Uncategorized
Psychiatric Mental Health NP Role-Specific Competency Self-Assessment
PMHNP Core Competency: Scientific Foundation
Table 1: PMHNP Core Competency: Scientific Foundation
| Role-Specific Competency CORE, not role specific |
Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Critically analyzes data and evidence for improving advanced nursing practice. | I can analyze data on psychotherapy theories in practice and use the information to advance nursing practice by integrating the therapies to help patients change their behavior and overcome mental health problems.
I can integrate knowledge from neurobiology, interpersonal neurobiology, advanced pathophysiology, pharmacotherapies, and advanced health assessment to assess, diagnose and treat my patients. I can pilot new evidence-based interventions, assess their effectiveness, and use them to improve patient outcomes. I can use the knowledge gained from the different curriculum content, including theories and other research, to develop new approaches to fostering patients’ wellbeing. |
|
| Integrates knowledge from the humanities and sciences in the context of nursing science. | I still need to learn more about recovery and resiliency to help patients undergoing mental health issues recover quickly from their conditions and spring back to their initial way of life. | |
| Translates research and other forms of knowledge to improve practice processes and outcomes. | ||
| Develops new practice approaches based on the integration of research, theory, and practice knowledge. |
PMHNP Core Competency: Leadership
Table 2: PMHNP Core Competency: Leadership
| Role-Specific Competency | Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Participates in community- and population-focused programs that promote mental health and prevent or reduce risk of mental health problems and psychiatric disorders. | I have had the opportunity to be part of a community campaign that educates locals on mental health and the importance of seeking help from professionals when battling such conditions.
I had several opportunities to work with interdisciplinary teams to advocate and ensure minority groups have equal access to mental health services as the majority at the local level. |
I need to develop my leadership and inter-professional competencies to lead more complex patient rights campaigns and issues at state and national levels.
|
| Advocates for complex patient and family medico-legal rights and issues. | ||
| Collaborates with inter-professional colleagues at the local, state, and national levels about advocacy and policy issues related to reducing health disparities and improving clinical outcomes for populations with mental health problems and psychiatric disorders. |
PMHNP Core Competency: Quality
Table 3: PMHNP Core Competency: Quality
| Role-Specific Competency | Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Evaluates the appropriate uses of seclusion and restraints in care processes. | I can use evidence from literature and knowledge gained in practice to determine when seclusion and restraints are required to promote the patient’s and other people’s safety. |
PMHNP Core Competency: Practice Inquiry
Table 4: PMHNP Core Competency: Practice Inquiry
| Role-Specific Competency CORE, not role specific |
Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Provides leadership in the translation of new knowledge into practice. | As a psychiatric nurse practitioner student, I have not had the chance to initiate change. I need to grow my leadership skills to enhance my skills to lead change. | |
| Generates knowledge from clinical practice to improve practice and patient outcomes. | Through the knowledge gained in the curriculum, I developed new ways of improving patient outcomes.
I learned and implemented different ways of assessing patients to diagnose and manage their conditions. I can work jointly with others to establish new ways of improving patient outcomes for various healthcare conditions. I can effectively implement clinical guidelines governing mental health services such as American Psychiatric Association (APA) in practice. |
|
| Applies clinical investigative skills to improve health outcomes. | ||
| Leads practice inquiry, individually or in partnership with others. | ||
| Disseminates evidence from inquiry to diverse audiences using multiple modalities. | ||
| Analyzes clinical guidelines for individualized application into practice. |
PMHNP Core Competency: Technology & Information Literacy
Table 5: PMHNP Core Competency: Technology & Information Literacy
| Role-Specific Competency CORE, not role specific |
Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Integrates appropriate technologies for knowledge management to improve health care. | As a psychiatric nurse practitioner student, I have learned and practiced the use of electronic medical records, virtual patient care, and laws governing technology use in mental health services. Through this knowledge, I can effectively work remotely with patients in distant locations using the available technology and leverage data banks to match the best available practice with patient needs to enhance care provision. I can also use laws governing technology use in mental health services to safeguard patient information and uphold data confidentiality. | |
| Translates technical and scientific health information appropriate for various users’ needs.
a. Assesses the patient’s and caregiver’s educational needs to provide effective, personalized health care. b. Coaches the patient and caregiver for positive behavioral change. |
||
| Demonstrates information literacy skills in complex decision-making. | ||
| Contributes to the design of clinical information systems that promote safe, quality, and cost-effective care. | ||
| Uses technology systems that capture data on variables for the evaluation of nursing care. |
PMHNP Core Competency: Policy
Table 6: PMHNP Core Competency: Policy
| Role-Specific Competency | Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Employs opportunities to influence health policy to reduce the impact of stigma on services for prevention and treatment of mental health problems and psychiatric disorders. | Knowledge of laws and regulations governing healthcare, such as HIPAA, has enabled me to practice ethically while ensuring patients access quality and affordable care.
The pursued courses have also enabled me to focus on consumer-focused care, which entails working jointly with patients to develop a care plan that matches their values and preferences. |
PMHNP Core Competency: Health Delivery System
Table 7: PMHNP Core Competency: Health Delivery System
| Role-Specific Competency CORE, not role specific |
Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Applies knowledge of organizational practices and complex systems to improve healthcare delivery. | Using knowledge gained from the curriculum content, I can effectively use integrative care skills to provide consultations to mental health patients, refer them to other specialists when the need arises, and communicate with other healthcare providers to ensure they receive holistic care.
I can also effectively coordinate services with other available resources to ensure that patients have access to community resources to maintain their mental health after discharge from mental health centres. |
|
| Effects healthcare change using broad-based skills including negotiating, consensus-building, and partnering. | ||
| Minimizes risk to patients and providers at the individual and systems levels. | ||
| Facilitates the development of healthcare systems that address the needs of culturally diverse populations, providers, and other stakeholders. | ||
| Evaluates the impact of healthcare delivery on patients, providers, other stakeholders, and the environment. | ||
| Analyzes organizational structure, functions, and resources to improve the delivery of care. | ||
| Collaborates in planning for transitions across the continuum of care. |
PMHNP Core Competency: Ethics
Table 8: PMHNP Core Competency: Ethics
| Role-Specific Competency CORE, not role specific |
Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Integrates ethical principles in decision making. | I can effectively incorporate mental health laws and ethics into practice, such as assuming the duty to report and warn other stakeholders if a patient poses harm to themselves and others. Through knowledge gained from this course content, I am able to respect patient boundaries and determine when involuntary hospitalization is vital. | |
| Evaluates the ethical consequences of decisions. | ||
| Applies ethically sound solutions to complex issues related to individuals, populations, and systems of care. |
PMHNP Core Competency: Independent Practice
Table 9: PMHNP Core Competency: Independent Practice
| Role-Specific Competency | Examples of Partial or Complete Attainment of the Competency | Areas Needing Further Development |
| Develops an age-appropriate treatment plan for mental health problems and psychiatric disorders based on biopsychosocial theories, evidence-based standards of care, and practice guidelines. | So far, I can determine psychiatric disorders to which specific demographics are predisposed, evaluate, screen, and provide effective treatment to patients.
|
|
| Includes differential diagnosis for mental health problems and psychiatric disorders. | ||
| Assesses impact of acute and chronic medical problems on psychiatric treatment. | ||
| Conducts individual and group psychotherapy. | ||
| Applies supportive, psychodynamic principles, cognitive-behavioral and other evidence based psychotherapies to both brief and long-term individual practice. | ||
| Applies recovery-oriented principles and trauma-focused care to individuals. | ||
| Demonstrates best practices of family approaches to care. | ||
| Plans care to minimize the development of complications and to promote function and quality of life. | ||
| Treats acute and chronic psychiatric disorders and mental health problems. | ||
| Safely prescribes pharmacologic agents for patients with mental health problems and psychiatric disorders. | ||
| Ensures patient safety through the appropriate prescription and management of pharmacologic and non-pharmacologic interventions. | ||
| Explains the risks and benefits of treatment to the patient and their family. | ||
| Identifies the role of the PMHNP in risk-mitigation strategies to clients in the areas of opiate use and substance abuse. | ||
| Seeks consultation when appropriate to enhance one’s own practice. | ||
| Uses self-reflective practice to improve care. | ||
| Provides consultation to healthcare providers and others to enhance quality and cost-effective services. | ||
| Guides the patient in evaluating the appropriate use of complementary and alternative therapies. | ||
| Uses individualized outcome measures to evaluate psychiatric care. | ||
| Manages psychiatric emergencies across all settings. | ||
| Refers patient appropriately. | ||
| Facilitates the transition of patients across levels of care. | ||
| Uses outcomes to evaluate care. | ||
| Attends to the patient-nurse practitioner relationship as a vehicle for therapeutic change. | ||
| Maintains a therapeutic relationship over time with individuals, groups, and families to promote positive clinical outcomes. | ||
| Therapeutically concludes the nurse-patient relationship, transitioning the patient to other levels of care when appropriate. | ||
| Demonstrates ability to address sexual/physical abuse, substance abuse, sexuality, and spiritual conflict across the lifespan. | ||
| Applies therapeutic relationship strategies based on theories and research evidence to reduce emotional distress, facilitate cognitive and behavioral change, and foster personal growth. | ||
| Applies principles of self-efficacy/ empowerment and other self-management theories in promoting relationship development and behavior change. | ||
| Identifies and maintains professional boundaries to preserve the integrity of the therapeutic process. | ||
| Teaches patients, families, and groups about treatment options with respect to developmental, physiological, cognitive, and cultural ability and readiness. | ||
| Provides psychoeducation to individuals, families, and groups regarding mental health problems and psychiatric disorders. | ||
| Modifies treatment approaches based on the ability and readiness to learn. | ||
| Considers motivation and readiness to improve self-care and healthy behavior when teaching individuals, families, and groups of patients. | ||
| Demonstrates knowledge of appropriate use of seclusion and restraints. | ||
| Documents appropriate use of seclusion and restraints. |
