Competencies for Home Health Nursing: A Literature Review

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Appendix AOrganizing Frameworks for Home Health Competencies or StandardsAuthor(s) orSourceAmerican NursesAssociation(ANA)(2008).Association ofNursing Directorsand Supervisors ofOntario OfficialHealth Agencies(ANDSOOHA), etal. (1985).Benefield, L.(1996).Title and Framework for the Competencies or StandardsHome Health Nursing Scope & Standards of PracticeI Standards of Practice1. Assessment2. Diagnosis3. Outcomes identification4. Planning5. Implementation-Coordination of care-Health teaching and health promotion-Consultation-Prescriptive authority and treatment6. EvaluationII Standards of Professional Performance7. Quality of practice8. Education9. Professional practice evaluation10. Collegiality11. Collaboration12. Ethics13. Research14. Resource utilization15. LeadershipStandards of Nursing Practice for Community Health Nursesin Ontario (Also known as “The Blue Book)Standards (organized by nursing process framework)1. Assessing2. Planning3. Implementing4. Evaluating5. Professional AccountabilityComponent Analysis of Productivity in Home Care RNs1. Knowledge and Ability Variables2. Client/family Management3. Practice Management4. Knowledge/Skill Maintenance5. Communication6. Nursing Process7. Written Documentation8. Home Health Care KnowledgeCompetencies for Home Health Nursing: Literature Review 20
Author(s) orSourceBenefield, L.E.(1998).Bramadat,Chalmers &Andrusyszyn,(1996).Title and Framework for the Competencies or StandardsCompetencies of Effective and Efficient Home Care Nurses1. Cognitive Knowledge that includes the recall or recognition of facts, and thedevelopment of intellectual methods for dealing with a new problemor situation2. Psychomotor Manual dexterity of the nurse Ability to give an injection Actual physical process of osculating breath sounds Mechanics of inserting a nasogastric tube Physical process of changing a dressing3. Affective (the caring part of nursing) Therapeutic touch Demonstrating empathy during conversations with a client Maintaining client privacy Communicating to seek the client’s perspective while not imposing thenurse’s own values on the client and family4. Effectiveness The degree to which the nurse has accomplished intended agencygoals related to managing and providing home care to a client5. Efficiency The production of home visits and associated activities related to thehome visit without time or material waste Time saving techniques during the home visits Conscious management of resources to avoid material or time wasteKnowledge, Skills and Experiences for CHN PracticeNew CHNs need: Inquiring mind Background in change theory People skills Counseling skills Health assessment including assessment of individuals, families andcommunities Knowledge of ethics Cultural awareness Interviewing skills Follow through from hospital to community and communitypreparation for hospitalizationCompetencies for Home Health Nursing: Literature Review 21
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Competencies for Home Health Nursing: A Literature Review

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