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  1. reviews and establishing competencies required for nursing practice. Entry-to-practice competencies are the foundation for nursing practice. This document outlines the competencies measured for entry-level registered nurses (RNs) upon initial registration with CNO and entry to practice in Ontario. The competencies

  2. Nurse practitioners integrate their in-depth knowledge of advanced nursing practice and theory, health management, health promotion, disease/injury prevention, and other relevant biomedical and psychosocial theories to provide comprehensive health services.

    • The Context of Entry-Level Registered Nursing Practice
    • Overarching Principles
    • Competency Category 1: Clinician
    • Competency Category 2: Professional
    • Competency Category 3: Communicator
    • Competency Category 4: Collaborator
    • Competency Category 5: Coordinator
    • Competency Category 6: Leader
    • Competency Category 7: Advocate
    • Competency Category 8: Educator
    • Competency Category 9: Scholar

    The design and application of the listed competencies is at entry to practice, i.e., when entry-level RNs are at the point of initial registration or licensure, following graduation from an approved nursing education program. Their beginning practice draws upon specific experiences during their education program which shaped a theoretical and exper...

    Entry-level RNs must meet these competencies; and so too should all practicing RNs, throughout their careers, relative to their specific context and/or patient population. The following overarching principles apply to the education and practice of entry-level registered nurses: The entry-level RN is a beginning practitioner. It is unrealistic to ex...

    Registered nurses are clinicians who provide safe, competent, ethical, compassionate, and evidence-informed care across the lifespan in response to client needs. Registered nurses integrate knowledge, skills, judgment and professional values from nursing and other diverse sources into their practice.

    Registered nurses are professionals who are committed to the health and well-being of clients. Registered nurses uphold the profession’s practice standards and ethics and are accountable to the public and the profession.

    Registered nurses are communicators who use a variety of strategies and relevant technologies to create and maintain professional relationships, share information, and foster therapeutic environments.

    Registered nurses are collaborators who play an integral role in the health-care team partnership.

    Registered nurses coordinate point-of-care health service delivery with clients, the health-care team, and other sectors to ensure continuous, safe care.

    Registered nurses are leaders who influence and inspire others to achieve optimal health outcomes for all.

    Registered nurses are advocates who support clients to voice their needs to achieve optimal health outcomes. Registered nurses also support clients who cannot advocate for themselves.

    Registered nurses are educators who identify learning needs with clients and apply a broad range of educational strategies towards achieving optimal health outcomes.

    Registered nurses are scholars who demonstrate a lifelong commitment to excellence in practice through critical inquiry, continuous learning, application of evidence to practice, and support of research activities.

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  3. Competence is defined as an integration of the attributes that comprise competent nursing care, within a specific setting and context (CNA, 2000).

  4. This document outlines the entry-to-practice competencies for practical nurses, organized by underlying assumptions for RPN practice and regulatory principles, which include professional practice, ethical practice, legal practice, foundations of practice and collaborative practice.

  5. The entry-level RN works within the registered nursing scope of practice, and appropriately seeks guidance when they encounter situations outside of their ability. The entry-level RN must have the requisite skills and abilities to attain the entry-level competencies.

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  7. The Entry-Level Competencies for the Practice of Registered Nurses describe the knowledge, skill, and judgment required of beginning practitioners to provide safe, competent, compassionate, and ethical care. The document is organized in a roles-based format.

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