よむ、つかう、まなぶ。
参考資料6_THE ESSENTIALS: CORE COMPETENCIES FOR PROFESSIONAL NURSING EDUCATION （2021 American Association of Colleges of Nursing） (37 ページ)
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2.7 Evaluate outcomes of care.
2.7a Reassess the individual to evaluate health
outcomes/goals.
2.7d Analyze data to identify gaps and inequities in
care and monitor trends in outcomes.
2.7b Modify plan of care as needed.
2.7e Monitor epidemiological and system-level
aggregate data to determine healthcare outcomes
and trends.
2.7c Recognize the need for modifications to
standard practice.
2.7f Synthesize outcome data to inform evidencebased practice, guidelines, and policies.
2.8 Promote self-care management.
2.8a Assist the individual to engage in self-care
management.
2.8f Develop strategies that promote self-care
management.
2.8b Employ individualized educational strategies
based on learning theories, methodologies, and
health literacy.
2.8g Incorporate the use of current and emerging
technologies to support self-care management.
2.8c Educate individuals and families regarding selfcare for health promotion, illness prevention, and
illness management.
2.8h Employ counseling techniques, including
motivational interviewing, to advance wellness and
self-care management.
2.8d Respect individuals and families’ selfdetermination in their healthcare decisions.
2.8i Evaluate adequacy of resources available to
support self-care management.
2.8e Identify personal, system, and community
resources available to support self-care
management.
2.8j Foster partnerships with community
organizations to support self-care management.
2.9 Provide care coordination.
2.9a Facilitate continuity of care based on
assessment of assets and needs.
2.9f Evaluate communication pathways among
providers and others across settings, systems, and
communities.
2.9b Communicate with relevant stakeholders
across health systems.
2.9g Develop strategies to optimize care
coordination and transitions of care.
2.9c Promote collaboration by clarifying
responsibilities among individual, family, and team
members.
2.9h Guide the coordination of care across health
systems.
2.9d Recognize when additional expertise and
knowledge is needed to manage the patient.
2.9i Analyze system-level and public policy
influence on care coordination.
2.9e Provide coordination of care of individuals and
families in collaboration with care team.
2.9j Participate in system-level change to improve
care coordination across settings.
32 THE ESSENTIALS: CORE COMPETENCIES FOR PROFESSIONAL NURSING EDUCATION
2.7 Evaluate outcomes of care.
2.7a Reassess the individual to evaluate health
outcomes/goals.
2.7d Analyze data to identify gaps and inequities in
care and monitor trends in outcomes.
2.7b Modify plan of care as needed.
2.7e Monitor epidemiological and system-level
aggregate data to determine healthcare outcomes
and trends.
2.7c Recognize the need for modifications to
standard practice.
2.7f Synthesize outcome data to inform evidencebased practice, guidelines, and policies.
2.8 Promote self-care management.
2.8a Assist the individual to engage in self-care
management.
2.8f Develop strategies that promote self-care
management.
2.8b Employ individualized educational strategies
based on learning theories, methodologies, and
health literacy.
2.8g Incorporate the use of current and emerging
technologies to support self-care management.
2.8c Educate individuals and families regarding selfcare for health promotion, illness prevention, and
illness management.
2.8h Employ counseling techniques, including
motivational interviewing, to advance wellness and
self-care management.
2.8d Respect individuals and families’ selfdetermination in their healthcare decisions.
2.8i Evaluate adequacy of resources available to
support self-care management.
2.8e Identify personal, system, and community
resources available to support self-care
management.
2.8j Foster partnerships with community
organizations to support self-care management.
2.9 Provide care coordination.
2.9a Facilitate continuity of care based on
assessment of assets and needs.
2.9f Evaluate communication pathways among
providers and others across settings, systems, and
communities.
2.9b Communicate with relevant stakeholders
across health systems.
2.9g Develop strategies to optimize care
coordination and transitions of care.
2.9c Promote collaboration by clarifying
responsibilities among individual, family, and team
members.
2.9h Guide the coordination of care across health
systems.
2.9d Recognize when additional expertise and
knowledge is needed to manage the patient.
2.9i Analyze system-level and public policy
influence on care coordination.
2.9e Provide coordination of care of individuals and
families in collaboration with care team.
2.9j Participate in system-level change to improve
care coordination across settings.
32 THE ESSENTIALS: CORE COMPETENCIES FOR PROFESSIONAL NURSING EDUCATION