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There are seven core competencies of the APRN and they are as follow:

Direct Clinical Practice: this is the interaction we provide and or experienced when patient-nurse interaction occurs. This could include the patient, patient’s family, and others related and approved by the professional APRN and patient.

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Coaching and mentoring: This is extremely important because here we educated, reinforced and continuously assist mentoring patients, patients’ family, peers, staff nurses, and the interdisciplinary team.

Consulting: as APRN it is imperative to reach out for clinical expertise, clinical assistance and clinical constructive feedback.

Research and Evidence based practice: This is a must due to the integration of well thought processing research findings to improve clinical practice, ensure patient safety and health promotion.

Health System and Leadership: This is where the professional APRN leadership skills set is solved-detailed oriented, focus with critical thinking to effectively perform in the health, clinical and professional settings.

Collaboration Opportunities: This is where the professional APRN listens and provides constructive feedback with a different reasoning and approach on a patient’s needs and or concerns. Therefore, this enhance the overall outcomes of the patient’s needs.

Ethical Decision Making: is to demonstrate everyday ethical practice with strong moral competences among patients, colleagues, peers, nursing staff, and the interdisciplinary team.

I believe I would be able to attain the mastery level of competencies of the APRN by utilizing a holistic approach, building a therapeutic partnership with patients, keeping up with continuous educations and or training to maintain expert clinical performance and the ability to use reflective practice to ensure patient safety and health promotion. Furthermore, prioritizing, using clinical reasoning and judgment, involving the patient into the plan of care, developing a manage plan, effectively gathering information for a consult. Learn and master the application and integration of evidence-based practice to optimize patient outcome. Being a leader by innovating, mentoring, and speaking out for the patient as patient advocate. By effectively collaborating with the interdisciplinary team, peers, patient, patient’s family, colleagues, nursing staff, etc.

My leadership style is mentoring because I empower myself and other to do the best we can do, I understand that to master the APRN competencies I can look for a mentor to growth in clinical practice. I am willing to share power and share vision that will allow me to meet and master competencies essential for APRN.

Some of the elements of role transition from Registered nurse to APN are the absorption of the new role, role transition from staff registered nurse to APRN provider, the ability to manage the new work load, novice-to-expert skill acquisition, role conflict, role stressors, role incongruity. According to Hamric and Taylor’s report (1989) A major implication of the novice-to-expert model for advanced practice nursing is the claim that even experts can be expected to perform at lower skill levels when they enter new situations or positions. I am currently experiencing the role transition and the novice to expert skill acquisition. However, I am confident that South University will allow me to enhance these elements of role transition through learning, caring, critical thinking, effective communication, professionalism, and holism.

Phyllis Njino

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