Iom Core Competencies

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

The Nurse of the Future Nursing Core Competencies (NOF Core Competencies) were selected to show the correlation of competency based education and practice partnership. This is being done nationwide so new student nurses would be more prepared with critical thinking and competent learned skills during clinicals. It encourages many nurses to continue their education with some becoming Doctors of Nursing, Nurse Practitioners’, Educators, Managers, and many more specialties.

The core competencies for the nurse practitioner is more patient-centered. The advance education and core curriculum prepares the nurse practitioner to manage complex health care needs, prevent chronic illnesses, promote quality care, integrate advance technology for health care improvement, enhance critical thinking skills, collaborate with other team members to improve patient outcomes, implementation of innovative strategies for evidence base practice within the organization and evaluation of patient health care. Most importantly, the nurse practitioner is a strong advocate for improving access to health care, increasing the quality of care patients receive while decreasing unnecessary health care cost. In order for a nurse practitioner

The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different

Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our

This paper brings up my personal nursing philosophy that I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession, it also involves my medical knowledge combined it with a commitment to quality nursing care with compassion, respect, dignity, and advocacy for each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial elements that lead to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then, when combined, focus us towards a multidimensional template (combining at least psychology, biology and philosophy) (Beckstead and Beckstead, 2004).

The five core competencies identified by IOM and the sixth added by QSEN, safety, are believed to be necessary to improve both quality and safety of the healthcare system within which nurses work (Multimethod teaching). The six core competencies outlined are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety (Diffusing Qsen). While all competencies are significant to the healthcare system, patient centered care is vital to positive patient outcomes and focuses on the patient’s perspective within the healthcare system.

In the article “What Do Nurses Really Do?”, Suzanne Gordon explores what nurses truly do. She concludes that nurses “save lives, prevent complications, prevent suffering, and save money” (Gordon 2006). Nurses provide care for their patients in the physical and emotional sense. Emotionally caring for a patient and being sensitive to his or her needs result from interacting with patients while performing the skills and using the knowledge that nurses learned in school. Nurses grow in their skills, knowledge, and attitudes through practice. Quality and safety education for nursing incorporates competencies that all nurses must use in their practice. These nursing competencies include evidence-based nursing practice, quality improvement, safety, teamwork and collaboration, patient-centered care, and informatics.

There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.

A nurse is a caregiver, a patient’s advocate, an educator; being a nurse is caring. There are basic components that all nurses should meet or should accomplish. The Mississippi Nursing Competency Model is a model that allows nurses to enhance their education and practice. This model exemplifies what core competencies a nurse of the future should represent, by her skills, attitudes, and knowledge. These core competencies include: patient-centered care, safety, professionalism, systems-based practice, informatics and technology, communication, teamwork and collaboration, leadership, quality improvement and evidence-based practice. Because I am still learning, there are still certain competencies that I was not able to either accomplish or accomplished

Patient-centered care in the profession of nursing allows patients and families to be seen as a unique individual. Patient-centered care is based on respecting and understanding the values, preferences, and the needs of patients. The overall goal for patient-centered care is to encourage patients to become actively involved in self-care and the decision-making process to formulate individualized care plans (McCance, McCormack, & Dewing, 2011). There are seven dimensions of patient-centered care that help provide patient-centered care to all patients, however, only five dimensions are going to be discussed. The five dimensions include (1) respect for the patients’ values, preferences, and expressed needs, (2) coordination and integration

Ideally, patient centered care should be driven from the strategic level. The strategic plan should be revised or updated to include patient centered care as one of the organizations goals. Like any organizational culture, the leaders lead by example and set the tone. The achievement of these goals should be championed by the leadership. The more involved the leaders are, the more involved will our staff be. And the more we empower our staff, the better they can care for their patients. It is very important to understand that patient centered care is not restricted to just nurses. Every single individual that the patient comes in contact with will leave behind an overall impression of the organization in the patient’s mind. It depends on us whether that impression is positive or

Concept analysis can be generalized as the identification of an idea or general impression into its separate parts in order to understand the idea as a whole; while putting emphasis on the perceptions that are figurative in nature that can cause confusion or vagueness (Kelly & Vincent, 2011). In examining the meaning an implication of providing patient-centered care we must look at it from a theoretical perspective; for instance Faye G. Abdellah and colleagues created a framework that identified the many aspects of the patient that needed to be addressed. It was this approach that devised the idea of patient-centered nursing practice and its correlation with other theories of human need. Additionally, the works of Jean Watson and her Caring theory further defined that truly caring for your patients requires a relationship between the healthcare worker and the patient, along with the impact and importance of interpersonal skill development while focusing on the patient (Carter et al., 2008). To define and correlate the effectiveness of a patient-centered care approach (PCCA) as a caring and enhancer of the nurse-patient relations; this paper will be using Walker and Avant’s model of concept analysis eight steps to identify and outline the pertinent aspects of the PCCA while using current literature and research to support its importance in current nursing practice. The intent of this analysis is to consider PCCA contextually and offer a universal definition that promotes the

Nurses are at the forefront of healthcare acting as the liaison between the doctors, patients, families, social work, etc. Their goal is patient centered care that includes “alleviating vulnerabilities, both physiologic and interpersonal; it also includes therapeutic engagement and developing a relationship in a manner that is reinforced by the information practices of a particular setting” (Hobbs, 2009). In order to provide quality care and promote successful consumer relationships, each nurse must take on the responsibility of service, advocacy, teaching, and leadership.