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- 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.
www.cno.org/Assets/CNO/Documents/Standard-and-Learning/competencyframework_en.pdf
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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.
- Entry-Level Competencies For Nurse Practitioners - CNO
This document outlines the competencies measured for...
- Nurse Practitioners - CNO
As outlined in CNO’s Entry-to-Practice Competencies for...
- Entry-Level Competencies For Nurse Practitioners - CNO
This document outlines the competencies measured for entry-level Nurse Practitioners (NPs) 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.
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Nurse practitioner practice is grounded in values, knowledge and theories of nursing practice. Entry-level competencies form the foundation for all aspects of nurse practitioner practice, and apply across diverse practice settings and client populations.
As outlined in CNO’s Entry-to-Practice Competencies for Nurse Practitioners, entry-level competencies, which are the knowledge, skills and judgment required to support safe practice, include competencies related to ordering diagnostic testing, which includes diagnostic imaging such as CTs and MRIs. These competencies are integrated into ...
- ACKNOWLEDGEMENTS
- Purpose of the Framework
- Profile of the Nurse Practitioner
- ASSUMPTIONS
- 1. Professional Role, Responsibility and Accountability
- Accountability
- Advanced nursing practice
- Adverse event
- Advocate
- Attributes
- Collaboration
- Collaborate
- Competence
- Competencies
- Complementary and alternative therapies
- Consultation
- Critical appraisal
- Cultural safety
- Determinants of health
- Disease and injury prevention
- Diversity
- Evidence-informed practice
- Health promotion
- Health protection
- Interprofessional care
- Near miss
- Pharmacotherapy
- Population health
- Problematic substance use
- Referral
- Safe client care
- Scope of practice
- Standard
- Therapeutic management
- APPENDIX A: REPRESENTATIVES AND FACILITATORS
- Practice/Education Representatives
- Regulatory Representatives
- Co-chairs
Appreciation and thanks are extended to the regulatory authorities, the Canadian Nurse Practitioner Core Competency Committee (see Appendix A), the Registered Nurses’ Association of Ontario, and nurse practitioners across Canada who participated in the development of this document. In particular, the revision of the framework was made possible by t...
The Canadian Nurse Practitioner Core Competency Framework (2010) can be either adopted as is or modified by regulatory bodies to suit the particular context of each body. Nursing regulatory bodies may use this document alone or in combination with additional provincial/territorial nurse practitioner documents to support regulatory processes such as...
Nurse practitioners, as autonomous health professionals with advanced education, provide essential health services grounded in professional, ethical and legal standards. Nurse practitioners integrate their in-depth knowledge of advanced nursing practice and theory, health management, health promotion, disease/injury prevention, and other relevant b...
Familiarity with the assumptions used to develop the core competencies is essential to the understanding of how these competencies may be applied to the nurse practitioner practice in all roles and settings, not only those specific to a particular client population or practice environment. In developing the core competencies listed in this document...
This nurse practitioner competency category encompasses the core competencies for the following four categories of advanced nursing practice: clinical practice; collaboration, consultation and referral; research; and leadership.5 Nurse practitioner practice is characterized by the simultaneous interaction and blending of competencies at a level of ...
The obligation to answer for the professional, ethical and legal responsibilities of one’s activities and duties.
An umbrella term describing an advanced level of clinical nursing practice that maximizes the use of graduate educational preparation; in-depth nursing knowledge; and expertise in meeting the health needs of individuals, families, groups, communities and populations. It involves analyzing and synthesizing knowledge; understanding, interpreting and ...
An event that results in unintended harm to the patient and is related to the care and/or service provided to the patient rather than the patient’s underlying condition.
Actively supporting a right and good cause; supporting others in speaking for themselves; or speaking on behalf of those who cannot speak for themselves.
Characteristic qualities that include, but are not limited to, attitudes, values and beliefs.
Client care involving joint communication and decision-making processes among the client, nurse practitioner and other members of a health-care team who work together to use their individual and shared knowledge and skills to provide optimum client-centred care. The health-care team works with clients toward the achievement of identified health out...
Building consensus and working together on common goals, processes and outcomes.
The integrated knowledge, skills, judgment and attributes required of a registered nurse to practise safely and ethically in a designated role and setting.
The specific knowledge, skills and personal attributes required for a nurse practitioner to practise safely and ethically in a designated role and setting.
Those modalities or interventions that complement mainstream medicine, that are used to address clients’ health needs across the continuum of health care, and that are not met by conventional approaches. Complementary therapies tend to be those that are used alongside traditional health care, while alternative therapies tend to be those used in pla...
Seeking the advice of others who have the required expertise.
The process of systematically examining research evidence to assess its validity, reliability, results and relevance before using it to make an informed decision. It is an essential part of evidence-informed practice.
Addresses power relationships between the service provider and the people who use the service. A manner that affirms, responds to and fosters the cultural expression of clients. This usually requires nurses to have undertaken a process of reflection on their own cultural identity and to have learned to practise in a way that affirms the culture of ...
Definable entities that are associated with or induce health outcomes. These entities include health behaviours, lifestyles, coping abilities, biology, gender and genetics, income and social status, culture, education, employment and working conditions, access to appropriate health services, and the physical environment.
Measures taken both to prevent the occurrence of disease and injury, such as risk-factor reduction, and to arrest the progress and reduce the consequences of disease or injury once established.
The variation between people with respect to such factors as ethnicity, national origin, race, gender, ability, age, physical characteristics, religion, values, beliefs, sexual orientation, socio-economic class or life experiences.
An approach to decision-making in which the clinician conscientiously integrates critically appraised evidence, clinical practice experience, and knowledge of contextual factors in consultation with the patient, in order to decide upon the option that best suits the patient’s needs. Evidence may include, but is not limited to, published research, g...
The process of enabling people to increase control over and improve their health. It embraces actions directed not only at strengthening the skills and capabilities of individuals, but also at changing social, environmental, political and economic conditions to alleviate their impact on public and individual health.
Activities in food hygiene, water purification, environmental sanitation, drug safety and other areas that, as far as possible, eliminate the risk of adverse consequences to health that are attributable to environmental hazards.
The provision of comprehensive health service to patients by multiple health caregivers who work collaboratively to deliver quality care within and across settings.
An event with the potential for harm that did not result in harm because it did not reach the client due to timely intervention or good fortune (sometimes called a close call).
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Christine Rieck Buckley, CNA Barbara Waters, CARNA
Canadian Nurse Practitioner Core Competency Framework [PDF, 1.3 MB] Canadian Nurse Practitioner Exam Practice Framework for Nurse Practitioners in Canada [PDF, 206.9 KB]
Nursing regulatory bodies established the Canadian Nurse Practitioner Program Approval Framework to guide the review and evaluation of NP education programs in Canada (Canadian Registered Nurse Regulators, 2010). The framework is divided into four categories:
