Direct vs. Non-Direct Medical Competencies.

¶ … Competencies The author of this report is asked to compare and core competencies of a number of direct and indirect nursing roles. Titles involved include nurse administrator and nurse informatics when speaking of non-direct roles. Direct care provider roles include nurse educator, nurse practitioner (in a general practice, gerontology or family health situation) and so forth. There is also the list of AACN for Nurse Informatics, Adult-Gerontology Nurse Practitioner competencies, AONE for Nurse Administrators and executives, family nurse practitioner competencies, NLN for nurse educators, and NONFP-NP Core Competencies and Content.

Finally, there is the AANP Association for Nurse Practitioners. Analysis When it comes to core competencies for a nurse practitioner, which is a direct role, they are as follow. Each one selected will be followed by a comment about the direct and indirect implications: Critically analyze data and evidence for improving advanced nursing practice This is something both a direct role and non-direct role would do. Translates research and other forms of knowledge to improve practice processes and outcomes A direct person would be reporting evidence and doing the procedures.

An indirect person would be researching what happens with the direct approaches Uses best available evidence to continuously improve quality of clinical practice This is something that both direct and indirect people are doing to some degree. The difference is that one person looks and assesses from afar and the other person is direct.

Applies clinical investigative skills to improve health outcomes This is something a direct person (like a nurse practitioner) would do…much more so than any indirect person Nurse Administrator When looking at core competencies for nurse administrators, there are definitely some similarities but there are also some differences Understanding of healthcare financing This is something a direct care person would probably not need to know -- although they might Strategic management This is getting close to what a direct person would know but it would be much more up the alley of a nurse administrator or other indirect professional Understanding of evidence-based practice This is something that direct and indirect alike would use and it is very similar to the investigative skills item mentioned above Shared Decision-Making The line above about improving clinical practice within the direct care details about nurse practitioners is very close to what is being described here.

Here are a good list of items that would be more up the alley of administrators and other non-direct professionals: Understanding of healthcare financing (as mentioned before) Human resource management and development Strategic management (as mentioned before) Marekting Information management and technology Healthcare information technology person would be involved with this…but those are also going to be indirect people) Foundational thinking skills Not really needed for a direct care person) Personal journey disciplines Very much the same -- not needed for direct people) Change management Direct people would be involved in a change management process in that.