Thursday, July 25, 2019

What are the Core Competencies in Nursing?

Why are Registered Nurses Important?
A registered nurse is a valuable and important part of any health care system. They are highly respected and valued person in the health care profession. They play a key role to promote wellness, prevent illness, maintaining and restoring health properly by performing a wide range of service. They provide and coordinate patient care, provides advice and emotional support to patients and their family members, and educates patients and the public about various health conditions and on how to prevent future illness. 


What is Nursing Competency?
Nursing competency is generally viewed as a complex integration of knowledge including professional judgment, skills, values, and attitude, indicating that holism is widely accepted. In nursing practice, nurses are required to apply their acquired knowledge, skills and innate individual traits to each situation and be able to adapt that knowledge and those skills to different circumstances. 
A registered nurse works with patient
Fig: A registered nurse works with patient
20 Core Competencies of Registered Nurse Applied in Healthcare System:
Competent nurses not only fulfill certain roles or complete specific activities. They also possess many additional attributes; including knowledge, interpersonal skills, critical thinking, technical and practical skills and to practice safely and effectively based on evidence. Competence also involves being able to work collaboratively with other health care professionals, demonstrating a professional attitude and accepting responsibility for their practice. There are 20 core competencies of registered nurse applied in healthcare system, those are mentioned in the below:
  1. The competent nurse responsible to ensure standard nursing practice and conduct meets the standards of the professional, ethical and relevant legislated requirements.
  2. The competent nurse is accountable for directing, monitoring and evaluating nursing care that is provided by enrolled nurses and others.
  3. Ability to makes appropriate decisions when assigning care, delegating activities and providing direction for enrolled nurses and others.
  4. Ability to promote an environment that enables health consumer safety, independence, quality of life, and health.
  5. Ability to practices nursing in a manner that the health consumer or patient determines as being culturally safe.
  6.  Ability to provide high-quality nursing care to achieve identified outcomes.
  7. Ability to undertake a comprehensive and accurate nursing assessment of health consumers in a variety of settings.
  8. Ability to ensure documentation accurately and maintains the confidentiality of information.
  9. They have enough proficiency to ensure the health consumer has an adequate explanation of the effects, consequences, and alternatives of proposed treatment options.
  10. Capability to protect oneself and others when faced with unexpected health consumer responses, confrontation, personal threat or other crises.
  11. Capability to evaluate health consumer’s progress toward expected outcomes in partnership with health consumers.
  12. Ability to provide appropriate health education to the needs of the health consumer within a nursing framework.
  13. Competent nurse having to share mind to reflects upon and evaluates with peers and experienced nurses, the effectiveness of nursing care.
  14. Ability to maintain professional development. Ability to use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care, communicate findings, influence change and promote health and best practice.
  15. Ability to establish maintains and concludes therapeutic interpersonal relationships with health consumers.
  16. Capability to collaborates and participates with colleagues and members of the health care team to facilitate and coordinate care.
  17. Ability to recognize and values the roles and skills of all members of the health care team in the delivery of care.
  18. They participate in quality improvement activities to monitor and improve standards of nursing. 
  19. Capability to recognizes the concept of autonomy and self-regulation in nursing practice.
  20. Recognizes the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.