EIGHTH PHASE OF COMPETENCY DEVELOPMENT
DOMAIN 4. BUILIDNG AND USING EVIDENCE FOR BEST CLINICAL PRACTICES AND
SCHOLARSHIP
Competency 1. Synthesize and analyze evidence from practice, clinical information systems, and patient databases using informatics tools to identify defi cits and improve delivery of care.
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice Essential IV: Information Systems/Technology
and Patient Care Technology for the Improvement and Transformation of Health Care
Essential VIII: Advanced Nursing Practice
Quality
(1) Uses best available evidence to enhance quality in clinical practice.
(2) Evaluates how organizational, structural, fi nancial, marketing, and policy
decisions impact cost, quality, and accessibility of health care.
(3) Demonstrates skills in peer review that promote a culture of excellence.
Health Delivery System
(1) Applies knowledge of organizational behavior and systems.
(2) Demonstrates skills in negotiating, consensus building, and partnering.
(3) Manages risks to individuals, families, populations, and health care systems.
(4) Facilitates development of culturally relevant health care systems.
(continued)
CUSN (2010) AACN (2006) NONPF (2006)
Practice Inquiry
(1) Applies clinical investigative skills for evaluation of health outcomes at the patient, family, population, clinical unit, systems, and/or community levels.
(2) Provides leadership in the translation of new knowledge into practice.
(4) Disseminates evidence from inquiry to diverse audiences using multiple methods.
Technology and Information Literacy (1) Demonstrates information literacy in
complex decision making.
(2) Translates technical and scientifi c health information appropriate for user need.
(3) Participates in the development of clinical information system.
DOMAIN 4. BUILIDNG AND USING EVIDENCE FOR BEST CLINICAL PRACTICES AND SCHOLARSHIP
Competency 2. Evaluate quality of care against standards using reliable and valid methods and measures and propose innovative, interdisciplinary models that enhance outcomes.
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice Essential V: Health Care Policy for Advocacy in
Health Care
Policy
(1) Analyzes ethical, legal, and social factors in policy development.
(2) Infl uences health policy.
(3) Evaluates the impact of globalization on health care policy development.
2.1 DNP Comprehensive Care Competencies (Continued) (Continued)
25
DOMAIN 4. BUILIDNG AND USING EVIDENCE FOR BEST CLINICAL PRACTICES AND SCHOLARSHIP
Competency 3. Critically appraise and synthesize research fi ndings and other evidence using a systematic methodology and interdisciplinary models to inform practice and policy for optimal patient outcomes.
Essential I: Scientifi c Underpinnings for Practice
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice
Essential V: Health Care Policy for Advocacy in Health Care
Essential VIII: Advanced Nursing Practice
Quality
(1) Uses best available evidence to enhance quality in clinical practice.
(2) Evaluates how organizational, structural, fi nancial, marketing, and policy decisions impact cost, quality, and accessibility of health care.
(3) Demonstrates skills in peer review that promote a culture of excellence.
Practice Inquiry
(1) Applies clinical investigative skills for evaluation of health outcomes at the patient, family, population, clinical unit systems, and/or community health.
(2) Provides leadership in the translation of new knowledge into practice.
(4) Disseminates evidence from inquiry to diverse audiences using multiple methods.
DOMAIN 4. BUILIDNG AND USING EVIDENCE FOR BEST CLINICAL PRACTICES AND SCHOLARSHIP
Competency 4. Assess and critically appraise clinical scholarship through participation in the peer review process for the purpose of disseminating knowledge to the professional community.
Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice Essential VI: Interprofessional Collaboration
for Improving Patient and Population Health Outcomes
Quality
(3) Demonstrates skills in peer review that promote a culture of excellence.
Practice Inquiry
(1) Applies clinical investigative skills for evaluation of health outcomes at the patient, family, population, clinical unit systems, and/or community health.
(2) Provides leadership in the translation of new knowledge into practice.
(continued)
CUSN (2010) AACN (2006) NONPF (2006)
(4) Disseminates evidence from inquiry to diverse audiences using multiple methods.
Technology and Information Literacy (1) Demonstrates information literacy
in complex decision making.
(2) Translates technical and scientifi c health information appropriate for user need.
(3) Participates in the development of clinical information system.
2.1 DNP Comprehensive Care Competencies (Continued) (Continued)
Chapter 2 Development of DNP Competencies in Comprehensive Care
27
Competencies will continue to be reviewed and revised. The dynamic state of health care technology and scientifi c discovery requires constant surveil- lance of the relevance and adequacy of the outcome competencies. The CUSN DNP competencies provide a blueprint for educational content and graduate certifi cation of a clinical nursing doctorate. The establishment of this doctoral level of education, with well-defi ned and distinctive competencies, will contrib- ute to quality and access to comprehensive care.
The developmen t of the competencies of a clinical nursing doctorate was made possible by funding from the Teagle Foundation, the W.K. Kellogg Foun- dation, the Robert Wood Johnson Foundation, and Pfi zer Inc.
Acknowledgments 2003
Columbia University School of Nursing
University of Illinois at Chicago College of Nursing University of Iowa College of Nursing
Rush University College of Nursing
University of Texas Health Sciences Center at Houston School of Nursing Yale University School of Nursing
University of Washington School of Nursing
Acknowledgments 2006
Columbia University School of Nursing University of California School of Nursing University of Tennessee School of Nursing Vanderbilt University School of Nursing Rand Corporation
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29
The Columbia University School of Nursing doctor of nursing practice (CUSN DNP) curriculum is designed to prepare advanced practice nurses as comprehensive care providers and applies a competency-based approach to educate and to evaluate DNP students. The CUSN competencies of a doctor of nursing practice in comprehensive care (see Table 2.1) form the frame- work for the curriculum and are integrated throughout the coursework and practica. The direct care competencies are linked to performance objectives that students are expected to achieve and to substantiate in written clinical case narratives.