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Developing measuring and maintaining competence in new nursing roles, skills and advanced practice

Developing measuring and maintaining competence in new nursing roles, skills and advanced practice. Ann Close , Care Quality Commission May 26 th 2009. Overview. Development of competencies Factors leading to the development of new roles, skills and advanced practice

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Developing measuring and maintaining competence in new nursing roles, skills and advanced practice

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  1. Developing measuring and maintaining competence in new nursing roles, skills and advanced practice Ann Close , Care Quality Commission May 26th 2009

  2. 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?

  3. Development of competencies What makes a good nurse? • Presence of mind • Gentleness of heart • Accuracy of memory • Observation • Forethought Hints for Hospital Nurses 1877

  4. 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)

  5. 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

  6. 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

  7. Indentifying competencies • Service being provided • Relevant NSF, clinical guidelines • Professional head • AFC and KSF national profiles • NMC guidance • Rcn / Rcm guidance • Regulator reports

  8. Achieving and maintaining competence • Joint responsibility • Understand expectations • Learning opportunities • Appraisal / review • Supervision • Coaching • Mentoring • Involvement in professional activities • Self motivation

  9. Measuring competence • Self assessment • Peer review • Review of patient / user satisfaction • Evaluation of patient / user outcomes • Audit of practice • Benchmarking • Review of incidents

  10. 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

  11. 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

  12. Thank you

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