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FUNCTIONAL

CONTEXTUAL

PROFESSIONAL COMPONENTS

OF NURSES' CLINICAL COMPETENCIES

PRODUCTION

Sylvie Couture

Department Head

Claire Demers

Publishing Assistant

Department of Client Service

and Communications, OIIQ

Inoxidée

Barbara Pattison, C.Tr.

Grzegorz Sobieraj, RN, M.Sc., Ph.D. (s)

Barbara Pattison, C.Tr.

Claire Demers

D

ISTRIBUTION

Documentation Centre

Ordre des infirmières et infirmiers du Québec

4200, Dorchester Boulevard West

Westmount (Quebec) H3Z 1V4

Telephone: 514 935-2501 or 1 800 363-6048

Fax: 514 935-5273

cdoc@oiiq.org Bibliothèque et Archives nationales du Québec, 2009

Library and Archives Canada, 2009

ISBN 978-2-89229-466-8 (2nd edition, 2009)

ISBN 2-89229-276-X (1st edition, 2001)

© Ordre des infirmières et infirmiers du Québec, 2009

All rights reserved

Note - In accordance with OIIQ editorial policy, the feminine is used to simpli fy the text and refers to both male and female nurses.

DESIGN AND TEXT

Judith Leprohon, RN, Ph.D.

Scientific Director

Louise-Marie Lessard, RN, Ph.D.

Assistant to the Scientific Director

Scientific Department, OIIQ

Hélène Lévesque-Barbès, RN, Ph.D.

Nursing Consultant

COLLABORATION

Louise Cantin

Director

Department of Professional Development

and Support, OIIQ

Carole Deshaies, RN, M.Sc.

Director

Professional Inspection Office, OIIQ

Pierrette Lange-Sondack

Director

Registrar's Office, OIIQ

Jocelyne Poirier

Director/Consultant, Education System, OIIQ

Sylvie Truchon

Director

Syndic's Office, OIIQ

Céline Audet

, Teacher

Lucie Bélanger, Clinical Nurse

Lorraine Bojanowski, Program Manager

Yvonne Caron, Practice Training Coordinator

Marie Forcier, Clinical Nurse

Lucie Guyot-Halleux, Teacher

Denise Laliberté, Nursing Consultant

Céline Lyonnais, Nursing Consultant and

Training Coordinator

Josée Grégoire,

Clinical Nurse

E C

OORDINATION AND TEXT

Judith Leprohon, RN, Ph.D.

Scientific Director

Marjolaine Bellavance, RN, Ph.D.(c)

Assistant to the Scientific Director

Scientific Department, OIIQ

COLLABORATION

Nursing Practice Supervision Office (NPSO),

OIIQ

Syndic's Office, OIIQ

Department of External Affairs and

Workforce Statistics (DEAWS), OIIQ

Department of Professional Development

and Support (DPDS), OIIQ

Manon Allard, RN, M.Sc.

Nursing Unit Head

Centre de santé et de services sociaux

du Sud de Lanaudière

Madeleine Buck, RN, M.Sc.

Professor

McGill University

Joanne Buttery, RN, M.Sc.

Executive Consultant

Institut universitaire de gériatrie de Sherbrooke

Hélène Clavet, RN, M.Sc.

Executive Consultant

Centre hospitalier universitaire de Québec

Josée Grégoire, RN, M.Sc.

Teacher

Cégep de Joliette

Suzanne McClish, RN, M.Ed.

Teacher

Cégep du Vieux-Montréal

Angèle St-Jacques, RN, M.Sc.

Director of Nursing

Centre hospitalier universitaire Sainte-Justine

Lise St-Pierre, RN, M.Sc.

Executive Consultant

Hôpital Maisonneuve-Rosemont

Marie Blanchet-Legendre, RN, M.Ed.

Teacher

Cégep de Sept-Îles

Marie-France Ébacher, RN, M.Sc.

Professor and Vice-Dean of Studies

Faculty of Nursing Sciences

Université Laval

Nathalie Caya, RN,

M.Ed.

Unit Head, Hôpital St-Luc

Centre hospitalier de l'Université de Montreal

Odette Roy, RN, M.P.A., Ph.D.

Assistant, Department of Nursing

(Clinical and Research Components)

Manon Bellehumeur, RN, M.Sc.

Consultant

Nursing Practice Supervision Office, OIIQ, and

Coordinator, Committee for the Development

of the Written Section of the Examination

Jocelyne Labarre, RN, M.Sc.

Programs' Coordinator - Continuing Education

Faculty of Nursing Sciences, Université de Montréal, and Coordinator, Committee for the Development of the Practical Section of the Examination

Josée Grégoire, RN, M.Sc.

Teacher

Cégep de Joliette

Suzanne Durand, RN, M.Sc., D.E.S.S.

(in Bioethics)

Director

Department of Professional Development

and Support, OIIQ

Carole Deshaies, RN, M.Sc.

Director

Nursing Practice Supervision Office, OIIQ

Suzanne Durand, RN, M.Sc., D.E.S.S.

(in Bioethics)

Director

Department of Professional Development

and Support, OIIQ

Madeleine Lauzier, RN, M.Sc.

Director/Consultant, Education System

Department of External Affairs and

Workforce Statistics, OIIQ

Louise-Marie Lessard, RN, Ph.D.

Nursing Consultant - Quality Assessment

Centre hospitalier de l'Université de Montreal

(CHUM) THE

OF NURSES' CLINICAL

COMPETENCIES

5 THE

OF NURSES' CLINICAL

COMPETENCIES

INTRODUCTION

THE

MOSAIC

OF NURSES' CLINICAL

COMPETENCIES

he Agreement on internal trade governing nursing labour mobility in Canada requires, among other things, a mutual recognition among Canadian provinces and territories of nurses' initial entry-level competencies. For the purposes of the Agreement, a comparison of the frameworks of entry-level competencies adopted by Canadian regulatory agencies was established in 1999—2000. Concerned with main-

taining a global vision of nursing practice, the Ordre des infirmières et infirmiers du Québec (OIIQ)

adopted the concept of a mosaic 1 of nurses' clinical competencies in order to define its framework of initial competencies. This concept stems from the orientations underlying the frameworks and . It provides a model that defines competencies 2 which, by their interaction, deli-

neate the scope of nurses' professional competence, both for entry to practice and for specialization

in a clinical field. The concept is defined in part one of this document

Part two presents the mosaic of nurses' initial clinical competencies, which constitutes the framework

of the competencies expected of novice nurses at their entry into nursing practice and which they

consolidate during their first years of professional practice. Since the mosaic refers to the quality of

practice described in the document , it is not limited to aptitude to practice as assessed by the professional examination. Initial competenci es are assessed in the profes sional examination by means of common clinical situations that nurses are likely to encounter at the

entry level. As nurses gain experience and consolidate their learning, the scope of their professional

competence encompasses increasingly complex situations.

This new edition is the result of the revision of certain elements of the model and the initial competencies

adopted by the Bureau of the OIIQ in 2000. An update of the document was necessary in order to take into account the new provisions of the following the coming into effect, in 2003, of the , as well as the 3 and the development of the profession. The resulting mosaic reflects

the clinical leadership nurses must exercise from the time of their entry into practice, in particular by

reinforcing clinical assessment and care coordination competencies, in a perspective of interprofes sional collaboration. The initial competencies thus defined constitute a foundation on which nurses may build their competencies in the course of their professional development with a view to assuming roles that are becoming increasingly diverse and specialized (Canadian

Nurses Association, 2006).

1. It is called a “mosaic" because this term reflects how the comb

ination of multiple separate pieces creates an image which,quotesdbs_dbs50.pdfusesText_50

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