All that will ensure that best evidenced

All
of the core competencies listed in this week’s reading are needed to help guide
the Psychiatric Mental Health Nurse Practitioner Student (PMHNPS) and their preceptors
throughout the clinical rotation. These entry-level competencies are important
because they are necessary to promote the optimal mental health, prevention and
treatment of psychiatric disorders and health maintenance for all patients (NONPF,
2013). It will be important for all (PMHNPS) to uphold these competencies and
to use them to guide their decision making and ethical standards. These competencies
are a core foundation and will shape the platform and development of each and
every student throughout the semester. They are the pathway to the students success
and the road map that will lead every student to  a higher standard of care.

The
Scientific Foundation Competencies is key because it is the knowledge base from
the humanities and sciences that shaped the foundation of nursing practice (NONPF, 2013). It critically analyzes data and
evidence for improving advanced nursing practice. It’s a combination of evidenced
based research and theory of nursing practice (NONPF, 2013).  This particular competency sets the pace and clinical
care pathway of the (PMHNPS) decision-making during the preceptorship.

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Being
a leader and ensuring that quality care is provided for each and every patient
will help to close health disparities gaps that many mental health patients face.
The Leadership and Quality Competencies are important to ensure that this will
happen.   Displaying high quality standards in nursing practice
will put in place interventions that will ensure that best evidenced practice
and peer review research is utilized. It will promote cost saving factors,
influence and shape policy and improve the overall quality of clinical practice
(NONPF, 2013). Research shows that quality care provided by nurse practitioners
is comparable in quality to that provided by their physician supervisors (Gadbois,
Miller, Tyler & Intrator, 2015). Research also shows that the emerging presence
of nurse practitioners results in equal or better quality of care, including
fewer potentially avoidable hospitalizations and other favorable outcomes (Gadbois,
Miller, Tyler & Intrator, 2015). Improved quality comes from having great leadership,
that’s why these two competencies are so closely related. The Leadership Competency
promotes collaboration with stakeholders, advocates for resources and quality
care, involves critical thinking and initiates change, all to improve quality
care (NONPF, 2013).  

Lastly
another important competency is the Independent Practice Competencies. This competency
is very important because this discusses the management of health and illness
across the lifespan.  It gives the nurse practitioner
full autonomy to provide patient-centered care recognizing cultural diversity
and the patient or designee as a full partner in decision-making (NONPF, 2013).
It brings forth the importance of using all the skills, training, evidenced
based reasearch, and ethical training received throughout one’s nursing
education (NONPF, 2013).   This is the highest level of accountability
and allows the licensed independent practitioner to diagnosis, assesses, plan, prescribe
and manage patients safely (NONPF, 2013). 
 

As
nurse Practitioners continue to receive less restrictive practice authority in
the United States and in some states full practice authority, practicing independently
becomes even more important. Licensed Psychiatric Mental Health Nurse Practitioners
are paving the way for future nurse practitioners. As change continues to occur
these core competencies are the blueprint needed to guide the (PMHNPS) through many
challenges her or she may face.   

 

 

 

 

References

 

Gadbois, E. A., Miller, E. A.,
Tyler, D., & Intrator, O. (2015). Trends in State Regulation of Nurse

Practitioners and Physician
Assistants, 2001 to 2010. Medical Care Research and Review?: MCRR,

72(2), 200–219. http://doi.org/10.1177/1077558714563763

 

National Organization of Nurse Practitioner Faculties (NONPF)
(2013). Psychiatric-mental health nurse

practitioner competencies (PDF). In
Population-focused nurse practitioner competencies (pp.

63–77). Washington, DC: American Association of
Colleges of Nursin

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