POPULATION-FOCUSED NURSE PRACTITIONER COMPETENCIES

Women’s Health/Gender-Related NP C

These are entry level competencies for th
core competencies for all nurse practition

The women’s health nurse practitioner pr
conditions unique to women from menarc
cultural environments – interpersonal, fam
practitioner considers the inter-relationsh
status, and socio-political power different

See the “Introduction” for how to use this
competencies.

Competency Area NP Core Competencies Women’s Health
NP Competenci

Scientific 1. Critically analyzes data and evidence 1. Integrates re
Foundation
Competencies for improving advanced nursing based practi

practice. approaches

2. Integrates knowledge from the to physical a

humanities and sciences within the across the lif

context of nursing science. 2. Integrates be

3. Translates research and other forms incorporating

of knowledge to improve practice judgment

processes and outcomes.

4. 4. Develops new practice approaches

based on the integration of research,

theory, and practice knowledge

78

Competencies

he women’s health/gender-related nurse practitioner and supplement the
ners.

rovides primary care to women across the life cycle with emphasis on
che through the remainder of their life cycle within the context of socio-
mily, and community. In providing care, the women’s health nurse
hip of gender, social class, culture, ethnicity, sexual orientation, economic
tials.

s document and to identify other critical resources that supplement these

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

esearch, theory, and evidence- Hormonal therapy (contraception, HRT,
ice knowledge to develop clinical infertility/fertility treatments)
that address women's responses
and mental health and illness In-depth knowledge of reproductive
fespan. endocrinology
est evidence into practice
g client values and clinical Advanced assessment of female breast and
genitourinary systems

Genomics

Advanced practice and interprofessional role
development

Gender discrimination

Sexual Assault

Gender-unique disease presentations

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

Leadership 1. Assumes complex and advanced
Competencies leadership roles to initiate and guide
change.
Quality
Competencies 2. Provides leadership to foster
collaboration with multiple
stakeholders (e.g. patients,
community, integrated health care
teams, and policy makers) to improve
health care.

3. Demonstrates leadership that uses
critical and reflective thinking.

4. Advocates for improved access,
quality and cost effective health care.

5. Advances practice through the
development and implementation of
innovations incorporating principles of
change.

6. Communicates practice knowledge
effectively both orally and in writing.

7. 7. Participates in professional
organizations and activities that
influence advanced practice nursing
and/or health outcomes of a
population focus.

1. Uses best available evidence to
continuously improve quality of
clinical practice.

2. Evaluates the relationships among
access, cost, quality, and safety and
their influence on health care.

3. Evaluates how organizational
structure, care processes, financing,

79

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

marketing and policy decisions impact
the quality of health care.
4. Applies skills in peer review to
promote a culture of excellence.
5. 5. Anticipates variations in practice
and is proactive in implementing
interventions to ensure quality.

Practice Inquiry 1. Provides leadership in the translation 1. Evaluates ge
Competencies
of new knowledge into practice. outcomes.

2. Generates knowledge from clinical 2. Integrates of

practice to improve practice and practice

patient outcomes.

3. Applies clinical investigative skills to

improve health outcomes.

4. Leads practice inquiry, individually or

in partnership with others.

5. Disseminates evidence from inquiry

to diverse audiences using multiple

modalities.

6. Analyzes clinical guidelines for

individualized application into practice

80

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

ender-specific interventions and Review of literature to distinguish unique
f gender-specific evidence into aspects of gender-specific health for
application of appropriate findings to patient
care.

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

Technology and 1. Integrates appropriate technologies Uses health infor
Information for knowledge management to providing care fo
Literacy improve health care. communicate, ma
Competencies access, mitigate
2. Translates technical and scientific decision making
Policy health information appropriate for
Competencies various users’ needs.

2.a Assesses the patient’s and

caregiver’s educational needs to

provide effective, personalized

health care.

2.b Coaches the patient and

caregiver for positive behavioral

change.

3. Demonstrates information literacy

skills in complex decision making.

4. Contributes to the design of clinical

information systems that promote

safe, quality and cost effective care.

5. Uses technology systems that

capture data on variables for the

evaluation of nursing care.

1. Demonstrates an understanding of Advocates for he
the interdependence of policy and that support acce
practice. and effective hea
and globally.
2. Advocates for ethical policies that
promote access, equity, quality, and
cost.

3. Analyzes ethical, legal, and social
factors influencing policy
development.

4. Contributes in the development of
health policy.

81

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

rmation and technology tools in Use of electronic datasets to evaluate practice
or women across the lifespan to and improve quality, cost, and efficiency
anage knowledge, improve
Distance-linked services
error, and to support clinical  Telewomen’s health
locally and globally.  Social networking

Technology laws affecting women and families

Use of electronic communications to enhance
care processes
 Use of simulation to enhance clinical skills

in the care of women
 gynececologic urologic teaching

associates (GOTA)
 task trainers (e.g., IUD insertion, Leopold

maneuvers)
 standardized patient encounters focusing

on issues more prevalent in women such
as, but not limited to, domestic violence
and prenatal counseling

ealth care policies and research Principles of advocacy to influence socially
essible, equitable, affordable, safe responsible policy for women and their
alth care for women both locally families.

Promotion of gender-specific health concerns
such as, but not limited to:
 undernourishment with body dysmorphism
 obesity epidemic
 female genital cutting

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

5. Analyzes the implications of health
policy across disciplines.

6. Evaluates the impact of globalization
on health care policy development.

Health Delivery 1. Applies knowledge of organizational Demonstrates kn
System practices and complex systems to and regulatory ag
Competencies improve health care delivery. specific issues

Ethics 2. Effects health care change using
Competencies
broad based skills including

negotiating, consensus-building, and

partnering.

3. Minimizes risk to patients and

providers at the individual and

systems level.

4. Facilitates the development of health

care systems that address the needs

of culturally diverse populations,

providers, and other stakeholders.

5. Evaluates the impact of health care

delivery on patients, providers, other

stakeholders, and the environment.

6. Analyzes organizational structure,

functions and resources to improve

the delivery of care.

7. Collaborates in planning for

transitions across the continuum of

care.

1. Integrates ethical principles in 1. Recognizes
decision making. women’s hea

2. Evaluates the ethical consequences 2. Recognize th

82

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

nowledge of legal/ethical issues Consent forms such as, but not limited to:
gencies relevant to gender-  minors
 tubul ligation
 IUD insertion

Variation of policies specific to women among
state and federal regulatory agencies

the unique ethical dilemmas in Activities that raise awareness of issues that
alth care. influence women’s health such as, but not

he global ethical challenges in limited to:

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

of decisions. women’s hea

3. Applies ethically sound solutions to 3. Develops eth

complex issues related to individuals, complex glob

populations and systems of care.

Independent 1. Functions as a licensed independent Provides culturall
Practice practitioner. primary care for w
Competencies
2. Demonstrates the highest level of

accountability for professional Approaches gend

practice. events, such as m

3. Practices independently managing menopause and

previously diagnosed and transitions not dis

undiagnosed patients. Recognizes uniq
3.a Provides the full spectrum of marginalized wom
and transgendere
health care services to include
health promotion, disease

prevention, health protection, Recognizes disea

anticipatory guidance, women.

counseling, disease Manages disease

management, palliative, and end women.
of life care.

3.b Uses advanced health Provides infertility

assessment skills to differentiate disease services

between normal, variations of patients.

normal and abnormal findings. Supports a woma
3.c Employs screening and decisions regardi

diagnostic strategies in the

83

h / Gender-Related Curriculum Content to Support
es Competencies

alth care. Neither required nor comprehensive, this list reflects only
hically sound solutions to suggested content specific to the population
bal issues related to women.
 ageism
 racism,
 sexism,
 religious beliefs
 cultural variations
 health belief systems
 violence against women
 homophobia
 gender roles
 poverty

ly appropriate reproductive and Age-appropriate care
women of all ages.  women across the lifespan
 gynecologic
der-specific developmental  obstetric
menarche, pregnancy,
senescence, as normative Normal vs. abnormal
sease states.  development of the female
 obstetrics
que health care needs of  gynecology
men, including victims of violence  age-related changes
ed female clients.

ase manifestations unique to Male conditions related to reproductive and
urologic systems

e manifestations unique to Selection and implementation of appropriate
clinical guidelines and standards

y and sexually transmitted Using clinical decision support tools
s to sexual partners of female
Epidemiology/risk analysis, including
an’s right to make her own knowledge of:
ing her health and reproductive  Prevalence of gynecologic and obstetric

disorders in diverse populations across the

Population-Focused Nurse Practitioner Competencies

Competency Area NP Core Competencies Women’s Health
NP Competenci

development of diagnoses. choices within the

3.d Prescribes medications within Assesses genetic

scope of practice. and mental healt

3.e Manages the health/illness status family, social, env
of patients and families over

time. Provides counsel

4. Provides patient-centered care based on identifie

recognizing cultural diversity and the

patient or designee as a full partner in

decision-making.

4.a Works to establish a relationship

with the patient characterized by

mutual respect, empathy, and

collaboration.

4.b Creates a climate of patient-

centered care to include

confidentiality, privacy, comfort,

emotional support, mutual trust,

and respect.
4.c Incorporates the patient’s cultural

and spiritual preferences, values,

and beliefs into health care.
4.d Preserves the patient’s control

over decision making by

negotiating a mutually acceptable

plan of care.

84

h / Gender-Related Curriculum Content to Support
es Competencies

Neither required nor comprehensive, this list reflects only
suggested content specific to the population

e context of her belief system. life span

c, social, environmental, physical,  Contributing risk factors and potential
h risks through collection of barriers to health promotion and disease
vironmental, and health data. prevention (e.g., socioeconomic,
biological, environmental, community-
eling, management, and/or referral specific variables)
ed healthcare risk factors.
Gender-based recommendations, exercise,

lifestyle, familial factors that predisposes one

to disease, cultural, and societal

influences/stigmas.

Growth and development theories and
concepts (spiritual, cultural, cognitive,
emotional, psychosexual, physical abilities) &
variances

Principles of family dynamics and social
support systems.

Cultural differences impacting health such as,
but not limited to:
 language
 ethnicity
 race
 religious
 spiritual
 biopsychosocial
 urban/rural
 homeless
 migrant
 lesbian-gay-bisexual-

transgender/transsexual (LGBT)
orientation

Population-Focused Nurse Practitioner Competencies