Transcript Slide 1

Demonstrating Continuing Competency
Through Professional Practice
Assessment
WA State Nursing Care Quality Assurance Commission
July 2008
Agenda
Introduction
 Definition of Continued Competency
 WA State Journey
 Professional Practice Assessment
Program Overview
 Next Steps
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Introduction
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Nursing Practice Act:
Defines Who May Practice
 Defines Scope of Practice
 Licensure- Agreement to Practice Safely
and within the Scope of Practice
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Public Expectation
Safe practice
 Ongoing competency monitoring
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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
and
 acceptable 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
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2006
The Commission established
Continuing Competency as a top
priority
Professional Practice Program
Program Components
Active nursing practice
 Self-reflection and assessment
 Professional Practice Development Plan
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Plan
Implement
Evaluate
[1] RCW 18.130 Uniform Disciplinary Act for Health Professionals, RCW 18.79 Nursing Care
Step OneStatement of Active Practice
Current Practice Setting (paid or unpaid)
 Duties and Responsibilities
 Number of Hours worked
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Step TwoSelf Assessment
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Completion of the Commission’s SelfAssessment Tool
Professional Responsibility
 Knowledge Based Practice
 Legal and Ethical Practice
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Step Three- Creating the
Professional Development Plan
Learning Goals and Objectives
 Action Plan
 Timeframe for Completion
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Step Four- Creating A Professional
Practice File
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Your Portfolio
Assessment
 Development Plan
 Evidence that you are meeting goals/actions
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You may be directed by the
Commission to submit your file
Attestation
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Written Confirmation of Compliance at
Renewal
Next Steps- Democracy at Work
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Rule Process Phase 1
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Present Conceptual Framework
Obtain and collect feedback
Timeframe: July-Sept 15th
Phase 2
Draft rule language and present
 Obtain and collect feedback
 Timeline Sept 15th – Nov 15th
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Appendix
History
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Health Care Professionals
1995 The Pew Health Professions
Commission (Pew Commission)
 1995 Citizens Advocacy Center (CAC)
 1999 Institute of Medicine (IOM) Report
 2001 Institute of Medicine Report
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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.
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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.
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[1] National Council of State Boards of Nursing (NCSBN), 2006.
Comments and Questions
Please join the Nursing Commission list
serve:
http://listserv.wa.gov/cgibin/wa?SUBED1=nursing-qac&A=1
Comments go to:
[email protected]
Mail to: NCQAC C/O Chuck Cumiskey
PO Box 47864 Olympia, WA 98504-7864