Domains, Competencies, and Sub-Competencies for Entry-level Professional Nursing Education and Advanced-level Nursing Education
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Domain 1: Knowledge for Nursing Practice
Descriptor: 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.
1.1 Demonstrate an understanding of the discipline of nursing’s distinct perspective and where shared perspectives exist with other disciplines
1.2 Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences.
1.3 Demonstrate clinical judgment founded on a broad knowledge base.
NURS 9040 - Leadership in Healthcare Systems
NURS 9040 - Leadership in Healthcare Systems
HIstorical Healthcare Challenges.docxHistorical Healthcare Challenges Paper
The Historical Healthcare Challenges Paper explores the history of the profession of nursing and other healthcare careers to better understand the unique perspective of the discipline.
According to AACN Essentials (2021), "the lens of nursing, informed by nursing history, knowledge, and science, reflects nursing's desire to incorporate multiple perspectives into nursing practice, leading to nursing's unique way of knowing and caring." This assignment recognizes the rich history of the profession and it's implications for the future.
Domain 2: Person-Centered Care
Descriptor: 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.
2.1 Engage with the individual in establishing a caring relationship.
2.2 Communicate effectively with individuals.
2.3 Integrate assessment skills in practice.
2.4 Diagnose actual or potential health problems and needs.
2.5 Develop a plan of care.
2.6 Demonstrate accountability for care delivery.
2.7 Evaluate outcomes of care.
2.8 Promote self-care management.
2.9 Provide care coordination.
FinalN9040Group6Presentation.mp4Group Project - Recommending a solution to a complex problem in healthcare
Working with a group of other students, this group project of the Leadership in Healthcare Systems course explores how DNP leaders should be active at the state and national levels of government, sharing research that highlights practice competency and the need for quality primary healthcare in rural communities. The DNP essentials highlight focus areas and competency outcomes for DNPs. This roadmap directs how the DNP should apply their training to impact the retention of primary care providers and increase the number of providers by utilizing NPs to meet the community’s needs. It is critical for DNP leaders and other healthcare administration experts to support DNP input in legislative reform and healthcare initiatives. DNP’s can educate, design, and apply outreach programs to best serve needy communities and drive interdisciplinary collaboration.
The project increases awareness that DNP leaders have unique skill sets and training to impact the primary provider gap. Creating new care models that meet the increasing demand for services, applying the DNP essentials to improve patient outcomes, and developing policy that impacts services and practice barriers are key to retaining and recruiting primary care providers. In addition, DNP leaders must advocate for utilizing nurse practitioners and other APRNs within their full scope of practice, remove barriers and develop a supportive and unified culture of primary care providers fully inclusive of APRNs.
Domain 3: Population Health
Descriptor: 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).
3.1 Manage population health.
3.2 Engage in effective partnerships.
3.3 Consider the socioeconomic impact of the delivery of health care.
3.4 Advance equitable population health policy.
3.5 Demonstrate advocacy strategies.
3.6 Advance preparedness to protect population health during disasters and public health emergencies.
NURS 9270 - DNP Healthcare Economics & Finance
NURS 9270 - DNP Healthcare Economics & Finance
Letter to State Representative
State Senator Richard Cash KH.docxThe Letter to a State Representative assignment meets the requirements for Domain 3, Population Health. According to the AACN Essentials (2021), population health includes the development of interventions and policies for improving the health of the population. "Nurses play a critical role in advocating for, developing and implementing policies that impact population health globally and locally" (AACN Essentials, 2021, p. 33).
This assignment advocates for policy change for increased funding for mental health services in the state of South Carolina through a letter to the state representative. By engaging in effective partnerships with the legislators of South Carolina, nurses have the ability to affect change for the citizens of the state and advance equitable population health policy.
Domain 4: Scholarship for the Nursing Discipline
Descriptor: The generation, synthesis, translation, application, and dissemination of nursing knowledge to improve health and transform health care (AACN, 2018).
4.1 Advance the scholarship of nursing.
4.2 Integrate best evidence into nursing practice.
4.3 Promote the ethical conduct of scholarly activities.
NURS 9030 - Evidence Integration
NURS 9030 - Evidence Integration
Synthesis of Literature
The assignments of the course, NURS 9020 - Clinical Epidemiology & Biostatistics, allow DNP-prepared nurses to analyze and integrate best evidence into nursing practice by better understanding descriptive data. Equipped with the ability to recognize different methods of data collection and understand the factors that contribute to statistical significance, nurses can advance the scholarship of the nursing discipline, essentials components of AACN Essential Domain 4.
The assignments of the course, NURS 9020 - Clinical Epidemiology & Biostatistics, allow DNP-prepared nurses to analyze and integrate best evidence into nursing practice by better understanding descriptive data. Equipped with the ability to recognize different methods of data collection and understand the factors that contribute to statistical significance, nurses can advance the scholarship of the nursing discipline, essentials components of AACN Essential Domain 4.
Summary Table for Systematic Review Evidence Integration 6-24.docxNURS 9020 - Clinical Epidemiology & Biostatistics
NURS 9020 - Clinical Epidemiology & Biostatistics
Exams 1, 2, 3, & Final Exam
Computer Assignment in SPSS
Computer Assignment in SPSS
N9020 Content For Cumulative Final Exam2022 (1)KH.docxDomain 5: Quality and Safety
Descriptor: 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.
5.1 Apply quality improvement principles in care delivery.
5.2 Contribute to a culture of patient safety.
5.3 Contribute to a culture of provider and work environment safety.
NURS 9060 - Outcomes Management
NURS 9060 - Outcomes Management
Quality Improvement Final Paper
ACS Final Paper KH.edited.docxQuality Improvement Poster
ACS PP KH.pptxThe core values of the nursing practice, quality and safety, exist to minimize harm to patients and providers. The practice of nursing is always changing and quality improvement efforts require continual identification and implementation to ensure optimal outcomes for our patients and their families. The application of quality improvement principles, creation of a culture of patient safety, and contribution to a culture of work environment safety for our healthcare professionals in essential to the continued progress of the nursing profession.
The Quality Improvement paper's purpose is to identify an issue known in practice that would benefit from a quality improvement approach. To complete the assignment, learners described why the problem is a known issue, identified key stakeholders, background for needed change, project design, barriers and limitations, financial obligations, and summary of findings. Using the information, the project could be implemented within the healthcare setting to improve the culture of safety and quality for patients and healthcare providers.
Domain 6: Interprofessional Partnerships
Descriptor: 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.
6.1 Communicate in a manner that facilitates a partnership approach to quality care delivery.
6.2 Perform effectively in different team roles, using principles and values of team dynamics.
6.3 Use knowledge of nursing and other professions to address healthcare needs.
6.4 Work with other professions to maintain a climate of mutual learning, respect, and shared values.
Kim Hill NBO Poster draft 1-13-25 no results or conclusion yet.pdf NURS 9090 - DNP Project I
NURS 9090 - DNP Project I
Project Implementation E-Poster
Project Implementation E-Poster
This assignment met the objectives of Domain 6 by providing the opportunity to collaborate with invested project partners (faculty, committee members, facility stakeholders) to determine a feasible timeline for execution of my quality improvement DNP project. Various project components, such as purpose, goals/aims, objectives, and considerations, were also outlined per conversation during collaboration. This assignment also provided practice for creating a professional e-Poster that can be used as a template for dissemination of final project results.
This assignment met the objectives of Domain 6 by providing the opportunity to collaborate with invested project partners (faculty, committee members, facility stakeholders) to determine a feasible timeline for execution of my quality improvement DNP project. Various project components, such as purpose, goals/aims, objectives, and considerations, were also outlined per conversation during collaboration. This assignment also provided practice for creating a professional e-Poster that can be used as a template for dissemination of final project results.
Domain 7: Systems-Based Practice
Descriptor: 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.
7.1 Apply knowledge of systems to work effectively across the continuum of care.
7.2 Incorporate consideration of cost-effectiveness of care.
7.3 Optimize system effectiveness through application of innovation and evidence-based practice.
Busines Plan for SIM Lab expansion.docxNURS 9270 - DNP Healthcare Economics & Finance
NURS 9270 - DNP Healthcare Economics & Finance
Business Plan
The NURS 9270 Business Plan assignment involved development of a framework for the creation of a simulation lab expansion program to increase the volume of undergraduate and graduate learners. Analyzing and planning each phase of the business development plan relied on the evidence to identify the need, identify stakeholders, create a timeline of events, strategize marketing efforts, analyze the financial obligations, develop the structure of the organization, and evaluate the program.
Domain 7 includes the role of nurses to effectively and proactively coordinate resources to provide safe, quality, and equitable care to diverse population (AACN Essentials, 2021). Through the continued improvement of nurse training efforts, system optimization can occur by utilizing evidence-based practice and innovation.
Domain 8: Informatics and Healthcare Technologies
Descriptor: 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.
8.1 Describe the various information and communication technology tools used in the care of patients, communities, and populations.
8.2 Use information and communication technology to gather data, create information, and generate knowledge.
8.3 Use information and communication technologies and informatics processes to deliver safe nursing care to diverse populations in a variety of settings.
8.4 Use information and communication technology to support documentation of care and communication among providers, patients, and all system levels.
8.5 Use information and communication technologies in accordance with ethical, legal, professional, and regulatory standards, and workplace policies in the delivery of care.
MO2_Hill.docxNURS 9050 - Nursing Informatics
NURS 9050 - Nursing Informatics
Discussion Board - Module 2
The use of nursing informatics to support evidence-based practice was discussed in the second module of the NURS 90505 course. This assignment required students to identify effective search strategies to locate reliable sources of evidence using technologies. Once located, the evidence was critically appraised and its applicability to practice was analyzed.
The subcompetency, 8.2. describes using information and communication to gather data, create information, and generate knowledge (AACN Essentials, 2021). Using evidence on a topic of choice through nursing informatics to develop a PICOT question is helpful in the beginning stages of the development of the DNP Project.
Domain 9: Professionalism
Descriptor: Formation and cultivation of a sustainable professional identity, including accountability, perspective, collaborative disposition, and comportment, that reflects nursing’s characteristics and values.
9.1 Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.
9.2 Employ participatory approach to nursing care.
9.3 Demonstrate accountability to the individual, society, and the profession.
9.4 Comply with relevant laws, policies, and regulations.
9.5 Demonstrate the professional identity of nursing.
9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity.
DNP talking points handout KH 22.pdfNURS 9210 - DNP Role, Theory, & Philosophy
NURS 9210 - DNP Role, Theory, & Philosophy
DNP Talking Points Fact Sheet & Presentation
Domain 9, Professionalism, "encompasses the development of a nursing identity embracing the values of integrity, altruism, inclusivity, compassion, courage, humility, advocacy, caring autonomy, humanity, and social justice" (AACN Essentials, 2021, p. 49). The assignment considers the role of the doctor of nursing practice as the terminal practice degree for the nursing profession.
Domain 10: Personal, Professional, and Leadership Development
Descriptor: Participation in activities and self-reflection that foster personal health, resilience, and well-being; contribute to lifelong learning; and support the acquisition of nursing expertise and the assertion of leadership.
10.1 Demonstrate a commitment to personal health and well-being.
10.2 Demonstrate a spirit of inquiry that fosters flexibility and professional maturity.
10.3 Develop capacity for leadership.
Use Leadership Assessment for KH.pdfNURS 9040 - Leadership in Healthcare Systems
NURS 9040 - Leadership in Healthcare Systems
Leadership Evaluation
The Leadership Evaluation assignment required self-reflection of current leadership traits, leadership sytle, and areas for growth. Additionally, using a AONL self-assessment, areas of strengths and weaknesses were identified in areas such as communication and relationship building, knowledge of the healthcare environment, leadership skills, professionalism, and business skills. AACN Essentials Domain 10 encourages participation in activities of self-reflection that support the acquisition of nursing expertise and the assertion of leadership (AACN Essentials, 2021).
Other tasks in the Leadership Evaluation assignment included interviewing a nurse leader which allowed learners to gain relevant and practical information from a nurse manager's expertise. The ability to develop a vision statement in the assignment allows demonstration of a spirit of inquiry that fosters professional maturity of the subcompetency, 10.2 (AACN Essentials, 2021).
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