Domain - Care management
|
80.7
|
13.4
|
5.9
|
|
a. Care management: care focus
|
|
|
|
1. Incorporate knowledge about cultural diversity and health determinants in the assessment, diagnosis and therapeutic treatment of patients and in evaluating the outcome. |
85.7 |
11.2 |
3.1 |
2. Incorporate knowledge about development and stages of life, physiopathology, psychopathology, epidemiology, environmental exposure, infectious diseases, behavioral sciences, demography and family processes, when performing assessments, making diagnoses and providing therapeutic management. |
87.1 |
11.1 |
1.8 |
3. Incorporate knowledge about clinical manifestations of normal health events, diseases/serious injuries, chronic diseases, comorbidities and health emergencies, including the effects of multiple etiologies in the assessment, diagnosis and therapeutic management of patients and in evaluating the outcome. |
85.8 |
12.3 |
1.9 |
b. Care management: assessment and diagnosis
|
|
|
|
4. Use advanced assessment skills to distinguish between normal, variations of normal and abnormal findings. |
84.2 |
13.6 |
2.2 |
5. Use technological systems for capturing data from variables for assessing patients. |
62.2 |
25.5 |
12.3 |
6. Obtain and accurately document the relevant history of patients in each stage of life and family life cycle, using collateral information, if necessary. |
80.1 |
15.7 |
4.2 |
7. Accurately carry out and document appropriate physical tests or those focused on the symptoms of patients of all ages (including developmental and behavioral screening, physical tests and mental health assessments). |
81.3 |
14.9 |
3.7 |
8. Identify health and psychosocial risk factors for patients of all ages and families in all stages of the family life cycle. |
83.7 |
14.2 |
2.0 |
9. Perform different diagnoses for acute, chronic and vital risk conditions. |
79.3 |
14.9 |
5.4 |
10. Plan screening and diagnostic strategies using appropriate technologies as a tool, taking into consideration costs, risks and benefits for patients. |
72.0 |
19.8 |
8.2 |
c. Care management: provision of care
|
|
|
|
11. Provide consistent care as set forth in clinical guides and protocols. |
87.3 |
10.7 |
1.9 |
12. Provide care that respects and promotes cultural diversity. |
88.8 |
9.6 |
1.6 |
13. Effectively communicate clinical findings, diagnoses and therapeutic interventions. |
89.5 |
8.6 |
1.9 |
14. Determine care options and formulate a therapeutic plan in collaboration with patients, taking into account their expectations and beliefs, available evidence and the cost-effectiveness of the interventions. |
85.2 |
11.8 |
3.0 |
15. Integrate quality and patient safety principles in clinical practices. |
91.7 |
6.5 |
1.8 |
16. Initiate a therapeutic plan with pharmaceutical and non-pharmaceutical interventions, treatments and therapies. |
76.9 |
14.2 |
8.9 |
17. Prescribe drugs within one’s scope of practice (regulations and protocols/national programs) |
52.8 |
16.0 |
31.2 |
18. Monitor the patient’s progress, assessing and adjusting the therapeutic plan according to the patient’s responses. |
81.7 |
10.8 |
7.5 |
19. Adapt interventions in order to meet the needs of people and families, in relation to aging, life transitions, comorbidity and psychosocial and financial situations. |
83.0 |
11.9 |
5.1 |
20. Formulate an appropriate palliative or end-of-life plan. |
75.8 |
13.1 |
11.1 |
|
Domain - Ethics
|
86.7 |
10.5 |
2.8 |
|
21. Create a therapeutic environment that allows patients to freely discuss health issues. |
82.4 |
13.5 |
4.1 |
22. Facilitate to enable families to make their health decisions. |
83.4 |
13.0 |
3.6 |
23. Integrate ethical principles into decision making. |
93.3 |
5.9 |
0.8 |
24. Recognize moral and ethical dilemmas and acts appropriately, if necessary. |
87.8 |
9.6 |
2.5 |
|
Domain - Interprofessional collaboration
|
82.9 |
13.8 |
2.9 |
|
25. Collaborate with the rest of the health team in promoting patient-focused, interprofessional care. |
91.9 |
18.6 |
5.4 |
26. Act as a consultant, accepting referrals from health team professionals, community agencies and other professionals outside the health system. |
76.0 |
15.8 |
2.3 |
27. Coordinate interprofessional teams for providing patient care. |
79.3 |
13.5 |
2.7 |
28. Promote learning opportunities among health team members to optimize patient care. |
83.9 |
16.1 |
2.5 |
29. Establish a collaborative relationship with health service providers and community services. |
81.3 |
11.8 |
3.1 |
30. Consult and/or refer patients to other health service providers at any time during the care process, when the patient’s condition is not within the nurse’s scope of practice. |
85.1 |
13.4 |
5.4 |
|
Domain - Promotion and prevention
|
85.5 |
11.2 |
3.4 |
|
31. Participate in the development and implementation of local health promotion programs. |
81.2 |
11.0 |
3.9 |
32. Select, implement and assess evidence-based strategies for primary, secondary and tertiary health promotion and prevention. |
85.2 |
9.3 |
2.9 |
33. Seek to empower individuals, groups, and communities to adopt healthy lifestyles and self-care. |
87.8 |
10.7 |
2.3 |
34. Appropriately interpret technical and scientific information for the different needs of patients. |
87.0 |
8.9 |
1.9 |
35. Assess the educational needs of patients and caregivers for providing personalized and effective health care. |
89.2 |
11.9 |
2.3 |
36. Provide training for patients and/or caregivers to bring about positive changes of behavior. |
85.8 |
9.5 |
2.5 |
37. Provide training and personalized educational interventions on benefits, interactions and the importance of treatment adherence, as well as recommendations for follow-up and self-management. |
88.0 |
10.5 |
2.8 |
38. Provide training and personalized educational interventions on personal responses to nurses, disorders, health conditions, injuries and risk factors, including lifestyle changes and therapeutic interventions. |
86.7 |
15.3 |
6.5 |
39. Develop suitable educational materials based on the language and cultural beliefs of the patient. |
78.2 |
12.5 |
4.0 |
|
Domain - Evidence-based nursing
|
83.0 |
13.1 |
3.9 |
|
40. Incorporate research findings and other forms of knowledge to improve nursing processes and results. |
83.5 |
10.4 |
2.4 |
41. Seek the best evidence to improve health outcomes. |
87.2 |
11.2 |
3.0 |
42. Study clinical guides for their individual application in nursing practices. |
85.8 |
13.9 |
5.3 |
43. Implement algorithms, clinical guides and evidence-based courses of action. |
80.8 |
16.9 |
4.8 |
44. Act as a change agent through implementation of translational knowledge and dissemination of new knowledge, which may include formal presentations, publications, informal discussions and development of best clinical practices and policies. |
78.3 |
13.7 |
3.9 |
45. Use effective strategies for changing professional and work team behavior, promoting the adoption of evidence-based practices and innovations for providing health care. |
82.4 |
18.7 |
7.6 |
|
Domain - Research
|
65.4 |
20.9 |
13.6 |
|
46. Identify clinical issues that could be resolved through research. |
73.7 |
18.4 |
10.0 |
47. Select qualitative or quantitative research strategies tailored to the nature of the problem to be studied. |
71.6 |
25.1 |
21.8 |
48. Design research projects that meet the criteria established by financing agencies. |
53.1 |
21.1 |
14.8 |
49. Conduct research individually or with others. |
64.1 |
21.3 |
14.0 |
50. Disseminate research findings among various audiences using appropriate formats. |
64.7 |
10.4 |
2.7 |
|
Domain - Leadership
|
81.4 |
12.6 |
4.5 |
|
51. Distinguish one’s scope of practice from the other professionals on the health team. |
87.0 |
1.6 |
1.1 |
52. Work autonomously and independently, handling diagnosed or still not diagnosed patients. |
70.7 |
15.5 |
13.7 |
53. Document all aspects of care delivered to patients in accordance with the existing legal framework. |
88.6 |
9.4 |
2.0 |
54. Implement strategies for integrating and optimizing patient care in health teams within the system. |
84.9 |
12.5 |
2.5 |
55. Engage in advocacy to create organizational environments that support patient safety, collaborative practices and professional growth. |
77.6 |
16.3 |
6.1 |
56. Promote the formulation of policies and standards that contribute to the development of APN. |
75.2 |
15.8 |
9.0 |
57. Demonstrate critical thinking skills when faced with complex clinical situations. |
90.1 |
8.7 |
1.2 |
58. Demonstrate the ability to influence by using critical and reflective thinking and defending one’s decisions in a structured and well-grounded manner. |
81.7 |
10.1 |
1.2 |
59. Assess the relationship between access, cost, quality and safety and their influence on health care. |
78.7 |
16.4 |
4.9 |
60. Analyze the organizational structure, functions, and resources for improving the provision of care. |
80.6 |
15.5 |
3.9 |
61. Identify improvement needs in the provision of health care. |
86.5 |
11.4 |
2.0 |
62. Identify gaps and opportunities and formulate evidence-based recommendations to improve processes and practices. |
82.8 |
13.1 |
4.1 |
63. Work with communities, identifying needs and advocating for health services able to meet these needs. |
77.0 |
15.8 |
7.2 |
64. Design and implement knowledge management strategies to improve health care using appropriate technologies. |
78.1 |
16.6 |
5.3 |