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
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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
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Joint responsibility
Understand expectations
Learning opportunities
Appraisal / review
Supervision
Coaching
Mentoring
Involvement in professional activities
Self motivation
Measuring competence
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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