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  1. 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 also guide the assessment of members’ continuing competence for maintaining registration with. CNO. Purpose of the document.

  2. This framework defines the core competencies required for safe, competent and ethical nurse practitioner practice. The core competencies are transferable across diverse practice settings and client populations. As a result, the framework is fundamental to all nurse practitioner practice in Canada.

  3. The standards of practice for registered nurses serve a number of purposes: protect the public through the regulation of safe, competent, and ethical RNs. provide a guide to the knowledge, skills, judgment and attitudes that are needed to practice safely.

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    • 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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  4. 1.1 Provides safe, ethical, competent, compassionate, client-centred and evidence-informed nursing care across the lifespan in response to client needs. 1.2 Conducts a holistic nursing assessment to collect comprehensive information on client health status.

  5. CNO provides practice standards and guidelines to support nurses in providing safe and ethical nursing care to the people of Ontario. Practice standards outline the expectations for nurses that contribute to public protection.

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  7. This framework defines the core competencies required for safe, competent and ethical nurse practitioner practice. The core competencies are transferable across diverse practice settings and client populations.

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