A review of the literature provided evidence of the vast array of diverse competencies required for the unique and complex practice of home health nursing (Mildon & Underwood, 2010). The review also identified over a dozen organizing frameworks for home health nursing competencies. The existence of so many frameworks speaks to the challenge of organizing competencies in a way that is practical, comprehensive and meaningful.
As recommended at the conclusion of the literature review, the Canadian Community Health Nursing Standards of Practice (Community Health Nurses Association of Canada, 2008) have been used as the organizing framework for the home health nursing competencies contained in this document. The competencies are broad in scope, thereby lending themselves to application in multiple settings and for
further detailing into more specific elements of practice for position descriptions or performance appraisal tools.
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