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Connecting the CHN Standards and PH Core Competencies May 15, 2008

Connecting the CHN Standards and PH Core Competencies May 15, 2008. Ruth Schofield, RN, BScN, MSc(T) CHNIG, Past President. Objectives. Clarify between public health core competencies, standards and PHN discipline specific competencies Apply standards and competencies to practice.

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Connecting the CHN Standards and PH Core Competencies May 15, 2008

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  1. Connecting the CHN Standards and PH Core Competencies May 15, 2008 Ruth Schofield, RN, BScN, MSc(T) CHNIG, Past President

  2. Objectives • Clarify between public health core competencies, standards and PHN discipline specific competencies • Apply standards and competencies to practice

  3. Presentation Outline • Explanation of the relationship between standards and competencies • Small group work • Report back • Wrap-up

  4. Definitions of standards & competencies Standard: defines the scope of practice or expectations for acceptable nursing practice in the provision of safe, ethical care (CHNAC, 2003). Competencies: defines the actual knowledge, skills and abilities in practice described in behavioural terms necessary of a health professional, and serves as a based for assessing competence (Hogan, 2008). Public Health Core Competencies: defines the essential skills, knowledge and abilities necessary for the broad practice of public health. They transcend the boundaries of specific disciplines and are independent of program and topic (OPHA, 2004). Discipline Specific Competencies: defines the unique aspects of a profession that may not be captured under core competence statements (King & Erickson, 2006).

  5. Standards 1998: Standards by CHNIG in Ontario (became Ontario CHN Standards Coalition) 2000: Became national with CHNAC 2003: CCHN Standards by CHNAC 2004: Workshops by Standards Coalition 2005: CNA nursing specialty 2007: CCHN Standards Toolkit (CHNAC – funded by Public Health Agency of Canada) 2007: Discipline Specific Competencies Meeting in Vancouver (sponsored by PHAC) 2008: Literature review Public Health Nursing Discipline Specific Competencies (CHNAC) Ontario Public Health Transformation 2003: SARS (Naylor, Walker reports) 2003: Public Health Core Competencies by OPHA 2005/07: Agency Implementation Task Force/Ontario Public Health Agency 2005: Capacity ReviewCommittee 2007: Pan-Canadian Public Health core competencies 2008: Draft Ontario Public Health Standards Development of the Canadian Community Health Nursing (CCHN) Standards & Ontario Public Health Transformation

  6. Why are Standards Important? • Promotes, guides and directs professional nursing practice – important for self-assessment and evaluation of practice by employers, clients and other stakeholders. • Provides nurses with a framework for developing competencies. • Aids in developing a better understanding & respect for the various & complimentary roles that nurses have. From: Registered Nurses Association of British Columbia (2003);College of Nurses of Ontario (2002)

  7. CHN Standards: Expectations Knowledge for every CHN working in: • Practice - to guide & evaluate • Education – for curricula development • Administration – to direct policy & guide performance expectations • Research – guide knowledge specific to CHNsg These standards are basic practice expectations after two years of experience in moving from novice to expert nurse.

  8. Standard 2 BUILDING INDIVIDUAL/ COMMUNITY CAPACITY Standard 3 BUILDING RELATIONSHIPS • Standard 1 • PROMOTING HEALTH A. Health Promotion B. Prevention & Health Protection • .Health Maintenance, Restoration & Palliation Standard 4 FACILITATING ACCESS & EQUITY Standard 5 DEMONSTRATING PROFESSIONAL RESPONSIBILITY & ACCOUNTABILITY Canadian Community Health Nursing Standards, 2003

  9. Who we work with -the white rings represent who we work with 5 Standards CHN Process (pink) -includes the traditional: assessment, planning, intervention & evaluation -enhanced in CHNsg by the concepts above (pink) -standards are founded on values & beliefs and the CHNsg process Values & Beliefs (green) -philosophical base that characterize CHNsg -embedded in the standards -reflected in the development & application of the CHNsg process Canadian Community Health Nursing Practice Model……. CHN Practice is influenced by the environment in which we work

  10. Finding a fit for the CCHN Standards with other requirements: • Provincial/territorial regulatory standards (eg. College of Nurses of Ontario) for all nurses • Career of a community health nurse • Canadian Nurses Association (CNA) certification for community health nurses • Competencies that include other professions-eg. Public Health core competencies • (Proposed) Competencies specific to Public Health Nursing • Direction for organizations employing nurses (CHNAC, 2007)

  11. Types of Nursing Standards Provincial/Territorial Regulatory Standards (eg. College of Nurses of Ontario Standards of Practice) apply to all nurses • Defined and regulated by regulatory body (eg. College of Nurses of Ontario) • Legal requirement to practice • Begin when hired into any nursing position Specialty Standards of Practice (e.g. CCHN Standards, proposed Public Health Nursing Competencies) • Provide standards specific to the practice of community health nurses • Voluntary focus for practice • Require a defined period of practice experience in the specialty area (e.g. 2 years) • ‘Value added’ to basic regulatory requirements (CHNAC, 2007)

  12. Provincial/Territorial Standards for Nursing Practice and Specialty Standards Client Standards Program Standards Organizational Standards/Mission/Mandate Specialty Standards e.g. CCHN Standards, Public Health Nursing competencies (must reflect P/T Standards) Provincial/Territorial (P/T) Standards for Nursing Practice (Regulatory) College of Nurses of Ontario Standards Adapted from: College of Registered Nurses of Nova Scotia (2003), Standards for nursing practice (effective Jan. 1, 2004) (3)

  13. All Public Health Workers in Ontario • Pan-Canadian Public Health Core Competencies • All Community Health Nurses in Ontario • CNO Professional Standards • CCHNSoP • All Public Health Nurses in Ontario • - CNO Professional Standards • CCHNSoP • Public Health Core Competencies • PHN Discipline specific competencies All Nurses in Ontario – CNO Professional Standards Relevance of Standards/Competencies to community health nurses in Ontario (Moyer, 2007) Standards and Competencies for Community Health Nurses in Ontario • CNO Professional Standards • CCHN Standards • Canadian Public Health core competencies

  14. Pan-Canadian Public Health Core Competencies, September 2007 36 competency statements Grouped under 7 domains • Public health sciences • Analysis and assessment • Policy and program planning, implementation and evaluation • Partnerships, collaboration and advocacy • Diversity and inclusiveness • Communication • Leadership

  15. CCHN Standards Scope of practice or expectations for acceptable nursing practice Nursing specific Core Competencies Essential skills, knowledge and abilities necessary for the broad practice of public health 7 PH practitioners Comparison between Standards and Core Competencies

  16. PHN Discipline Specific Competencies CHNAC: work to date Phase 1 (March 2008) • Completed literature review • Used CCHN standards as framework Phase 2 (April 2009) • In development

  17. Group Work In pairs: Identify examples from your nursing practice related to the standard and explain why Identify the public health core competencies relevant to that nursing practice In large group: Share examples from each standard

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