The nurse is reviewing the eight domains of competencies for population health nursing before structuring a program to address an identified health problem. What should the nurse keep in mind when reviewing these competencies?
1. They reflect the practice of the experienced population health nurse at only the specialist level and include cultural competence.
2. They reflect the practice of the experienced population health nurse at the generalist level and exclude communication.
3. They include expectations, which range from awareness through knowledge to proficiency and include financial planning.
4. They must all be incorporated into any population health nursing position and include advanced public health practice.
Answer: 3
Explanation: 3. The competencies address eight domains of practice: (a) analytic assessment, (b) policy development and program planning, (c) communication, (d) cultural competence, (e) community dimensions of practice, (f) basic public health science, (g) financial planning and management, and (h) leadership and systems thinking. The competencies were intended to reflect the practice of experienced community health nurses at both generalist and specialist levels, not novices, and expectations ranged from awareness through knowledge to proficiency on any given item. The competencies were revised to address three tiers of practice. Tier 1 competencies are skills to be possessed by public health nurses who engaged in day-to-day care in official state and local public health agencies. Tier 2 competencies address the practice of program managers or supervisors. Tier 3 competencies are intended for public health nurses in senior management and leadership positions with responsibility for major programs and strategy development. Any particular population health nursing position may incorporate components from some or all domains.
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