Competency in Nursing: A Concept Analysis

Texas Christian University, Fort Worth, Texas 76129, USA.
The Journal of Continuing Education in Nursing (Impact Factor: 0.52). 03/2008; 39(2):58-64; quiz 65-6, 94. DOI: 10.3928/00220124-20080201-12
Source: PubMed


Competency is a topic of great interest to educators and administrators in practice disciplines, particularly health care disciplines such as nursing. This article focuses on the role of competency in nursing. Through a concept analysis process, various elements of competency were assessed. The defining attributes of competency are the application of skills in all domains for the practice role, instruction that focuses on specific outcomes or competencies, allowance for increasing levels of competency, accountability of the learner, practice-based learning, self-assessment, and individualized learning experiences. The learning environment for competency assurance involves the learner in assessment and accountability, provides practice-based learning opportunities, and individualizes learning experiences.

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    ABSTRACT: This systematic review aims to identify scientific publications addressing the teaching of competence management for undergraduate students of nursing. A systematic review was conducted using PubMed, LILASC, MEDLINE and the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), using the following keywords: competence management, professional skills, education and nursing. The search resulted in 77 articles that were screened by title and abstract. These 11 articles were analyzed. In this research observed it most articles 63.6% articles among those selected address competence management as a tool to be developed by the students during their academic education and 36.4% discussed the development of a political -pedagogical. We expect that the subject identified in this study may contribute to the development of critical/reflexive thinking and attitudes in nursing.
    Creative Education 10/2015; 6(17):1860-1866. DOI:10.4236/ce.2015.617190
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    • "Some authors believe that professional expertise is expressed through a set of initiatives and skills, (Tai and Chung, 2008; Scott, 2008) which are developed and "
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    ABSTRACT: To know the national and international scientific publications which address the teaching of professional skills for undergraduate students of nursing. A systematic review of LILASC, BDENF, MEDLINE, and TESESENF databases, using the following keywords: professional skills, education and nursing. The following inclusion criteria were established for this review: full articles available online and free of charge, published from 2005 to October 2011, in Portuguese, English and Spanish, and focused on the study object. Eleven articles were selected, which were predominantly published in Brazilian (81.8%) and nursing journals (99.9%); most of them were original (63.6%), and addressed, as their objective, the subject 'professional skills': in constructing the political pedagogical project (54.5%) and as a tool to be developed in the students (45.5%). We expect that the subject identified in this study may contribute to the development of critical/reflexive thinking and attitudes in nursing.
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    • "Dalam rangka memahami dengan lebih baik bagaimana penerimaan terhadap konsep kecerdasan emosi dalam praktik pengelolaan SDM, khususnya di perusahaan, konsep tersebut perlu dikaitkan dan dipandang menjadi bagian dari konsep kompetensi yang telah menjadi konsep utama dalam menilai kualifikasi ketenagaan. Secara etimologis, istilah kompetensi berasal dari kata competens, sebuah istilah Latin (baca Tilley, 2008, p. 58 "
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    ABSTRACT: Emotional intelligence has been argued as a strong determinant of job-related success. Empirical research has also provided supporting evidence. Extending previous research, this study focuses on the process how companies adopting emotional intelligence into their recruitment and selection system. This study aims to understand (1) perceived importance of emotional intelligence according to recruitment and selection people, (2) reasons companies include emotional intelligence into recruitment criteria, and (3) types of selection instrument used to measure emotional intelligence in the recruitment and selection of fresh gradutes. This is a qualitative research, mainly based on interviews with eight participants of a Job Fair at a university in Central Java. This study shows that emotional intelligence has been considered important and implemented in the recruitment and selection process of fresh graduates. Kecerdasan emosi telah diargumentasikan sebagai determinan yang kuat bagi kesuksesan di tempat kerja. Penelitian-penelitian empiris juga telah memberikan bukti-bukti pendukung. Untuk mengembangkan pengetahuan tentang kecerdasan emosi dari hasil-hasil penelitian sebelumnya, studi ini berfokus pada proses bagaimana perusahaan mengadopsi kecerdasan ke dalam sistem rekrutmen dan seleksinya. Penelitian ini bertujuan untuk memahami: 1) arti penting kecerdasan emosi sebagaimana yang dipersepsi oleh pelaksana rekrutmen dan seleksi, 2) alasan-alasan perusahaan memasukkan kecerdasan emosi ke dalam kriteria rekrutmen, dan 3) jenis instrument seleksi yang digunakan untuk mengukur kecerdasan emosi dalam merekrut dan menyeleksi fresh graduates. Ini adalah penelitian kualitatif, yang terutama didasarkan pada wawancara yang dilakukan pada delapan peserta Job Fair di sebuah perguruan tinggi di Jawa Tengah. Studi ini menunjukkan bahwa kecerdasan emosi telah dipandang penting dan diimplementasikan dalam proses-proses rekrutmen dan seleksi fresh graduates.
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Questions & Answers about this publication

  • Mary C R Wilson added an answer in Nurses:
    Is anyone familiar with Nurse autonomy measurement tools, and Nurse accountability measurement tools?

    Are there any suggestions to find autonomy and accountability measuring tools ?

    Mary C R Wilson

    Hello Zeinab

    There might be something relevant in the following - relating to autonomy:

    Wade, G. H. (1999). Professional nurse autonomy: concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-318.

    Kramer, M., & Schmalenberg, C. E. (2003). Magnet hospital staff nurses describe clinical autonomy. Nursing Outlook, 51(1), 13-19.

    This paper is available to request from Claudia Schmalenberg's ResearchGate page, but if you search for this paper on Google Scholar, the fulltext is available if you click on Researchgate.

    Re accountability - the paper by Prof Emily Patterson and Robert Wears on ResearchGate might be applicable:

    Patterson, E. S., & Wears, R. L. (2010). Patient handoffs: standardized and reliable measurement tools remain elusive. Joint Commission Journal on Quality and Patient Safety, 36(2), 52-61.

    You might find something relevant in these papers:

    Veillard, J., Champagne, F., Klazinga, N., Kazandjian, V., Arah, O. A., & Guisset, A. L. (2005). A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. International Journal for Quality in Health Care, 17(6), 487-496.

    Cowan, D. T., Jenifer, W. B. D., Norman, I. J., & Murrells, T. (2008). Measuring nursing competence: development of a self-assessment tool for general nurses across Europe. International Journal of Nursing Studies, 45(6), 902-913.

    There may be something that you could follow up from this review paper by Prof Donna Scott Tilley, on ResearchGate:

    Tilley, D. S. (2008). Competency in nursing: A concept analysis. Journal of Continuing Education in Nursing, 39(2), 58-64.

    Best wishes


    • [Show abstract] [Hide abstract]
      ABSTRACT: Staff nurses describe control over nursing practice (C/NP) as a professional nursing function made up of a variety of activities and outcomes. Greater acclaim, status, and prestige for nursing in the organization are viewed as a result, not a precursor, of C/NP. Interviews with 279 staff nurses working in 14 magnet hospitals indicated that effective C/NP requires some kind of empowered, formal organizational structure, extends beyond clinical decision making at the patient care interface, and is the same as or highly similar to what the literature describes as professional autonomy. From constant comparative analysis of nurses' descriptions of C/NP activities, five ranked categories of this real-life event emerged. The basis for the categories and ranking was "who owned the problem, issue, and solution" and the "degree of effectiveness of control" as reflected in visibility, viability, and recognition of a formal structure allowing and encouraging nurses' control over practice. Hospital mergers and structural reorganization were reported to negatively affect the structure needed for effective C/NP. Almost 60% of these magnet hospital staff nurses stated and/or described little or no C/NP.
      Western Journal of Nursing Research 07/2003; 25(4):434-52. DOI:10.1177/0193945903025004008

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