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Competencies for Home Health Nursing: A Literature Review

Competencies for Home Health Nursing: A Literature Review

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Author(s) orSourceHiguchi,Christensen, &Terpstra, (2002).Kaiser, Barr andHays (2003, p.194).Kaiser andRudolph (1996).Title and Framework <strong>for</strong> the <strong>Competencies</strong> or StandardsChallenges in <strong>Home</strong> Care Practice: A Decision-MakingPerspectiveFour Domains of <strong>Home</strong> Care Practice1. Assessment and use of physiological data2. Initiation and monitoring of therapeutic interventions3. Assessment and use of family and environmental data4. Integration of physiological data and interventions<strong>Competencies</strong> <strong>for</strong> Community/Public <strong>Health</strong> Nurse <strong>Health</strong> SystemsNurse Specialists (selected) Applies ethical thinking to practice situations Uses professional standards, guidelines and best practices Engages in systems thinking Articulates <strong>for</strong> self and others practice values and beliefs Understands quality management Evaluates health programs Identifies best clinical practices Fosters evidence-based practice Partners with individuals, organizations… Participates in resolving conflict Communicates effectively in oral discussions and presentations Communicates effectively in written <strong>for</strong>msIn Search of Meaning: Identifying <strong>Competencies</strong> Relevant toEvaluation of the CHN GeneralistSocialization Domain Recognizing world view differences between client and nurse Understanding the CHN role responsibility and practice parameters Sensitivity to worth and living conditions of vulnerable clients(works at getting family or individual perceptions; displaysacceptance of poor environmental conditions—see also Zurmehly,2007) Using peers as resources through sharing and camaraderie (promoteslearning of cooperation and understanding of interdependence) Professional behaviours: resourceful, progressive self-reliance Recognizing values of CHN: “going the extra mile”; greatest good<strong>for</strong> greatest number Recognition of community systems and functionsOverlap of Domains Long-term relationship development Promoting empowerment and self-efficacy <strong>Home</strong> visiting skills Autonomy in organization and/or scheduling of contacts Accountability in unstructured clinical settings<strong>Competencies</strong> <strong>for</strong> <strong>Home</strong> <strong>Health</strong> <strong>Nursing</strong>: <strong>Literature</strong> <strong>Review</strong> 28

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