Professional Rehabilitation Nursing Competency Model

The rehabilitation nursing specialty is practiced in multiple settings across the health care continuum. The Competency Model for Professional Rehabilitation Nursing, created to help guide your practice, embodies four domains that reflect all competencies necessary to promote rehabilitation nursing in the current healthcare environment.

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ARN competency model

How the Competency Model Evolved

In 2014 a task force comprised of eight ARN members representing clinical practice and academia was charged with the development of a Competency Model for Professional Rehabilitation Nursing. The Model was comprised of four domains; Nurse-led Interventions, Promotion of Successful Living, Leadership, and Interprofessional Care, and the competencies for each domain at three levels of proficiency (beginner, intermediate, advanced) that integrated rehabilitation nursing knowledge, skills, and core values and beliefs into professional nursing practice. In 2020 a task force of ARN members, again representing different settings (clinical practice and academia) as well as different geographical areas reviewed and revised the model to reflect current rehabilitation nursing practice. The major model revisions include the addition of a competency to Domain one that focuses on the understanding of the worldview of individuals who are culturally different reflecting rehabilitation nursing’s multicultural approach and global reach. ARN, through its mission and strategic plan, purport that rehabilitation nursing care be inclusive, non-biased, and culturally sensitive. The definition of family throughout the model was modified to include any person or persons who provide support and care to the patient (client). Rehabilitation nurses are strong advocates for the patient-family and acknowledge social conditions that may influence the patient’s ability to access care and ensure that optimum care in the right setting is received. Another revision was the addition of the word intraprofessional to the Domain four title which reflects the nursing peer collaboration and feedback process integral to professional nursing practice in the various settings. All of these aforementioned values and concepts are integrated into the context of care throughout the revised ARN Model and its visual depiction of colorful concentric circles that highlight the domains and associated competencies. Application of each domain was highlighted by the task force in clinical exemplars which are accessible via the following links.

Implications for Model utilization include integration into the ARN educational materials such as the Core Curriculum, webinars, and other educational materials. Members have offered ideas for model implementation in their organizations including staff orientation (onboarding) as well as integration into an annual skills day. It also can be used to explicate the rehabilitation nurse role on the intra/interprofessional team while fostering collaboration and consultation with other healthcare professions in the development and implementation of a holistic plan of care for the patient-family. Role descriptions, including clinical ladder programs based on the proficiency levels, can also be grounded in the ARN Competency Model of Professional Nursing. Our hope is that the members will use the Model in their practice and provide ARN with any feedback about the Model utilization in their organizations. The Model has been widely touted by other professional nursing organizations, such as ANA, for its unique contribution to professional nursing practice. As a result, in 2019 the Association of Rehabilitation Nurses was asked to send representatives to Geneva to be part of an international technical working group sponsored by the World Health Organization (WHO) to create and disseminate a rehabilitation competency framework (RCF); and have continued their involvement in the development of rehabilitation interventions for various conditions. The WHO RCF can be adopted and adapted by countries in the process of developing rehabilitation education and systems of rehabilitation care for persons across the globe with disability and/or chronic conditions.

Resources to Implement and Adopt the Model

ARN is pleased to make the following resources available to help facilitate the adoption and integration of the competency model and rehabilitation nursing concepts into school nursing programs in institutes of higher education such as accredited universities and colleges.

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Expand Your Rehab Nursing Knowledge

The ARN Foundations curriculum is for nurses at every career stage looking for rehab-centered education to improve their practice.

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