Entry-Level Domain 2 Competencies
2.1 Engage with the Individual in establishing a caring relationship.
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2.1a Demonstrate qualities of empathy.
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2.1b Demonstrate compassionate care.
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2.1c Establish mutual respect with the individual and family.
2.2 Communicate effectively with individuals.
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2.2a Demonstrate relationship-centered care.
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2.2b Consider individual beliefs, values, and personalized information in communications.
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2.2c Use a variety of communication modes appropriate for the context.
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2.2d Demonstrate the ability to conduct sensitive or difficult conversations.
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2.2e Use evidence-based patient teaching materials, considering health literacy, vision, hearing, and cultural sensitivity.
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2.2f Demonstrate emotional intelligence in communications.
2.3 Integrate assessment skills in practice.
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2.3a Create an environment during assessment that promotes a dynamic interactive experience.
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2.3b Obtain a complete and accurate history in a systematic manner.
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2.3c Perform a clinically relevant, holistic health assessment.
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2.3d Perform point of care screening/diagnostic testing (e.g. blood glucose, PO2, EKG).
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2.3e Distinguish between normal and abnormal health findings.
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2.3f Apply nursing knowledge to gain a holistic perspective of the person, family, community, and population.
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2.3g Communicate findings of a comprehensive assessment.
2.4 Diagnose actual or potential health problems and needs.
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2.4a Synthesize assessment data in the context of the individual’s current preferences, situation, and experience.
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2.4b Create a list of problems/health concerns.
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2.4c Prioritize problems/health concerns.
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2.4d Understand and apply the results of social screening, psychological testing, laboratory data, imaging studies, and other diagnostic tests in actions and plans of care.
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2.4e Contribute as a team member to the formation and improvement of diagnoses.
2.5 Develop a plan of care.
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2.5a Engage the individual and the team in plan development.
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2.5b Organize care based on mutual health goals.
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2.5c Prioritize care based on best evidence.
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2.5d Incorporate evidence-based intervention to improve outcomes and safety.
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2.5e Anticipate outcomes of care (expected, unexpected, and potentially adverse).
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2.5f Demonstrate rationale for plan.
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2.5g Address individuals’ experiences and perspectives in designing plans of care.
2.6 Demonstrate accountability for care delivery.
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2.6a Implement individualized plan of care using established protocols.
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2.6b Communicate care delivery through multiple modalities.
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2.6c Delegate appropriately to team members.
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2.6d Monitor the implementation of the plan of care.
2.7 Evaluate outcomes of care.
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2.7a Reassess the individual to evaluate health outcomes/goals.
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2.7b Modify plan of care as needed.
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2.7c Recognize the need for modifications to standard practice.
2.8 Promote self-care management.
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2.8a Assist the individual to engage in self-care management.
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2.8b Employ individualized educational strategies based on learning theories, methodologies, and health literacy.
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2.8c Educate individuals and families regarding self-care for health promotion, illness prevention, and illness management.
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2.8d Respect individuals and families’ self-determination in their healthcare decisions.
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2.8e Identify personal, system, and community resources available to support self-care management.
2.9 Provide care coordination.
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2.9a Facilitate continuity of care based on assessment of assets and needs.
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2.9b Communicate with relevant stakeholders across health systems.
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2.9c Promote collaboration by clarifying responsibilities among individual, family, and team members.
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2.9d Recognize when additional expertise and knowledge is needed to manage the patient.
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2.9e Provide coordination of care of individuals and families in collaboration with care team.