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TheQuadCouncilofPublicHealthNursingOrganizationsiscomprisedof:

TheAssociationofCommunityHealthNurseEducators(ACHNE)
TheAssociationofStateandTerritorialDirectorsofNursing(ASTDN)
TheAmericanPublicHealthAssociation PublicHealthNursingSection(APHA)
TheAmericanNursesAssociationsCongressonNursingPracticeandEconomics(ANA)

TheQuadCouncilofPublicHealthNursingOrganizationswasfoundedintheearly
1980stoaddressprioritiesforpublichealthnursingeducation,practice,
leadership,andresearch,andasthevoiceforpublichealthnursing.

Michelle Cravetz, MS, RN-BC

Joyce Krothe, PhD, RN
David Reyes, MN, MPH, RN
Susan M. Swider, PhD, APHN-BC

Introduction
TheQuadCouncilofPublicHealthNursingOrganizationsiscomprisedoftheAssociationof
CommunityHealthNurseEducators(ACHNE),theAssociationofStateandTerritorialDirectorsofNursing
y
(
),
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(ASTDN),theAmericanPublicHealthAssociationPublicHealthNursingSection(APHA)andtheAmerican
NursesAssociationsCongressonNursingPracticeandEconomics(ANA).TheQuadCouncilofPublicHealth
NursingOrganizationswasfoundedintheearly1980stoaddressprioritiesforpublichealthnursingeducation,
practice,leadership,andresearch,andasthevoiceforpublichealthnursing.
Methods
In2010,QuadCouncilundertookrevisionoftheCoreCompetenciesforPublicHealthNursing(YR),inpart
becausetheCouncilonLinkagesbetweenAcademiaandPublicHealthPractice(CoL)reviseditsCore
CompetenciesforPublicHealthProfessionals.
WehavekeptthisCoreCompetenciesforPublicHealthNursing(CCPHN)documentconsistentwiththe
DefinitionofPublicHealthNursingadoptedbytheAPHAsPublicHealthNursingSectionin1996andthe
ScopeandStandardsofPublicHealthNursing(QuadCouncil,1999).ThereforethisCCPHNmaybeusedatall
levelsandinavarietyofpracticesettings.Weplannedcompetenciesthatcouldbeusefulfor
agencies/organizations employing PHNs and educational institutions and other agencies engaged in educating
agencies/organizationsemployingPHNs,andeducationalinstitutionsandotheragenciesengagedineducating
PHNs.Forexample,thisCCPHNcouldbeusedforinitialPHNeducationalexperience,orientationtoanew
agency,ormeetingPHNcontinuingeducationneeds.
Inundertakingtherevisionprocess,QuadCounciladoptedtheCouncilonLinkages(CoL)structurefor
competencies:
eight recognized domains spanned by three tiers of practice As we developed the CCPHN we
competencies:eightrecognizeddomainsspannedbythreetiersofpractice.AswedevelopedtheCCPHN,we
assumedthatPHNspracticeattheintersectionofpopulationfocusednursingcareandpublichealthpractice.
Proceedingfromthisassumption,weusedtheCoL documenttodeterminehowPHNsshoulddemonstrate
corecompetenciesforpublichealthprofessionalsatallthreelevels:thebasicorgeneralistlevel(Tier1);the
specialistormidlevel(Tier2);andattheexecutiveand/ormultisystemslevel(Tier3).

Further,wemaintainedeachoftheeightdomainsintheCoL document.Ofcourse,someredundancyis
inevitable,giventheencompassingnatureofpublichealthandPHNpractice.Competenciesinsomedomains,
suchasCommunityDimensionsofPractice,reappearinvirtuallyalldomains.
ThroughoutthecompositionofthisCCPHN,wesolicitedpublicfeedbackandcarefullyconsideredit.Feedback
camefromabroadarrayofPHNsinpracticeandacademia,primarilymembersoftheQuadCouncilmember
organizations What resulted was a useful organized list of knowledge attitudes behaviors and skills that
organizations.Whatresultedwasauseful,organizedlistofknowledge,attitudes,behaviors,andskillsthat
providethefloorforPHNpracticeatthethreelevelsofservice.TheQuadCouncilgratefullyacknowledgesall
thosePHNswhoinvestedtheirtimeinreviewingourdraftsandcommentingthoughtfully.
LevelsofPractice
PHNspracticeindiversesettingsandenvironments.Thusthesecompetenciesrepresentthecontinuumof
evolvingPHNpracticeroles,responsibilities,andfunctionsforwhichPHNsmayhavetoaccount.
Thebaccalaureatedegreeinnursing(BSN)istheestablishededucationalpreparationforentrylevelPHN
practice (ACHNE, 2009; ANA, 2007; Quad Council, 2004). The BSN provides an essential framework of liberal
practice(ACHNE,2009;ANA,2007;QuadCouncil,2004).TheBSNprovidesanessentialframeworkofliberal
artsandscienceseducationthatservesasafoundationforPHNpractice.Fromthisframework,PHNs
understandhowsocialandecologicaldeterminantsaffectthehealthofindividuals,communities,and
populations.BSNeducationpreparesPHNsbothdidacticallyandclinically.Asinthepreviousiterationofthese
competencies,theQuadCouncilreaffirmedthataPHNgeneralisthasentrylevelpreparationatthe
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baccalaureatelevel,reflectedbyTier1competencies.True,inmanyareasoftheUS,nursesworkinpublic
healthwithouttheBSN.However,theQuadCouncilbelievesthatthosenursesmayrequireajobdescription
thatreflectsadifferentiatedlevelofpracticeand/ormayrequireextensiveorientationandeducationto
successfullyachievegeneralistcompetenciesinTier1.

Tier1CoreCompetencies applytogeneralistpublichealthnurseswhocarryoutdaytodayfunctionsinstateandlocalpublic
healthorganizations,includingclinical,homevisitingandpopulationbasedservices,andwhoarenotinmanagementpositions.
Responsibilities of the PHN may include working directly with at risk populations carrying out health promotion programs at all
ResponsibilitiesofthePHNmayincludeworkingdirectlywithatriskpopulations,carryingouthealthpromotionprogramsatall
levelsofprevention,basicdatacollectionandanalysis,fieldwork,programplanning,outreachactivities,programmaticsupport,
andotherorganizationaltasks. AlthoughtheCoL competenciesandtheQuadCouncilcompetenciesareprimarilyfocusedatthe
populationlevel,publichealthnursesmustoftenapplytheseskillsandcompetenciesinthecareofindividuals,families,or
groups.Therefore,Tier1competenciesreflectthispractice.
Tier2CoreCompetencies
Tier
2 Core Competencies applytoPHNswithanarrayofprogramimplementation,managementand/orsupervisory
apply to PHNs with an array of program implementation management and/or supervisory
responsibilities,includingresponsibilityforclinicalservices,homevisiting,communitybasedandpopulationfocusedprograms.
Forexample,responsibilitiesmayinclude:implementationandoversightofpersonal,clinical,familyfocused,andpopulation
basedhealthservices;programandbudgetdevelopment;establishingandmanagingcommunityrelations;establishingtimelines
andworkplans,andpresentingrecommendationsonpolicyissues.
Tier3CoreCompetenciesapplytoPHNsatanexecutive/seniormanagementlevelandleadershiplevelsinpublichealth
Tier
3 Core Competencies apply to PHNs at an executive/senior management level and leadership levels in public health
organizations.Ingeneral,thesecompetenciesapplytoPHNswhoareresponsibleforoversightandadministrationofprograms or
operationofanorganization,includingsettingthevisionandstrategyforanorganizationanditskeystructuralunits,e.g.,apublic
healthnursingdivision.Tier3professionalsgenerallyareplacedatahigherlevelofpositionalauthoritywithinthe
agency/organization,andtheybringsimilarorhigherlevelknowledge,advancededucation,andexperiencethantheirTier2
counterparts.
ThefollowingassumptionsguidedtheQuadCouncilswork:
WhiletheCoL CompetenciesdocumentwasthebasisforreformattingthecompetenciesforPublicHealthNursing,this
documentisdesignedtoreflecttheuniquepracticeofPHNs,attheintersectionofbothpublichealthandnursingpractice.
TheQuadCounciladoptedtheCoL definitionofcorecompetency:Theindividualskillsdesirableforthedeliveryof
EssentialPublicHealthServices.
PublicHealthNursingisdefinedasthepracticeofpromotingandprotectingthehealthofpopulations,usingknowledge
fromnursing,social,andpublichealthsciences.PHNsengageinpopulationfocusedpractice,butcananddooftenapply
theCoL conceptsattheindividualandfamilylevel.
PHNsmustfirstpossessbasicgeneralistnursingcompetenciescommontoallbaccalaureategraduates.PHNsalso
accomplishallCoL competencies,butfromtheuniqueperspectiveofpublichealthnursing.

Competenciesarewrittentobedemonstrableandmeasurable.Tier1reflectsPHNpracticeprimarilydirectedat
individuals,families,andgroupsinthecommunity/publichealthsetting;Tier2reflectsPHNpracticeprimarilywith
communities or populations; Tier 3 reflects organizational and systems level PHN leadership
communitiesorpopulations;Tier3reflectsorganizationalandsystemslevelPHNleadership.
Thetiersaredefinedonacontinuum,soPHNpracticeineachtierassumesmasteryofthecompetenciesoftheprevious
tier.
ThisCCPHNsupportsthescopeandstandardsofpracticeforpublichealthnursing.WeusedthePublicHealthNursing:
ScopeandStandardsofPractice(ANA,2007) documentasareferencetoensurecontinuityandconsistencywiththose
standards.
standards
Competenciesarenot intendedtolimitPHNpractice.Theyreflectminimum competenciesateachofthethreetiersof
practicewithineachdomain.
Conversely,thebasiccompetenciesdonotnecessarilyreflectthepracticeofexceptionalnursesineachtier.Job
descriptionsforPHNsmayreflectcomponentsfromeachlevel,dependingonagencysize,needs,structure,leadership,and
services.
AsnotedintheCoL document,forworkerswithineachcompetency,intendedlevelsofmastery(andthereforelearning
objectives)willdifferdependingupontheworkersbackgrounds,jobduties,andyearsofexperience.

ApplicationtoPractice
ThesecompetencieshaverelevancetoallPHNsandtheagenciesthatemploythem.PHNswillbenefitfromusing
thesecompetenciesasafoundationforaccountablePHNpractice.Agencieswillbenefitfromthesecompetenciesin
designingjobdescriptions,orientationplans,andprofessionalstaffdevelopmentoptions.Educatorswillfindthe
competenciesusefulfordesigningcurriculathatreflectcurrentpracticeneeds,ensuringthattheirgraduateshavethe
knowledge
and skills to perform the core functions and essential services of public health, and enabling those
knowledgeandskillstoperformthecorefunctionsandessentialservicesofpublichealth,andenablingthose
graduatestothriveinthepublichealthworkforce.Mostimportantly,theCCPHNprovidesthebasisforpublichealth
nursingseffortstomeettheneedsofthepopulationsweserve,andtoprotectandpromotethehealthofcommunities
locallyandglobally.

Assumptions ThefollowingassumptionssupportedtheQuadCouncilwork:
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PublicHealthNursingisdefinedasthepracticeofpromotingandprotectingthehealthofpopulations,usingknowledge
fromnursing,socialandpublichealthsciences.PHNsengageinpopulationfocusedpractice,butcananddooftenapplythe
CouncilonLinkagesconceptsattheindividualandfamilylevel.
WhiletheCouncilonLinkagesCompetenciesdocumentwasthebasisforreformattingthecompetenciesforPublicHealth
Nursing,thisdocumentisdesignedtoreflecttheuniquepracticeofPHNs,theintersectionofbothpublichealthand
nursing.
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Competenciesarewrittentobedemonstrableandmeasurable.Tier1reflectsPHNpracticeprimarilydirectedat
individuals,families,andgroupsinthecommunity;Tier2reflectsPHNpracticeprimarilydirectedatcommunitiesor
populations;Tier3reflectssystemslevelleadershipdemonstratedbyPHNs.
PHNsmustfirstpossessbasicgeneralistnursingcompetencies.PHNsalsoaccomplishCouncilonLinkagescompetencies,
but from the unique perspective of public health nursing.
butfromtheuniqueperspectiveofpublichealthnursing.
Thetiersaredefinedonacontinuum,soPHNpracticeineachtierassumesthecompetenciesoftheprevioustier.
ThePublicHealthNursingCoreCompetenciessupportthescopeandstandardofpracticeforpublichealthnursing.The
PublicHealthNursing:ScopeandStandardsofPractice documentwasusedasareferencetoensurecontinuityand
consistencywiththosestandards.
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fl b i competenciesateachofthethreetiersofpractice
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CompetenciesarenotintendedtolimitPHNpractice.Theyreflectbasic
withineachdomain.CompetenciesreflectthestandardsforPHNpracticeateachlevel,notnecessarilythepracticeof
exceptionalnursesineachtier.JobdescriptionsforPHNsmayreflectcomponentsfromeachlevel,dependingonagency
size,structure,leadership,andservices.

Tier1QuadCouncil
PublicHealthNursingCompetencies

Tier2QuadCouncil
PublicHealthNursingCompetencies

Tier3QuadCouncil
PublicHealthNursingCompetencies

Tier1CoreCompetencies applytogeneralist
publichealthnurseswhocarryoutdayto
dayfunctionsinstateandlocalpublichealth
organizations,includingclinical,home
visitingandpopulationbasedservices,and
whoarenotinmanagementpositions.
ResponsibilitiesofthePHNmayinclude
workingdirectlywithatriskpopulations,
carryingouthealthpromotionprogramsat
alllevelsofprevention,basicdatacollection
andanalysis,fieldwork,programplanning,
outreachactivities,programmaticsupport,
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andotherorganizationaltasks. Althoughthe
CoL competenciesandtheQuadCouncil
competenciesareprimarilyfocusedatthe
populationlevel,publichealthnursesmust
oftenapplytheseskillsandcompetenciesin
the care of individuals families or groups
thecareofindividuals,families,orgroups.
Therefore,Tier1competenciesreflectthis
practice.

Tier2CoreCompetencies applytoPHNswith
anarrayofprogramimplementation,
managementand/orsupervisory
responsibilities,includingresponsibilityfor
clinicalservices,homevisiting,community
basedandpopulationfocusedprograms.For
example,responsibilitiesmayinclude:
implementationandoversightofpersonal,
clinical,familyfocused,andpopulationbased
healthservices;programandbudget
development;establishingandmanaging
communityrelations;establishingtimelines
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;
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andworkplans,andpresenting
recommendationsonpolicyissues.

Tier3CoreCompetencies applytoPHNsat
anexecutive/senior,managementleveland
leadershiplevelsinpublichealth
organizations.Ingeneral,these
competenciesapplytoPHNswhoare
responsibleforoversightandadministration
ofprogramsoroperationofanorganization,
includingsettingthevisionandstrategyfor
anorganizationanditskeystructuralunits,
e.g.,apublichealthnursingdivision.Tier3
professionalsgenerallyareplacedatahigher
levelofpositionalauthoritywithinthe
p
y
agency/organization,andtheybringsimilar
orhigherlevelknowledge,advanced
educationandexperiencethantheirTier2
counterparts.

ClickontheDomainNumberbelowyouwishtoview.
Domain1:AnalyticandAssessmentskills
D
i 2 P li D l
t/P
Pl
i Skill
Domain2:PolicyDevelopment/ProgramPlanningSkills
Domain3:CommunicationsSkills
Domain4:CulturalCompetenciesSkills

Domain5:CommunityDimensionsofPractice
D
i 6 P bli H lth S i
Skill
Domain6:PublicHealthScienceSkills
Domain7:FinancialPlanningandManagementSkills
Domain8:LeadershipandSystemsThinkingSkills

Domain1:AnalyticandAssessmentSkills
1.Identifiesthedeterminantsofhealthandillnessof
individualsandfamilies,usingmultiplesourcesof
data.

2.Usesepidemiologicdataandtheecological
perspectivetoidentifyhealthrisksforapopulation.
Identifiesindividualandfamilyassets
andneeds,valuesandbeliefs,
resourcesandrelevantenvironmental
d l
t
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t l
factors.

3.Identifiesvariablesthatmeasurehealthandpublic
3
Identifies variables that measure health and public
healthconditions.
4.Usesvalidandreliablemethodsandinstrumentsfor
collectingqualitativeandquantitativedatafrom
multiplesources.
Developsadatacollectionplanusingappropriate
technology to collect data to inform the care of
technologytocollectdatatoinformthecareof
individuals,families,andgroups.
5.Identifiessourcesofpublichealthdataand
information.
Collects,interpretsanddocumentsdataintermsthat
areunderstandabletoallwhowereinvolvedinthe
process,
process,includingcommunities.
including communities.

6.Usesvalidandreliabledatasourcestomake
comparisonsforassessment.

1.Assessesthehealthstatusofpopulationsand
theirrelateddeterminantsofhealthandillness.
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Partnerswithpopulations,healthprofessionals,
andotherstakeholderstoattachmeaningto
collecteddata.
2.DevelopsPublicHealthNursingdiagnosesfor
individuals,families,communitiesandpopulations.
Usesasynthesisofnursing,publichealth,and
systemscience/theorywhencharacterizing
l ti l l h lth i k
populationlevelhealthrisks.
Assuresthatassessmentsidentifypopulation
assetsandneeds,valuesandbeliefs,resources
andrelevantenvironmentalfactors.
Derivespopulationdiagnosesandprioritiesbased
onassessmentdata,includinginputfrom
populations.
3 Utilizes a wide variety of relevant variables to
3.Utilizesawidevarietyofrelevantvariablesto
measurehealthconditionsforacommunityor
population.
4.Developsadatacollectionplanusingmodelsand
principlesofepidemiology,demography,and
biostatistics,aswellassocial,behavioral,andnatural
sciencestocollectquantitativeandqualitativedata
on a community or population
onacommunityorpopulation.
Usesmethodsandinstrumentsforcollectingvalid
andreliablequantitativeandqualitativedata.
5.Usesmultiplemethodsandsourceswhen
collectingandanalyzingdataforacomprehensive
community/populationassessment.
Assuresthatassessmentsaredocumentedand
interpreted
interpretedintermsthatareunderstandableto
in terms that are understandable to
allwhowereinvolvedinprocess,including
communities.

6.Critiquesthevalidity,reliability,andcomparability
ofdatacollectedforcommunities/populations.

1.Conductscomprehensive,indepth
system/organizationalassessmentasitrelatesto
populationhealth.

2.Usesorganizationalandothertheoriestoguide
developmentofsystemwideapproachestoreduce
populationlevelhealthrisks.
Designssystemsthatidentifypopulationassetsand
needs,valuesandbeliefs,resourcesandrelevant
d
l
d b li f
d l
t
environmentalfactors.

3.Utilizesacomprehensivesetofrelevant
3
Utilizes a comprehensive set of relevant
variableswithinandacrosssystemsto
measurehealthconditions.
4.Developssystemsthatsupportthecollection
ofvalidandreliablequantitativeand
qualitativedataonindividuals,families,and
populations.

5.Designssystemsthatassurethatassessmentsare
documentedandinterpretedintermsthatare
understandabletoallwhoareinvolvedinthe
process,includingindividuals,communities,and
populations.
Designsdatacollectionsystemthatusesmultiple
methodsandsourceswhencollectingandanalyzing
datatoensureacomprehensiveassessment
process.
6.Designssystemstoassurethevalidity,reliability,and
comparabilityofdata.
Revisessystemstoassureoptimalvalidity,reliability,
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andcomparabilityofdata.

Domain1:(Continued)
7.Identifiesgapsandredundanciesindatasourcesina
communityassessmentthroughworkwith
individuals,families,andcommunities.

8.Appliesethical,legal,andpolicyguidelinesand
principlesinthecollection,maintenance,use,and
disseminationofdataandinformation.

9.Describesthepublichealthnursingapplicationsof
quantitativeandqualitativedata.

10.Collectsquantitativeandqualitativedatathatcan
beusedinthecommunityhealthassessment
process.
Assessesdatacollectedaspartofthecommunity
assessmentprocesstomakeinferencesabout
individuals families and groups
individuals,families,andgroups.
11.Utilizesinformationtechnologytocollect,analyze,
store,andretrievedatarelatedtopublichealth
nursingcareofindividuals,families,andgroups.
12.PracticesevidencebasedPublicHealthNursingto
promotethehealthofindividuals,familiesand
groups.
13.Usesavailabledataandresourcesrelatedtothe
socialdeterminantsofhealthwhenplanningcare
forindividuals,families,andgroups.

7.Identifiesgapsandredundanciesindatasources
usedinacomprehensivecommunity/population
assessment.
ExaminestheeffectofgapsindataonPH
practice/programplanning.
8.Assurestheapplicationofethical,legal,andpolicy
principlesinthecollection,maintenance,use,and
disseminationofdataandinformation.

9.Synthesizesqualitativeandquantitativedataduring
dataanalysisforacomprehensive
community/populationassessment.
Usesvariousdatacollectionmethodsandqualitative
andquantitativedatasourcestoconducta
d
tit ti d t
t
d t
comprehensive,community/populationassessment.
10.Incorporatesanecologicalperspectivewhen
analyzingdatafromacomprehensive
community/populationassessment.
Partnerswithgroups,communities,populations,
healthprofessionals,andstakeholderstoreview
and evaluate data collected
andevaluatedatacollected.
11.Utilizesinformationtechnologyeffectivelyto
collect,analyze,store,andretrievedatarelatedto
careofcommunitiesandpopulations.
12.PracticesevidencebasedPublicHealthNursingto
promotethehealthofcommunitiesand
populations.
13.Collectsdatarelatedtosocialdeterminantsof
healthandcommunityresourcestoplanfor
communityorientedandpopulationlevel
programs.
Analyzesthosedata.
Incorporatestheresultsofthoseanalysesinto
programplanning.
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7.Identifiesgapsandredundanciesinsourcesofdata
usedinacomprehensiveorganizationalassessment.
Strategizeswithrelevantotherstoaddressdatagaps.

8.Ensuresinformationdisseminatedisunderstandable
tothecommunityandstakeholders.
Establishessystemsthatincorporateethical,legal,
andpolicyprinciplesintothecollection,
d li
i i l i
h
ll i
maintenance,use,anddisseminationofdataand
information.
9.Synthesizesqualitativeandquantitativedataduring
dataanalysisforacomprehensiveorganizational
assessment.
Usesmultiplemethodsandqualitativeand
quantitativedatasourcesforacomprehensive
tit ti d t
f
h i
system/organizationalassessment.
10.Incorporatesecologicalperspectivewhenanalyzing
datafromacomprehensive,system/organizational
assessmentasitrelatestopopulationhealth.

11.Collaborateswithothersinthedesignofdata
collectionprocessesandapplicationsthatfacilitate
thecollection,use,storage,andretrievalofdata.
12.PracticesevidencebasedPublicHealthNursingto
createand/ormodifysystemsofcare.
Utilizesdatatoaddressscientific,political,ethical,
and
andsocialpublichealthissues.
social public health issues
13.Evaluatesorganization/systemcapacitytoanalyze
thehealthstatusofthecommunity/population
effectively.
Allocatesorganization/systemresourcestosupport
theeffectiveanalysisofthehealthstatusofthe
community/population.

Domain2:PolicyDevelopment/ProgramPlanningSkills
1.Identifiespolicyissuesrelevanttothehealthof
individuals,families,andgroups.
Describesthestructureofthepublichealthsystem
anditsimpactsonindividuals,families,andgroups
withinapopulation.
2.Identifiestheimplicationsofpolicyoptionsonpublic
healthprogramsandthepotentialimpactson
individuals,families,andgroups withinapopulation.
3 Identifies outcomes of health policy relevant to PHN
3.IdentifiesoutcomesofhealthpolicyrelevanttoPHN
practice.

4.Collectsinformationthatwillinformpolicydecisions.
Describes the legislative policy development process.
Describesthelegislativepolicydevelopmentprocess.
Identifiesoutcomesofcurrenthealthpolicyrelevant
toPHNpractice.

1.Identifiesvalidandreliabledatarelevanttohealth
policiestargetedtocommunitiesandpopulations.
Conductsandusespolicyanalysistoaddressspecific
publichealthissues.

1.Establishesmethodstocollectandanalyzepublic
healthandpublicpolicyinformation.

2.Planspopulationlevelinterventionsguidedby
relevantmodelsandresearchfindings.

2.Synthesizescomplexpolicyoptionstoplanpublic
healthservicesatthesystemslevel.

3.Conductsandusespolicyanalysistoaddresspublic
3
Conducts and uses policy analysis to address public
healthissues.
Incorporatesawiderangeofpolicyoptionsintothe
planninganddeliveryofhealthservicesand
interventionstogroups,communities,and
populations.
4.Planspopulationlevelinterventionsguidedby
relevant theories, concepts, models, policies, and
relevanttheories,concepts,models,policies,and
evidence.
Usesplanningmodels,epidemiology,andother
analyticalmethodsinevaluatingpopulationlevel
interventions.
Critiquestheevidenceforpopulationlevel
interventions.
Conductsandusespolicyanalysistoaddressspecific
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publichealthissues.

3.Conductsandusespolicyanalysistoaddressspecific
3
Conducts and uses policy analysis to address specific
publichealthandsystemsissues.

6.Selectsanappropriatemethodofdecisionanalysis
foranissuerelevanttoanidentifiedgroup,
community,orpopulation.
it
l ti
Usesplanningmodels,epidemiology,andother
analyticalmethodsinthedevelopmentand
implementationofpopulationlevelinterventions.

4.Conductspolicyanalysistoaddressspecificpublic
health and systems issues.
healthandsystemsissues.

5.Usesexistingmodelsandevidencetodevelop
policiesforpublichealthsystemswithinthe
frameworkoftheorganizationsgoverningbody.
6.Developsasystemofdecisionanalysisusingthe
strengthsandappropriatenessofvariousmodelsand
methods.
methods.
Critiqueshealthandpublicpolicyinordertoaddress
currentandemergingpublichealthproblemsand
issues.

Domain2:PolicyDevelopment/ProgramPlanningSkills(Continued)
7.Describesthestructureofthepublichealthsystem.
Identifiespublichealthlawsandregulationsrelevant
toPHNpractice.
Providespublichealthnursingservicesinamanner
consistentwithlawsandregulations.
8.Participatesasateammemberindeveloping
organizationalplanstoimplementprogramsand
policies.
9.Participatesinteamstoassurecompliancewith
organizationalpolicies.
10.Assistsinthedesignofanevaluationplanforan
individual,family,orcommunityfocusedprogram.
Participatesasateammembertoevaluateprograms
to individuals families and groups for their
toindividuals,families,andgroupsfortheir
effectivenessandquality.

11.Understandsmethodsandpracticesusedtoidentify
andaccesspublichealthinformationforindividuals,
families,
families,andgroups.
and groups.

12.Understandsthatqualityimprovementisimportant
tothepracticeofpublichealthnursing.
Participatesinqualityimprovementteams.
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Describesvariousapproachesusedtoimprove
publichealthprocessesandsystems.
Utilizesqualityindicatorsandcoremeasuresto
identifyandaddressopportunitiesforimprovement
inthecareofindividuals,families,andgroups.

7.Managesthedeliveryofcommunity/population
basedhealthservices.
Evaluatesandensurescompliancewithpublic
healthlawsandregulations.

7.Establishespublichealthprogramsandservicesthatare
consistentwithlawsandregulations.

8.Developsplanstoimplementprogramsand
organizationalpolicies.
Worksaspartofaninterdisciplinaryteamto
implementrelevantpoliciesinto
community/populationlevelinterventions.
9.Managestheimplementationoforganizational
policiesandprogramsforareasofresponsibility.

8.Implementsasystemformonitoringtheeffectiveness
andefficiencyofpoliciesandprograms.
Leadsteamtoimplementhealthpolicyinpopulation
healthinterventionsandhealthsystemsoperations.

10.Designsanevaluationplanthataddresses
multiplevariables,includesbothprocessand
outcomemeasures,andusesmultipledata
collectionmethods.
Conductsevaluationofcaredeliveryto
communitiesandpopulationsservedbythe
organization.
Providesfeedbackontheorganizationsquality
improvementprogram.
Establishesmethodstoutilizetechnologyto
collectdatatomonitorandevaluatethequality
andeffectivenessofprogramsforcommunities
andpopulations.
11.Identifiesavarietyofsourcesandmethodsto
accesspublichealthinformationforacommunity
or
orpopulation.
population.
Utilizestechnologytocollectdatatomonitorand
evaluatethequalityandeffectivenessof
programsforpopulations.
12.Developsqualityimprovementindicatorsand
coremeasuresaspartoftheprocesstoimprove
publichealthprogramsandservices.
Utili
Utilizesqualityimprovementindicators
lit i
t i di t
andcoremeasuresaspartoftheprocess
toimprovepublichealthprogramsand
services.

9.Overseestheimplementationoforganizationalpolicy
throughouttheorganization.
10.Overseesanevaluationoftheprogramsoverall
effectiveness,quality,andsustainability.
Designssystemslevelqualityinitiativesandevaluation
plans that foster pro ram s stainabilit
plansthatfosterprogramsustainability.
Incorporatesqualityandcostmeasuresintoagency
programevaluation.
Servesasaresourceonqualityimprovementand
programevaluation.
Promotesthedevelopmentofsystemstouse
technologyintheevaluationofprogramqualityand
effectiveness
effectiveness.

11.Servesasaresourceforothersintheidentificationand
useofpublichealthinformaticsforcommunitiesand
populations.
populations.
Utilizestechnologytocollectdatatomonitor
andevaluatethequalityandeffectivenessof
programsandsystems.
12.Implementsorganizationalandsystemwide
strategiesforcontinuousquality
improvementandperformance
g
management.

Domain3:CommunicationsSkills
1.Assessesthehealthliteracyoftheindividuals,
families and groups served
families,andgroupsserved.

1.Assessesthehealthliteracyof
communities/populations served
communities/populationsserved.

1. Ensureshealthliteracyprinciplesareintegrated
into all agency communication
intoallagencycommunication.

2.Communicateseffectivelyinwriting,orally,and
electronically.
Communicatesinaculturallyresponsiveand
relevantmanner.
Communicationsarecharacterizedbycritical
thinking
thinking.
3.Solicitsinputfromindividuals,familiesand
groupswhenplanninganddeliveringhealth
care.
4.Utilizesavarietyofmethodstodisseminate
publichealthinformationtoindividuals,
,
g p
p p
families,andgroupswithinapopulation.
5.Demonstratespresentationoftargetedhealth
informationtomultipleaudiencesatalocal
level,includingtogroups,peerprofessionals,
andagencypeers.

2.Communicateseffectively inwriting,orally,and
electronically.
Communicationsarecharacterizedbycritical
thinkingandcomplexdecisionmaking.

2.Communicateseffectivelyinwriting,orally,and
electronically.
Communicationsarecharacterizedbycritical
thinkinganddecisionmakingatthesystems
level.

6.Communicateseffectivelywithindividuals,
f ili
families,andgroupsandasamemberofinter
d
d
b
fi
professionalteam(s).

7.Articulatestheroleofpublichealth
nursingtointernalandexternal
audiences
audiences.

3.Solicitsinputfromcommunity/population
3.Solicitsinputfromorganizationalpartnersand
membersandstakeholderswhenplanning
stakeholderswhenplanninghealthcare
healthcareprograms.
programs.
4.Utilizesavarietyofmethodstodisseminate 4.Utilizessystemslevelmethodstowidely
disseminatepublichealthinformationtailored
publichealthinformationtailoredto
y g
tovaryingaudiences.
/p p
communities/populations
5.Demonstratespresentationoftargetedhealth
5.Demonstratespresentationoftargetedhealth
informationandoutcomesofEvidenceBased
informationtomultipleaudiences,aswellasto
Practice(EBP)tomultipleaudiences,including
avarietyoforganizations.
tocommunityandprofessionalgroups.
Mentorsothersinpresentation/dissemination
skills.
6.Communicateseffectivelywithcommunity
6.Communicateseffectivelywithsystemsleaders
di
f i
l
andkeystakeholders.
d k
k h ld
groups,partners,andinterprofessionalteams.
Communicateseffectivelyasmemberorleader
ofinterprofessionalteam,bothinternallyand
externally.
7.Ensuressystem/organizationalcapacityto
7.Articulatestheroleofpublichealthwithin
theoverallhealthsystemtointernaland
articulatetheroleofpublichealth.
external
externalaudiences.
audiences

Domain4:CulturalCompetencySkills
1. Utilizesthesocialandecologicaldeterminants
of health to work effectively with diverse
ofhealthtoworkeffectivelywithdiverse
individuals,families,andgroups.

1. Utilizessocialandecologicaldeterminantsof
health to develop culturally responsive
healthtodevelopculturallyresponsive
interventionswithcommunitiesand
populations.

2. Usesconcepts,knowledge,andevidenceofthe
social determinants of health in the delivery of
socialdeterminantsofhealthinthedeliveryof
servicestoindividuals,families,andgroups.
Utilizesinformationtechnologytounderstand
theimpactofthesocialdeterminantsofhealth
onindividuals,families,andgroups.

2. Usesepidemiologicaldata,concepts,andother
y
evidencetoanalyzethesocialdeterminantsof
healthwhendevelopingandtailoring
populationlevelhealthservices.
Appliesmultiplemethodsandsourcesof
informationtechnologytobetterunderstand
theimpactofthesocialdeterminantsofhealth
oncommunitiesandpopulations

3. Adaptspublichealthnursingcareto
individuals,families,andgroupsbasedon
culturalneedsanddifferences.
4.Explainsfactorscontributingtocultural
diversity.

3.Planshealthservicestomeetthecultural
needsofdiversecommunitiesandpopulations.
4. Explainstheinterplayofmultipleforces
contributingtoculturaldiversity.

1. Ensuresrecognitionandrespectfordiversityis
integrated into the organizational culture
integratedintotheorganizationalculture.
Recognizesthedynamicnatureofadiverse
workforceandthenecessityforongoing
responsivenesstothechangingneedsofdiverse
populations.
2. Developssystemslevelhealthprogramsusing
knowledgeofsocialdeterminantsofhealth.
g
FacilitatestheuseofCommunityBased
ParticipatoryResearch(CBPR)andother
methodstoevaluateeffectivenessofstrategies
inreducingtheimpactofsocialdeterminantsof
health.
Assures system access to technology that
Assuressystemaccesstotechnologythat
providesinformationonthecultural,social,and
behavioralfactorsindeterminingthedeliveryof
publichealthservices.
3.Plansforhealthservicesdeliveryatthesystems
leveltoaddresstheneedsofculturallydiverse
populations.
4. Explainsthecomplexityanddynamicnatureof
theforcescontributingtoculturaldiversity.

5. Articulatesthebenefitsofadiversepublic
healthworkforce.

5. Servesasanadvocatetobuildadiversepublic
healthworkforce.

5. Contributestoplansandactionsthatfostera
diversepublichealthworkforce.

6. Demonstratesculturallyappropriatepublic
health
nursing practice with individuals
healthnursingpracticewithindividuals,
families,groups,andcommunitymembers.
Contributestopromotingculturally
responsiveworkenvironment.

6.Usesevidenceandawarenessofcultural
models
to tailor interventions to diverse
modelstotailorinterventionstodiverse
populations.
Evaluatescurrentpopulationhealthprograms
forevidenceofculturaltailoring.Evaluatesstaff
developmentneedsrelatedtocultural
competency.
7.Usesevidenceand culturalmodelstotailor
programlevelinterventions.

6.Assuresorganizational/systemadherenceto
standards
policies and practices for cultural
standards,policies,andpracticesforcultural
competency.
Evaluatesagencypracticesandpoliciesfor
culturalcompetence.

7.Usesevidencebasedmodelstoenhancethe
organizationsculturalcompetence.

Domain5:CommunityDimensionsofPracticeSkills
1. Utilizesanecologicalperspectiveinhealth
assessment,planning,andinterventionswith
individuals,families,andgroups.
2.Identifiesresearchissuesatacommunitylevel.
Functionseffectivelyasamemberofa
CommunityBasedParticipatoryResearch
(CBPR)team.
3 Identifies community partners for PHN practice
3.IdentifiescommunitypartnersforPHNpractice
withindividuals,familiesandgroups.

1.Utilizesanecologicalperspectiveinhealth
assessment,planning,andinterventionswith
communitiesandpopulations.
2.ProvidespopulationhealthexpertiseforBPR
teams.

1. Utilizesanecologicalperspectivetoevaluate
communitylinkagesandrelationshipsacross
agenciesandsystems.
2.IntegratesCBPRapproachestosupport
evidence basedpracticewithinorganizations
andsystems.

3.Identifiesneedforcommunityinvolvement
3
Identifies need for community involvement
andpartnerstocreatecommunity
groups/coalitions.

3.Establishesorganizationalrelationships,
3
Establishes organizational relationships
processes,andsystemimprovementsto
enhancecollaborationandcooperationamong
stakeholdersinpopulationfocusedhealth
policies.
4.Establishescollaborativerelationshipsand/or
partnershipswithkeystakeholders,both
p
p
y
,
internalandexternal.
Evaluatestheeffectivenessofcollaborative
relationshipsandpartnershipswithin
organizationsandsystems.
Seeksnewpartnershipstofacilitatesystemlevel
goals.
5 P
5.Partnerseffectivelywithkeystakeholdersand
ff i l i h k
k h ld
d
groupsindevelopmentofpopulationfocused
healthpolicies.
6.Implementsmechanismsforongoingand
meaningfulcommunityinvolvementin
populationhealthissues.
Demonstrates
Demonstratesproficiencyintheuseofgroup
proficiency in the use of group
processesthatfacilitatecommunity
involvement.
Providesleadershipinpartneringwithgroups
acrosssystems.
Functionsasaresourceinmethodstofoster
communityinvolvement.

4.Collaborateswithcommunitypartnersto
promotethehealthofindividualsandfamilies
p
withinthepopulation.

4. Identifymechanismsforenhancing
collaborationamongstakeholdersin
g
populationfocusedhealthinterventions.
Developspartnershipswithkeystakeholders
andgroups.

5.Partnerseffectivelywithkeystakeholdersand
5
P
ff i l i h k
k h ld
d
groupsincaredeliverytoindividuals,families,
groups.
6.Participateseffectivelyinactivitiesthat
facilitatecommunityinvolvement

5.Partnerseffectivelywithkeystakeholders
5
P
ff i l i h k
k h ld
andgroupsincaredeliveryto
communities/populations.
6. Identifiesareasforcommunityinvolvement
inagencyprogramsandinitiatives.
Critiquestheevidenceonapproachesto
fostering
fosteringcommunitypartnershipsand
community partnerships and
involvement.
Usesevidencebasedguidelinesandeffective
groupprocessestopartnerwithcommunity
membersandgroups.

Domain5:CommunityDimensionsofPracticeSkills(Continued)
7.Describestoindividuals,families,andgroups
7
Describes to individuals families and groups
theroleofgovernmentandtheprivateand
nonprofitsectorsinthedeliveryofcommunity
healthservices.
8.Utilizescommunityassetsandresourcesto
promotehealthandtodelivercareto
g p
individuals,families,andgroups.

7.Explainstocommunitygroupsandpartners
7
Explains to community groups and partners
theroleofgovernmentandtheprivateand
nonprofitsectorsinthedeliveryof
communityhealthservices.
8.Utilizescommunityassetsandresourcesto
promoteandtodelivercareto
p p
communities/populations.

9.Seeksinputfromindividuals,families,and
groupsandincorporatesitintoplansofcare.

9.Usesinputfromavarietyof
community/aggregatestakeholdersinthe
developmentofpublichealthprogramsand
services.
10.Advocatesforpublichealthpolicies,
d
th t b tt
programs,andresourcesthatbetterserve
populations.

10.Supportspublichealthpolicies,programs,and
resources.
Identifiesopportunitiesforpopulationfocused
advocacyforindividuals,families,andgroups.

7.Influencestheroleofgovernment,theprivate
7
Influences the role of government the private
sector,andnonprofitsectorsinthedeliveryof
communityhealthservices.
8.Utilizescommunityassetsandresourcesinthe
agencyand/orsystemhealthcareprograms.
p
g
Implementsstrategiestoseekresourcesfor
effortstopromotethehealthofpopulations.
9.Assuresthecomprehensiveinclusionofinput
fromthecommunityservedwhendeveloping
policiesandprograms.
10.Advocatesfornationalandglobalpublic
h lth li i
healthpolicies,programs,andresourcesthat
d
th t
impactservicepopulation.
Demonstratesleadershipinadvocacyeffortsfor
publichealthprioritiesthatimprovepopulation
healthand/orimpacthealthcaresystems.
11.Evaluateseffectivenessofcommunity
engagementstrategiesonpublichealthpolicies,
t t t i
bli h lth li i
programs,andresources.

Domain6:PublicHealthSciencesSkills
1.Incorporatespublichealthandnursingscienceinthe
deliveryofcaretoindividuals,families,andgroups.

1.Utilizespublichealthandnursingscienceinpractice
atpopulationandcommunitylevel.

2.Describesthehistoricalfoundationofpublichealth
andpublichealthnursing.

2.Describestheinfluenceofsentineleventson
currentpublichealthnursingpractice.

3.Describeshowindividual,family,andgroup
focusedprogramscontributetomeetingthecore
public health functions and the 10 essential services
publichealthfunctionsandthe10essentialservices.
4.Usesbasicdescriptiveepidemiologicalmethods
whenconductingahealthassessmentforindividuals,
families,andgroups.
5.Interpretsresearchrelevanttopublichealth
interventionsforindividuals,families,andgroups.

3.Usesevidencebasedpracticetoassurepopulation
levelprogramscontributetomeetingcorepublic
health functions and the 10 essential services
healthfunctionsandthe10essentialservices.
4.Usesdescriptiveandanalyticalmethods,andpublic
healthsciencestodesign,implement,andevaluate
interventionsatcommunityandpopulationlevel.
5.Synthesizesresearchacrossdisciplinesrelatedto
publichealthconcerns,andpopulationlevel
interventions.

6.Accessingpublichealthandothersourcesof
informationusinginformaticsandotherinformation
technologies.
7.Identifiesgapsinresearchevidencetoguidepublic
healthnursingpractice.

6.Identifiesgapsinthescientificevidencerelatedto
publichealthissues,concerns,andpopulationlevel
interventions.
7.Identifiesawidevarietyofsourcesandmethodsto
accesspublichealthinformation,e.g.,GISmapping.
Identifiesgapsandinconsistenciesinresearch
evidenceforpractice.
p
8.Incorporatestherequirementsofpatient
confidentiality,humansubjectprotection,and
researchethicsintodatacollectionandprocessing.

8.Complieswiththerequirementsofpatient
confidentialityandhumansubjectprotection.

9.Participatesinresearchatthecommunitylevelto
buildthescientificbaseofpublichealthnursing.

9.Disseminatestheoryguidedand/orevidencebased
practiceoutcomesinpeerreviewedjournalsand
nationallevelmeetings.
Facilitatesresearchprojectswithinorganization.

1.Servesasanexpertinutilizingpublichealthand
nursingscienceinthedesignofpublichealthpractice
environments.
2.Leadschangeinpublichealthsystemsandpractice
thatisinformedbyhistoricallearning.
3.Usesepidemiologyandothermethodstoappraise
theorganizationscontributiontomeetingthecore
public health functions and the 10 essential services
publichealthfunctionsandthe10essentialservices.
4.Usesanalyticalmethodswhenbenchmarking
practiceandorganizationaloutcomes.
5.Collaborateswithotherstoaddressgapsinevidence
forpreventinghealththreatsatthepopulationlevel.
Evaluatesandpromotesorganizationaleffectiveness
in translating research into practice
intranslatingresearchintopractice.
6.Servesasanexpertresourceforothersinthe
identificationanduseofpublichealthinformatics.
7.Strategizeswithotherstoaddresslimitationsof
researchfindings.

8.Servesasanexpertinthedesignofdatacollection
methodsthatincorporatetherequirementsof
patientconfidentiality,humansubjectprotection,
andresearchethics.
9.Developsnewapproachestotheoryguidedand/or
evidencebasedpracticeinpublichealth.
Evaluatestheoryguidedand/orevidencebased
practiceinpublichealth.
Disseminatesnewevidencebasedpracticesinpublic
health.
10.Establishespartnershipswithacademicandother
organizationstoexpandthepublichealthscience
baseanddisseminateresearchfindings.

Domain7:FinancialManagementandPlanningSkills
1.Describestheinterrelationshipsamonglocal,
state tribal and federal public health and
state,tribal,andfederalpublichealthand
healthcaresystems.

1.Collaborateswithrelevantpublicand/or
private systems for managing programs in
privatesystemsformanagingprogramsin
publichealth.

2.Describesthestructure,function,and
jjurisdictionalauthorityoftheorganizational
y
g
unitswithinfederal,state,tribal,andlocal
publichealthagencies.
3. Adherestotheorganizationspoliciesand
procedures,includingemergencypreparedness
andresponse.

2.Supervisestheoperationsofhealthprograms
withinfederal,state,tribal,andlocalpublic
p
healthagencies.

5.Providesdataforinclusioninaprogrammatic
5.
Provides data for inclusion in a programmatic
budget.

5. Develops a programmatic budget.

5.Developsaprogrammaticbudget.

6.Describestheimpactofbudgetconstraintson
thedeliveryofpublichealthnursingcareto
individuals,families,andgroups.
7.Providesinputintobudgetpriorities.

6.Managescaredeliveryto
communities/populationswithincurrentand
forecastedbudgetconstraints.
7.Developsstrategiesfordeterminingbudget
priorities
based on financial input from federal
prioritiesbasedonfinancialinputfromfederal,
state,tribal,andlocalsources.

3.Developspartnershipswithcommunitiesand
agencieswithinthefederal,state,tribal,and
locallevelsofgovernmentthathaveauthority
overpublichealthsituations,suchas
emergencypreparedness.
d
4.Implementsthejudicialandoperational
proceduresofthegoverningbodyand/or
administrativeunitdesignatedwithoversightof
publichealthorganizationaloperations.

1.Identifiespotentialfundingsourcesandsupport
to meet community and population health
tomeetcommunityandpopulationhealth
needs.
Leveragesrelationshipstoformalliancesacross
publicandprivatehealthcaresystemsthat
advancepopulationhealth.
2.Developshealthprogramswithinfederal,state,
tribal,andlocalpublichealthagencies.
p
g

3.Providesleadershipacrossagencypartnerships
withinthefederal,state,tribal,andlocallevels
ofgovernmentthathaveauthorityoverpublic
healthsituationsorwithspecificissues,suchas
emergencyevents.
t
4.Managestheimplementationofthejudicial
andoperationalproceduresofthegoverning
bodyand/oradministrativeunitdesignated
withoversightofpublichealthorganizational
operations
5. Develops an organizationwide
5.Developsanorganization
widebudget.
budget.
Defendsanorganizationwidebudget.
6.Administersthedeliveryofagencyservices
withincurrentandforecastedbudget
constraints.
7.Evaluatesstrategiesfordeterminingbudget
priorities.
Recommendsstrategiesfordeterminingbudget
priorities.

Domain7:FinancialPlanningandManagementSkills(Continued)

9.Providesdatatoevaluatecareandservicesfor
individuals families and groups
individuals,families,andgroups.
Contributestotheevaluationplanfora
programtargetingindividuals,families,and/or
groups.
10.Adaptsthedeliveryofpublichealthnursing
caretoindividuals,families,andgroupsbased
p
onreportedevaluationresults.
11.Providesinputintothefiscalandnarrative
componentsofproposalsforfundingfrom
externalsources.
12.Appliesbasichumanrelationsandconflict
managementskillsininteractionswithpeers
andotherhealthcareteammembers.

13.Utilizespublicheathinformaticsskillsrelative
tothepublichealthnursingcareofindividuals,
families&groups.

8.Assessestheimpactoforganizationalbudget
prioritiesonpublichealthnursingprogramsand
practice.
EstablishesorganizationalPHNresource
prioritiesthatassureeffectivepublichealth
nursingpractice.
9.Designsevaluationplansforpopulation
focused programs
focusedprograms.
Implementsevaluationplansforpopulation
focusedprograms.

9.Evaluatesprogramperformanceatthe
organizational/systems level for quality
organizational/systemslevelforquality,
effectiveness,efficiency,safety,and
sustainability.

10.Leadsrevisionstopopulationfocused
programsbasedonformativeandsummative
evaluationresults.
11.Developsproposalsforfundingfrom
externalsources.

10.Utilizesprogramevaluationdatatoimprove
organizationalandsystemqualityand
performance.
p
11.Approvesproposalsforsubmissiontoexternal
fundingsources.

12.Appliesbasichumanrelationsandconflict
managementskillsininteractionswithdirect
reports,otherprofessionals,andhealthcare
teammembers.
b

12.Appliesbasichumanrelationsskillstothe
managementoforganizations,motivationof
personnel,andresolutionofconflicts.
Establishespoliciesandproceduresforbasic
humanrelationandconflictmanagement
throughoutthesystem.
13.Leadsprocessestodesignandimprovepublic
healthprogramsandbusinessoperationsusing
informaticsandhealthcaretechnologies.

13.Identifiesopportunitiestousehealthcare
technologiesandinformaticstoimprove
publichealthprogramandbusiness
operations.
i
Incorporateshealthcaretechnologyand
informaticstoimprovepublichealthprogram
andbusinessoperations.

8.Assessestheimpactoforganizationalbudget
prioritiesonpublichealthsystemsandpractice.
Determinesbudgetaryprioritiesforthe
organization.

Domain7:FinancialPlanningandManagementSkills(Continued)
14.Providesinputintocontractsandother
14
Provides input into contracts and other
agreementsfortheprovisionofservices.
15.Deliverspublichealthnursingcarewithin
budgetaryguidelines.

14.Assistsinthedevelopmentofcontractsand
14
Assists in the development of contracts and
otheragreementsfortheprovisionof
services.
15.Describeshowcosteffectiveness,cost
benefit,andcostutilityanalysesaffect
programmaticprioritizationanddecision
g
making.
Employscosteffectiveness,costbenefit,and
costutilityanalysesforprogrammatic
prioritizationanddecisionmaking.

17.Participatesinimplementationandevaluation
p
p
ofperformancemanagementsystems.

14.Approvescontractsandotheragreementsfor
14
Approves contracts and other agreements for
theprovisionofservices.
15.Utilizescosteffectiveness,costbenefit,and
costutilityanalysesindecisionmakingand
prioritizingprogramsacrossorganizationsand
y
systems.

16.Utilizesdataandinformationtoimprove
organizationalprocessesandperformance.
17.Establishesperformancemanagement
p
g
systemsacrossprogramsthroughoutthe
organization.

Domain8:LeadershipandSystemsThinkingSkills
1.Incorporatesethicalstandardsofpracticeas
1
Incorporates ethical standards of practice as
thebasisofallinteractionswithorganizations,
communities,andindividuals.
Incorporatesethicalstandardsintoallaspects
ofpublichealthnursingpractice.

1. Addressesethicalissuesrelatedtothepublic
1
Addresses ethical issues related to the public
healthnursingcareof
communities/populations.

2.AppliessystemstheorytoPHNpracticewith
individuals,families,andgroups.

2. AppliessystemtheorytoPHNpracticewith
communitiesandpopulations.

3.Participateswithstakeholderstoidentify
vision,values,andprinciplesforcommunity
ii
l
d i i l f
it
action.

3.Leadsteamandcommunitypartnersin
id tif i
identifyingvision,values,andprinciplesfor
ii
l
d i i l f
communityaction.

4.Identifiesinternalandexternalfactorsaffecting
PHNpracticeandservices.
PHN practice and services.

4.Analyzesinternalandexternalfactorsthatmay
impactthedeliveryofessentialpublichealth
impact the delivery of essential public health
services.
Implementsstrategiestoassurequality,
collaboration,andcoordinationindeliveryof
PHNservices.
5. Leadsinterprofessionalteamand
organizationallearningopportunities.
Providesleadershipinstaffdevelopment.

1.Incorporatesethicalstandardsofpracticeas
1
Incorporates ethical standards of practice as
thebasisofallinteractionswithorganizations,
communities,andindividuals.
Modelsaccountabilityforethicalstandardsof
publichealthpracticeasthebasisofall
interactionswithorganizations,communities,
andindividuals.
2.Integratessystemsthinkingintopublichealth
practice.
Evaluatesnewapproachestopublichealth
practicethatintegrateorganizationaland
systemstheories.
3.Partnerswithstakeholderstodeterminekey
valuesandasharedvisionasguidingprinciples
l
d h d ii
idi
i i l
forcommunityaction.
Integratesasharedvision,values,and
principlesforcommunityactionacrossthe
organizationandthehealthcaresystem.
4. Designssolutionsthataddressinternaland
externalproblemsthataffectthedeliveryof
external problems that affect the delivery of
essentialpublichealthservices.
Maintainssystemsthatassurequality,
collaboration,andcoordinationinthedelivery
ofessentialpublichealthservices.
5. Assuresdevelopmentoflearningopportunities
atthelevelsofindividual,interprofessional
team,andorganization.

6. Implementsopportunitiestomentor,advise,
coach,anddeveloppeers,directreports,and
othermembersofthepublichealthworkforce.

6.Establishesmentoring,peeradvising,coaching,
andprofessionaldevelopmentsystemsforthe
publichealthworkforce.

5.Usesindividual,team,andorganizational
learningopportunitiesforpersonaland
professionaldevelopmentasapublichealth
nurse.
6. Actsasamentor,coach,orpeer
advisor/reviewerforpublichealthnursingstaff.
Maintainspersonalcommitmenttolifelong
learningandprofessionaldevelopment.

Domain8:LeadershipandSystemsThinkingSkills (Continued)
7.Participatesinqualityinitiativesthatidentify
opportunities for improvement
opportunitiesforimprovement.
Providesdatatomeasure,report,andimprove
organizationalperformance.

7.Usesevidencebasedmodelstodesignand
implement quality initiatives
implementqualityinitiatives.
Establishesindicatorstomonitororganizational
performance.

8.Adaptsthedeliveryofpublichealthnursing
g
p
careinconsiderationofchangesinthepublic
healthsystem,andthelargersocial,political,
andeconomicenvironment.
Maintainsknowledgeofcurrentpublichealth
lawsandpoliciesrelevanttopublichealth
nursingpractice.

8.Adaptsprogramdeliveryto
communities/populationsinconsiderationof
p p
changesinthepublichealthsystem,andthe
largersocial,political,andeconomic
environment.
Assessesoutcomesofcurrenthealthpolicy
relevanttopublichealthandpublichealth
nursingpractice.

7.Developssystemstomeasure,report,and
improve quality of care and organizational
improvequalityofcareandorganizational
performance.
Maintainssystemstomeasure,report,and
improvequalityofcareandorganizational
performance.
8.Establishesorganizationalpracticesthatreflect
thechangesinthepublichealthsystemandthe
g
p
y
largersocial,political,andeconomic
environment.

9.Effectivelyleadsorganizationalandsystems
9
Eff ti l l d
i ti
l d t
levelchange.