2.50
Hdl Handle:
http://hdl.handle.net/10755/162704
Type:
Presentation
Title:
A Tiered, Self-Selection Approach to Competency Validation
Abstract:
A Tiered, Self-Selection Approach to Competency Validation
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Langley, Denise, RN, BSN, CEN
P.I. Institution Name:Oregon Health Sciences University
Title:Nurse Practice & Education Coordinator
Contact Address:3181 SW Sam Jackson Park Road, Portland, OR, 97239-, USA
Co-Authors:Makenzy Byrum, RN, BSN, SANE
Purpose: Educators everywhere struggle with the challenges associated with competency validation. Meeting the individual, as well as departmental and regulatory needs of a large staff, with skills and experience ranging from the new graduate level to those with greater than 25 years experience, can be difficult.

Design: The tiered, self-selection approach for competency validation during annual Skills and Education Day incorporates a longitudinal staff education and quality improvement project designed by the ED Nurse Practice and Education Coordinator.

Setting: A 42-bed emergency department in an academic, Level 1 trauma center.

Participants/Subjects: Mandatory annual participation for all staff RNs in the emergency department.

Methods: Fifteen crucial skill stations were selected using high-risk high-volume, and high-risk low-volume criteria, as well as new skills and identified needs related to changes in practice and protocols within the past year. Staff rotated through stations, self-selecting a card depicting one of three codes with their choice for competency validation; a hands-on task, a communication challenge, or a critical thinking problem. Nurses with less than one year of experience were required to complete the hands-on task. Immediate feedback was provided at each station with increased interactions at the communication and critical thinking stations. While coaching for hands-on skills was not allowed, staff that did not meet competency by return demonstration was given one opportunity to review policies and protocols and return for successful validation.

Results: Despite being mandatory, and due to past practices of return demonstration only with a pass/no-pass approach, staff attendance for competency validation at previous annual skills days averaged 60% with staff opting to have charge nurses sign their competencies during scheduled shifts. By allowing staff to self-select their skill level, attendance for competency completion in 2006 was 93%. In addition, staff with the least amount of experience, and nurses that maintained less than a full-time equivalent position, self-selected hands-on tasks. Experienced staff chose equally between communication and critical thinking tasks, while preceptors gravitated to the communication challenges.

Recommendations: While staff participation was increased, feedback from staff afterwards revealed remaining anxiety over what stations and tasks they could be asked to complete. Changes to upcoming competency days will include posting a list of stations one week prior to scheduled dates to accommodate staff review of policies and procedures. In addition, staff with identified problems in selected areas will be notified in advanced and will be expected to complete all three components at each station.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Tiered, Self-Selection Approach to Competency Validationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162704-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Tiered, Self-Selection Approach to Competency Validation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Langley, Denise, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health Sciences University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Practice &amp; Education Coordinator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3181 SW Sam Jackson Park Road, Portland, OR, 97239-, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">langleyd@ohsu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Makenzy Byrum, RN, BSN, SANE</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Educators everywhere struggle with the challenges associated with competency validation. Meeting the individual, as well as departmental and regulatory needs of a large staff, with skills and experience ranging from the new graduate level to those with greater than 25 years experience, can be difficult.<br/><br/>Design: The tiered, self-selection approach for competency validation during annual Skills and Education Day incorporates a longitudinal staff education and quality improvement project designed by the ED Nurse Practice and Education Coordinator. <br/><br/>Setting: A 42-bed emergency department in an academic, Level 1 trauma center.<br/><br/>Participants/Subjects: Mandatory annual participation for all staff RNs in the emergency department.<br/><br/>Methods: Fifteen crucial skill stations were selected using high-risk high-volume, and high-risk low-volume criteria, as well as new skills and identified needs related to changes in practice and protocols within the past year. Staff rotated through stations, self-selecting a card depicting one of three codes with their choice for competency validation; a hands-on task, a communication challenge, or a critical thinking problem. Nurses with less than one year of experience were required to complete the hands-on task. Immediate feedback was provided at each station with increased interactions at the communication and critical thinking stations. While coaching for hands-on skills was not allowed, staff that did not meet competency by return demonstration was given one opportunity to review policies and protocols and return for successful validation. <br/><br/>Results: Despite being mandatory, and due to past practices of return demonstration only with a pass/no-pass approach, staff attendance for competency validation at previous annual skills days averaged 60% with staff opting to have charge nurses sign their competencies during scheduled shifts. By allowing staff to self-select their skill level, attendance for competency completion in 2006 was 93%. In addition, staff with the least amount of experience, and nurses that maintained less than a full-time equivalent position, self-selected hands-on tasks. Experienced staff chose equally between communication and critical thinking tasks, while preceptors gravitated to the communication challenges. <br/><br/>Recommendations: While staff participation was increased, feedback from staff afterwards revealed remaining anxiety over what stations and tasks they could be asked to complete. Changes to upcoming competency days will include posting a list of stations one week prior to scheduled dates to accommodate staff review of policies and procedures. In addition, staff with identified problems in selected areas will be notified in advanced and will be expected to complete all three components at each station.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:43Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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