In nursing, the domains and competencies of the practice involve a conceptual framework for the nurse that forms a foundation for his or her competencies. There are seven domains in underpins the type of competencies that a professional nurse should possess.
The helping role domain provides that nurses should assist patients in learning specific skills or information by crafting a learning plan comprising of cumulative and sequential steps which acknowledges elements such as relapse, reinforcement, and support (Patricia et al, 2009).
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The domain of diagnostic and patient-monitoring function provides nursing competency of attaining high standards of practice by monitoring the quality of her practice and by regularly improving the quality of diagnosis and monitoring based on professional standards and relevant regulations and procedures.
The nurse can effectively manage rapidly changing situations by being able to assess a patient’s ongoing and changing needs including his motivations for learning by using principles of behavior changes.
The nurse can also exhibit the teaching coaching function by being able to incorporate psycho-social principles in teaching that will help the patient deal with the emotions and effort of managing his health conditions.
The administration and monitoring of therapeutic interventions and regimens gifts the nurse the competency of using an evidence-based approach to patient management that applies research care management and patient outcomes.
The domain of monitoring and ensuring the quality of health care practices provides the nurse with the competency of monitoring the quality of his own practice including the incorporation of a progressive quality improvement practice based on regulations and statutes (Heinen et al, 2019). The nurse should also be able to monitor research so as to improve the quality of care.
There is also the domain of organizational and work-role competencies that enables the nurse to utilize scientific research and theories in implementing her role. It includes her role as a coach, administrator, counselor, advocate, coach, and leader, among others.
References
Benner, P. E., Tanner, C. A., & Chesla, C. A. (2009). Expertise in nursing practice: Caring, clinical judgment, and ethics . (2 nd ed). New York, NY: Springer Pub. Co.
Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of advanced nursing , 75 (11), 2378-2392. Retrieved from: https://onlinelibrary.wiley.com/doi/pdf/10.1111/jan.14092
