A Competency Validation Method to Assess Technical, Critical Thinking and Interpersonal Domains

2.50
Hdl Handle:
http://hdl.handle.net/10755/162709
Type:
Presentation
Title:
A Competency Validation Method to Assess Technical, Critical Thinking and Interpersonal Domains
Abstract:
A Competency Validation Method to Assess Technical, Critical Thinking and Interpersonal Domains
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Moore, Jessie M., RN, MSN, CEN
P.I. Institution Name:MidState Medical Center
Contact Address:435 Lewis Avenue, Meriden, CT, 06451, USA
Contact Telephone:(203) 694-8594
Co-Authors:Kathleen M. Barta, RN, MS, MSN
Clinical Topic: The intent of this clinical project was to develop a dynamic method of ongoing competency validation for staff in the Emergency Department that encompassed the clinical/technical, critical thinking, and interpersonal domains. Implementation: Planning and implementation included the following steps: (1) selection of the RN role for initial implementation; (2) multi-level emergency staff (staff RNs, QI RN, CNS, nurse managers, nurse educator, nursing director and medical director) identification of all competencies related to policy or procedure changes, new policies/procedures, high risk areas, and problematic areas; (3) prioritization of the list and incorporation of institution and department goals; (4) development of objective criteria to measure each competency; (5) selection of appropriate methodologies; and (6) development of staff accountability for completion of competency assessment tools. The large list of competencies was then prioritized by group consensus, with any issue that appeared in more than one category (high risk-low volume, problematic, new procedure) weighted more heavily. The group also agreed to focus on a maximum of ten competencies per year, and the first year?s set were: pediatric resuscitation, cardiac electrical therapy, medication administration, patient triage, skin assessment, customer service, care of the chest pain patient, care of the sexual assault patient, teamwork, and documentation. Methodologies included case studies, skill demonstration, chart audits, direct observation, self-audits, peer review and submission of exemplars. Education was presented to all staff regarding the new process, and each staff member was given the responsibility for completing their assessment tool by the target date. Outcomes: The effects that the new process had on the department included: (1) objective measurement of staff ability to perform competencies; (2) increased staff awareness of specific department goals, and problem areas; (3) increased staff satisfaction and confidence in their ability to meet patient standards; and (4) use of some methodologies adopted by other hospital areas. Those competencies involving technical and critical thinking skills were readily achieved and completed, however assessing competency in the areas of interpersonal skills was less easily achieved and demonstrated by many staff members. Recommendations: Recommendations for this project include: (1) more gradual implementation of methodology changes over a period of time; (2) reassessment of competency list and modification on an annual basis; (3) continued education and coaching for competencies that were problematic for staff, such as demonstration of customer service and teamwork; and (4) expand the process to include other levels of department staff. Upon completion of this poster review, the participant will be able to: 1) Describe the method of competency validation involving the clinical/technical and critical thinking domains;
2) Identify tools and techniques used to implement the method of competency validation; and 3) List outcomes achieved and opportunities for improvement of the competency validation method. [Clinical Poster Presentation]
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 Competency Validation Method to Assess Technical, Critical Thinking and Interpersonal Domainsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162709-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Competency Validation Method to Assess Technical, Critical Thinking and Interpersonal Domains</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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Moore, Jessie M., RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">MidState Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">435 Lewis Avenue, Meriden, CT, 06451, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(203) 694-8594</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jesimoore@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathleen M. Barta, RN, MS, MSN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of this clinical project was to develop a dynamic method of ongoing competency validation for staff in the Emergency Department that encompassed the clinical/technical, critical thinking, and interpersonal domains. Implementation: Planning and implementation included the following steps: (1) selection of the RN role for initial implementation; (2) multi-level emergency staff (staff RNs, QI RN, CNS, nurse managers, nurse educator, nursing director and medical director) identification of all competencies related to policy or procedure changes, new policies/procedures, high risk areas, and problematic areas; (3) prioritization of the list and incorporation of institution and department goals; (4) development of objective criteria to measure each competency; (5) selection of appropriate methodologies; and (6) development of staff accountability for completion of competency assessment tools. The large list of competencies was then prioritized by group consensus, with any issue that appeared in more than one category (high risk-low volume, problematic, new procedure) weighted more heavily. The group also agreed to focus on a maximum of ten competencies per year, and the first year?s set were: pediatric resuscitation, cardiac electrical therapy, medication administration, patient triage, skin assessment, customer service, care of the chest pain patient, care of the sexual assault patient, teamwork, and documentation. Methodologies included case studies, skill demonstration, chart audits, direct observation, self-audits, peer review and submission of exemplars. Education was presented to all staff regarding the new process, and each staff member was given the responsibility for completing their assessment tool by the target date. Outcomes: The effects that the new process had on the department included: (1) objective measurement of staff ability to perform competencies; (2) increased staff awareness of specific department goals, and problem areas; (3) increased staff satisfaction and confidence in their ability to meet patient standards; and (4) use of some methodologies adopted by other hospital areas. Those competencies involving technical and critical thinking skills were readily achieved and completed, however assessing competency in the areas of interpersonal skills was less easily achieved and demonstrated by many staff members. Recommendations: Recommendations for this project include: (1) more gradual implementation of methodology changes over a period of time; (2) reassessment of competency list and modification on an annual basis; (3) continued education and coaching for competencies that were problematic for staff, such as demonstration of customer service and teamwork; and (4) expand the process to include other levels of department staff. Upon completion of this poster review, the participant will be able to: 1) Describe the method of competency validation involving the clinical/technical and critical thinking domains;<br/>2) Identify tools and techniques used to implement the method of competency validation; and 3) List outcomes achieved and opportunities for improvement of the competency validation method. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:48Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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