Nursing Roles

Follow the directions and grading criteria closely
2.The length of the project report is to be no less than 5 and no greater than 6 pages
excluding title page and reference pages.
3.APA (2010) format is required with both a title page and reference page. Use the
required components of the review as Level 1 headers (upper and lower case, centered):
b.Description of the 9 NONPF NP Core Competencies
c.Description of the Interview with the APN.
d.Analysis of the discussed APN competencies
Preparing the paper
The following are best practices for preparing this project paper:
1.“Read Interview Suggestions and Tips” in Course Resources.
2.Review the 9 NONPF Nurse Practitioner Core Competencies.
3.Identify an APN with whom to conduct an interview. The APN should practice in one of
the following roles: CNS, CNP, CNM, or CRNA.
4.When conducting the interview, be sure to identify appropriate background information
regarding the interviewee (who, what, where, when, and why).
5.Discuss 4-5 APN core competencies with the interviewee. Be sure to identify appropriate
details including relevant practice examples gleaned from the APN leader.
6.When analyzing the discussed APN competencies, be sure to fully address each APN
competency discussed in terms of original source and leader’s application to APN role (i.e.,
Nurse Practitioner Core Competencies [NONPF, 2011]).
7.Conclude the paper with a summary of the main points covered in the paper and the
benefits of meeting the competencies within the APN role.

RUNNING HEAD: APN Interview Project


Nursing is a profession that requires the demonstration of expertise, effective
communication, leadership and an understanding and application of evidence-based practice. The
nurse practitioner core competencies provide nurses with the essential behavior that they are
expected to demonstrated when delivering nursing care. Nurses acquire the knowledge of the
core competencies throughout their training period which includes the handling of patients.
Patients and their kin expect quality care and it is with the provision of quality care, guided by
the core competencies, that a strong patient-nurse relationship is formed. The discussion below
will focus on the analysis of the nine core competencies in nursing as well as an evaluation of a
Clinical Nurse Specialist (CNS) and her demonstration of the core competencies in her day to
day nursing activities.

Description of the 9 NONPF NP Core Competencies

The 9 NONPF Nurse Practitioner (NP) Core Competencies highlights the essential
behavior that nurse practitioners must demonstrate as they execute their nursing services in the
ever changing health care environment. The first core competencies are the scientific foundation
competencies that emphasizes on the analysis and use of data to enhance nursing practice.
Scientific foundation competencies also emphasizes on developing new practices based on
related research and knowledge. The second core competencies are the leadership competencies
that call on nurses to embrace advanced leadership responsibilities with the intent to improve
healthcare delivery. Quality competencies advocate for nurses to embrace and advocate for
quality clinical practice as a strategy of promoting a culture of excellence in the healthcare

RUNNING HEAD: APN Interview Project
environment (Thomas, & Nativio, 2011). Practice inquiry competencies advocate for nurses to
embrace and translate new knowledge into their practice so as to improve patient outcomes.
Technology and information literacy competencies advocate for the integration of
necessary technologies to enhance patience care. Policy competencies involves the
demonstration of an understanding of existing policies and their relation/influence to nursing
practice and health care delivery. Health delivery system competencies refer to the ability of
nurses to understand and apply existing organizational practices and systems to enhance health
care delivery. Ethics competencies refer to the ability of nurses to understand existing ethical
principles and the ability to apply them in the different health care scenarios. Lastly, the
independent practice competencies refer to the nurse’s potential to function as a licensed
autonomous practitioner as well as a high standards of accountability (Thomas, & Nativio,

Description of the Interview with APN

The Advanced Practice Nurse (APN) selected for the interview was Jane, a 45year old
Clinical Nurse Specialist (CNS) at St. Louise Hospital. The CNS has over 20 years of nursing
experience and has a master’s degree as well as certification indicating advanced knowledge and
clinical skills. For 20 years of her nursing profession, Jane has worked directly with patients,
implemented treatment plans and mentored fellow nurses who join the profession. The interview
focused on understanding the spheres of influence of a clinical nurse specialist. The CNS works
directly with the patients with the intent of providing direct patient care across various medical
settings. The CNS ensures that she engaged her fellow nurses in determining the ideal care plan
for the patients. The CNS also strives to embrace evidence-based practices and recommendation
so as to provide patients with quality health care services. The CNS strives to influence the

RUNNING HEAD: APN Interview Project
patient outcomes by adopting evidence-based practice into her daily operations. The CNS thus
acts a bridge between standard clinical practice and science by translating research into action.
The interviewee indicates her determination to change traditions of service delivery and
replacing the traditions with recent scientific research (Tuite, & George, 2010). She points out
the tendency by health care professionals to maintain the status quo of practices irrespective of
the changes in the health care industry.
According to the CNS, she uses her knowledge and expertise to engage in a cost benefit
analysis of merging technologies, medical products and interventions. CNS also strives to
embrace preventative protocols for purposes of minimizing costs of health care services. The
interview also focused on ethics in the nursing profession. CNS Jane also advocates for ethical
conduct in health care delivery. The CNS ensures that nurses adhere to the code of ethics. The
CNS also mentors, trains and takes other nurses through refresher training on ethical standards in
health care delivery.

Analysis of the discussed APN Competencies

Several competencies stand out with regard to the CNS interview. First, the CNS
demonstrates independent practice competency. Rather than playing a supervisory and leadership
role as the CNS, the CNS also functions as an independent practitioner. The CNS is always
assisting where necessary in the diagnosis, treatment and management of patients at the facility.
The CNS engages patients in evaluating their illness. The CNS also provides patients with advice
on the management of their illness. The CNS is also culture sensitive and strives to integrate the
patient’s beliefs and practice in the treatment and recovery plan. The CNS also demonstrates
scientific foundation competencies through the adoption and implementation of evidence-based
practice (EBP). EBP is all about the utilization of the best evidence. According to Makic (2013),

RUNNING HEAD: APN Interview Project
evidence-based nursing focuses on integrating a problem solving angle with regard to patient
Evidence-based practice guarantees improved outcomes in the delivery of patient care.
The CNS also demonstrates leadership competencies as she executes her nursing role. As a
clinical nurse specialist, the CNS supervises nurses on all aspects of patient care. She also
oversees health care delivery and ensures that quality is emphasized. Patient satisfaction is
achieved with the delivery of quality services. As a leader, the CNS initiates and guides changes
that will enhance patient care. The CNS is also the advocate for quality and cost effective service
delivery. The CNS thus ensures that the nurses use resources and facilities that will enhance cost
effective utilization of resources without jeopardizing on quality.
Leadership competencies also emphasize on effective oral and written communication.
Effective communication in nursing is critical in the delivery of quality patient care. Generally,
nursing is a profession that involves collaboration with different health care professionals.
Communication is thus critical as it enhances information sharing with regard to the patient’s
condition, management initiative and treatment. Nurse leaders must enhance communication
with their nurses to enhance patient care. Leaders must also demonstrate effective
communication with patients so as to enhance patient satisfaction. According to Kourkouta &
Papathanasiou (2014), effective communication is critical for the successful outcome of i nursing
care. The CNS also demonstrates ethical competence as she integrates ethical principles in every
aspect of the decision making process. In nursing, the ethical principles include beneficence ie
the aim to do good; non-maleficence ie the aim to do no harm. Patients entrust healthcare
providers with the lives and expect that the healthcare professionals will take care of them with
the greatest level of professionalism and expertise (Holt, 2012). The application of the principles

RUNNING HEAD: APN Interview Project
of beneficence and non-maleficence helps nurses in making ethical decisions that have the
patient’s best interest in mind. Nurses also strive to uphold the patient’s autonomy with regard
to the medical procedures and treatment that he is expected to undertake. Overall, nurse leader
ensure that all nurses adhere to the ethical principles of nursing practice as the ultimate guide to
healthcare delivery.


The understanding of the core competencies of nursing is critical in the nursing
profession as it ensures that the nurses are able to execute the nursing duties with the
professional realms of the profession. Nurses must know and implement in the core
competencies in their daily activities in nursing. The core competencies enable nurse
practitioners to implement the full scope of nursing practice as licensed independent
practitioners. The CNS interviewed demonstrated an understanding as well as the application of
the core competencies of nursing. Competencies such as ethics ensure that the nurses are able to
execute their duties within the moral frameworks of the profession. Similarly, evidence-based
practice ascertains that nurses deliver quality healthcare services to their patients.

RUNNING HEAD: APN Interview Project


Holt, J. (2012). Ethical practice in nursing care. Journal of nursing standards. Vol. 27:51-56
Kourkouta, L. & Papapthanasiou, I. (2014). Communication in nursing practice. Journal of
Academy of medical sciences of Bosnia and Herzegovina. Vol. 26(1): 65-67
Mackic, M. (2013). Putting evidence into nursing practice. American Association of critical care
nurse. Vol. 33(2)
Thomas, A. & Nativio, D. (2011). Nurse practitioner core competencies. The National
Organization of Nurse practitioner’s faculties
Tuite, P. & George, E. (2010). The role of the clinical nurse specialist in facilitating evidence-
based within a university setting. Critical care nursing. Vol. 33(2): 117-25