AACN sub-competency9.2aP4 · Integration

Employ the use of intentional presence to facilitate shared meaning of the experience between nurse and recipient of care.

AACN domain
9.Professionalism

Identity/ethics = Heart. Cultural humility = Integration. Structural advocacy = Impact.

Competency
9.2Employ participatory approach to nursing care.
Five Practices mapping
P4 · IntegrationThe Big Picture

"How do you bring it together?"

Progression Indicators

The three-bucket rubric for this sub-competency. Behavioral anchors are shown when available.

Not Demonstrated

No evidence yet. Either the behavior has not been performed in a captured context, or the captured evidence does not yet meet the rubric.

Novice anchor: Task-focused interactions; intentional presence is intermittent; emotional content redirected.
Developing

Matches the AACN Developing descriptor for this sub-competency. Caps at Developing in solo activation mode for P3 (Hands) sub-comps without preceptor observation.

Advanced beginner anchor: Employs intentional presence to facilitate shared meaning between nurse and patient; uses silence therapeutically; remains present during procedures.
Developed

Matches the AACN Developed descriptor. For P3 sub-comps this requires a preceptor or peer observation to triangulate the self-report.

Competent anchor: Maintains presence in hardest conversations; teaches presence to peers; integrates presence into all care.

Deeper analysis coming. All 434 sub-competency pages are scaffolded against the AACN definition, the Five Practices mapping, and the Progression Indicator rubric. 5 carry the full narrative this version (listed on the framework index). The remaining long-form copy is being authored alongside the behavioral anchors and will land in the next framework version.

Currently writing the long-form for: 2.8c, 2.8d, 2.8b, 3.1c, 10.2a.

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