Comparison of ICMSN Mission/Goals, Student Outcomes and Related Competencies, and ANA Standards of Professional Performance for the Advanced Practice Registered Nurse ICMSN MISSION/GOALS Student Outcomes Related Competencies ANA Standards of Professional Performance for the Advanced Practice Registered Nurse Provision of curricula which Possesses a background Standard 8 1. Integrates nursing and related sciences into the fosters a for practice from sciences Education: The graduate-level delivery of advanced nursing care to diverse background for practice from and humanities populations prepared specialty nurse or the sciences and Graduates recognize the 2. Incorporates current and emerging advanced practice registered nurse: humanities, need for integration of genetic/genomic evidence in providing advanced Uses current healthcare organizational and scientific findings from nursing care to individuals, families and research findings and other systems leadership, nursing, biopsychosocial communities while considering patient values and evidence to expand clinical concern for quality improvement and safety, fields, genetics, public health, clinical judgment knowledge, skills, abilities, and translation and integration of quality improvement, and 3. Designs nursing care for a student or patient/family judgment, to enhance role scholarship into practice, use organizational sciences to population based on biopsychosocial, public performance, and to increase of informatics and enhance the continual health, nursing and organizational sciences knowledge of professional healthcare technologies, improvement of nursing care 4. Applies ethical analysis and clinical reasoning to issues. advocacy for health policy to across diverse settings. assess, intervene, and evaluate advanced nursing improve care, intercare delivery professional collaboration for 5. Synthesizes evidence for practice to determine improving patient and appropriate application of interventions across population health outcomes, diverse populations participation in clinical 6. Uses quality processes and improvement science prevention and population to evaluate care and ensure patient safety for health for improving health, individuals, families and communities and master’s level nursing practice competencies. 7. Integrates organizational science and informatics to make changes in the care environments to improve health outcomes 8. Analyzes nursing history to expand thinking and provide a sense of professional heritage and identity. Possesses Organizational and Systems Leadership Graduates recognize that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems-perspective 1. Applies leadership skills and decision making in the provision of culturally responsive, high-quality nursing care, healthcare team coordination, and the oversight and accountability for care delivery and outcomes 2. Assumes a leadership role in effectively implementing patient safety and quality improvement initiatives within the context of the inter-professional team using effective communication skills. 3. Develops an understanding of how healthcare systems are organized and financed and identifies the economic, legal, and political factors that influence health care 4. Demonstrates the ability to use complexity science and systems theory in the design, delivery, and evaluation of health care 5. Applies business and economic principles and practices, including budgeting, cost/benefit analysis, and marketing to develop a business plan 6. Designs and implements systems change strategies that improve the care environment. Possesses a Concern for Quality Improvement and Safety Graduates recognize that they must be articulate in the methods, tools, performance measures, and standards related to quality, as well as be prepared to apply quality principles within an 1. Analyzes information about quality initiative recognizing the contributions of individuals and inter-professional healthcare team to improve health outcomes across the continuum of care 2. Implements evidence-based plans based on trend analysis and quantifies the impact on quality and safety 3. Analyzes information and design systems to sustain improvements and promote transparency using high reliability and just culture principles Standard 12 Leadership: The graduate-level prepared specialty nurse or the advanced practice RN Influences decision-making bodies to improve the professional practice environment and healthcare consumer outcomes Provides direction to enhance the effectiveness of the interprofessional team Promotes advanced practice nursing and role development by interpreting its role for healthcare consumers, families, and others. Models expert practice to interprofessional team members and healthcare consumers. Mentors colleagues in the acquisition of clinical knowledge, skills, abilities, and judgment Standard 10 Quality of Practice: The graduatelevel prepared specialty nurse or the advanced practice registered nurse: Provides leadership in the design and implementation of quality improvements Designs innovations to effect change in practice and organization Translates and Integrates Scholarship into Practice Graduates apply research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results 4. Compares and contrasts several appropriate quality improvement models 5. Promotes a professional environment that includes accountability and high-level communication skills when involved in peer review, advocacy for patients and families, reporting of errors, and professional writing. 6. Contributes to the integration of healthcare services within systems to affect safety and quality of care to improve patient outcomes and reduce fragmentation of care 7. Directs quality improvement methods to promote culturally responsive, safe, timely, effective, efficient, equitable, and patient-centered care. 8. Leads quality improvement initiatives that integrate socio-cultural factors affecting the delivery of nursing and healthcare services. 1. Integrates theory, evidence, clinical judgment, research, and inter-professional perspectives using translational processes to improve practice and associated health outcomes for patient aggregates 2. Advocates for the ethical conduct of research and translational scholarship 3. Articulates to a variety of audiences the evidence base for practice decisions, including the credibility of sources of information and the relevance to the practice problem confronted 4. Participate, leading when appropriate in collaborative teams to improve care outcomes and support policy changes through knowledge generation, knowledge dissemination, and planning and evaluating knowledge implementation 5. Applies practice guidelines to improve practice and the care environment 6. Performs rigorous critique of evidence derived from improve health outcomes Evaluates the practice environment and quality of nursing care rendered in relation to existing evidence. Identifies opportunities for the generation and use of research and evidence Obtains and maintains professional certification if it is available in the area of expertise Uses the results of quality improvement to initiate changes in nursing practice and the healthcare delivery system Standard 9 Evidence-Based Practice and Research: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Contributes to nursing knowledge by conducting or synthesizing research and other evidence that discovers, examines, and equates current practice, knowledge, theories, criteria, and creative approaches to improve healthcare outcomes Promotes a climate of research and clinical inquiry Disseminates research databases to generate meaningful evidence for nursing practice. Uses Informatics and Healthcare Technologies Graduates use patient-care technologies to deliver and enhance care and uses communication technologies to integrate and coordinate care 1. Analyzes current and emerging technologies to support safe practice environments, and to optimize patient safety, cost-effectiveness and health outcomes 2. Evaluates outcome data using current communication technologies, information system, and statistical principles to develop strategies to reduce risks and improve health outcomes 3. Promotes policies that incorporate ethical principles and standards for the use of health and information technologies 4. Provides oversight and guidance in the integration of technologies to document patient care and improve patient outcomes 5. Uses information and communication technologies, resources, and principles of learning to teach patients and others 6. Uses current and emerging technologies in the care environment to support lifelong learning for self and others findings through activities such as presentation, publications, consultations, and journal clubs Standard 13 Collaboration: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Partners with other disciplines to enhance healthcare consumer outcomes through interprofessional activities, such as education, consultation, management, technological development, or research activities Invites the contribution of the healthcare consumer, family, and team members in order to achieve optimal outcomes Leads in establishing, improving, and sustaining collaborative relationships to achieve safe, quality healthcare consumer care Documents plan-of-care communications, rationales for plan-of-care changes, and collaborative discussions to improve healthcare consumer outcomes Advocates for Health Policy to Improve Care Graduates recognize the need to intervene at the system level through the policy development process and to employ advocacy strategies to influence health and health care 1. Analyzes how policies influence the structure and financing of health care, practice, and health outcomes 2. Participates in the development and implementation of institutional, local, and state and federal policy 3. Examines the effect of legal and regulatory processes on nursing practice, healthcare delivery, and outcomes 4. Interprets research, bringing the nursing perspective, for policy makers and stakeholders 5. Advocates for policies that improve the health of the public and the profession of nursing. Standard 9 Evidence-based Practice and Research: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Contributes to nursing knowledge by conducting or synthesizing research and other evidence that discovers, examines, and evaluates current practice, knowledge, theories, criteria, and creative approaches to improve health care outcomes Promotes a climate of research and clinical inquiry Disseminates research findings through activities such as presentations, publications, consultation, and journal clubs Standard 15 Resource Utilization: The graduatelevel prepared specialty nurse or the advanced practice registered nurse: Utilizes organizational and community resources to formulate inter-professional plans of care Formulates innovative solutions for healthcare consumer care problems that utilize resources effectively and maintain quality Designs evaluation strategies Practices Inter-Professional Collaboration for improving Patient and Population Health Outcomes Graduates are members and leaders of inter-professional teams who communicate, collaborate and consult with other health professionals to manage and coordinate care 1. Advocates for the value and role of the professional nurse as member and leader of interprofessional healthcare teams 2. Understands other health professions’ scopes of practice to maximize contributions within the healthcare team 3. Employs collaborative strategies in the design, coordination, and evaluation of patient-centered care 4. Uses effective communication strategies to develop, participate, and lead inter-professional teams and partnerships 5. Mentors and coaches new and experienced nurses and other members of the healthcare team 6. Functions as an effective group leader or member based on an in-depth understanding of team dynamics and group processes that demonstrate costeffectiveness, cost-benefit, and efficiency factors associated with nursing practice Standard 13 Collaboration: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Partners with disciplines to enhance healthcare consumer outcome through interprofessional activities, such as education, consultation, management, technological development, or research opportunities Invites the contribution of the healthcare consumer, family, and team members in order to achieved optimal outcomes Leads in establishing, improving and sustaining collaborative relationships to achieve safe, quality healthcare consumer care Documents plan-of-care communications, rationales for plan-of-care changes, and collaborative discussions to improve healthcare consumer outcomes. Participates in Clinical Prevention and Population Health for Improving Health Graduates apply and integrate broad, organizational, clientcentered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified populations 1. Synthesizes broad ecological, global and social determinants of health; principles of genetics and genomics; and epidemiologic data to design and deliver evidence-based, culturally relevant clinical prevention interventions and strategies 2. Evaluates the effectiveness of clinical prevention interventions that affect individual and populationbased health outcomes using health information technology and data sources 3. Designs patient-centered and culturally responsive strategies in the delivery of clinical prevention and health promotion interventions and/or services to individuals, families, communities, and aggregates/clinical population 4. Advances equitable and efficient prevention services, and promotes effective population-based health policy through the application of nursing science and other scientific concepts 5. Integrates clinical prevention and population concepts in the development Standard 14 Professional Practice Evaluation: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Engages in a formal process seeking feedback regarding her or his own practice from healthcare consumers, peers, professional colleagues, and others Standard 16 Environmental Health: The graduatelevel prepared specialty nurse or the advanced practice registered nurse: Creates partnerships that promote sustainable environmental health policies and conditions Analyzes the impact of social, political, and economic influences on the environment and human health exposure Critically evaluates the manner in which environmental health issues are presented by the popular media Advocates for implementation of environmental principles for nursing practice Supports nurses in advocating for and implementing environmental principles in nursing practice Possesses Master’s Level Nursing Practice Competencies Master’s-level nursing graduates have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into practice. 1. Conducts a comprehensive and systematic assessment as a foundation for decision making 2. Applies the best available evidence from nursing and other sciences as the foundation for practice 3. Advocates for patients, families, caregivers, communities and members of the healthcare team 4. Uses information and communication technologies to advance patient education, enhance accessibility of care, analyze practice patterns, and improve health care outcomes, including nurse sensitive outcomes 5. Uses leadership skills to teach, coach, and mentor other members of the healthcare team 6. Uses epidemiological, social, and environmental data in drawing inferences regarding the health status of patient populations and interventions to promote and preserve health and healthy lifestyles 7. Uses knowledge of illness and disease management to provide evidence-based care to populations, perform risk assessments, and design plans or programs of care 8. Incorporates core scientific and ethical principles in identifying potential and actual ethical issues arising from practice, including the use of technologies, and in assisting patients and other healthcare providers to address such issues 9. Applies advanced knowledge of the effects of global environmental, individual and population characteristics to the design, implementation, and evaluation of care 10. Employs knowledge and skills in economics, business principles, and systems in the design, delivery, and evaluation of care 11. Applies theories and evidence-based knowledge in leading, as appropriate, the healthcare team to design, coordinate, and evaluate the delivery of care 12. .Applies learning and teaching principles to the design, implementation, and evaluation of health education programs for individuals or groups in a Standard 8 Education: The graduate-level prepared specialty nurse or the advanced practice registered nurse: Uses current healthcare research findings and other evidence to expand clinical knowledge, skills, abilities, and judgment, to enhance role performance, and to increase knowledge of professional issues. variety of settings 13. Establishes therapeutic relationships to negotiate patient-centered, culturally appropriate, evidencebased goals and modalities of care 14. Designs strategies that promote lifelong learning of self and peers and that incorporate professional nursing standards and accountability for practice 15. Integrates an evolving personal philosophy of nursing and healthcare into one’s nursing practice