Na$onal competency standards for the registered nurse: a cri$cal evalua$on of their use in prac$ce

Transcription

1 Na$onal competency standards for the registered nurse: a cri$cal evalua$on of their use in prac$ce Sally Robertson Associate Dean School of Nursing, Sydney

2 Na$onal competency standards for the registered nurse The na$onal competency standards for the registered nurse are the core competency standards by which your performance is assessed to obtain and retain your registra$on as a registered nurse in Australia. These core competency standards provide you with the framework for assessing your competence, and are used by the na$onal board to assess competence as part of the annual renewal of registra$on (NMBA 2006)

3 Domains 4 domains and 10 competency statements Professional prac$ce Cri$cal thinking and analysis Provision and coordina$on of care Collabora$ve and therapeu$c rela$onships

4 Na$onal competency standards for the registered nurse What do they mean to you? How do you use them? Do you benchmark your prac$ce against the standards? What are the barriers to their use?

5 Inten$on Public document that communicates to consumers the standards they can expect from nurses (NMBA 2006) Assessing eligibility for registra$on as a prac$$oner the competence of overseas- trained professionals. the competence of people re- entering the profession arer a lengthy absence employee performance Educa9on accredi$ng educa$onal programs developing curricular in university and competency- based assessment procedures developing con$nuing educa$on programs (NOOSR, 1995)

6 Annual declara$on of competence Every year registered nurses in Australia make a declara$on that they will meet all the codes, standards and guidelines set out by the NMBA. How do you know that you meet these codes standards and guidelines?

7 The language of competence The NMBA are cognisant of the discourse about competence, competency, competency standards and assessment of competence. The NMBA believe that there is confusion around these terms especially in rela$on to competency based assessment in the voca$onal sector and the posi$vist view, that assessment of competence is the assessment procedures and tasks. Therefore there is a planned shir from competency standards to standards of prac$ce. (NMBA, 2014)

8 Assessing competence Framework for assessing standards for prac$ce for registered nurses, enrolled nurses and midwives h\p:// Guidelines- Statements/Frameworks/Framework- for- assessing- na$onal- competency- standards.aspx

9 Framework for assessment The NMBA recognises that the nature of professional nursing is mul$faceted and requires comprehensive knowledge and the a\empt to assess competence in a single and narrowly prescribed procedural model fails to recognise this. Therefore, the essen$al elements in using the standards to assess competence include the importance of context and assessment in the prac$ce seang; the collec$on of evidence/data from a variety of sources including self- assessment, observa$on, interviews with peers and persons receiving care and any relevant documenta$on and the professional judgement of the assessor. (NMBA, 2015)

10 Self assessment Becoming a self- regulated life- long learner requires the nurse to make judgements about their own performance.

11 Building capacity for self assessment Self assessment is necessary for life- long learning because all learners must develop the ability to be realis$c judges of their own performance and to effec$vely monitor their own learning (Boud, 1997, p.13). Registered nurses must con$nue to learn throughout their careers and those who depend on others for feedback will ul$mately be handicapped in their learning (Boud, 1997). Reflec$on and self assessment are built into the UNDA Bachelor of Nursing Professional Workplace Experience with all students from 1 st to 3 rd year engaging in self assessment and benchmarking using the standards.

12 Building capacity for self assessment The ac$vi$es and the scaffolding in the professional workplace experience books are designed to assist the student in developing habits and the ability to self assess and make judgments about their performance using the standards. Underpinning self assessment is the process of reflec$on; reflec$ng on ac$on, learning from prac$ce, processing experiences and exploring understanding. (Leve\- Jones & Borgeois, 2011)

13 Integra$on of self assessment into performance appraisal Combining the judgement of self and others

14 References Boud, D. (1997). Enhancing learning through self- assessment. London: Kogan Page. Leve\- Jones, T. & Bourgeois, S. (2011). The clinical placement, Australia: Elsevier. Na$onal Office of Overseas Skills Recogni$on (1995). Research Paper No. 9: The implica;ons of the implementa;on of na;onal Competency Standards in the Professions Final Report. Australian Government Publishing Service: Canberra Nursing and Midwifery Board of Australia. (2006). Na;onal competency standards for the registered nurse. Retrieved from h\p:// Guidelines- Statements/Codes- Guidelines.aspx#competencystandards Nursing and Midwifery Board of Australia. (2014). FAQ: Nurse prac;;oner standards for prac;ce. Retrieved from h\p:// Guidelines- Statements/FAQ/ Nurse- prac$$oner- standards- of- prac$ce- FAQ.aspx Nursing and Midwifery Board of Australia. (2015). Framework for assessing competency standards for registered nurses, enrolled nurses and midwives. Retrieved from h\p:// Guidelines- Statements/Codes- Guidelines.aspx#competencystandards