Nursing Core Competency in HA 2001

Transcription

1 Nursing Core Competency in HA 2001 CCRN CCANP 1.Therapeutic and caring relationship Core Competency for RN Care management Core Competency for EN 1998

2 Should we define APN as that in oversea countries? How is the existing Ranking fit in the APN concept? Who Who are are APN APN in in HK HK context? 1999

3 Definition of term of the CC ANP Project 1999 The nurses at the advanced level in this project is defined as a group of nurses who develop to the higher level of competencies that goes beyond the entry /generic level of registered nurses in HA regardless of ranking practice is focus on direct patient service

4 1999 CCANP Modified ACS Repertory Grid Analysis Rounds of Validation 1997 CCRN Data generation Rounds of Validation Endorsement Reframing & Refining (2000) Consultation Survey Competency Requirement Forecasting interview Focus Group Communication on Home page HRPG & HRC 2001 About 1000 data input

5 Competency Requirement Forecasting interview on SEM(N) 2000

6 Critical Competency RN APN Effective patient care delivery Patient centered assessment Quality conscious Meet with standard Caring aptitude Accountable practice Effective teamwork Leader, mentor Improve care delivery through system Advance practice through evidence Service development Collaborative practice Consultancy Dissemination of knowledge Nurse led practice

7 Things to be done differently RN Independent & accountable More active and assertive Emphases on caring & partnership Thorough primary nursing Strengthen predischarge program More teaching role Delegation & Supervising APN Shift from supervising to facilitating Refocus on client care Backup for peers Equal multi disciplinary team member Practice in wider context Grade reform to facilitate the change

8 Critical Appraisal SEM(N) puts higher expectation on RN as practitioner & supervisors & mentor SEM(N) more emphases on caring, partnership, sensitivity of RN Scope of practice of ANP in in wider context ANP should be free from repetitive supervisory job ANP more on innovative practice & evidence

9 Framework of Competency Personal Functional Competency Organizational People & Team

10 Death Recovery Healing Promotion Empowerment Support F U N C T I O N Helping Prevention

11 Format of the CC Framework 2001 CCRN CCANP 1.Therapeutic and caring relationship Care management

12 Competency Based SDR for Enrolled Nurses in HA

13 Format of the CC Framework CCEN CCRN (additional) CCAPN (additional) 1.Therapeutic and caring relationship Care management

14 Education Experience ANP Skills RN Same scope of practice EN Patient care is the focus

15 ENCC Associated nurse Contribute significantly in basic nursing care and non complex cases Follow protocols Able to relate symptom to health status & take immediate action Manage structured situation & routine Equip self Additional for RN Independent Practitioner Manage acute & complicated cases Accountable for clinical decision Collaborate with other team liaising patients care Act as coaches of learners & assistants Contribute to innovative practice Update & uphold standard professionally Additional for APN Practitioner with expertise Manage overall client group with complex & multiple problems Build culture & system Be the resource person Leaders & work cross sectorially Active in EBP & service development Supervisors & coaches of peers Fulfill academic requirement

16 Focus of the Competency Therapeutic and caring relationship Focus: Facilitate clients in the process of growth and psychological change and support nurses in the establishment of therapeutic and care relationship Care management Care management Focus: Manage complex clinical condition and build up a care delivery system/ model.

17 Focus of the Competency Knowledge & Skill application Focus: Master specialty knowledge and refine nursing practice Quality and Risk Management Quality and Risk Management Focus: Drive towards the effective care delivery system and upkeep the standard of care through continuous monitoring and reengineering

18 Focus of the Competency Personal qualities Focus: Influence individuals and organisation using a variety of techniques; think broadly and outside traditional boundaries Professional attribute Professional attribute Focus: Increase creditability as a professional nurse and clinical expert

19 Focus of the Competency Team work Focus: Lead the team and build the culture. People Development People Development Focus: Involve actively in staff development.

20 Focus of the Competency Service Development Focus: Facilitate changes and lead new projects Legal and ethical practice Legal and ethical practice Focus: establish structure for ethical practice and client advocacy.

21 APN Projects Developing the CC for ANP (2001) Study on Competency Based Performance Appraisal of APN ( (Entry Level) ) in HA Adoption of the CC based SDR

22 Study on Competency Based Performance Appraisal of APN (Entry Level) in HA 2004 Terminology to be consistent to the Pilot project on APN

23 Study on Competency Based Performance Appraisal of APN ( (Entry Level) ) in HA Aim: To verify the applicability of the APN CC set in the performance appraisal for NO, NS, WM and APN To suggest the strategies in establishing the CC based SDR for APN

24 Target Subjects Distributed in 26 hospitals Appraisee Appraiser NO NS WM APN in post by 31 March 04 Supervisor In proportional

25 Format of the CC Framework CCEN CCRN (additional) CCAPN (additional) 1.Therapeutic and caring relationship Care management

26 Some concerns on the subjects of APNs entry Level Newly recruited APN NO the role & responsibility of APN NO seems to be the combination of existing NO, NS & WM the successful transformation of role & responsibility of APN NO might be influenced by internal factors eg adaptation to new role and external factors eg duty balance between the new and existing ranking

27 Some concerns on the subjects of APNs entry Level Existing NO, NS, WM There may be discrepancy when using the CC set as the SDR tool to rate the performance of NO, NS, WM as each ranking has special focus in the role and responsibility