Reference

The AACN Essentials

All 10 domains, 45 competencies and 434 sub-competencies from The Essentials: Core Competencies for Professional Nursing Education, in full, on one page. 230 are Level 1, for entry-level professional nursing education. 204 are Level 2, for advanced-level education. Every sub-competency has its own link: append the code to this page’s address, as in /aacn-essentials#2.5b.

434 sub-competencies

Domain 1

Knowledge for Nursing Practice

Integration, translation, and application of established and evolving disciplinary nursing knowledge and ways of knowing, as well as knowledge from other disciplines, including a foundation in liberal arts and natural and social sciences. This distinguishes the practice of professional nursing and forms the basis for clinical judgment and innovation in nursing practice.

1.1Demonstrate an understanding of the discipline of nursing’s distinct perspective and where shared

1.1aL1Identify concepts, derived from theories from nursing and other disciplines, which distinguish the practice of nursing
1.1bL1Apply knowledge of nursing science that develops a foundation for nursing practice
1.1cL1Understand the historical foundation of nursing as the relationship developed between the individual and nurse
1.1dL1Articulate nursing’s distinct perspective to practice
1.1eL2Translate evidence from nursing science as well as other sciences into practice
1.1fL2Demonstrate the application of nursing science to practice
1.1gL2Integrate an understanding of nursing history in advancing nursing’s influence in healthcare

1.2Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences

1.2aL1Apply or employ knowledge from nursing science as well as the natural, physical, and social sciences to build an understanding of the human experience and nursing practice
1.2bL1Demonstrate intellectual curiosity
1.2cL1Demonstrate social responsibility as a global citizen who fosters the attainment of access to healthcare for all
1.2dL1Examine influence of personal values in decision making for nursing practice
1.2eL1Demonstrate ethical decision making
1.2fL2Synthesize knowledge from nursing and other disciplines to inform education, practice, and research
1.2gL2Apply a systematic and defendable approach to nursing practice decisions
1.2hL2Employ ethical decision making to assess, intervene, and evaluate nursing care
1.2iL2Demonstrate socially responsible leadership
1.2jL2Translate theories from nursing and other disciplines to practice

1.3Demonstrate clinical judgment founded on a broad knowledge base

1.3aL1Demonstrate clinical reasoning
1.3bL1Integrate nursing knowledge (theories, multiple ways of knowing, evidence) and knowledge from other disciplines and inquiry to inform clinical judgment
1.3cL1Incorporate knowledge from nursing and other disciplines to support clinical judgment
1.3dL2Integrate foundational and advanced specialty knowledge into clinical reasoning
1.3eL2Synthesize current and emerging evidence to Influence practice
1.3fL2Analyze decision models from nursing and other knowledge domains to improve clinical judgment

Domain 2

Person-Centered Care

Person-centered care focuses on the individual within multiple complicated contexts, including family and/or important others. Person-centered care is holistic, individualized, just, respectful, compassionate, coordinated, evidence-based, and developmentally appropriate. Person-centered care builds on a scientific body of knowledge that guides nursing practice regardless of specialty or functional area.

2.1Engage with the individual in establishing a caring relationship

2.1aL1Demonstrate qualities of empathy
2.1bL1Demonstrate compassionate care
2.1cL1Establish mutual respect with the individual and family
2.1dL2Promote caring relationships to effect positive outcomes
2.1eL2Foster caring relationships

2.2Communicate effectively with individuals

2.2aL1Demonstrate relationship-centered care
2.2bL1Consider individual beliefs, values, and personalized information in communications
2.2cL1Use a variety of communication modes appropriate for the context
2.2dL1Demonstrate the ability to conduct sensitive or difficult conversations
2.2eL1Use evidence-based patient teaching materials, considering health literacy, vision, hearing, social awareness, and adaptability
2.2fL1Demonstrate emotional intelligence in communications
2.2gL2Demonstrate advanced communication skills and techniques using a variety of modalities with respect to different backgrounds and perspectives of all audiences
2.2hL2Design evidence-based, person-centered engagement materials
2.2iL2Apply individualized information, such as genetic/genomic, pharmacogenetic, and environmental exposure information in the delivery of personalized healthcare
2.2jL2Facilitate difficult conversations and disclosure of sensitive information

2.3Integrate assessment skills in practice

2.3aL1Create an environment during assessment that promotes a dynamic interactive experience
2.3bL1Obtain a complete and accurate history in a systematic manner
2.3cL1Perform a clinically relevant, holistic health assessment
2.3dL1Perform point of care screening/diagnostic testing (e.g., blood glucose, PO2, EKG)
2.3eL1Distinguish between normal and abnormal health findings
2.3fL1Apply nursing knowledge to gain a holistic perspective of the person, family, community, and population
2.3gL1Communicate findings of a comprehensive assessment
2.3hL2Demonstrate that one’s practice is informed by a comprehensive assessment appropriate to the functional area of advanced nursing practice

2.4Diagnose actual or potential health problems and needs

2.4aL1Synthesize assessment data in the context of the individual’s current preferences, situation, and experience
2.4bL1Create a list of problems/health concerns
2.4cL1Prioritize problems/health concerns
2.4dL1Understand and apply the results of social screening, psychological testing, laboratory data, imaging studies, and other diagnostic tests in actions and plans of care
2.4eL1Contribute as a team member to the formation and improvement of diagnoses
2.4fL2Employ context driven, advanced reasoning to the diagnostic and decision-making process
2.4gL2Integrate advanced scientific knowledge to guide decision making

2.5Develop a plan of care

2.5aL1Engage the individual and the team in plan development
2.5bL1Organize care based on mutual health goals
2.5cL1Prioritize care based on best evidence
2.5dL1Incorporate evidence-based intervention to improve outcomes and safety
2.5eL1Anticipate outcomes of care (expected, unexpected, and potentially adverse)
2.5fL1Demonstrate rationale for plan
2.5gL1Address individuals’ experiences and perspectives in designing plans of care
2.5hL2Lead and collaborate with an interprofessional team to develop a comprehensive plan of care
2.5iL2Prioritize risk mitigation strategies to prevent or reduce adverse outcomes
2.5jL2Develop evidence-based interventions to improve outcomes and safety
2.5kL2Incorporate innovations into practice when evidence is not available

2.6Demonstrate accountability for care delivery

2.6aL1Implement individualized plan of care using established protocols
2.6bL1Communicate care delivery through multiple modalities
2.6cL1Delegate appropriately to team members
2.6dL1Monitor the implementation of the plan of care
2.6eL2Model best care practices to the team
2.6fL2Monitor aggregate metrics to assure accountability for care outcomes
2.6gL2Promote delivery of care that supports practice at the full scope of education
2.6hL2Contribute to the development of policies and processes that promote transparency and accountability
2.6iL2Apply current and emerging evidence to the development of care guidelines/tools
2.6jL2Ensure accountability throughout transitions of care across the health continuum

2.7Evaluate outcomes of care

2.7aL1Reassess the individual to evaluate health outcomes/goals
2.7bL1Modify plan of care as needed
2.7cL1Recognize the need for modifications to standard practice
2.7dL2Analyze data to identify gaps and uneven distribution of care and monitor trends in outcomes
2.7eL2Monitor epidemiological and system-level aggregate data to determine healthcare outcomes and trends
2.7fL2Synthesize outcome data to inform evidence- based practice, guidelines, and policies

2.8Promote self-care management

2.8aL1Assist the individual to engage in self-care management
2.8bL1Employ individualized educational strategies based on learning theories, methodologies, and health literacy
2.8cL1Educate individuals and families regarding self- care for health promotion, illness prevention, and illness management
2.8dL1Respect individuals and families’ self- determination in their healthcare decisions
2.8eL1Identify personal, system, and community resources available to support self-care management
2.8fL2Develop strategies that promote self-care management
2.8gL2Incorporate the use of current and emerging technologies to support self-care management
2.8hL2Employ counseling techniques, including motivational interviewing, to advance wellness and self-care management
2.8iL2Evaluate adequacy of resources available to support self-care management
2.8jL2Foster partnerships with community organizations to support self-care management

2.9Provide care coordination

2.9aL1Facilitate continuity of care based on assessment of assets and needs
2.9bL1Communicate with relevant stakeholders across health systems
2.9cL1Promote collaboration by clarifying responsibilities among individual, family, and team members
2.9dL1Recognize when additional expertise and knowledge is needed to manage the patient
2.9eL1Provide coordination of care of individuals and families in collaboration with care team
2.9fL2Evaluate communication pathways among providers and others across settings, systems, and communities
2.9gL2Develop strategies to optimize care coordination and transitions of care
2.9hL2Guide the coordination of care across health systems
2.9iL2Analyze system-level and public policy influence on care coordination
2.9jL2Participate in system-level change to improve care coordination across settings

Domain 3

Population Health

Population health spans the healthcare delivery continuum from public health prevention to disease management of populations and describes collaborative activities with both traditional and non-traditional partnerships from affected communities, public health, industry, academia, healthcare, local government entities, and others for the improvement of population health outcomes by addressing variability in access, quality and results. (Kindig & Stoddart, 2003; Kindig, 2007; Swartout & Bishop, 2017; CDC, 2020).

3.1Manage population health

3.1aL1Define a target population including its functional and problem-solving capabilities (anywhere in the continuum of care)
3.1bL1Assess population health data
3.1cL1Assess the priorities of the community and/or the affected clinical population
3.1dL1Compare and contrast local, regional, national, and global benchmarks to identify health patterns across populations
3.1eL1Apply an understanding of the public health system and its interfaces with clinical healthcare in addressing population health needs
3.1fL1Develop an action plan to meet an identified need(s), including evaluation methods
3.1gL1Participate in the implementation of sociocultural and linguistically responsive interventions
3.1hL1Describe general principles and practices for the clinical management of populations across the age continuum
3.1iL1Identify ethical principles to protect the health and safety of populations being served
3.1jL2Assess the efficacy of a system’s capability to serve a target sub-population’s healthcare needs
3.1kL2Analyze primary and secondary population health data for multiple populations against relevant benchmarks
3.1lL2Use established or evolving methods to determine population-focused priorities for care
3.1mL2Develop a collaborative approach with relevant stakeholders to address population healthcare needs, including evaluation methods
3.1nL2Collaborate with appropriate stakeholders to implement a sociocultural and linguistically responsive intervention plan

3.2Engage in effective partnerships

3.2aL1Engage with other health professionals to address population health issues
3.2bL1Demonstrate effective collaboration and mutual accountability with relevant stakeholders
3.2cL1Use culturally and linguistically responsive communication strategies
3.2dL2Ascertain collaborative opportunities for individuals and organizations to improve population health
3.2eL2Challenge biases and preferences that influence decisions, judgments, or behaviors and barriers that impact population health outcomes
3.2fL2Evaluate the effectiveness of partnerships to ensure the absence of avoidable or remediable differences
3.2gL2Lead partnerships to improve population health outcomes
3.2hL2Assess preparation and readiness of partners to organize during natural and manmade disasters

3.3Consider the socioeconomic impact of the delivery of healthcare

3.3aL1Describe access implications for populations being served for proposed intervention(s)
3.3bL1Prioritize patient-focused and/or community action plans that are safe, effective, and efficient in the context of available resources
3.3cL2Analyze cost-benefits of selected popula- tion-based interventions
3.3dL2Collaborate with partners to secure and lever- age resources necessary for effective, sustainable interventions
3.3eL2Advocate for interventions that maximize cost effective, accessible resources for populations being served
3.3fL2Incorporate ethical principles in resource allocation in achieving optimal level of health for all people

3.4Advance population health policy that emphasizes collective well-being for populations served

3.4aL1Describe policy development processes
3.4bL1Describe the impact of policies on population outcomes, including access to healthcare resources for populations being served
3.4cL1Identify best evidence to support policy development
3.4dL1Propose modifications to or development of policy based on population findings
3.4eL1Develop an awareness of the interconnectedness of population health across borders
3.4fL2Identify opportunities to influence the policy process
3.4gL2Design comprehensive advocacy strategies to support the policy process
3.4hL2Engage in strategies to influence policy change
3.4iL2Contribute to policy development at the system, local, regional, or national levels
3.4jL2Assess the impact of policy changes
3.4kL2Evaluate the ability of policy to address access to resources to achieve optimal level of health for populations being served
3.4lL2Evaluate the risks to population health associated with globalization

3.5Demonstrate advocacy strategies

3.5aL1Articulate a need for change
3.5bL1Describe the intent of the proposed change
3.5cL1Define stakeholders, including members of the community and/or clinical populations, and their level of influence
3.5dL1Implement messaging strategies appropriate to audience and stakeholders
3.5eL1Evaluate the effectiveness of advocacy actions
3.5fL2Appraise advocacy priorities for a population
3.5gL2Strategize with an interdisciplinary group and others to develop effective advocacy approaches
3.5hL2Engage in relationship-building activities with stakeholders at any level of influence, including sys- tem, local, state, national, and/or global
3.5iL2Demonstrate leadership skills to promote advocacy efforts that include principles of collective well-being, access, connection, and engagement

3.6Advance preparedness to protect population health during disasters and public health emergencies

3.6aL1Identify changes in conditions that might indicate a disaster or public health emergency
3.6bL1Understand the impact of climate change on environmental and population health
3.6cL1Describe the health and safety hazards of disasters and public health emergencies
3.6dL1Describe the overarching principles and methods regarding personal safety measures, including personal protective equipment (PPE)
3.6eL1Implement infection control measures and proper use of personal protective equipment
3.6fL2Collaboratively initiate rapid response activities to protect population health
3.6gL2Participate in ethical decision making that includes access, connection, and engagement in advanced preparedness to protect populations
3.6hL2Collaborate with interdisciplinary teams to lead preparedness and mitigation efforts to protect population health for all, including vulnerable populations
3.6iL2Coordinate the implementation of evidence- based infection control measures and proper use of personal protective equipment
3.6jL2Contribute to system-level planning, decision making, and evaluation for disasters and public health emergencies

Domain 4

Scholarship for the Nursing Discipline

The generation, synthesis, translation, application, and dissemination of nursing knowledge to improve health and transform healthcare (AACN, 2018).

4.1Advance the scholarship of nursing

4.1aL1Demonstrate an understanding of different approaches to scholarly practice
4.1bL1Demonstrate application of different levels of evidence
4.1cL1Apply theoretical framework(s)/models in practice
4.1dL1Demonstrate an understanding of basic elements of the research process
4.1eL1Participate in scholarly inquiry as a team member
4.1fL1Evaluate research
4.1gL1Communicate scholarly findings
4.1hL2Apply and critically evaluate advanced knowledge in a defined area of nursing practice
4.1iL2Engage in scholarship to advance health
4.1jL2Discern appropriate applications of quality improvement, research, and evaluation methodologies
4.1kL2Collaborate to advance one’s scholarship
4.1lL2Disseminate one’s scholarship to all audiences using a variety of approaches or modalities
4.1mL2Advocate within the interprofessional team and with other stakeholders for the contributions of nursing scholarship

4.2Integrate best evidence into nursing practice

4.2aL1Evaluate clinical practice to generate questions to improve nursing care
4.2bL1Evaluate appropriateness and strength of the evidence
4.2cL1Use best evidence in practice
4.2dL1Participate in the implementation of a practice change to improve nursing care
4.2eL1Participate in the evaluation of outcomes and their implications for practice
4.2fL2Use diverse sources of evidence to inform practice
4.2gL2Lead the translation of evidence into practice
4.2hL2Address opportunities for innovation and changes in practice
4.2iL2Collaborate in the development of new/revised policy or regulation in the light of new evidence
4.2jL2Articulate inconsistencies between practice policies and best evidence
4.2kL2Evaluate outcomes and impact of new practices based on the evidence

4.3Promote the ethical conduct of scholarly activities

4.3aL1Explain the rationale for ethical research guidelines, including Institutional Review Board (IRB) guidelines
4.3bL1Demonstrate ethical behaviors in scholarly projects including quality improvement and EBP initiatives
4.3cL1Advocate for the protection of participants in the conduct of scholarly initiatives
4.3dL1Recognize the impact of the key principles of ethics in research
4.3eL2Identify and mitigate potential risks and areas of ethical concern in the conduct of scholarly activities
4.3fL2Apply IRB guidelines throughout the scholarship process
4.3gL2Ensure the protection of participants in the conduct of scholarship
4.3hL2Implement processes that support ethical conduct in practice and scholarship
4.3iL2Apply ethical principles to the dissemination of nursing scholarship

Domain 5

Quality and Safety

Employment of established and emerging principles of safety and improvement science. Quality and safety, as core values of nursing practice, enhance quality and minimize risk of harm to patients and providers through both system effectiveness and individual performance.

5.1Apply quality improvement principles in care delivery

5.1aL1Recognize nursing’s essential role in improving healthcare quality and safety
5.1bL1Identify sources and applications of national safety and quality standards to guide nursing practice
5.1cL1Implement standardized, evidence-based processes for care delivery
5.1dL1Interpret benchmark and unit outcome data to inform individual and microsystem practice
5.1eL1Compare quality improvement methods in the delivery of patient care
5.1fL1Identify strategies to improve outcomes of patient care in practice
5.1gL1Participate in the implementation of a practice change
5.1hL1Develop a plan for monitoring quality improvement change
5.1iL2Establish and incorporate data driven benchmarks to monitor system performance
5.1jL2Use national safety resources to lead team- based change initiatives
5.1kL2Integrate outcome metrics to inform change and policy recommendations
5.1lL2Collaborate in analyzing organizational process improvement initiatives
5.1mL2Lead the development of a business plan for quality improvement initiatives
5.1nL2Advocate for change related to financial policies that impact the relationship between economics and quality care delivery
5.1oL2Advance quality improvement practices through dissemination of outcomes

5.2Contribute to a culture of patient safety

5.2aL1Describe the factors that create a culture of safety
5.2bL1Articulate the nurse’s role within an interprofessional team in promoting safety and preventing errors and near misses
5.2cL1Examine basic safety design principles to reduce risk of harm
5.2dL1Assume accountability for reporting unsafe conditions, near misses, and errors to reduce harm
5.2eL1Describe processes used in understanding causes of error
5.2fL1Use national patient safety resources, initiatives, and regulations at the point of care
5.2gL2Evaluate the alignment of system data and comparative patient safety benchmarks
5.2hL2Lead analysis of actual errors, near misses, and potential situations that would impact safety
5.2iL2Design evidence-based interventions to mitigate risk
5.2jL2Evaluate emergency preparedness system-level plans to protect safety

5.3Contribute to a culture of provider and work environment safety

5.3aL1Identify actual and potential level of risks to providers within the workplace
5.3bL1Recognize how to prevent workplace violence and injury
5.3cL1Promote policies for prevention of violence and risk mitigation
5.3dL1Recognize one’s role in sustaining a just culture reflecting civility and respect
5.3eL2Advocate for structures, policies, and processes that promote a culture of safety and prevent workplace risks and injury
5.3fL2Foster a just culture reflecting civility and respect
5.3gL2Create a safe and transparent culture for reporting incidents
5.3hL2Role model and lead well-being and resiliency for self and team

Domain 6

Interprofessional Partnerships

Intentional collaboration across professions and with care team members, patients, families, communities, and other stakeholders to optimize care, enhance the healthcare experience, and strengthen outcomes.

6.1Communicate in a manner that facilitates a partnership approach to quality care delivery

6.1aL1Communicate the nurse’s roles and responsibilities clearly
6.1bL1Use various communication tools and techniques effectively
6.1cL1Elicit the perspectives of team members to inform person-centered care decision making
6.1dL1Articulate impact of access, connection, and engagement on team-based communications
6.1eL1Communicate individual information in a professional, accurate, and timely manner
6.1fL1Communicate as informed by legal, regulatory, and policy guidelines
6.1gL2Evaluate effectiveness of interprofessional communication tools and techniques to support and improve the efficacy of team-based interactions
6.1hL2Facilitate improvements in interprofessional communications of individual information (e.g., EHR)
6.1iL2Role model respect for access, connection, and engagement in team-based communications
6.1jL2Communicate nursing’s unique disciplinary knowledge to strengthen interprofessional partnerships
6.1kL2Provide expert consultation for other members of the healthcare team in one’s area of practice
6.1lL2Demonstrate capacity to resolve interprofessional conflict

6.2Perform effectively in different team roles, using principles and values of team dynamics

6.2aL1Apply principles of team dynamics, including team roles, to facilitate effective team functioning
6.2bL1Delegate work to team members based on their roles and competency
6.2cL1Engage in the work of the team as appropriate to one’s scope of practice and competency
6.2dL1Recognize how one’s uniqueness (as a person and a nurse) contributes to effective interprofessional working relationships
6.2eL1Apply principles of team leadership and management. performance to improve quality and assure safety
6.2fL1Evaluate performance of individual and team to improve quality and promote safety
6.2gL2Integrate evidence-based strategies and processes to improve team effectiveness and outcomes
6.2hL2Evaluate the impact of team dynamics and performance on desired outcomes
6.2iL2Reflect on how one’s role and expertise influences team performance
6.2jL2Foster positive team dynamics to strengthen desired outcomes

6.3Use knowledge of nursing and other professions to address healthcare needs

6.3aL1Integrate the roles and responsibilities of healthcare professionals through interprofessional collaborative practice
6.3bL1Leverage roles and abilities of team members to optimize care
6.3cL1Communicate with team members to clarify responsibilities in executing plan of care
6.3dL2Direct interprofessional activities and initiatives

6.4Work with other professions to maintain a climate of mutual learning, respect, and shared values

6.4aL1Demonstrate an awareness of one’s biases and how they may affect mutual respect and communication with team members
6.4bL1Demonstrate respect for the perspectives and experiences of other professions
6.4cL1Engage in constructive communication to facilitate conflict management
6.4dL1Collaborate with interprofessional team members to establish mutual healthcare goals for individuals, communities, or populations
6.4eL2Practice self-assessment to recognize and counteract bias towards team members
6.4fL2Foster an environment that supports the constructive sharing of multiple perspectives and enhances interprofessional learning
6.4gL2Integrate access, connection, and engagement into team practices
6.4hL2Manage disagreements, conflicts, and challenging conversations among team members
6.4iL2Promote an environment that advances interprofessional learning

Domain 7

Systems-Based Practice

Responding to and leading within complex systems of healthcare. Nurses effectively and proactively coordinate resources to provide safe, quality, and compassionate care to all populations.

7.1Apply knowledge of systems to work effectively across the continuum of care

7.1aL1Describe organizational structure, mission, vision, philosophy, and values
7.1bL1Explain the relationships of macrosystems, mesosystems, and microsystems
7.1cL1Differentiate between various healthcare delivery environments across the continuum of care
7.1dL1Recognize internal and external system processes that impact care coordination and transition of care
7.1eL2Participate in organizational strategic planning
7.1fL2Participate in system-wide initiatives that improve care delivery and/or outcomes
7.1gL2Analyze system-wide processes to optimize outcomes
7.1hL2Design policies to improve distribution of healthcare to all people and address embedded barriers within systems, communities and populations

7.2Incorporate consideration of cost-effectiveness of care

7.2aL1Describe the financial and payment models of healthcare
7.2bL1Recognize the impact of differences in healthcare access, quality of care, and social determinants of health on care outcomes
7.2cL1Describe the impact of healthcare cost and payment models on the delivery, access, and quality of care
7.2dL1Explain the relationship of policy, regulatory requirements, and economics on care outcomes
7.2eL1Incorporate considerations of efficiency, value, and cost in providing care
7.2fL1Identify the impact of differing system structures, leadership, and workforce needs on care outcomes
7.2gL2Analyze relevant internal and external factors that drive healthcare costs and reimbursement
7.2hL2Design practices that enhance value, access, quality, and cost-effectiveness
7.2iL2Advocate for healthcare economic policies and regulations to enhance value, quality, and cost- effectiveness
7.2jL2Formulate, document, and disseminate the return on investment for improvement initiatives collaboratively with an interdisciplinary team
7.2kL2Recommend system-wide strategies that improve cost- effectiveness considering structure, leadership, and workforce needs
7.2lL2Evaluate health policies based on an ethical framework considering cost-effectiveness, health differences, and care outcomes

7.3Optimize system effectiveness through application of innovation and evidence-based practice

7.3aL1Demonstrate a systematic approach for decision-making
7.3bL1Use reported performance metrics to compare/ monitor outcomes
7.3cL1Participate in evaluating system effectiveness
7.3dL1Recognize internal and external system processes and structures that perpetuate practices that contribute to lack of opportunities or access and any other form of treatment that is based on differences within healthcare
7.3eL2Apply innovative and evidence-based strategies focusing on system preparedness and capabilities
7.3fL2Design system improvement strategies based on performance data and metrics
7.3gL2Manage change to sustain system effectiveness
7.3hL2Design system improvement strategies that address internal and external system processes and structures that perpetuate embedded barriers in healthcare systems

Domain 8

Informatics and Healthcare Technologies

Information and communication technologies and informatics processes are used to provide care, gather data, form information to drive decision making, and support professionals as they expand knowledge and wisdom for practice. Informatics processes and technologies are used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practice and professional and regulatory standards.

8.1Describe the various information and communication technology tools used in the care of patients,

8.1aL1Identify the variety of information and communication technologies used in care settings
8.1bL1Identify the basic concepts of electronic health, mobile health, and telehealth systems for enabling patient care
8.1cL1Effectively use electronic communication tools
8.1dL1Describe the appropriate use of multimedia applications in healthcare
8.1eL1Demonstrate best practice use of social networking applications
8.1fL1Explain the importance of nursing engagement in the planning and selection of healthcare technologies
8.1gL2Identify best evidence and practices for the application of information and communication technologies to support care
8.1hL2Evaluate the unintended consequences of information and communication technologies on care processes, communications, and information flow across care settings
8.1iL2Propose a plan to influence the selection and implementation of new information and communication technologies
8.1jL2Explore the fiscal impact of information and communication technologies on healthcare
8.1kL2Identify the impact of information and communication technologies on workflow processes and healthcare outcomes

8.2Use information and communication technology to gather data, create information, and generate

8.2aL1Enter accurate data when chronicling care
8.2bL1Explain how data entered on one patient impacts public and population health data
8.2cL1Use appropriate data when planning care
8.2dL1Demonstrate the appropriate use of health information literacy assessments and improvement strategies
8.2eL1Describe the importance of standardized nursing data to reflect the unique contribution of nursing practice
8.2fL2Generate information and knowledge from health information technology databases
8.2gL2Evaluate the use of communication technology to improve consumer health information literacy
8.2hL2Use standardized data to evaluate decision- making and outcomes across all systems levels
8.2iL2Clarify how the collection of standardized data advances the practice, understanding, and value of nursing and supports care
8.2jL2Interpret primary and secondary data and other information to support care

8.3Use information and communication technologies and informatics processes to deliver safe nursing

8.3aL1Demonstrate appropriate use of information and communication technologies
8.3bL1Evaluate how decision support tools impact clinical judgment and safe patient care
8.3cL1Use information and communication technology in a manner that supports the nurse- patient relationship
8.3dL1Examine how emerging technologies influence healthcare delivery and clinical decision making
8.3eL1Identify impact of information and communication technology on quality and safety of care
8.3fL1Identify the importance of reporting system processes and functional issues (error messages, mis-directions, device malfunctions, etc.) according to organizational policies and procedures
8.3gL2Evaluate the use of information and communication technology to address needs, gaps, and inefficiencies in care
8.3hL2Formulate a plan to influence decision- making processes for selecting, implementing, and evaluating support tools
8.3iL2Appraise the role of information and communication technologies in engaging the patient and supporting the nurse-patient relationship
8.3jL2Evaluate the potential uses and impact of emerging technologies in healthcare
8.3kL2Pose strategies to increase access to digital data and information

8.4Use information and communication technology to support documentation of care and communica-

8.4aL1Explain the role of communication technology in enhancing clinical information flows
8.4bL1Describe how information and communication technology tools support patient and team communications
8.4cL1Identify the basic concepts of electronic health, mobile health, and telehealth systems in enabling patient care
8.4dL1Explain the impact of health information exchange, interoperability, and integration on healthcare
8.4eL2Assess best practices for the use of advanced information and communication technologies to support patient and team communications
8.4fL2Employ electronic health, mobile health, and telehealth systems to enable quality, ethical, and efficient patient care
8.4gL2Evaluate the impact of health information exchange, interoperability, and integration to support patient-centered care

8.5Use information and communication technologies in accordance with ethical, legal, professional, and

8.5aL1Identify common risks associated with using information and communication technology
8.5bL1Demonstrate ethical use of social networking applications
8.5cL1Comply with legal and regulatory requirements while using communication and information technologies
8.5dL1Educate patients on their rights to access, review, and correct personal data and medical records
8.5eL1Discuss how clinical judgment and critical thinking must prevail in the presence of information and communication technologies
8.5fL1Deliver care using remote technology
8.5gL2Apply risk mitigation and security strategies to reduce misuse of information and communication technology
8.5hL2Assess potential ethical and legal issues associated with the use of information and communication technology
8.5iL2Recommend strategies to protect health information when using communication and information technology
8.5jL2Promote patient engagement with their personal health data
8.5kL2Advocate for policies and regulations that support the appropriate use of technologies impacting healthcare
8.5lL2Analyze the impact of federal and state policies and regulation on health data and technology in care settings

Domain 9

Professionalism

Formation and cultivation of a sustainable professional identity, including accountability, perspective, collaborative disposition, and comportment, that reflects nursing’s characteristics and values.

9.1Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society

9.1aL1Apply principles of professional nursing ethics and human rights in patient care and professional situations
9.1bL1Reflect on one’s actions and their consequences
9.1cL1Demonstrate ethical behaviors in practice
9.1dL1Change behavior based on self and situational awareness
9.1eL1Report unethical behaviors when observed
9.1fL1Safeguard privacy, confidentiality, and autonomy in all interactions
9.1gL1Advocate for the individual’s right to self- determination
9.1hL2Analyze current policies and practices in the context of an ethical framework
9.1iL2Model ethical behaviors in practice and leadership roles
9.1jL2Suggest solutions when unethical behaviors are observed
9.1kL2Assume accountability for working to resolve ethical dilemmas

9.2Employ participatory approach to nursing care

9.2aL1Employ the use of intentional presence to facilitate shared meaning of the experience between nurse and recipient of care
9.2bL1Facilitate health and healing through compassionate caring
9.2cL1Demonstrate empathy to the individual’s life experience
9.2dL1Advocate for practices that advance access, connection, and engagement
9.2eL1Demonstrate sensitivity and humility to all regardless of background and perspective in practice
9.2fL1Apply principles of therapeutic relationships and professional boundaries
9.2gL1Communicate in a professional manner
9.2hL2Foster opportunities for intentional presence in practice
9.2iL2Identify innovative and evidence-based practices that promote person-centered care
9.2jL2Advocate for practices that advance access, connection, and engagement
9.2kL2Model professional expectations for therapeutic relationships
9.2lL2Facilitate communication that promotes a participatory approach

9.3Demonstrate accountability to the individual, society, and the profession

9.3aL1Engage in advocacy that promotes the best interest of the individual, community, and profession
9.3bL1Demonstrate the moral courage to report concerns related to actual or potential hazards and/ or errors
9.3cL1Demonstrate professional and personal honesty and integrity
9.3dL1Take responsibility for one’s roles, decisions, obligations, actions, and care outcomes
9.3eL1Engage in professional activities and/or organizations
9.3fL1Demonstrate adherence to a culture of civility
9.3gL1Advocate for collective well-being and access to quality healthcare, including addressing the health of vulnerable populations
9.3hL1Engage in peer evaluation
9.3iL2Advocate for nursing’s professional responsibility for ensuring optimal care outcomes
9.3jL2Demonstrate leadership skills when participating in professional activities and/or organizations
9.3kL2Address actual or potential hazards and/or errors
9.3lL2Foster a practice environment that promotes accountability for care outcomes
9.3mL2Advocate for policies/practices that promote collective well-being and access to quality healthcare for populations being served
9.3nL2Foster strategies that promote a culture of civility across a variety of settings
9.3oL2Lead in the development of opportunities for professional and interprofessional activities

9.4Comply with relevant laws, policies, and regulations

9.4aL1Advocate for policies that promote health and prevent harm
9.4bL1Adhere to the registered nurse scope and standards of practice
9.4cL1Adhere to regulatory requirements and workplace policies consistent with one’s educational preparation
9.4dL2Advocate for polices that enable nurses to practice to the full extent of their education
9.4eL2Assess the interaction between regulatory agency requirements and quality, fiscal, and value- based indicators
9.4fL2Evaluate the effect of legal and regulatory policies on nursing practice and healthcare outcomes
9.4gL2Analyze efforts to change legal and regulatory policies that improve nursing practice and health outcomes
9.4hL2Participate in the implementation of policies and regulations to improve the professional practice environment and healthcare outcomes

9.5Demonstrate the professional identity of nursing

9.5aL1Describe nursing’s professional identity and contributions to the healthcare team
9.5bL1Demonstrate the core values of professional nursing identity
9.5cL1Demonstrate sensitivity to the values of others
9.5dL1Demonstrate ethical comportment and moral courage in decision making and actions
9.5eL1Demonstrate emotional intelligence
9.5fL2Articulate nursing’s unique professional identity to other interprofessional team members and the public
9.5gL2Evaluate practice environment to ensure that nursing core values are demonstrated
9.5hL2Identify opportunities to lead with moral courage to influence team decision-making
9.5iL2Engage in professional organizations that reflect nursing’s values and identity

9.6Integrate access, connection, and engagement as core to one’s professional identity

9.6aL1Demonstrate respect for individual differences within communities and populations
9.6bL1Demonstrate awareness of and respect for individual personal and professional values
9.6cL1Integrate core principles of collective well-being and human rights into practice
9.6dL2Model respect for access, connection, and engagement for team members
9.6eL2Critique one’s personal and professional practices in the context of nursing’s core values
9.6fL2Analyze the impact of organizational and societal influences on nursing’s professional identity
9.6gL2Ensure that care provided by self and others is reflective of nursing’s core values
9.6hL2Structure the practice environment to facilitate care that is culturally and linguistically appropriate
9.6iL2Ensure self and others are accountable in upholding moral, legal, and humanistic principles related to health

Domain 10

Personal, Professional, and Leadership Development

Participation in activities and self-reflection that foster personal health, resilience, and well-being; contribute to lifelong learning; and support the acquisition of nursing expertise and the assertion of leadership.

10.1Demonstrate a commitment to personal health and well-being

10.1aL1Demonstrate healthy, self-care behaviors that promote wellness and resiliency
10.1bL1Manage conflict between personal and professional responsibilities
10.1cL2Contribute to an environment that promotes self-care, personal health, and well-being
10.1dL2Evaluate the workplace environment to determine level of health and well-being

10.2Demonstrate a spirit of inquiry that fosters flexibility and professional maturity

10.2aL1Engage in guided and spontaneous reflection of one’s practice
10.2bL1Integrate comprehensive feedback to improve performance
10.2cL1Commit to personal and professional development
10.2dL1Expand personal knowledge to inform clinical judgment
10.2eL1Identify role models and mentors to support professional growth
10.2fL1Participate in ongoing activities that embrace principles of access, connection, engagement, and nondiscriminatory treatment
10.2gL2Demonstrate cognitive flexibility in managing change within complex environments
10.2hL2Mentor others in the development of their professional growth and accountability
10.2iL2Foster activities that support a culture of lifelong learning
10.2jL2Expand leadership skills through professional service

10.3Develop capacity for leadership

10.3aL1Compare and contrast leadership principles and theories
10.3bL1Formulate a personal leadership style
10.3cL1Demonstrate leadership behaviors in professional situations
10.3dL1Demonstrate self-efficacy consistent with one’s professional development
10.3eL1Use appropriate resources when dealing with ambiguity
10.3fL1Modify one’s own leadership behaviors based on guided self-reflection
10.3gL1Demonstrate self-awareness of one’s own biases and their relationship to one’s culture and environment
10.3hL1Communicate a consistent image of the nurse as a leader
10.3iL1Recognize the importance of nursing’s contributions as leaders in practice and policy issues
10.3jL2Provide leadership to advance the nursing profession
10.3kL2Influence intentional change guided by leadership principles and theories
10.3lL2Evaluate the outcomes of intentional change
10.3mL2Evaluate strategies/methods for peer review
10.3nL2Participate in the evaluation of other members of the care team
10.3oL2Demonstrate leadership skills in times of uncertainty and crisis
10.3pL2Advocate for strengthening systems to eliminate embedded barriers that reduce unequal outcomes in nursing and society
10.3qL2Advocate for the nursing profession in a manner that is consistent, positive, relevant, accurate, and distinctive

About this page

Codes and wording are reproduced verbatim from The Essentials: Core Competencies for Professional Nursing Education, American Association of Colleges of Nursing, 2021. AACN publishes the source document; this page reproduces it so individual sub-competencies can be linked, searched and cited directly.

The same 434 sub-competencies are what CopilotRN maps course content against when it builds a curriculum map. See how that works.