Transcript Slide 1
Developing measuring and maintaining competence in new nursing roles, skills and advanced practice Ann Close , Care Quality Commission May 26th 2009 Overview • Development of competencies • Factors leading to the development of new roles, skills and advanced practice • Identifying competencies • Achieving and maintaining competency • Measuring competence • Why is it important? Development of competencies What makes a good nurse? • Presence of mind • Gentleness of heart • Accuracy of memory • Observation • Forethought Hints for Hospital Nurses 1877 Defining competency ‘Ability to assess plan, implement and evaluate care’ (UKCC 1983) ‘Combination of skills, knowledge, attitudes values and abilities that underpin effective and/ or superior performance in a professional/ occupational area (ANMC 2000) ‘Combination of attributes enabling performance of a range of professional tasks to the appropriate standard’ (Gonczi et al 1990) Factors in new role development • Darzi’s 6 challenges • Demands for safe, effective, personalised care • Practitioners fit for purpose, more productive and efficient • Demand for greater accountability • Drive for quality and safety • Policy changes Identify what competencies are required • Context • Outcomes – what does someone do • Clearly defined standards to measure performance • At a particular point in time • Knowledge, skills and abilities Indentifying competencies • • • • • • • Service being provided Relevant NSF, clinical guidelines Professional head AFC and KSF national profiles NMC guidance Rcn / Rcm guidance Regulator reports Achieving and maintaining competence • • • • • • • • • Joint responsibility Understand expectations Learning opportunities Appraisal / review Supervision Coaching Mentoring Involvement in professional activities Self motivation Measuring competence • • • • • • • Self assessment Peer review Review of patient / user satisfaction Evaluation of patient / user outcomes Audit of practice Benchmarking Review of incidents Benefits • Makes contribution explicit • Offers basis for judgement of practice improvement • Alerts to where action is required • Provides evidence and assurance of quality / improvement • Supports revalidation / accreditation and registration • Supports lifelong learning and development improvement And finally…. • Using competencies to measure performance is helpful…. • If you don’t know how you are performing then its difficult to make improvements…. • Continuous improvement is essential for maintaining high standards of effective and safe care Thank you