The Competency Model for Professional Rehabilitation Nursing

Abstract

Background: Rehabilitation nursing is practiced in various settings along the healthcare continuum. No framework is noted in the literature that defines the necessary competencies of the rehabilitation nurse. Purpose: To develop a Competency Model for Professional Rehabilitation Nursing and its application to clinical and educational practice. Method/design: A seven-member Association of Rehabilitation Nurses (ARN) task force was convened; conducted a literature review, reviewed current and historical ARN documents, including the Strategic Plan, and developed a Competency Model for Professional Rehabilitation Nursing practice. Findings: The Competency Model for Professional Rehabilitation Nursing delineates four domains of rehabilitation nursing practice and essential role competencies. Conclusion: The Competency Model for Professional Rehabilitation Nursing addresses this diverse specialty practice in the current healthcare arena. This framework can be used to guide nurses practicing at different levels of proficiency in various settings. Clinical Relevance: The Competency Model can be used as a structure for staff orientation, evaluation tools, clinical ladder components, role descriptions and rehabilitation nursing courses.

The perspective of allied health staff on the role of nurses in subacute care

“…In summary, the role of the nurse in rehabilitation as outlined by ARNA (2004), Long et al (2002), Vaughn et al (2015), and Pryor and Smith (2002) articulates similarities in that nurses assist patients to achieve their rehabilitation goals through teaching, coaching and support during their everyday practice. Furthermore, nurses have a significant role in the coordination and oversight of care and ensuring quality of care, in addition to advocacy, communication and emotional support to patients and families.…”

Nursing’s Role in Successful Transitions Across Settings

“…They play a key role in promoting successful transitions by developing and evaluating the transition plan and identifying and communicating barriers to the plan. 14 Examples of barriers include limited finances to cover out-ofpocket costs of PAC and family members who do not have the capacity to provide care post discharge. Communicating this information to the interprofessional team early in the patient's hospital stay is essential to assure that the transition plan is tailored to the needs of the patient and family, and that patients are transferred to the appropriate PAC setting.…”

Developing a Universal Nursing Competencies Framework for Registered Nurses: A Mixed‐Methods Approach

“…Hurley et al (1997) stated that the various methods of factor analysis each have their strengths and weaknesses, but the choice of which one to use depends on a study's requirements and context. When reviewing similar research studies, different investigators have identified professional nursing competencies mostly via factor analysis: ethical values and attitudes; general clinical skills and caring; personal and professional development; clinical biomedicine; critical thinking; communication/coordination; management/teaching; interpersonal relationships; and nursing research (Clinton, Murrells, & Robinson, 2005;Hartigan, Murphy, Flynn, & Walshe, 2010;Hsu & Hsieh, 2013;Lee-Hsieh, Kao, Kuo, & Tseng, 2003;Lofmark, Smide, & Wikblad, 2006;Nilsson et al, 2014;Numminen, Meretoja, Isoaho, & Leino-Kilpi, 2013;Vaughn et al, 2016).…”