Table 2 Home health nursing panel (n = 34) and AWG (n = 13) competency mappinga
Competency | Cross cutting competency, % (n) | Standard 1: Health promotion, % (n) | Standard 2: Prevention and health protection, % (n) | Standard 3: Health maintenance, restoration, palliation, % (n) | Standard 4: Professional relationships, % (n) | Standard 5: Capacity building, % (n) | Standard 6: Health equity, % (n) | Standard 7: Evidence informed practice, % (n) | Standard 8: Professional responsibility and accountability, % (n) | Other, % (n) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | Nursing Panel | AWG | |
Maintains a focused approach amidst multiple distractions within the home environment. | 9 (3) | NA | 3 (1) | NA | 18 (6) | 0 (0) | 6 (2) | NA | 24 (8) | 15 (2) | 0 (0) | NA | 0 (0) | NA | 0 (0) | NA | 41 (14) | 85 (11) | 0 (0) | NA |
Obtains and maintains an accurate medication history and identifies medication discrepancies, allergies, potential drug-drug and drug-food interactions. | 3 (1) | NA | 6 (2) | NA | 38 (13) | 54 (7) | 24 (8) | 15 (2) | 0 (0) | NA | 0 (0) | NA | 0 (0) | NA | 6 (2) | NA | 21 (7) | 31 (4) | 3 (1) | NA |
Assesses the dynamics, coping, caregiving skills, and knowledge of the client’s caregivers and broader social support network, considering the impact on client health and wellness. | 6 (2) | NA | 9 (3) | NA | 12 (4) | 0 (0) | 29 (10) | 62 (8) | 18 (6) | 8 (1) | 12 (4) | 31 (4) | 3 (1) | NA | 0 (0) | NA | 6 (2) | NA | 6 (2) | NA |
Prioritizes assessment and data collection based on the client’s immediate condition and the anticipated needs of the client, family, and other caregivers in the home. | 9 (3) | NA | 6 (2) | NA | 24 (8) | 0 (0) | 38 (13) | 92 (12) | 0 (0) | NA | 3 (1) | NA | 0 (0) | NA | 12 (4) | 8 (1) | 9 (3) | NA | 0 (0) | NA |
Promotes sharing of assessment data through an electronic health record. | 9 (3) | NA | 3 (1) | NA | 6 (2) | NA | 9 (3) | NA | 0 (0) | NA | 12 (4) | 0 (0) | 3 (1) | NA | 26 (9) | 23 (3) | 29 (10) | 77 (10) | 3 (1) | NA |
Assesses the urgency of communicating information to clients, caregivers, their social support network, and other healthcare team members. | 6 (2) | NA | 0 (0) | NA | 15 (5) | 8 (1) | 18 (6) | 8 (1) | 15 (5) | 8 (1) | 6 (2) | NA | 6 (2) | NA | 3 (1) | NA | 32 (11) | 77 (10) | 0 (0) | NA |
Demonstrates caring behaviours towards clients, family, and caregivers. | 24 (8) | 0 (0) | 3 (1) | NA | 0 (0) | NA | 3 (1) | NA | 47 (16) | 92 (12) | 3 (1) | NA | 3 (1) | NA | 0 (0) | NA | 18 (6) | 8 (1) | 0 (0) | NA |
Implements the plan of care in a timely manner, and in accordance with governmental and organizational rules and regulations, to ensure client safety goals. | 3 (1) | NA | 0 (0) | NA | 21 (7) | 0 (0) | 9 (3) | 0 (0) | 0 (0) | NA | 0 (0) | NA | 3 (1) | NA | 9 (3) | 8 (1) | 56 (19) | 92 (12) | 0 (0) | NA |
Abides by the vision, the associated goals, and the plan to implement and measure progress of the client within the context of the home health agency and healthcare organization. | 12 (4) | 23 (3) | 9 (3) | NA | 6 (2) | NA | 12 (4) | 0 (0) | 3 (1) | NA | 3 (1) | NA | 6 (2) | NA | 6 (2) | NA | 44 (15) | 77 (10) | 0 (0) | NA |
Seeks ways to advance nursing autonomy and accountability. | 3 (1) | NA | 3 (1) | NA | 0 (0) | NA | 0 (0) | NA | 3 (1) | NA | 26 (9) | 8 (1) | 0 (0) | NA | 9 (3) | 0 (0) | 56 (19) | 92 (12) | 0 (0) | NA |
Leads communication and cooperative efforts in creating an interprofessional plan of care focused on outcomes, while engaging clients, families, caregivers, and others in the care and delivery of services. | 9 (3) | NA | 15 (5) | 0 (0) | 12 (4) | NA | 21 (7) | 15 (2) | 26 (9) | 85 (11) | 6 (2) | NA | 3 (1) | NA | 3 (1) | NA | 3 (1) | NA | 3 (1) | NA |
Delegates and/or assigns elements of care to appropriate clinical team members to achieve excellent care at the least cost in accordance with any applicable legal or policy parameters or principles. | 6 (2) | NA | 0 (0) | NA | 3 (1) | NA | 3 (1) | NA | 35 (12) | 8 (1) | 9 (3) | 0 (0) | 6 (2) | NA | 3 (1) | NA | 32 (11) | 92 (12) | 3 (1) | NA |
Modifies practice to promote positive interactions among the client, caregiver(s), their social support networks, and technology. | 9 (3) | NA | 9 (3) | NA | 9 (3) | NA | 9 (3) | NA | 24 (8) | 62 (8) | 15 (5) | 23 (3) | 6 (2) | NA | 9 (3) | NA | 12 (4) | 15 (2) | 0 (0) | NA |
Understands and acknowledges the principles of trauma-informed care and promotes the integration of these principles into professional practice.b | 21 (7) | 46 (6) | 9 (3) | NA | 18 (6) | 8 (1) | 3 (1) | NA | 0 (0) | NA | 0 (0) | NA | 15 (5) | NA | 21 (7) | 46 (6) | 15 (5) | NA | 0 (0) | NA |
Supports community engagement by creating resource directories and connecting the clients, and their caregivers, to a wide range of community services, building awareness of available health services, protective factors and risky health behaviours. | 21 (7) | 8 (1) | 32 (11) | 54 (7) | 15 (5) | NA | 3 (1) | NA | 6 (2) | NA | 18 (6) | 38 (5) | 6 (2) | NA | 0 (0) | NA | 0 (0) | NA | 0 (0) | NA |
Actively works to shift health care culture to promote self-managed care in clients using education, appropriate tools, and resources. | 18 (6) | 38 (5) | 32 (11) | 62 (8) | 18 (6) | 0 (0) | 6 (2) | NA | 3 (1) | NA | 9 (3) | NA | 0 (0) | NA | 12 (4) | NA | 3 (1) | NA | 0 (0) | NA |
Recognizes and applies occupational health and safety principles when encountering unsafe, hazardous conditions that may result in exposure to health and safety risks. | 3 (1) | NA | 3 (1) | NA | 29 (10) | 8 (1) | 0 (0) | NA | 0 (0) | NA | 0 (0) | NA | 3 (1) | NA | 18 (6) | 0 (0) | 44 (15) | 92 (12) | 0 (0) | NA |
Advocates for nursing care delivery models that promote appropriate staffing levels and staff mix, considering client acuity and needs. | 9 (3) | NA | 3 (1) | NA | 12 (4) | 0 (0) | 0 (0) | NA | 6 (2) | NA | 15 (5) | 8 (1) | 6 (2) | NA | 12 (4) | 0 (0) | 35 (12) | 92 (12) | 3 (1) | NA |
Promotes advanced practice nursing and role development by interpreting its role for clients, caregivers, their social support network, colleagues, and policymakers.c | 6 (2) | NA | 6 (2) | NA | 0 (0) | NA | 0 (0) | NA | 12 (4) | NA | 8 (24) | NA | 0 (0) | NA | 12 (4) | NA | 38 (13) | NA | 3 (1) | NA |