Evidence-Based Best Practice for Nursing Skills Competency Assessment: A Policy Development Project for Standard Work Utilizing the Donna Wright Competency Model

Abstract

Practice Problem: Traditional nursing competency assessments use a process-focused approach determined by leaders. A checklist methodology for conducting nursing competencies does not empower nurses to create their own learning experiences. PICOT: The PICOT question that guided this project was: In an acute care setting (P), how does the development of an evidence-informed policy for competency assessment utilizing the Donna Wright Competency model (I) compared to current competency assessment practices (C), improve the guidance for nurse educators in the development of standard work and communications regarding competency assessment (O)? Evidence: Studies using the DW Competency Assessment Model have shown that this model provides structure and consistency through the collaboration of nursing staff members, nursing leaders, and other key stakeholders. Intervention: The development of an evidence-informed policy for competency assessment using the Donna Wright Competency model was the selected intervention completed over six weeks. Outcome: The development of the policy for competency assessment guided the nurse educators and other key stakeholders with the standard work and communication of competency assessments. Conclusion: A standardized competency practice model, such as the Donna Wright Competency Assessment Model, assists nurses in acquiring higher-quality technical, decision-making, and problem-solving skills. The development of a policy addressing this competency model aims to improve nurses’ knowledge of standardized practices as it relates to nursing competence.