Open Access
Subscription or Fee Access
Nursing Critical Care: Competency Based Training
Abstract
In this era of fast developing industries, requirement of skilled professional has also gone up.
Many new hospitals in private health sector are developing; always there is shortage of
doctors and trained nurses. Nursing colleges are producing nurses; however they are still
less in number and most of them are not well versed with critical or emergency care due to
deficiency of such teaching and training programs across most of India. Main reason of such
deficiency is lack of competency based training in the system and shortage of well trained
teachers. Nurses are doing their best in patient care but due to lack of special training
programme regarding critical care/BLS and ACLS (Advanced cardiac life support)/ATLS
(Advanced trauma life support) they cannot provide timely, safe, effective and efficient
patient-centered care. Critically ill and injured persons receive care from experts and multi-
professional teams; they use knowledge, technology and compassion to provide patient-
centered care. It is a very important fact that nurses play a very important role in patient
care after doctor has seen the patient and directed the treatment, in routine cares. If a patient
becomes serious at any time and at that time emergency doctor is busy or unable to attend
the case immediately, a trained nurse can take the necessary basic measures to rescue the
patient in case of arrest, till further help could arrive. This is possible only when the nursing
staff is trained and competent. This is where we are deficient to consideration extent in our
country. Saving of life in such emergency is the most noble and required task. This is possible
only through special competency based training programs in all nursing colleges.
Competency based training is a style of education that focuses on what we can achieve in the
workplace after completing a course. These types of training programs/workshops have well
established in foreign countries many years earlier. It is high time for us to implement such
programs across the country this will serve to save lives of many patients who land up in
arrest in emergency room (ER) or intensive care unit (ICU) and each minute is counted.
Competencies are a method for describing the knowledge, skills, attitudes, and behavior
expected of specialists in terms of what they are able to do. The National Organization of
Nurse Practitioner Faculties has developed a national program of competencies that includes
diagnostic algorithms and treatment based on protocols, and many of the competencies are
centered on management of acutely ill or physiologically unstable patients. So, national
regulatory bodies for nurses have to start or modify their training programs from syllabus-
based to competency based in the workplace.
References
Barrett H, Bion J. An International
Survey of Training in Adult Intensive
Care Medicine. Intensive Care Med.
; 31(4): 553–561p.
Liu Y, Aungsuroch Y. Current
Literature Review of Registered
Nurses' Competency in the Global
Community. J Nurs Scholarsh. 2018;
(2): 191–199p.
Donovan AL, Aldrich JM, Gross AK,
et al. Interprofessional Care and
Teamwork in the ICU. Crit Care
Med. 2018; 46(6): 980–990p.
Dunn SV, Lawson D, Robertson S, et
al. The Development of Competency
Standards for Specialist Critical Care
Nurses. J Adv Nurs. 2000; 31(2):
–346p.
Hu X, Xi X, Ma P, et al. Consensus
Development of Core Competencies
in Intensive and Critical Care
Medicine Training in China. Crit
Care. 2016; 20(1): 330p.
Liu L, Yuan C. Construction of
Palliative Care Training Contents in
China: A Delphi Study. Cancer Nurs.
; 32(6): 446–455p.
Bench S, Crowe D, Day T, Jones M,
Wilebore S. Developing a
Competency Framework for Critical
Care to Match Patient Need. Intensive
Crit Care Nurs. 2003; 19(3): 136–
p.[8] Matsutani M, Miura Y, Hirabayashi
Y, et al. Nursing Competency:
Concept, Structure of Dimensions,
and Assessment. Seiroka Kango
Gakkaishi. 2010; 14: 18–28p.
Maruyama I, Matunari Y, Nakayama
Y, et al. Goodness of Fit Index of
Clinical Nursing Competence Self-
Assessment Scale. Fukushima
Kenritsu Ika Daigaku Kango Gakubu
Kiyo. 2011; 13: 11–8p.
Department of Health. Front Line
Care. DE, London. 2010. Available
from:
http://webarchive.nationalarchives.
gov.uk/20100331110400/http://cnm.
independent.gov.uk/wp-
content/uploads/2010/03/front_line_c
are.pdf.
Health Education England.
Multiprofessional Framework for
Advanced Clinical Practice in
England (web). 2017. Available
from: https://hee.nhs.
uk/sites/default/files/documents/HEE
%20 ACP%20Framework.pdf.
Kudoh M, Nakayama Y, Ishihara M,
et al. A Comparison of Constructs in
Two Questionnaires for Measuring
Clinical Nursing Competence.
Fukushima Kenritsu Ika Daigaku
Kango Gakubu Kiyo. 2012; 14: 13–
p.
Takase M, Teraoka S. Development
of the Holistic Nursing Competence
Scale. Nurs Health Sci. 2011; 13(4):
–403p.
Bessho F, Ago M, Kato M, et al. The
Career Status and Post-Graduation
Self-Evaluations of Clinical Nursing
Competence of Public Junior College
Nurse Training Course Graduates
Who Found Employment in A.
Prefecture. Nihon Igaku Kangogaku
Kyoiku Gakkaishi. 2016; 25: 67–73p.
Kimura M, Nishikawa M, Akutagawa
K, et al. Bibliographic Consideration
of Educational Methods and
Evaluation for Bibliographic
Consideration of Educational
Methods and Evaluation for the
Development of Nursing
Competency. Hiroshima Kokusai
Daigaku Kangogaku Journal. 2012;
: 25–34p.
Ezaki H, Kubota S, Miyauchi H,
Aramaki H, Jinno A, et al. Report on
the Introduction of the Portfolio to
Cultivate Self-Education Ability in
Nursing Practice: Action Research
from the Collaboration between
Students and Faculty. Ehime Kenritsu
Iryo Gijutsu Daigaku Kiyo. 2016; 13:
–9p.
Nakayama Y, Yokota M. The
Contents of Training of Clinical
Nursing Competence between Basic
Nursing Education and In-Service
Continuing Education. Fukushima
Kenritsu Ika Daigaku Kango Gakubu
Kiyo. 2012; 14: 1–11p.
Ogata Y. Examination of
Performance Reflection in Nursing
Practice: A Focus on Improvement of
Nursing Judgment. Hokkaido Iryo
Daigaku Kango Fukushi Gakubu
Gakkaishi. 2014; 10: 43–7p.
Refbacks
- There are currently no refbacks.