NONPF

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine areas of competency are:

Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivery System
Ethics
Independent Practice

Full Answer Section

       
    • Application to Pediatric Asthma: This includes a deep understanding of the pathophysiology of asthma at the cellular and systemic levels, the genetic and environmental factors influencing its development and severity, the principles of pharmacology related to asthma medications, and the evidence-based guidelines for asthma management (e.g., NAEPP, GINA).
  1. Leadership: This competency encompasses the ability to influence others to improve health care.

    • Application to Pediatric Asthma: As an APRN, you will demonstrate leadership by advocating for patients and families with asthma, leading quality improvement initiatives within your clinic or hospital, mentoring other healthcare professionals on best practices in asthma care, and potentially participating in policy development related to pediatric respiratory health.
  2. Quality: This competency focuses on the application of quality principles and processes to improve patient and population health outcomes.

    • Application to Pediatric Asthma: This involves utilizing data to monitor asthma outcomes (e.g., exacerbation rates, hospitalizations, medication adherence), implementing quality improvement projects to enhance asthma care delivery (e.g., standardizing asthma action plans, improving inhaler technique education), and participating in audits and reviews related to asthma management.
  3. Practice Inquiry: This competency involves the generation and translation of new knowledge to improve practice.

    • Application to Pediatric Asthma: This includes critically evaluating current research on pediatric asthma, identifying gaps in knowledge, participating in or conducting research studies related to asthma management or patient education, and translating new evidence into clinical practice guidelines and protocols within your setting.
  4. Technology and Information Literacy: This competency involves the ability to use technology and information systems to manage and transform data, information, knowledge, and wisdom in advanced nursing practice.

    • Application to Pediatric Asthma: This includes proficiently using EHRs to document asthma assessments and treatments, utilizing patient portals for communication and education, leveraging telehealth for remote monitoring and follow-up, and analyzing data from electronic systems to identify trends and inform care decisions for your pediatric asthma population.
  5. Policy: This competency involves understanding and participating in policy development to improve health and healthcare.

    • Application to Pediatric Asthma: This could involve advocating for policies that improve access to asthma care (e.g., school-based asthma programs, affordable medication), participating in legislative efforts related to environmental triggers of asthma (e.g., air quality regulations), and understanding the impact of healthcare policies on the management of chronic conditions in children.
  6. Health Delivery System: This competency encompasses understanding the structure, financing, and regulatory aspects of healthcare delivery systems.

    • Application to Pediatric Asthma: This involves navigating the complexities of insurance coverage for asthma medications and devices, understanding referral pathways to specialists (e.g., pulmonologists, allergists), coordinating care across different settings (e.g., primary care, school, hospital), and advocating for resources within the healthcare system to support comprehensive asthma care for children.
  7. Ethics: This competency involves integrating ethical principles in all aspects of advanced nursing practice.

    • Application to Pediatric Asthma: This includes ensuring informed consent for treatment plans, respecting the autonomy of older children and adolescents in decision-making, maintaining patient confidentiality, addressing ethical dilemmas related to resource allocation or parental disagreements about treatment, and advocating for equitable access to asthma care for all children regardless of their background.
  8. Independent Practice: This competency involves the ability to practice autonomously and collaboratively across the continuum of care.

    • Application to Pediatric Asthma: As an APRN, you will be responsible for independently assessing, diagnosing, and managing many pediatric asthma cases within your scope of practice, developing individualized care plans, prescribing medications, and providing patient education. You will also collaborate effectively with other healthcare professionals, including physicians, school nurses, and respiratory therapists, to ensure comprehensive and coordinated care.

Throughout your remaining coursework, consider how each of these nine competencies applies specifically to your role as an advanced practice nurse caring for the pediatric asthma population and the communities they live in. This framework will be essential for your final synthesis and application assessment. Good luck!

Sample Answer

       

Nurse Practitioner program and apply the nine core competencies defined by the National Organization of Nurse Practitioner Faculties (NONPF) to your chosen practice area and the communities you serve.

To best prepare you for this synthesis and application, let's briefly discuss each of the nine core competencies in the context of your pediatric asthma focus from the previous assessment:

NONPF Core Competencies and Pediatric Asthma Practice:

  1. Scientific Foundations: This competency involves understanding and applying scientific principles related to the care of individuals, families, and communities.