Perspective Chapter: Clinical Competency Framework – Standardized Nurse Competence Development

Abstract

A regional nurse leadership group established the Clinical Competency Framework with representation from academic, regulation, and practice-based settings. The framework provides structures, tools and workplace systems that address the full continuum of care. It is the only competency framework that: 1) integrates evidence-based preceptor support systems, 2) standardizes competency and coaching tools, 3) addresses all levels of nurse hires with a universal set of competencies, and 4) offers shared ownership for program dissemination. The Framework supports clinical preceptors, orientees, students, and transition into new specialties. It addresses issues of competency validation for nurses in multiple settings and the same templates/guidelines are used for settings across the continuum of care. The competency-based orientation is achieved through a preceptorship model, emphasizing the need for preceptor development. Allied healthcare partners have adapted the tools for their use and the model is shared via a membership venue that invites educators to ‘share and share back.’