Clinical Competencies: A Program Designed To Optimize Critical Thinking Skills, Care Delivery, And Collaborative Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/164142
Category:
Abstract
Type:
Presentation
Title:
Clinical Competencies: A Program Designed To Optimize Critical Thinking Skills, Care Delivery, And Collaborative Practice
Author(s):
Maloy, Lisa R.; Mattas, Cheryl
Author Details:
Lisa R. Maloy, RN, MSN, Kaiser Permanente Southern California, San Diego, California, USA, email: nacnsorg@nacns.org; Cheryl Mattas RN, MS, CNS, CCRN
Abstract:
Statement of the Project: Several methodologies and approaches to evaluate staff for annual competencies are often lacking in methods to evaluate critical thinking skills, care delivery performance and patient focused decision-making. These processes can be difficult and tedious work for the educator and for the staff involved in the process. Often the programs are set up more like a workshop or all day testing stations and fail to capture the essence of certain performance criteria necessary to ensure competent performance. Description of the Project and Resultant Change: In early November 2003, the Clinical Nurse Specialists team identified a need to redesign an annual competency program to better validate nurses critical thinking skills, care delivery options, and collaborative communication among the healthcare team. The goal was to engage the nursing staff in an active learning project that stimulated patient focused care while at the same time support organizational goals. With limited resources, including time constraints, the CNS's in the critical care department designed and developed a case study program that addressed competency validation issues. A review of competency validation programs in place at different facilities was conducted. Most programs were considered adequate to validate required technical skill performance but few addressed critical thinking and decision making performance competencies. The majority of programs were focused on technical skill performance and included lecture presentations with return demonstration. Return demonstration of equipment operation was considered tedious and time consuming. The method/instrument to validate competency was a skills checklist that lacked evaluation of performance criteria that was nurse sensitive and patient focused. Incorporating regulatory requirements, clinical competency, low volume/high risk performance standards were critical components for our program. Specific to the needs of the units, the CNS's designed and developed a series of case based scenarios incorporating critical thinking, collaborative practice principles, patient safety goals, as well as policy and procedure components. A study guide was provided to the staff for their review prior to attending the program. Two hours were allocated to each nurse to complete the "stations" which were set up in poster format containing a variety of resources for staff to utilize. To complete the case studies, specific directions were provided on how to return demo a set of specific skills and fill in the blanks on the case studies. Staff were allowed to proceed through the stations at their own pace, in-groups, or individually, as they preferred thus creating a positive, stress-free experience. Outcome: The nurses came to the experience with a very task-oriented mind set. Feedback from the staff after the competency program was completed was positive. Although anecdotal evaluation of the new program is the only data to date, it has been significant. Nearly every staff member reported a reduction in their stress and reported a renewed appreciation for each other and their contributions to patient care delivery. Additionally, they reported an increase in self-confidence, more opportunity to collaborate with one another and others of the healthcare team thus providing a teaching/learning environment that is professionally focused and patient centered. Implications/Significance: A hands-on approach to competency validation and utilization of adult learning principles created an environment where individual goals and institution goals were met and costs of programming kept to a minimum. Recommendations for Future: Continue with the successes gained in design of the case based study approach for future programming of competency program and work to 1) offer the program format as template for other specialties to adopt in the acute care setting, 2) make necessary changes to the structure of the program as evidence based practices changes occur 3) improve the program's effectiveness by adding active learning participation such as game playing and interactive group participation, 4) collect data on program strengths and areas for improvement, and; 4) utilize evaluation tools that address the goals of program and measure program success such as PBDS (Performance Based Development System), and/or Professional Judgment Rating form.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Competencies: A Program Designed To Optimize Critical Thinking Skills, Care Delivery, And Collaborative Practiceen_GB
dc.contributor.authorMaloy, Lisa R.en_US
dc.contributor.authorMattas, Cherylen_US
dc.author.detailsLisa R. Maloy, RN, MSN, Kaiser Permanente Southern California, San Diego, California, USA, email: nacnsorg@nacns.org; Cheryl Mattas RN, MS, CNS, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164142-
dc.description.abstractStatement of the Project: Several methodologies and approaches to evaluate staff for annual competencies are often lacking in methods to evaluate critical thinking skills, care delivery performance and patient focused decision-making. These processes can be difficult and tedious work for the educator and for the staff involved in the process. Often the programs are set up more like a workshop or all day testing stations and fail to capture the essence of certain performance criteria necessary to ensure competent performance. Description of the Project and Resultant Change: In early November 2003, the Clinical Nurse Specialists team identified a need to redesign an annual competency program to better validate nurses critical thinking skills, care delivery options, and collaborative communication among the healthcare team. The goal was to engage the nursing staff in an active learning project that stimulated patient focused care while at the same time support organizational goals. With limited resources, including time constraints, the CNS's in the critical care department designed and developed a case study program that addressed competency validation issues. A review of competency validation programs in place at different facilities was conducted. Most programs were considered adequate to validate required technical skill performance but few addressed critical thinking and decision making performance competencies. The majority of programs were focused on technical skill performance and included lecture presentations with return demonstration. Return demonstration of equipment operation was considered tedious and time consuming. The method/instrument to validate competency was a skills checklist that lacked evaluation of performance criteria that was nurse sensitive and patient focused. Incorporating regulatory requirements, clinical competency, low volume/high risk performance standards were critical components for our program. Specific to the needs of the units, the CNS's designed and developed a series of case based scenarios incorporating critical thinking, collaborative practice principles, patient safety goals, as well as policy and procedure components. A study guide was provided to the staff for their review prior to attending the program. Two hours were allocated to each nurse to complete the "stations" which were set up in poster format containing a variety of resources for staff to utilize. To complete the case studies, specific directions were provided on how to return demo a set of specific skills and fill in the blanks on the case studies. Staff were allowed to proceed through the stations at their own pace, in-groups, or individually, as they preferred thus creating a positive, stress-free experience. Outcome: The nurses came to the experience with a very task-oriented mind set. Feedback from the staff after the competency program was completed was positive. Although anecdotal evaluation of the new program is the only data to date, it has been significant. Nearly every staff member reported a reduction in their stress and reported a renewed appreciation for each other and their contributions to patient care delivery. Additionally, they reported an increase in self-confidence, more opportunity to collaborate with one another and others of the healthcare team thus providing a teaching/learning environment that is professionally focused and patient centered. Implications/Significance: A hands-on approach to competency validation and utilization of adult learning principles created an environment where individual goals and institution goals were met and costs of programming kept to a minimum. Recommendations for Future: Continue with the successes gained in design of the case based study approach for future programming of competency program and work to 1) offer the program format as template for other specialties to adopt in the acute care setting, 2) make necessary changes to the structure of the program as evidence based practices changes occur 3) improve the program's effectiveness by adding active learning participation such as game playing and interactive group participation, 4) collect data on program strengths and areas for improvement, and; 4) utilize evaluation tools that address the goals of program and measure program success such as PBDS (Performance Based Development System), and/or Professional Judgment Rating form.en_GB
dc.date.available2011-10-27T11:42:49Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:49Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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