Methodical care process and record keeping
Works through the steps of clarifying the care question, setting goals, planning, delivering and evaluating, and records these in the client file.
How hrmforce measures this
- Assessment method
- Portfolio or evidence
- hrmforce instrument
- Portfolio, Knowledge test (client-specific)
- Competency (50-framework)
- Accuracy
- Trainability
- high
- Demand outlook 2026 to 2030
- declining
A collection of prior work or results, assessed against fixed criteria.
Behavioural anchors
| Level | Behaviour at this level |
|---|---|
| N1 Guided | Records care delivered and observations in the file on the same day, using the standard reporting format. works under supervision and follows instruction · routine, one variable at a time · own task |
| N3 Proficient | Independently draws up a care plan with measurable goals, evaluates it periodically and adjusts it when the care need changes. sets own approach and seeks input proactively · several variables, some ambiguity · own team or process |
| N5 Leading | Develops the organisation's record keeping and reporting policy and leads the introduction of a new methodical care standard. sets the standard and the policy · strategic, under high uncertainty · organisation, value chain or profession |
N2 and N4 are deliberately not anchored. Raters place them between the anchors, following the O*NET convention.
Underlying skills
These skills inherit the assessment route and the behavioural anchors of this construct.
| T | Skill | Definition | Demand outlook 2026 to 2030 |
|---|---|---|---|
| V | Drawing up a care plan Care plan development | Translates a client's care needs into goals, actions and evaluation moments and records this as a care plan. | stable |
| V | Working methodically through the care cycle Nursing process | Works successively through gathering, analysing, planning, delivering and evaluating in the care of a client. | stable |
| V | Reporting in the electronic client record Electronic health record documentation | Records observations, care delivered and deviations factually and per goal in the electronic client record. | declining |
| T | Using Nedap ONS Nedap ONS | Uses Nedap ONS for the client file, care plan, reporting, scheduling and registration of care delivered. | stable |
| T | Using Epic Epic Systems · Epic EHR | Works in Epic with the patient record, orders, nursing documentation and handover within a hospital. | stable |
| V | Taking a patient history Patient history taking | Questions a client systematically about complaints, history, medication and living situation and records the answers. | stable |
| V | Evaluating a care plan with the client Care plan evaluation | Discusses with client and relatives whether care goals have been met and adjusts the plan accordingly. | rising |
| K | Knowledge of care indications and delivery forms Care needs assessment | Knows the indication process and delivery forms within Dutch long term care, health insurance and social support law. | stable |
| V | Writing a care handover Care handover documentation | Prepares a handover on transfer or discharge with diagnosis, care agreements, medication and points of attention. | stable |
| K | Applying privacy rules and professional confidentiality Patient confidentiality | Shares client data only with involved care providers and applies the requirements of confidentiality and privacy law. | rising |