Teaching patients and validating competency

There is no common definition of competence and no evidence for one best method to assess competence.

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In this article, the authors discuss the components of an organizational validation strategy that includes clear definitions, selection of competencies, and responsibilities for initial and continuing competency assessment.

The knowledge required for a nurse to ensure patient safety and quality is not traditionally reinforced during competency validation.

In traditional competency programs, competency is validated on hire and annually thereafter using skill stations.

Educators often lead this process without active management involvement.

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In fact, depending on the organization, competency validation may be completed only in the classroom with no formalized follow-up in the clinical setting.The staff member is usually coached through the assessment process using validation processes that are not standardized, resulting in each nurse being validated as competent through a variety of methods without attention to his or her need for remediation.

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