Oncology Nursing Society. DRAFT General Oncology Nursing Competencies. # Competency Statement Measurement Teamwork

Transcription

1 Teamwork Defines the core principles of the interprofessional care team, including that practiced in the current setting, within the specialty of oncology. Outlines the role and contributions of the nurse, as part of the interdisciplinary care team, in the care of people with cancer across the disease trajectory. Case studies, evidence of daily work, exemplars with outcomes achieved, discussion or reflection, presentations and tests, test exam and case study presenting at rounds, Personnel scavenger hunt, resource list, peer review of team dynamics Members of team also include quality Test, exams, case studies, exemplars, selfassessment, discussion, presentation, evidence of daily work (rounds, charting, review job desc, scope and standards) Utilizes appropriate skills and techniques when communicating with interprofessional team members. Uses delegation appropriately and according to state nurse practice acts. Identifies examples of conflict in the work setting and problem solves correctly based upon principles of conflict resolution. Assists with care coordination for people with cancer based upon evidence based practice. Demonstrates problem solving strategies helping to remove identified barriers to patient care coordination. Assists in team building and collaboration in the work environment. Utilizes therapeutic communication skills when engaging in difficult conversations with patients, caregivers, and fellow members of the interprofessional care team. Peer review, discussion or reflection, evidence of daily work, exemplar, mock event (role play) (chart audit, AM rounds, shift report, observe conversations, peer review) Peer review, evidence of daily work, exemplars, self assessment, discussion, mock event (case studies, role playing) Tests, exams, peer review, discussion or reflection, presentation, self assessment, exemplars, case studies (include different types of conflict, dilemmas, etc.) Peer review, evidence of daily work, tests, exams, case studies, exemplars, QI monitoring (chart review, observation at work) Peer review, case studies, evidence of daily work, discussion or reflection, mock events Peer review, case studies, discussion, evidence of daily work, self assessment Peer review, evidence of daily work, self assessment, exemplars, case studies Page

2 Professional Development Establishes learning and performance goals Self assessment, discussion or reflection, for personal and professional development presentations, exemplars as an oncology nurse at years one, two, and three years of oncology nursing practice. (Identifies self needs assessment, self reflection) Engages in learning opportunities to enhance professional knowledge and role maturation. Advocates for the delivery of high quality patient centered cancer care for those with a current or potential diagnosis of cancer. Fosters professional development by participating in mentorship opportunities with fellow members of the interprofessional team. Participates in formal and informal performance evaluation to improve oncology nursing practice on an individual level and across the profession. Seeks and establishes plan to obtain specialty certification to demonstrate specialty knowledge and promote excellence in quality cancer care. Demonstrates leadership potential to foster professional development and skills. Discusses the similarities and differences of various nursing leadership roles. Self assessment, peer review, discussion or reflection, presentations, evidence in daily work (Reviewing educational coursework and CNE, individual and collaborative, quality) Exemplars, case studies, peer review, evidence of daily work Presentations, case studies, peer review, self assessment, discussion or reflection. (mentor or mentee) Clinical Care (All clinical care implies evidence based care) Integrates patient centered care into the nursing process across the continuum of disease, to include diagnosis, treatment, survivorship, palliative, and end of life. Demonstrates critical thinking skills and abilities in the nursing care of people with cancer across the disease trajectory. Self assessment, case study, exemplars, peer review, evidence of daily work Self assessment, discussion Consider specialty nurse certification(s) in oncology, palliative care, infusion (classes, info session) Evidence of daily work, self assessment, peer review, case studies, exemplars (engages council, committee, forum both in the work setting and professionally [boards, chapters, advocacy work, serves as preceptor, charge nurse]) Tests, exams, discussion or reflection, case studies and exemplars (shadowing) or reflection, QI, return demonstration (maintain healing environment) or reflection Page

3 Demonstrates an understanding of cancer biology and how it relates to the care of the person with cancer. Presentation, case study, evidence of daily work, tests / exams, peer review. Utilizes clinical practice guidelines, symptom management tools and protocols in patient evaluation and care. Discusses treatment modalities in the management of the person with cancer. Evidence of daily work,c studies and exemplars, peer review, tests, exams, self assessment, discussion or reflection, return demonstration, QI monitoring, mock events (includes all aspects of the nursing process) or reflection, presentation Explains rationale for and demonstrates safe application of clinical interventions associated with clinical procedures related to cancer diagnosis Articulates symptom management and monitoring parameters based on selected therapy. Demonstrates appropriate care and maintenance of venous access devices used in the oncology patient population. Demonstrates safe administration and management of chemotherapy and biotherapy agents. Demonstrates knowledge and utilization of protective measures for the immunocompromised patient. Provides education appropriate to the needs of the patient and caregivers., return demonstration, presentation, mock event or reflection, QI, presentations peer review, tests, exams, return demonstration, QI, chart documentation, return demonstration (Example of ASCO/ONS Chemo safety standards, safe handling NIOSH, COC) or reflection, QI, presentations (e.g. neutropenic precautions, hand washing, etc.) or reflection, QI, presentation (include cultural diversity, literacy level, other concerns) Page

4 Recognizes and manages oncologic emergencies according to evidence based practice. peer review, tests, exams, discussion group, presentations, mock event, QI monitoring, chart documentation Identifies and discusses appropriate resources available to oncology patients such as clinical trial eligibility / availability, genetic counseling, survivorship, and palliative care. Explains primary, secondary, and tertiary preventative measures, QI (care planning, long term side effects and follow up, survivorship guidelines) 6 7 Incorporates genomic and genetic information into care of the person with cancer, as indicated by practice setting. Provides holistic nursing care addressing the physical, psychosocial, and spiritual needs of patients and their caregivers at the end of life. Integrates cultural diversity into plans of care for people with cancer and their significant others. Chart review, case study, QI, discussion group, exam/tests or reflection, mock events, peer review (e.g. neutropenic precautions, hand washing, etc.) Case studies and exemplars, peer review, evidence of daily work, QI monitoring, discussion (chart review, QI monitors) 8 Financial Performs nursing care with strong integration of legal and ethical principles. Demonstrates fiscal awareness and responsibility in oncology nursing practice peer review, tests, exams, self assessment and discussion (e.g., privacy, autonomy, confidentiality, and beneficence) (appropriate selection of supplies, accurate billing/coding, participation in QI) Page

5 Quality Utilizes resources to help patients and families cope with the financial impact of cancer. Demonstrates knowledge of the purpose and requirements/standards/guidelines related to safe quality cancer care. Identifies patient access barriers and potential solutions to provide quality oncology patient care (identifies patient resources, discusses impact of cancer on financial resources), QI (e.g. COC, NPS, Joint Commission, State practice act, standards, hand washing, etc.), mock surveys/events Identifies and utilizes organizational experts to support the multi dimensional quality components, including patient safety, performance improvement, accreditation, and infection prevention Demonstrates proficient use of clinical equipment and applicable technology to enhance and deliver safe patient care. Health Care Environment Maintains patient confidentiality and privacy consistent with regulatory and institutional requirements. Advocates for patient centered oncology care that is reflective of patient s individual needs., mock events/surveys, return demonstration, QI, mock events, QI monitor (e.g. HIPPA, etc.), mock events/surveys Demonstrates appropriate personal and professional boundaries including confidentiality related to social media and electronic communication., return demonstration, QI monitoring, Mock event (social media, involvement with patients outside of the professional setting, etc.) Page

6 Summarizes knowledge of and available resources for legal issues implicating oncology nursing practice and patient care Defines organizational process for ethics consultation 6 Page