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Nurse Competencies for Nursing Home Culture Change Cheat Sheet by

Nursing Competencies for Cultural Change
change     nurse     competencies     cultural

Introd­uction

In 2008, the Hartford Institute for Geriatric Nursing, in collab­oration with the Coalition of Geriatric Nursing Organi­zations and Pioneer Network, convened an interd­isc­ipl­inary Expert Panel of leaders in culture change and in geront­olo­gical nursing to explore and make recomm­end­ations about the role of nurses with regard to nursing home culture change. An issue paper, Nurses Involv­ement in Nursing Home Culture Change: Overcoming Barriers, Advancing Opport­unities (www.h­art­for­dig­n.o­rg/­pol­icy­/po­sit­ion­_pa­per­s_b­riefs), provided several recomm­end­ations, one of which was to develop a set of compet­encies for licensed nurses in nursing homes to promote and facilitate
person­-di­rected care and culture change in their organi­zat­ions. This recomm­end­ation recognizes the important role nurses play in an organi­zat­ion’s nursing home culture change transf­orm­ation and ensuring high quality care and life for residents.

A core group of nurses with expertise in nursing home culture change were charged to address this recomm­end­ation. The group reviewed existing compet­encies for nurses and other discip­lines in long-term care and care of older adults. They consulted with nurse experts, actively engaged in the work of culture change and considered role models, to identify the compet­encies. Ten compet­encies were finalized after extensive input from nurses throughout
the country via a survey that proposed 39 compet­encies. The 10 compet­encies are those seemed most relevant and critical for nurses to be successful in creating and sustaining person­-di­rected care.

The 10 compet­encies are specific to nursing home culture change. There are existing geriatric nursing compet­encies that were developed and shared in 2000 by the Hartford Institute for Geriatric Nursing and the American Associ­ation of Colleges in Nursing (AACN). The 10 compet­encies build on this body of knowledge.
Developed through a collab­oration of Pioneer Network and Hartford Institute for Geriatric Nursing, 2010, www.Pi­one­erN­etwork.
 

Compet­encies for SNF Culture Change

Comp­ete­ncy
Desc­rip­tion
1
Models, teaches and utilizes effective commun­ication skills such as active listening, giving meaningful feedback, commun­icating ideas clearly, addressing emotional behaviors, resolving conflict and unders­tanding the role of diversity in commun­ication
2
Creates systems and adapts daily routines and “perso­n-d­ire­cted” care practices to accomm­odate resident prefer­ences 3. Views self as part of team, not always as
3
Views self as part of team, not always as the leader
4
Evaluates the degree to which person­-di­rected care practices exist in the care team and identify and addresses barriers to person directed care
5
Views the care setting as the residents’ home and works to create attributes of home
6
Creates a system to maintain consis­tency of caregivers for residents
7
Exhibits leadership charac­ter­istics/ abilities to promote person­-di­rected care
8
Role models person­-di­rected care
9
Problem solves complex medica­l/p­syc­hos­ocial situations related to resident choice and risk
10
Facili­tates team members including residents and families, in shared proble­m-s­olving, decisi­on-­making, and planning

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