CE: Original Research: Creating an Evidence-Based Progression for Clinical Advancement Programs.
In this study, the authors developed eight nursing competency domains and 186 related knowledge, skills, and attitudes for professional nursing practice, then sought to validate them and to determine their developmental progression within a clinical advancement program. Background: The Institute of...
| Publicado en: | AJN American Journal of Nursing Vol. 117; no. 5; pp. 22 - 36 |
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| Autores principales: | , , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142129533&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142129533 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0002936X AJN jtl: AJN American Journal of Nursing issn: 0002936X maglogo: N pubinfo: dt: May2017 vid: 117 iid: 5 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 142129533 142129533 142129533 10.1097/01.NAJ.0000516248.15946.76 142129533 ppf: 22 ppct: 14 formats: tig: atl: CE: Original Research: Creating an Evidence-Based Progression for Clinical Advancement Programs. aug: au: Burke, Kathleen G. Johnson, Tonya Sites, Christine Barnsteiner, Jane sug: subj: Clinical Ladder Professional Development Nursing Practice, Evidence-Based Education, Continuing (Credit) Human Delphi Technique Nursing Skills Nursing Knowledge CINAHL Database Cochrane Library Medline Professionalism Teamwork Thematic Analysis ab: In this study, the authors developed eight nursing competency domains and 186 related knowledge, skills, and attitudes for professional nursing practice, then sought to validate them and to determine their developmental progression within a clinical advancement program. Background: The Institute of Medicine (IOM) and the Quality and Safety Education for Nurses (QSEN) project have identified six nursing competencies and supported their integration into undergraduate and graduate nursing curricula nationwide. But integration of those competencies into clinical practice has been limited, and evidence for the progression of competency proficiency within clinical advancement programs is scant. Using an evidence-based approach and building on the competencies identified by the IOM and QSEN, a team of experts at an academic health system developed eight competency domains and 186 related knowledge, skills, and attitudes (KSAs) for professional nursing practice. Purpose: The aim of our study was to validate the eight identified competencies and 186 related KSAs and determine their developmental progression within a clinical advancement program. Methods: Using the Delphi technique, nursing leadership validated the newly identified competency domains and KSAs as essential to practice. Clinical experts from 13 Magnet-designated hospitals with clinical advancement programs then participated in Delphi rounds aimed at reaching consensus on the developmental progression of the 186 KSAs through four levels of clinical advancement. Results: Two Delphi rounds resulted in consensus by the expert participants. All eight competency domains were determined to be essential at all four levels of clinical practice. At the novice level of practice, the experts identified a greater number of KSAs in the domains of safety and patient- and family-centered care. At more advanced practice levels, the experts identified a greater number of KSAs in the domains of professionalism, teamwork, technology and informatics, and continuous quality improvement. Conclusion: Incorporating the eight competency domains and the 186 KSAs into a framework for clinical advancement programs will likely result in more clearly defined role expectations; enhance accountability; and elevate and promote nursing practice, thereby improving clinical outcomes and quality of care. With their emphasis on quality and safety, the eight competency domains also offer a framework for enhancing position descriptions, performance evaluations, clinical recognition, initial and ongoing competency assessment programs, and orientation and residency programs. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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