Article

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

ABSTRACT

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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    • "According to this Curriculum Guidelines for Undergraduate Nursing Courses at the end of the undergraduate course, students should have developed the following skills: assertive decision making, communication, leadership , innovation, proaction, interpersonal relationship, and continuing education (Brasil, 2007). Education then becomes a pillar of changes in this paradigm of teaching skills to the professional (Karadağ et al., 2015; Scott Tilley, 2008). In recent years, scientific literature on professional skills has shown interest in understanding the teaching of professional skills, and how students are linking the theoretical knowledge to their professional practice (Preheim, Armstrong, & Barton, 2009). "
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    DESCRIPTION: 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.
    Full-text · Research · Jan 2016
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    • "Reports that the recognition of roles professional interpret in an institution , leave the most appreciation of human deed how way to obtain of institutional object. The transforms observed in world of work, the change of paradigm and the new profile required for the professionals , were also observed in the health services, specifically on Nursing while profession and the education of nurse (Karadağ et al., 2015; Scott Tilley, 2008). "

    Full-text · Dataset · Jan 2016
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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 "
    [Show abstract] [Hide abstract]
    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.
    Full-text · Article · Oct 2015 · Creative Education
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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.

    http://faculty.ksu.edu.sa/hisham/Documents/Medical%20Education/English/Nursing%20Education/90.pdf

    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.

    https://www.researchgate.net/publication/10722588_Magnet_hospital_nurses_describe_control_over_nursing_practice

    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.

    https://www.researchgate.net/publication/41560739_Patient_handoffs_standardized_and_reliable_measurement_tools_remain_elusive

    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.

    http://intqhc.oxfordjournals.org/content/17/6/487

    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.

    http://www.ncbi.nlm.nih.gov/pubmed/17451716

    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.

    https://www.researchgate.net/publication/5529492_Competency_in_nursing_a_concept_analysis

    Best wishes

    Mary

    • [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.
      No preview · Article · Jul 2003 · Western Journal of Nursing Research

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