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Scientific Foundation Competencies Evidence

1. Critically analyzes data and evidence for improving advanced Utilizes research tools and online resources such as Up to Date, to
nursing practice. incorporate the strongest evidence into practice.
2. Integrates knowledge from the humanities and sciences within Integrates evidence and research findings from critical analysis
the context of nursing science. projects into practice.
3. Translates research and other forms of knowledge to improve Participates in research of best practices that promote a safe and
practice processes and outcomes. healthy environment.
4. Develops new practice approaches based on the integration of Influences decision making bodies to improve the professional
research, theory, and practice knowledge practice environment and healthcare consumer outcomes.
Demonstrates Capstone project to facility.
Leadership Competencies
1. Assumes complex and advanced leadership roles to initiate and Engages in teamwork and team building processes to initiate and
guide change. guide change. Participates in weekly meeting to collaborate with
other providers and facilitate change.
2. Provides leadership to foster collaboration with multiple Partners with others to effectively change and produce positive
stakeholders (e.g. patients, community, integrated health care outcomes through the sharing of knowledge of the healthcare
teams, and policy makers) to improve health care. consumer.
3. Demonstrates leadership that uses critical and reflective Understands the importance of delivering safe and effective care
thinking. to every patient by practicing evidence based care. Respects
patients autonomy and promotes shared decision-making.
4. Advocates for improved access, quality and cost effective Provides equal and cost effective care to all patients to reduce
health care. healthcare burden and costs.
5. Advances practice through the development and Delivers the highest quality of care implemented in the practice
implementation of innovations incorporating principles of change. using evidence based care.
6. Communicates practice knowledge effectively both orally and Understands the importance of verbalizing care plans as well as
in writing. documenting them in the MAR. Follows up with patients over the
phone.
7. Participates in professional organizations and activities that Works with colleagues to evaluate resources that are available in
influence advanced practice nursing and/or health outcomes of a the community as well as organizational structure functions that
population focus. can be changed to effectively care for the focused population.

Nurse Practitioner Core Competencies (NONPF, 2012)


Nurse Practitioner Core Competencies (NONPF, 2012)
Quality Competencies
1. Uses best available evidence to continuously improve quality
of clinical practice.
2. Evaluates the relationships among access, cost, quality, and
safety and their influence on health care.
3. Evaluates how organizational structure, care processes,
financing, marketing and policy decisions impact the quality of
health care.
4. Applies skills in peer review to promote a culture of excellence.
5. Anticipates variations in practice and is proactive in
implementing interventions to ensure quality.
Practice Inquiry Competencies
1. Provides leadership in the translation of new knowledge into
practice.
2. Generates knowledge from clinical practice to improve practice
and patient outcomes.
3. Applies clinical investigative skills to improve health
outcomes.
4. Leads practice inquiry, individually or in partnership with
others.
5. Disseminates evidence from inquiry to diverse audiences using
multiple modalities.
6. Analyzes clinical guidelines for individualized application into
practice
Technology and Information Literacy Competencies
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Uses evidence based practice with every patient encounter to
deliver safe effective care.
Understands the importance of lack of access related to healthcare
costs and how it can impact safety and community health.
Read and understand the Affordable Health Care Act and familiar
with implications associated with the policy change.
Participate in peer reviews to discuss which practice interventions
and changes will be most effective.
Committed to understanding the implications of health policy and
advocate for effective policy change.
Provides leadership by completing research and effectively
demonstrating the outcomes to colleagues in a community based
setting.
Participates in educational programs that promotes effective care
and incorporates this knowledge into clinical practice to improve
patient outcomes.
Active involvement with research and data gathering to determine
disease outcomes.
Works with medical student colleagues to determine best practice
care and effectively demonstrates results to community clinics.
Analyzes data and outcome measurements based on different
populations, ethnic backgrounds, and community settings.
Utilizes tools provided at the clinic such as Up to Date and
Stanfords Guide to bring evidence-based practice to care.

1. Integrates appropriate technologies for knowledge management
to improve health care.
2. Translates technical and scientific health information
appropriate for various users needs.
Nurse Practitioner Core Competencies (NONPF, 2012)
Technology and Information Literacy Competencies (Contd)
2a). Assesses the patients and caregivers educational needs to
provide effective, personalized health care.
2b). Coaches the patient and caregiver for positive behavioral
change.
3. Demonstrates information literacy skills in complex decision
making.
4. Contributes to the design of clinical information systems that
promote safe, quality and cost effective care.
5. Uses technology systems that capture data on variables for the
evaluation of nursing care.
Policy Competencies
1. Demonstrates an understanding of the interdependence of
policy and practice.
2. Advocates for ethical policies that promote access, equity,
quality, and cost.
3. Analyzes ethical, legal, and social factors influencing policy
development.
4. Contributes in the development of health policy.
5. Analyzes the implications of health policy across disciplines.
6. Evaluates the impact of globalization on health care policy
development.
Health Delivery System Competencies
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Understand the importance of using technology such as electronic
medical records when caring for patients.
Able to interpret health information and effectively communicate
findings to various populations with different educational levels.
Listen to patient and families to effectively assess their healthcare
needs.
Counsel patient and families who would benefit from lifestyle
changes.
Able to interpret complex data and health information and
determine the most appropriate decision based on patients
healthcare and personal needs.
Discuss guidelines and best practice outcomes with colleagues for
patient population all while maintaining cost effective and quality
care.
Retrieves and interprets health information on different computer
software systems.
Delivers the highest quality of care while following policies and
practicing within my scope of practice.
Follows the Code of Ethics by the American Nursing Association.
Evaluates resources available to determine the most appropriate
way to handle ethical, legal, and social issues.
Committed to understanding implications of health policy and
advocate for policy change.
Interprets policies for different health populations.
Continuously educates self on impact of globalization on society
and implements strategies to promote effective policy changes.

1. Applies knowledge of organizational practices and complex
systems to improve health care delivery.
2. Effects health care change using broad based skills including
negotiating, consensus-building, and partnering.
3. Minimizes risk to patients and providers at the individual and
systems level.
Nurse Practitioner Core Competencies (NONPF, 2012)
Health Delivery System Competencies (Contd)
4. Facilitates the development of health care systems that address
the needs of culturally diverse populations, providers, and other
stakeholders.
5. Evaluates the impact of health care delivery on patients,
providers, other stakeholders, and the environment.
6. Analyzes organizational structure, functions and resources to
improve the delivery of care.
7. Collaborates in planning for transitions across the continuum of
care.
Ethics Competencies
1. Integrates ethical principles in decision making.
2. Evaluates the ethical consequences of decisions.
3. Applies ethically sound solutions to complex issues related to
individuals, populations and systems of care.
Independent Practice Competencies
1. Functions as a licensed independent practitioner.
2. Demonstrates the highest level of accountability for
professional practice.
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Understands the impact healthcare has on the delivery of care and
knows what is essential to provide for each patient and their
families.
Communicates with other health programs and specialties to
promote an effective relationship that will benefit the care of
patients.
Always practices in a safe and effective manner to minimize risks
of patient and providers.
Experience working in a multi culturally diverse setting with
immigrants and refugees and works collaboratively to ensure
optimal care that ensures cultural customs and practices.
Collaborates with the healthcare team to ensure health care
delivery has a positive impact on patients and their families.
Promotes teamwork amongst the entire practice and makes
necessary changes to improve delivery of care.
Embraces necessary changes and transitions that are needed to
provide effective care.
Advocate for patient rights and promote autonomy as they make
health decisions.
Discusses ethical challenges with patients based on problem and
scenario.
Knows about ethical consequences and able to provide rationales
for complex situations.
Delivers the highest quality of care while practicing within scope.
Accountable for practice by addressing questions in practice to
improve care.

3. Practices independently managing previously diagnosed and
undiagnosed patients.
3a). Provides the full spectrum of health care services to include
health promotion, disease prevention, health protection,
anticipatory guidance, counseling, disease management,
palliative, and end of life care.
3b). Uses advanced health assessment skills to differentiate
between normal, variations of normal and abnormal findings.
3c). Employs screening and diagnostic strategies in the
development of diagnoses.
3d). Prescribes medications within scope of practice.
Nurse Practitioner Core Competencies (NONPF, 2012)
Independent Practice Competencies (contd)
3e). Manages the health/illness status of patients and families
over time.
4. Provides patient-centered care recognizing cultural diversity
and the patient or designee as a full partner in decision-making.
4a). Works to establish a relationship with the patient
characterized by mutual respect, empathy, and collaboration.
4b). Creates a climate of patient-centered care to include
confidentiality, privacy, comfort, emotional support, mutual trust,
and respect.
4c). Incorporates the patients cultural and spiritual preferences,
values, and beliefs into health care.
4d). Preserves the patients control over decision making by
negotiating a mutually acceptable plan of care.
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Within my scope of practice I practice independently when
diagnosing patients.
As an APRN it is necessary to always include health promotion,
disease prevention, health protection, anticipatory guidance,
counseling, disease management, palliative, and end of life care
to patients across the lifespan.
Uses health assessment skills during health history and physical
exam to determine normal and abnormal findings.
Uses appropriate screening tools based off practice
recommendations and risk factors of patients.
Uses pharmacological knowledge and consults pharmacy when
needed to effectively prescribe medications.
Provides effective long term care to entire families and helps
manage acute and chronic illnesses over time.
Continuously provide culturally sensitive care and educates self
on unfamiliar areas to be the most effective provider possible and
help facilitate decisions.
Develops a strong patient provider relationship that involves
respect and fosters shared decision making to enhance health
outcomes.
Abide by the Health Insurance Portability and Accountability Act,
which maintain confidentiality and privacy of the patient.
Always respects patients cultural and spiritual preferences.
Educates self, staff, and patients on different spiritual needs.
Understands patient has the final right to determine treatment
course. Can educate patient on disease process and
recommendations, but must always respect autonomy.

Across the Life Span/Family NP Competencies (NONPF, 2012)
Leadership Competencies for the FNP
1. Works with individuals of other professions to maintain a
climate of mutual respect and shared values.
2. Engages diverse health professionals who complement ones
own professional expertise, as well as associated resources, to
develop strategies to meet specific patient care needs.
3. Engages in continuous professional and interprofessional
development to enhance team performance.
4. Assumes leadership in interprofessional groups to facilitate the
development, implementation and evaluation of care provided in
complex systems.
Across the Life Span/Family NP Competencies (NONPF, 2012)
Independent Practice Competencies for the FNP
1. Obtains and accurately documents a relevant health history for
patients of all ages and in all stages of the individual and family
life cycle using collateral information as needed.
2. Performs and accurately documents appropriate comprehensive
or symptom focused physical examinations on patients of all ages
(including developmental behavioral screening, physical exam
and mental health evaluations)
3. Identifies health and psychosocial risk factors of patients of all
ages and families in all stages of the family life cycle.
4. Identifies and plans interventions to promote health with
families at risk.
5. Assesses the impact of an acute and/or common illness or
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Maintain relationship with social work, behavioral health, and
case management to enhance relationships that will foster more
productive patient outcomes.
Collaborate with other professionals and provide constructive
feedback to each other to enhance skills and improve patient
outcomes.
Maintain licenses, CSL hours, and continue in doctoral education
to enhance outcomes and overall team performances.
Advocate for the APRN role as a leader and implement changes
to benefit complex systems.
Competent in obtaining a health history from patients of all age
groups
Competent in performing a physical examination and able to
distinguish findings that are abnormal.
Able to distinguish between normal and abnormal physical and
mental conditions and can provide resources fro everyone in the
family to utilize.
Utilizes the referral system and refers families to counseling,
family planning, social services, and case management.
Regularly interact with close family members on how the disease

common injuries on the family as a whole.
6. Distinguishes between normal and abnormal change across the
lifespan.
7. Assesses decision making ability and consults and refers
appropriately.
8. Synthesizes data from a variety of sources to make clinical
decisions regarding appropriate management, consultation or
referral.
9. Plans diagnostic strategies and makes appropriate use of
diagnostic tools for screening and prevention, with consideration
of the costs, risks and benefits to individuals.
10. Formulates comprehensive differential diagnoses.
11. Manages common acute and chronic physical and mental
illnesses, including acute exacerbations and injuries across the
lifespan to minimize the development of complications, and
promote function and quality of living.
Across the Life Span/Family NP Competencies (NONPF, 2012)
Independent Practice Competencies for the FNP (contd)
12. Prescribes medications with knowledge of altered
pharmacodynamics and pharmacokinetics with special
populations, such as infants and children, pregnant and lactating
women, and older adults.
13. Prescribes therapeutic devices.
14. Adapts interventions to meet the complex needs of individuals
and families arising from aging, developmental/life transitions,
co-morbidities, psychosocial and financial issues.
15. Assesses and promotes self-care for individuals with
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is impacting the family unit as a whole as well as individually.
Able to distinguish between normal and abnormal findings across
the lifespan, including developmental milestones.
Regularly consults colleagues for review and often refer to
supervising physician for advice on difficult cases.
Utilizes online resource tools such as Pub Med, Up to Date,
Stanfords guide to appropriately diagnose. Utilizes the referral
system as needed for consultations.
Follows guidelines and uses critical thinking skills for utilizing
diagnostic tools for screening and prevention of acute and chronic
conditions.
Utilizes critical thinking skills gained to effectively diagnose
patients as well as come up with a comprehensive differential
diagnosis list.
Understands the importance of continuity of care to effectively
manage lifelong and chronic conditions across the lifespan and
improve quality of life.
Able to utilize appropriate resources and work collaboratively
with pharmacy to safely and effectively prescribe medications to
all populations including infants, children, pregnant and lactating
mothers, and the elderly population.
Able to provide prior authorizations and recommendations for
therapeutic devices for patients in need of all age groups.
Able to discuss social issues families experience including aging,
developmental, co morbidities, psychosocial, and financial. Able
to provide anticipatory guidance to assist families.
Understand the importance of self-care for disabled patients, as

disabilities.
16. Plans and orders palliative and end-of-life care as appropriate.
17. Performs primary care procedures.
18. Uses knowledge of family and family theories and
development stages to individualize care provided to individuals
and families.
19. Facilitates family decision-making about health.
20. Analyzes the impact of aging and age-and-disease-related
changes in sensory/perceptual function, cognition, confidence
with technology, and health literacy and numeracy on the ability
and readiness to learn and tailor interventions accordingly.
21. Demonstrates knowledge of the similarities and differences in
roles of various health professionals providing mental health
services, e.g. psychotherapists, psychologist, psychiatric social
worker, psychiatrist, and advance practice psychiatric nurse.
22. Evaluates the impact of life transitions on the health/illness
status of patients and the impact of health and illness on patients
(individuals, families and communities).
23. Applies principles of self-efficacy/empowerment in promoting
behavior change.
Across the Life Span/Family NP Competencies (NONPF, 2012)
Independent Practice Competencies for the FNP (contd)
24. Develops patient-appropriate educational materials that
address the language and cultural beliefs of the patient.
25. Monitors specialized care coordination to enhance
effectiveness of outcomes for individuals and families.
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this promotes a healthy lifestyle and improves overall well being.
Advocates for patients in need of end of life services and
effectively communicates concerns with Hospice care.
Able to utilize history and physical exam and perform standard
primary care procedure based on findings.
Able to interpret family theories and apply to specific family
dynamics. Utilize this tool to promote effective changes and
promote better outcomes.
When warranted, includes family members in healthcare decision
making and providing them with the appropriate tools needed to
fully understand decisions.
Understand normal age related changes as well as abnormal
changes and incorporates this knowledge in care maintenance as
well as an educational opportunity to families.
Employ motivational interviewing and always utilize Behavior
Health services to patients and families in need of mental health
services.
Understands importance of continuity of care amongst patients
and their entire families. Provides continuous emotional support
and comfort as families experience changes related to health.
Professional and non judgmental demeanor to empower
individuals to make effective health related changes.
Always uses interpreter services to communicate with patients
that speak different languages and provide them with print out
educational materials in language of choice.
Monitor quality of care by having colleagues evaluate work,
request feedback that includes constructive criticism that will
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improve family practice.