What are the competencies of the registered nurse under Standard 3: Outcomes Identification?

Under Standard 3, the registered nurse engages the healthcare consumer and interprofessional team to identify expected outcomes; formulates culturally sensitive outcomes from assessments and diagnoses; uses clinical expertise and evidence-based practice to identify risks, benefits, costs, and expected trajectory; and collaborates with the consumer to incorporate culture, values, and ethics. The nurse also sets time frames, develops outcomes that support care coordination, modifies outcomes based on evaluation, documents outcomes as measurable goals, and evaluates actual outcomes against expected outcomes and quality standards.

The registered nurse's competencies for Outcomes Identification center on developing and adjusting individualized expected outcomes. The nurse works in partnership with the healthcare consumer, interprofessional team, and others to identify outcomes, and formulates them in a culturally sensitive manner based on assessments and diagnoses. Clinical expertise and current evidence-based practice guide the identification of health risks, benefits, costs, and the expected trajectory of the condition. Expected outcomes are defined collaboratively with the consumer, integrating the consumer's culture, values, and ethical considerations. The nurse generates time frames for attainment, develops outcomes that facilitate coordination of care, and modifies outcomes as the consumer's status changes. Documentation of expected outcomes must be as measurable goals, and the nurse evaluates actual outcomes in relation to expected outcomes, safety, and quality standards.