Bridging Competency and Advocacy – Advancing Nurse Practitioner Practice for Community Impact
The Nine NONPF Competencies
Scientific Foundation
My program experience has provided me with the right skills to critically interpret data and evidence, which is necessary for advanced nursing practice. The advanced courses in pathophysiology, pharmacology, physiology, genetics, and communication skills have provided me with the scientific foundation required for advanced practice. Furthermore, I’ve been able to integrate knowledge from art and science modules into nursing science.
Leadership
Through this program, I developed my skills to lead complex situations, work as a team in dealing with multiple stakeholders, and advocate for easy access, good quality, and affordable healthcare (Sun & Stanik, 2023). I acquired skills in crisis management, stress management, team building, strategic thinking, and communication, which are vital for successfully managing healthcare settings.
Quality
In addition to the QSEN principles and coursework, I have learned to use the most efficient and compelling evidence to improve clinical practice continuously. I have also acquired skills in assessing care outcomes, the interrelationship between access, cost, quality, and safety, and peer reviewing to promote a culture of excellence.
Practice Inquiry
I have gained the leadership skills to influence the transfer of knowledge into practice, the conversion of practice into knowledge to improve outcomes, and the communication of evidence from inquiry to a broad audience (Lavin et al., 2022). I have also acquired skills in clinical investigations, project development and management, and work dissemination.
Technology and Information Literacy
I have learned how to apply technologies for knowledge management, translate technical and scientific health information, and assess patient and caregiver education necessities to provide personalized healthcare. My program has granted me the ability to use online resources, clinical information systems, telehealth, and electronic communication tools efficiently.
Policy
Knowing that policy and practice are interdependent, I have learned to advocate for ethical policies that can implement access, equity, quality, and cost in healthcare. I have acquired expertise in policy analysis, health policy development, legislative and regulatory procedures, and the interdisciplinary implications of health policy.
Health Delivery System
Through my program, I have understood organizational processes, complex systems, and interdisciplinary collaboration, which are essential in healthcare delivery. Based on Mudd et al. (2023), I realized a lot about reducing risk to patients and providers, estimating the effect of a health service delivery on a different population, and planning healthcare organization structure and functional resources for a better quality of service delivery.
Ethics
Through the program, my ability to integrate ethical principles into decision-making, examine ethical issues in decisions, and apply ethically acceptable solutions to complicated healthcare issues has increased. I have developed the skills to confront ethical issues on clinical grounds, political strategies, and social services delivery that involve cultural, spiritual, and population-specific aspects.
Independent Practice
Through this program, I have gained the highest level of accountability and responsibility for professional practice that a state licensure of an independent practitioner could dictate. I have learned basic patient-centered care, teaching for caregivers, and coordination for withdrawal care services. I have also participated in the development, implementation, and evaluation of professional standards.
Engaging in Social Change in the Community as a Nurse Practitioner
I intend to be a part of the social change in my community by being an active health education advocate for underprivileged groups, working in collaboration with local non-profit organizations to identify and tackle health disparity issues, and lobbying for public policy reform that would ensure all people have equal access to quality health care (Powers et al., 2020). I also plan to hold and head numerous health fairs in the community to give essential health services and resources to people without any health insurance.
Legislative or Advocacy Activities
Notably, Texas nurse practitioner organizations are involved in advocacy initiatives, such as granting nurse practitioners full practice authority and supporting workforce development in healthcare. They also discuss financial issues comprising healthcare payment and reimbursement (Chiu et al., 2021). These organizations could lobby at the state level to pass healthcare legislation, such as extending Medicaid coverage or getting more workers in the healthcare industry in rural areas.
References
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy advocacy and nursing organizations: A scoping review. Policy, Politics, & Nursing Practice, 22(4), 276–296. https://doi.org/10.1177/15271544211050611
Lavin, R. P., Veenema, T. G., Sasnett, L., Schneider-Firestone, S., Thornton, C. P., Saenz, D., Cobb, S., Shahid, M., Peacock, M., & Couig, M. P. (2022). Analysis of nurse practitioners’ educational preparation, credentialing, and scope of practice in U.S. emergency departments. Journal of Nursing Regulation, 12(4), 50–62. https://doi.org/10.1016/s2155-8256(22)00010-2
Mudd, S. S., Quinn, M., Busch, D., Key, S. M., Brown, K., Gilbert, G. E., & Hawkins-Walsh, E. (2023). Evaluating the practice of pediatric nurse practitioners: Is it time for dual primary and acute care preparation? Journal of Pediatric Health Care, 37(1), 74–84. https://doi.org/10.1016/j.pedhc.2022.08.005
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes. Journal of the American Pharmacists Association, 60(6), 1–18. https://doi.org/10.1016/j.japh.2020.04.018
Sun, G., & Stanik-Hutt, J. (2023). From provider to professor: Supporting nurse practitioner faculty through NONPF’s Faculty Institute. Journal of the American Association of Nurse Practitioners. https://doi.org/10.1097/
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Question 
The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.
Bridging Competency and Advocacy – Advancing Nurse Practitioner Practice for Community Impact
The nine areas of competency are:
Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivery System
Ethics
Independent Practice
For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which Texas state nurse practitioner organization(s) are involved. Be specific and provide examples.