Australian Association of Stomal Therapy Nurses Inc.
ABN 16 072 891 322
Stoma / Wound / Continence
Advanced Registered Nurse Competencies
for
Stomal Therapy Nursing
Competency Evaluation Tool
for Recredentialing
Nurse’s Name:
Address:
Email:
Date of Assessment:
STATEMENT
This evaluation tool is my own work. I also understand that this sheet will be removed
before assessment to protect my confidentiality.
Signed: __________________________________
Date: ______/______/______
Competency Evaluation Tool for Recredentialing. Australian Association of Stomal Therapy Nurses
Education and Professional Development Subcommittee.
Developed 2002. Reviewed 2005, 2008, 2010, 2013
1
Advanced Registered Nurse Competencies
Introduction
This evaluation tool has been developed by the Education and Professional Development
Subcommittee of the Australian Association of Stomal Therapy Nurses Inc.
The Competency Standards for the Advanced Registered Nurse form the basis of the tool.
These Standards were published by the Australian Nursing Federation (ANF) in 2005.
To facilitate the use of those generic competencies in the Stomal Therapy Nursing context,
the fourteen (14) competency standards and the active statements about how nurses
demonstrate their competence have been examined to correlate them with the Standards of
Stomal Therapy Nursing Practice (2013). Since the competencies are broad statements
that must be used in a context-specific setting, it is envisaged that a variety of behaviours
may be used to verify a nurse’s ability to meet any competency standard.
The purpose of this tool is to guide self-assessment of current practice and is used to
demonstrate how the advanced Stomal Therapy Nurse meets the Standards of Stomal
Therapy Nursing Practice. The tool is used and submitted with the reflective journal of
episodes of practice for the purpose of recredentialing advanced or expert Stomal Therapy
Nurses.
Applicants are required to use this tool to self-evaluate their reflective journal and identify
where they have demonstrated a competency and met the required standard as indicated on
the following pages.
Recredentialing is achieved by demonstrating you have met all 14 competency standards
reflecting the three (3) ANF identified domains.
 Domain 1: Conceptualises practice
 Domain 2: Adapts practice
 Domain 3: Leads practice
However, the committee recognises that not all sub competencies / elements may be
applicable to your case scenario(s) but you should aim to demonstrate a minimum of 80 %
of the total sixty eight (68) elements.
Standards of Stomal Therapy Nursing Practice
STANDARD 1: PROFESSIONAL ROLE AND DEVELOPMENT
The Stomal Therapy Nurse assumes responsibility for a high level of nursing practice
through evaluation, reflection, continuing education, professional development and
research, and contributes to professional growth of others.
STANDARD 2: COLLABORATIVE PRACTICE AND INTERDISCIPLINARY CARE
The Stomal Therapy Nurse establishes and maintains communication processes in
professional relationships.
STANDARD 3: CLINICAL BEST PRACTICE
The Stomal Therapy Nurse provides comprehensive, accurate and systematic evidencebased nursing care with professional autonomy in any practice setting.
STANDARD 4: EDUCATION AND HEALTH PROMOTION
The Stomal Therapy Nurse assists individuals, significant others and communities to
achieve optimal levels of wellness through health education and promotion.
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
2
Guidelines for using this Competency Evaluation Tool
Process
 The participant must become familiar with the Competency Standards for the
Advanced Registered Nurse (2005) (available from ANF in each state), Standards of
Stomal Therapy Nursing Practice (2013), and this Evaluation Tool prior to its use
 Your reflective journal may comprise a complex scenario / case study or several less
complex case studies and episodes of practice
 Write your “story” with as much detail as required, clearly relating the behaviour/s you
consider demonstrate the elements of the competencies. At the end of each paragraph
in your story, identify each of the elements of the competencies you meet. Transcribe
the page / paragraph number to the self assessment column of the Tool eg 1 / 9
(remember that any one detail may meet more than one element or competency)
 Include both your personal and professional educational activities as appropriate
 Consider as wide a selection of opportunities for your journal and self-assessment as
possible. A limit of 2 000 – 3 000 words applies
 The self-assessment process promotes reflective practice relevant to these
competencies in a Stomal Therapy Nursing context
 The Competency Evaluation Tool is to be completed in a confidential environment
 This completed Tool must accompany your reflective journal for verification

Please retain a copy of your self-assessment and reflective journal
 On completion, please forward by the 1st of September to:
Credentialing Officer
AASTN Inc. Education and Professional Development Subcommittee
Mrs Sue Delanty
Stomal Therapy
Launceston General Hospital
Charles Street
Launceston TAS 7250
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
3
Advanced Registered Nurse Competencies for Stomal Therapy Nursing
Competency
Standard 1
Elements
Uses best available evidence, observations and experience to plan,
conduct and evaluate practice in ways which incorporate complexity
and / or a multiplicity of elements.
The advanced registered nurse:
1.1
gathers and accurately evaluates evidence from a range of sources;
1.2
uses multiple approaches to decision making;
1.3
identifies typical patterns of responses from individuals and groups;
1.4
recognises important aspects of the situation;
1.5
makes qualitative distinctions based on previous experience;
1.6
considers possible and probable consequences of the situation for
individuals and groups;
1.7
seeks additional clinical evidence to validate clinical decisions;
1.8
initiates strategies to confirm / disconfirm data from additional sources;
1.9
integrates data from all relevant sources;
1.10
undertakes systematic and focussed surveillance that detects subtle
changes in the situation for individuals and groups to inform assessment
and decisions; and
1.11
utilises previous experiences to inform decisions.
Competency
Standard 2
Elements
Uses health and / or nursing models as a basis for practice.
The advanced registered nurse:
2.1
ensures practice is grounded in theoretical frameworks relevant to the
context of care; and
2.2
contributes to the development of nursing and health care knowledge
through reflection on practice.
Competency
Standard 3
Elements
Manages outcomes in complex clinical situations.
The advanced registered nurse:
3.1
maintains focus when multiple, concurrent stimuli are presented;
3.2
incorporates risk / benefit analysis to inform nursing decisions;
3.3
accurately identifies parameters for the safety of individuals and groups;
3.4
ensures nursing decisions are justified in the specific context;
3.5
monitors effects of autonomous nursing decisions; and
3.6
simultaneously and efficiently manages a range of activities.
Competency
Standard 4
Elements
Anticipates and meets the needs of individuals and groups with
complex conditions and / or high risk situations.
The advanced registered nurse:
4.1
identifies priorities quickly using context specific knowledge;
4.2
incorporates risk / benefit analysis to inform nursing decisions;
4.3
accurately identifies parameters for the cultural safety of individuals and
groups;
4.4
ensures nursing decisions are justified in the specific context;
4.5
monitors effects of autonomous decisions; and
4.6
responds constructively to unexpected or rapidly changing situations.
AASTN
Standards
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
1&3
AASTN
Standards
1&3
AASTN
Standards
1&3
AASTN
Standard
2
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
4
Advanced Registered Nurse Competencies for Stomal Therapy Nursing
Competency
Standard 5
Elements
Integrates and evaluates knowledge and resources from different
disciplines and health care teams to effectively meet the health care
needs of individuals and groups.
The advance registered nurse:
5.1
refers to and incorporates data from other health professionals when
planning care;
5.2
uses collegial networks for referrals to meet the needs of individuals and
groups;
5.3
develops and refocuses networks, taking into account fluctuations and
shifts in interdisciplinary alliances;
5.4
uses maturity and political astuteness to deal effectively with issues
arising from complex collaborations;
5.5
clearly articulates the care requirements of individuals and groups using
context specific knowledge and experience;
5.6
actively advocates for individuals and groups within and across health
care teams and agencies; and
5.7
manages care for individuals and groups across multi agency and
interdisciplinary lines.
Competency
Standard 6
Elements
Seeks out and integrates evidence from a range of sources to improve
health care outcomes.
The advanced registered nurse:
6.1
identifies appropriate sources of evidence according to the context;
6.2
is aware of and uses best available evidence to inform practice;
6.3
obtains expert advice as required;
6.4
uses outcomes of consultation to negotiate care;
6.5
selectively implements specific strategies based on expected outcomes;
6.6
makes decisions in partnership with individuals and groups according to
their expressed needs; and
6.7
ensures that nursing practice is based on experience, clinical judgement
and statutory and common law requirements where a decision by an
individual or group contravenes safe practice.
Competency
Standard 7
Elements
Safely interprets and modifies guidelines and practice to meet the
health care needs of individuals and groups.
The advanced registered nurse:
7.1
ensures protocols guide rather than direct practice;
7.2
responds effectively to unexpected or rapidly changing situations;
7.3
identifies gaps between current practice and existing protocols and
guidelines; and
7.4
initiates changes to protocols and guidelines to improve the care of
individuals and groups in line with the latest available evidence.
Competency
Standard 8
Elements
Leads and guides the nursing team to promote optimum standards of
care.
The advanced registered nurse:
8.1
practices confidently as an individual while maintaining open
communication and consulting with relevant members of the health team;
8.2
bases practice on the use and, where relevant, modification of multiple
standards and guidelines;
8.3
ensures practice is grounded in appropriate frameworks; and
8.4
contributes to nursing knowledge through reflection on practice.
AASTN
Standard
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
2
AASTN
Standard
2
AASTN
Standard
2
AASTN
Standards
1&4
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
5
Advanced Registered Nurse Competencies for Stomal Therapy Nursing
Competency
Standard 9
Elements
Shares information and resources to initiate improvements and/or
innovation in nursing practice.
The advanced registered nurse:
9.1
Recognises the value of change and, where beneficial, pursues the
introduction of change such as new guidelines, protocols, skill mixes;
9.2
supports quality improvement processes within the workplace;
9.3
provides feedback on quality improvement processes to colleagues;
9.4
personally contributes to quality improvement processes;
9.5
incorporates outcomes from quality improvement processes into nursing
practice; and
9.6
consistently uses structured feedback from individuals and groups, both
formal and informal, for ongoing quality improvement.
Competency
Standard 10
Elements
Fosters and initiates research-based nursing practice
The advance registered nurse:
10.1
identifies issues / problems in nursing practice as the basis for review and
research;
10.2
critically evaluates existing research evidence for relevance to practice;
10.3
participates in the conduct of approved research where appropriate;
10.4
incorporates validated research evidence into nursing practice; and
10.5
supports appropriate research conducted by others.
Competency
Standard 11
Elements
Acts as a mentor and role model for nurses and other health
professionals.
The advance registered nurse:
11.1
recognises the necessity for mutual respect of colleagues in the workplace
and profession;
11.2
makes time available to listen to colleagues’ professional concerns and
requests; and
11.3
provides advice and constructive criticism where appropriate.
Competency
Standard 12
Elements
Contributes to development of nursing knowledge, standards and
resources through active participation at the broader professional
level.
The advance registered nurse:
12.1
participates in organisational and / or professional committees, boards,
working parties or forums; and
12.2
contributes to written submissions about organisational or professional
issues.
Competency
Standard 13
Facilitates education of individual and groups, students, nurses and
other members of the health care team.
Elements
The advance registered nurse:
13.1
shares information and ideas; and
13.2
takes on a teaching role for less experienced staff.
Competency
Standard 14
Elements
Acts as a resource for other nurses and members of the health care
team.
The advance registered nurse:
14.1
facilitates care / support groups for individuals and groups; and
14.2
answers enquiries about current practice in area of expertise.
AASTN
Standards
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
Self Assessment
Marker Verification
1&4
AASTN
Standards
1&4
AASTN
Standards
1&4
AASTN
Standards
1&4
AASTN
Standards
1&4
AASTN
Standards
1&4
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
6
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
7
Stomal Therapy Nurse’s Comments (self-assessment)
Assessor’s Comments
Stomal Therapy Nurse’s Strengths
Areas for Development
Assessor’s Name: ____________________________________________________
Assessor’s Signature: _________________________________________________
Education and Professional Development Subcommittee
Date: ______/______/______
Competency Evaluation Tool. Australian Association of Stomal Therapy Nurses Inc. Education & Professional Development Subcommittee
Developed 2001. Reviewed 2003, 2006, 2010, 2013
8