Implementing a Competency-based Orientation Program

Current Literature Review of Registered Nurses’ Competency in the Global Community

“…This review illustrates how most contemporary definitions of nursing competency are focused through a holistic lens. This was consistent with the ICN's (, p. 44) definition of nursing competence as “a level of performance demonstrating the effective application of knowledge, skills and judgments.” In addition, Del Bueno, Barker, and Christmyer () stated that “The competency statements should clearly define the criteria for successful achievement” (p. 25). Therefore, based on a holistic perspective, nursing competency can be generally written as behavior statements that reflect the skills, knowledge, attitudes, and judgment required for effective performance in the nursing profession.…”

Comparison of nurse competence in different hospital work environments

“…2000). Accordingly, competence is achieved by a process, where knowledge and skills are combined with attitudes and values required in a particular context (Del Bueno et al. 1980, Alspach 1984, Nagelsmith 1995, Ramritu & Barnard 2001) to perform to a prescribed standard (Short 1984, Ramritu & Barnard 2001).…”

“…It incorporates ethics and values, reflective practice, context-specific knowledge and skills as elements of competent performance and includes the therapeutic caring relationship (Bartlett et al 2000, Scholes et al 2000. Accordingly, competence is achieved by a process, where knowledge and skills are combined with attitudes and values required in a particular context (Del Bueno et al 1980, Alspach 1984, Nagelsmith 1995, Ramritu & Barnard 2001 to perform to a prescribed standard (Short 1984, Ramritu & Barnard 2001. Trust, caring, communication skills, knowledge and adaptability are identified as attributes of competence (Girot 1993) together with emotions and values (Chappel & Hagar 1994).…”

A Cost-Effective Competency Program for a Rehabilitation Unit

“…In the 1980s, many articles about competency-based orientation and cross-training with various frameworks for direction were published (Benedum, Kalup, & Freed, 1990;del Bueno, Barker, & Christmeyer 1980;McGregor, 1990;Scrima, 1987). The theoretical framework for the competency program at the rehabilitation unit in Chehalis was based on a combination of Knowles' (1975Knowles' ( , 1980 concepts about adult learning and a model by Scrima with modifications by McGregor.…”