This domain encompasses the key principles of the ANP’s role in health promotion, illness prevention, care provision, supported transfer within health contexts and discharge planning, including establishing appropriate therapeutic and interpersonal relationships to maximize the delivery of safe care to patients, families, the wider community and society.

Patient Centered Care
Provides skilled safe, holistic, culturally competent, person-centered nursing care to patients, families, community and society, in collaboration with the multidisciplinary team irrespective of healthcare settings.

Performance criteria:
  • Performs and documents a comprehensive medical/nursing history, physical and psychosocial assessment of the patient’s and family’s health status.
  • Provides direct, specialized, comprehensive care, education and counseling emphasizing health promotion, disease prevention and collaborative management strategies to positively affect health outcomes.
    • Implement aspects of care.
    • Working under defined proctor agreements, clinical pathways and/or medical directives,​ the nurse practitioner may:
    • Order and interpret appropriate diagnostic and laboratory tests.
    •  Performs selected diagnostic and therapeutic procedures.
    •  Prescribe pharmacological agents and therapeutic measures within practice guidelines.
    •  Identify and communicate a medical diagnosis.
    • Conduct physical exams.
    • Diagnose and treat a range of illnesses and injuries.
    • Provide immunizations.
    • Order and interpret X-rays and other lab tests.
    •  Performing invasive interventions, e.g. endoscopy.
    • Requesting and interpreting diagnostic and laboratory tests.
    •  Administer therapies for the management of potential or actual health needs.
    •  Counsel patients on adopting healthy lifestyles.
      NB This list is not exhaustive
  • Practice both independently and in collaboration with other health care professionals to promote health, prevent disease and to diagnose, assess and manage people’s health needs.
  • Work in partnership with individuals, families and communities across a range of settings.
  • Participate in and/or lead complex discharge planning processes.
  • Provide patient/family education and counseling.
Communication and teamwork
Uses communication skills to ensure that other members of the health care team, the patient and their family are and remain fully informed.

Performance Criteria:
  • Initiates, develops and terminates therapeutic relationship with individuals, families and groups through the use of appropriate communication and interpersonal skills.
  • Demonstrates cultural competence across patient groups.
  • Consistently communicates relevant, accurate and comprehensive information in verbal, written and electronic forms in a timely manner to ensure the delivery of safe, competent and ethical care.
  • Works with others to affect change and produce positive outcomes through the sharing of knowledge of the individual and/or the situation.
  • Participates in building consensus or resolving conflict in the context of patient care.
  • Demonstrates the ability to work as a team member by engaging in teamwork and the team-building processes.
  • Works in collaboration with other members of the wider multidisciplinary team across patient pathways.
  • Communicates about health assessment findings and/or diagnoses, including outcomes and prognosis.
  • Collaborates with other health professionals to make and accept referrals as appropriate.
  • Uses coaching and advanced communication skills to facilitate the development of effective clinical teams.
  • Works with all disciplines to achieve the best health outcomes for patients.
  • Uses interpersonal skills to facilitate small group function and contribute to high performance teams.
  • Provides consultation to health care team regarding clinical situations (within area of expertise).
  • Provides consultation to the community to collaboratively develop standards, policies, practices and procedures to ensure seamless care for patients.
  • Consults with and/or refers clients to other health-care providers at any point in the care continuum when the client’s condition is not within the nurse practitioner scope of practice or the individual nurse practitioner’s competence.
  • Acts as a consultant to and/or refers and accepts referrals from health-care providers, community agencies and allied non-health-care professionals.​