demonstrating continuing competency through professional practice assessment wa state nursing care...
TRANSCRIPT
Demonstrating Continuing Competency Through Professional Practice
AssessmentWA State Nursing Care Quality Assurance Commission
July 2008
Agenda
IntroductionDefinition of Continued CompetencyWA State Journey Professional Practice Assessment
Program OverviewNext Steps
Introduction
Nursing Practice Act:Defines Who May PracticeDefines Scope of PracticeLicensure- Agreement to Practice Safely
and within the Scope of PracticePublic Expectation
Safe practiceOngoing competency monitoring
Definition of Continued Competency
The nurse’s practice will consistently integrate professional/vocational knowledge, skills, judgment and personal attributes.
The nurse’s practice will occur within: the scope of defined nursing practice
andacceptable safety and ethical standards.
WA State Journey on Competency
1970’s Washington State required continuing education for nurse re-licensure
2002 The Commission began considering methods to demonstrate continuing competency
2004-. The Commission formed the 2005 Continuing Competency Task Force
2006 The Commission established Continuing Competency as a top
priority
Professional Practice Program
Program Components
Active nursing practiceSelf-reflection and assessment Professional Practice Development Plan
Plan Implement Evaluate
[1] RCW 18.130 Uniform Disciplinary Act for Health Professionals, RCW 18.79 Nursing Care
Step One- Statement of Active Practice
Current Practice Setting (paid or unpaid)Duties and ResponsibilitiesNumber of Hours worked
Step Two- Self Assessment
Completion of the Commission’s Self-Assessment Tool Professional ResponsibilityKnowledge Based PracticeLegal and Ethical Practice
Step Three- Creating the Professional Development Plan
Learning Goals and ObjectivesAction PlanTimeframe for Completion
Step Four- Creating A Professional Practice File
Your PortfolioAssessmentDevelopment PlanEvidence that you are meeting goals/actions
You may be directed by the Commission to submit your file
Attestation
Written Confirmation of Compliance at Renewal
Next Steps- Democracy at Work
Rule Process Phase 1 Present Conceptual Framework Obtain and collect feedback Timeframe: July-Sept 15th
Phase 2Draft rule language and presentObtain and collect feedbackTimeline Sept 15th – Nov 15th
Appendix
History
Health Care Professionals1995 The Pew Health Professions
Commission (Pew Commission)1995 Citizens Advocacy Center (CAC)1999 Institute of Medicine (IOM) Report 2001 Institute of Medicine Report
REPORT CROSSING THE QUALITY CHASM: A New Health System for the 21st Century
Stakeholders
Comprehensive cross section of the profession Correctional Nurses Educators Hospitals LTC Home health Public Health Specialty Associations & Organizations Schools Nurses
DEFINITION OF TERMS
Attestation means written acknowledgement by the nurse of compliance with the standards and terms of the Professional Practice Development Program.
Continuing Competency is the ongoing ability of a nurse to integrate the knowledge, skills, judgment and personal attributes to practice safely and ethically in a designated role and setting in accordance with the scope of nursing practice. [1]
Nursing Practice means functioning in a paid or unpaid position or role that requires a nursing license, and/or routine use of nursing knowledge and skill.
Professional Practice Development Plan is a written document that describes a plan for improving practice. Each nurse defines goals, objectives, and action steps based on their self-assessment and self-reflection activities. The time period to achieve the goals is 12 to 36 months.Review Period means the licensing year for each nurse, beginning on the nurse’s birthday. The Commission may consider a nurses’ practice throughout their career: however, the review period will concentrate on the immediate past twelve (12) months.
Self-Assessment is a reflective process that may include: Completion of the Commission’s Self-Assessment Questionnaire (required) Application of professional standards (American Nurses Association, national
nursing standards, and specialty organizations) applicable to the nurse’s practice Consideration of individual practice strengths and opportunities for professional
growth Knowledge, skill, resilience, including physical and emotional hardiness and
stamina Results of supervisory performance evaluation, peer review, and client/patient
feedback
Statement of Active Practice means a written narrative describing a nurse’s practice in a paid or unpaid position. (See Nursing Practice definition above.) Minimum practice requirement is 576 hours for the past thirty-six (36) month period.
[1] National Council of State Boards of Nursing (NCSBN), 2006.
Comments and Questions
Please join the Nursing Commission list serve:
http://listserv.wa.gov/cgi-bin/wa?SUBED1=nursing-qac&A=1
Comments go to:
Mail to: NCQAC C/O Chuck Cumiskey
PO Box 47864 Olympia, WA 98504-7864