Competence Framework of 7 Domains

	Competence
Domain 1	Provide nursing leadership in managing clients with complex health conditions
Domain 2	Enhanced therapeutic nurse-client relationship
Domain 3	Effective leadership and teamwork
Domain 4	Quality assurance and improvement
Domain 5	Managing and negotiating innovative and effective approaches to care delivery
Domain 6	Enhancing professional attributes of general and advanced practice
Domain 7	Enhancing personal attributes

Statement of the Competence

Domain 1 - Provide nursing leadership in managing clients with complex health conditions

1. Facilitate case management / primary nursing system
2. Match required competence with complexity of health conditions
3. Ensure job and person match in health care management

Domain 2 - Enhanced therapeutic nurse-client relationship

1. Provide guidance and counseling regarding therapeutic relationship
2. Empower nurses to enhance therapeutic nurse-client relationship
3. Facilitate staff to debrief on overwhelming emotion and grief associated with nurse-client relationship
4. Communicate a sense of "being present" with the client
5. Act as a role model

Domain 3 - Effective leadership and teamwork

1. Coordinate human and environmental resources necessary to manage rapidly changing situations
2. Lead hospital/community health education and promotional activities
3. Provide assertive leadership in interdisciplinary teams through collaborative partnerships
4. Provide leadership in professional activities
5. Act as a change agent in response to changes in policies, practice and healthcare needs

Domain 4 - Quality assurance and improvement

1. Lead the on-going process of setting and revise guidelines, protocols, standards and audits
2. Monitor service quality and safety through organizational governance
3. Manage complaints and monitors malpractice
4. Benchmark outcome measures of care programs with approved standards
5. Implement comprehensive quality assurance systems to ensure continuous quality improvement cultures

Domain 5 - Managing and negotiating innovative and effective approaches to care delivery

1. Lead implementation of evidenced-based practice and facilitate changes with attention to safety, cost, acceptability, efficacy and cost-effectiveness
2. Use evidence and rationale to leverage stakeholders on decision making
3. Steer the development and implementation of care delivery system and policy
4. Envision changes and facilitate innovations
5. Encourage innovations and creativity in practice

Domain 6 - Enhancing professional attributes of general and advanced practice

1. Promote and foster ethical practice
2. Promote professional advancement through evidence based practice and research activities
3. Demonstrate expertise on area(s) of management practices and act as exemplary role model
4. Motivate and support staff towards professional excellence
5. Participate in legislative and policy-making activities which influence advanced nursing practice and health services
6. Promote a nurturing, caring and positive cultures
7. Demonstrate awareness of changes, trends and issue in nursing management

Domain 7 - Enhancing personal attributes

1. Active involvement in local and/or international professional activities towards inspirational leadership
2. Demonstrate effective communication and interpersonal skills