4.2f Advanced - Use diverse sources of evidence to inform practice. 4.2g Advanced - Lead the translation of evidence into practice. 4.2h Advanced - Address opportunities for innovation and changes in practice. 4.2i Advanced - Collaborate in the development of new/revised policy or regulation in the light of new evidence. 4.2j Advanced - Articulate inconsistencies between practice policies and best evidence. 4.2k Advanced - Evaluate outcomes and impact of new practices based on the evidence. |
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4.3 - Promote the ethical conduct of scholarly activities. |
4.3e Advanced - Identify and mitigate potential risks and areas of ethical concern in the conduct of scholarly activities. 4.3f Advanced - Apply IRB guidelines throughout the scholarship process. 4.3g Advanced - Ensure the protection of participants in the conduct of scholarship. 4.3h Advanced - Implement processes that support ethical conduct in practice and scholarship. 4.3i Advanced - Apply ethical principles to the dissemination of nursing scholarship. |
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5 Quality and Safety Employment of established and emerging principles of safety and improvement science. Quality and safety, as core values of nursing practice, enhance quality and minimize risk of harm to patients and providers through both system effectiveness and individual performance. |
5. Employ a culture of quality and safety, using improvement science, that advocates for change from an advanced nursing practice perspective.
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5.1 - Apply quality improvement principles in care delivery. |
5.1i Advanced - Establish and incorporate data driven benchmarks to monitor system performance. 5.1j Advanced - Use national safety resources to lead team-based change initiatives. 5.1k Advanced - Integrate outcome metrics to inform change and policy recommendations. 5.1l Advanced - Collaborate in analyzing organizational process improvement initiatives. 5.1m Advanced - Lead the development of a business plan for quality improvement initiatives. 5.1n Advanced - Advocate for change related to financial policies that impact the relationship between economics and quality care delivery. 5.1o Advanced - Advance quality improvement practices through dissemination of outcomes. |
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5.2 - Contribute to a culture of patient safety. |
5.2g Advanced - Evaluate the alignment of system data and comparative patient safety benchmarks. 5.2h Advanced - Lead analysis of actual errors, near misses, and potential situations that would impact safety. 5.2i Advanced - Design evidence-based interventions to mitigate risk. 5.2j Advanced - Evaluate emergency preparedness system-level plans to protect safety. |
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5.3 - Contribute to a culture of provider and work environment safety. |
5.3e Advanced - Advocate for structures, policies, and processes that promote a culture of safety and prevent workplace risks and injury. 5.3f Advanced - Foster a just culture reflecting civility and respect. 5.3g Advanced - Create a safe and transparent culture for reporting incidents. 5.3h Advanced - Role model and lead well-being and resiliency for self and team. |
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6 Interprofessional Partnerships
Intentional collaboration across professions and with care team members, patients, families, communities, and other stakeholders to optimize care, enhance the healthcare experience, and strengthen outcomes.
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6. Model advanced level interpersonal collaboration and leadership to improve health systems and outcomes.
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6.1 - Communicate in a manner that facilitates a partnership approach to quality care delivery. |
6.1g Advanced - Evaluate effectiveness of interprofessional communication tools and techniques to support and improve the efficacy of team-based interactions. 6.1h Advanced - Facilitate improvements in interprofessional communications of individual information (e.g. EHR). 6.1i Advanced - Role model respect for diversity, equity, and inclusion in team-based communications. 6.1j Advanced - Communicate nursing’s unique disciplinary knowledge to strengthen interprofessional partnerships. 6.1k Advanced - Provide expert consultation for other members of the healthcare team in one’s area of practice. 6.1l Advanced - Demonstrate capacity to resolve interprofessional conflict. |
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6.2 - Perform effectively in different team roles, using principles and values of team dynamics. |
6.2g Advanced - Integrate evidence-based strategies and processes to improve team effectiveness and outcomes. 6.2h Advanced - Evaluate the impact of team dynamics and performance on desired outcomes. 6.2i Advanced - Reflect on how one’s role and expertise influences team performance. 6.2j Advanced - Foster positive team dynamics to strengthen desired outcomes. |
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6.3 - Use knowledge of nursing and other professions to address healthcare needs. |
6.3d Advanced - Direct interprofessional activities and initiatives. |
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6.4 - Work with other professions to maintain a climate of mutual learning, respect, and shared values. |
6.4e Advanced - Practice self-assessment to mitigate conscious and implicit biases toward other team members. 6.4f Advanced - Foster an environment that supports the constructive sharing of multiple perspectives and enhances interprofessional learning. 6.4g Advanced - Integrate diversity, equity, and inclusion into team practices. 6.4h Advanced - Manage disagreements, conflicts, and challenging conversations among team members. 6.4i Advanced - Promote an environment that advances interprofessional learning. |
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7 Systems-Based Practice Responding to and leading within complex systems of health care. Nurses effectively and proactively coordinate resources to provide safe, quality, and equitable care to diverse populations. |
7. Champion health care policy, finance, and regulatory issues that promote diversity, equity, and inclusion within complex systems of healthcare.
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7.1 - Apply knowledge of systems to work effectively across the continuum of care. |
7.1e Advanced - Participate in organizational strategic planning. 7.1f Advanced - Participate in system-wide initiatives that improve care delivery and/or outcomes. 7.1g Advanced - Analyze system-wide processes to optimize outcomes. 7.1h Advanced - Design policies to impact health equity and structural racism within systems, communities, and populations. |
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7.2 - Incorporate consideration of cost-effectiveness of care. |
7.2g Advanced - Analyze relevant internal and external factors that drive healthcare costs and reimbursement. 7.2h Advanced - Design practices that enhance value, access, quality, and cost-effectiveness. 7.2i Advanced - Advocate for healthcare economic policies and regulations to enhance value, quality, and cost-effectiveness. 7.2j Advanced - Formulate, document, and disseminate the return on investment for improvement initiatives collaboratively with an interdisciplinary team. 7.2k Advanced - Recommend system-wide strategies that improve cost- effectiveness considering structure, leadership, and workforce needs. 7.2l Advanced - Evaluate health policies based on an ethical framework considering cost-effectiveness, health equity, and care outcomes. |
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7.3 - Optimize system effectiveness through application of innovation and evidence-based practice. |
7.3e Advanced - Apply innovative and evidence-based strategies focusing on system preparedness and capabilities. 7.3f Advanced - Design system improvement strategies based on performance data and metrics. 7.3g Advanced - Manage change to sustain system effectiveness. 7.3h Advanced - Design system improvement strategies that address internal and external system processes and structures that perpetuate structural racism and other forms of discrimination in healthcare systems. |
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8 Information and Healthcare Technologies Information and communication technologies and informatics processes are used to provide care, gather data, form information to drive decision making, and support professionals as they expand knowledge and wisdom for practice. Informatics processes and technologies are used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practice and professional and regulatory standards.
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8. Analyze information management and healthcare technologies for strategic planning in the delivery of advanced nursing care in complex healthcare systems.
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8.1 - Describe the various information and communication technology tools used in the care of patients, communities, and populations. |
8.1g Advanced - Identify best evidence and practices for the application of information and communication technologies to support care. 8.1h Advanced - Evaluate the unintended consequences of information and communication technologies on care processes, communications, and information flow across care settings. 8.1i Advanced - Propose a plan to influence the selection and implementation of new information and communication technologies. 8.1j Advanced - Explore the fiscal impact of information and communication technologies on health care. 8.1k Advanced - Identify the impact of information and communication technologies on workflow processes and healthcare outcomes. |
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8.2 - Use information and communication technology to gather data, create information, and generate knowledge. |
8.2f Advanced - Generate information and knowledge from health information technology databases. 8.2g Advanced - Evaluate the use of communication technology to improve consumer health information literacy. 8.2h Advanced - Use standardized data to evaluate decision-making and outcomes across all systems levels. 8.2i Advanced - Clarify how the collection of standardized data advances the practice, understanding, and value of nursing and supports care. 8.2j Advanced - Interpret primary and secondary data and other information to support care. |
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8.3 - Use information and communication technologies and informatics processes to deliver safe nursing care to diverse populations in a variety of settings. |
8.3g Advanced - Evaluate the use of information and communication technology to address needs, gaps, and inefficiencies in care. 8.3h Advanced - Formulate a plan to influence decision-making processes for selecting, implementing, and evaluating support tools. 8.3i Advanced - Appraise the role of information and communication technologies in engaging the patient and supporting the nurse-patient relationship. 8.3j Advanced - Evaluate the potential uses and impact of emerging technologies in health care. 8.3k Advanced - Pose strategies to reduce inequities in digital access to data and information. |
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8.4 - Use information and communication technology to support documentation of care and communication among providers, patients, and all system levels. |
8.4e Advanced - Assess best practices for the use of advanced information and communication technologies to support patient and team communications. 8.4f Advanced - Employ electronic health, mobile health, and telehealth systems to enable quality, ethical, and efficient patient care. 8.4g Advanced - Evaluate the impact of health information exchange, interoperability, and integration to support patient-centered care. |
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8.5 - Use information and communication technologies in accordance with ethical, legal, professional, and regulatory standards, and workplace policies in the delivery of care. |
8.5g Advanced - Apply risk mitigation and security strategies to reduce misuse of information and communication technology. 8.5h Advanced - Assess potential ethical and legal issues associated with the use of information and communication technology. 8.5i Advanced - Recommend strategies to protect health information when using communication and information technology. 8.5j Advanced - Promote patient engagement with their personal health data. 8.5k Advanced - Advocate for policies and regulations that support the appropriate use of technologies impacting health care. 8.5l Advanced - Analyze the impact of federal and state policies and regulation on health data and technology in care settings. |
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9 Professionalism
Formation and cultivation of a sustainable professional identity, including accountability, perspective, collaborative disposition, and comportment, that reflects nursing’s characteristics and values.
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9. Advocate for consistent application of ethical and legal standards that advance diversity, equity, and inclusion in all nursing arenas.
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9.1 - Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society. |
9.1h Advanced - Analyze current policies and practices in the context of an ethical framework. 9.1i Advanced - Model ethical behaviors in practice and leadership roles. 9.1j Advanced - Suggest solutions when unethical behaviors are observed. 9.1k Advanced - Assume accountability for working to resolve ethical dilemmas. |
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9.2 - Employ participatory approach to nursing care. |
9.2h Advanced - Foster opportunities for intentional presence in practice. 9.2i Advanced - Identify innovative and evidence-based practices that promote person-centered care. 9.2j Advanced - Advocate for practices that advance diversity, equity, and inclusion. 9.2k Advanced - Model professional expectations for therapeutic relationships. 9.2l Advanced - Facilitate communication that promotes a participatory approach. |
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9.3 - Demonstrate accountability to the individual, society, and the profession. |
9.3i Advanced - Advocate for nursing’s professional responsibility for ensuring optimal care outcomes 9.3j Advanced - Demonstrate leadership skills when participating in professional activities and/or organizations. 9.3k Advanced - Address actual or potential hazards and/or errors. 9.3l Advanced - Foster a practice environment that promotes accountability for care outcomes. 9.3m Advanced - Advocate for policies/practices that promote social justice and health equity. 9.3n Advanced - Foster strategies that promote a culture of civility across a variety of settings. 9.3o Advanced - Lead in the development of opportunities for professional and interprofessional activities. |
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9.4 - Comply with relevant laws, policies, and regulations. |
9.4d Advanced - Advocate for polices that enable nurses to practice to the full extent of their education. 9.4e Advanced - Assess the interaction between regulatory agency requirements and quality, fiscal, and value-based indicators. 9.4f Advanced - Evaluate the effect of legal and regulatory policies on nursing practice and healthcare outcomes. 9.4g Advanced - Analyze efforts to change legal and regulatory policies that improve nursing practice and health outcomes. 9.4h Advanced - Participate in the implementation of policies and regulations to improve the professional practice environment and healthcare outcomes. |
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9.5 - Demonstrate the professional identity of nursing. |
9.5f Advanced - Articulate nursing’s unique professional identity to other interprofessional team members and the public. 9.5g Advanced - Evaluate practice environment to ensure that nursing core values are demonstrated. 9.5h Advanced - Identify opportunities to lead with moral courage to influence team decision-making. 9.5i Advanced - Engage in professional organizations that reflect nursing’s values and identity. |
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9.6 - Integrate diversity, equity, and inclusion as core to one’s professional identity. |
9.6d Advanced - Model respect for diversity, equity, and inclusion for all team members. 9.6e Advanced - Critique one’s personal and professional practices in the context of nursing’s core values. 9.6f Advanced - Analyze the impact of structural and cultural influences on nursing’s professional identity. 9.6g Advanced - Ensure that care provided by self and others is reflective of nursing’s core values. 9.6h Advanced - Structure the practice environment to facilitate care that is culturally and linguistically appropriate. 9.6i Advanced - Ensure self and others are accountable in upholding moral, legal, and humanistic principles related to health. |
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10 Personal, Professional, and Leadership Development Participation in activities and self-reflection that fosters personal health, resilience, and well-being; contributes to lifelong learning; and supports the acquisition of nursing expertise and the assertion of leadership. |
10. Personify an individual nursing commitment to self-care, lifelong learning, and leadership development to advance the nursing profession.
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10.1 - Demonstrate a commitment to personal health and well-being. |
10.1c Advanced - Contribute to an environment that promotes self-care, personal health, and well-being. 10.1d Advanced - Evaluate the workplace environment to determine level of health and well-being. |
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10.2 - Demonstrate a spirit of inquiry that fosters flexibility and professional maturity. |
10.2g Advanced - Demonstrate cognitive flexibility in managing change within complex environments. 10.2h Advanced - Mentor others in the development of their professional growth and accountability. 10.2i Advanced - Foster activities that support a culture of lifelong learning. 10.2j Advanced - Expand leadership skills through professional service. |
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10.3 - Develop capacity for leadership. |
10.3j Advanced - Provide leadership to advance the nursing profession. 10.3k Advanced - Influence intentional change guided by leadership principles and theories. 10.3l Advanced - Evaluate the outcomes of intentional change. 10.3m Advanced - Evaluate strategies/methods for peer review. 10.3n Advanced - Participate in the evaluation of other members of the care team. 10.3o Advanced - Demonstrate leadership skills in times of uncertainty and crisis. 10.3p Advanced - Advocate for the promotion of social justice and eradication of structural racism and systematic inequity in nursing and society. 10.3q Advanced - Advocate for the nursing profession in a manner that is consistent, positive, relevant, accurate, and distinctive. |
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