Competence development among nurses: the process of constant interaction.

BACKGROUND

The importance of competence to nursing practice was the motivation for this study, which explored nurses' experience in developing their competence as they progress through their careers.

METHODS

In accordance with grounded theory method, data collection and data analysis were performed simultaneously using the constant comparative method.

RESULTS

Data revealed that nurses developed competence through an iterative process called "the process of constant interaction." This five-stage process was found to be a complex, ongoing interpersonal dynamic between the nurse and the surrounding world.

CONCLUSIONS

Although the nurse is the key player in the process of his or her own competence development, employers have a pivotal responsibility in facilitating the nurse's progress toward ongoing professional competence, which is a key element of the quality of care.