Mangold Kara, Tyler Brenda, Velez Lyda, Clark Constance
J Contin Educ Nurs. 2018 Mar 1;49(3):119-126. doi: 10.3928/00220124-20180219-06.
Nurse educators must guide competency assessment in a way that influences safe patient care. The goal of this innovative competency assessment was for RNs to demonstrate performance of sound practice related to anticoagulation medication, pressure injuries, and pain management using a peer-review format.
The process was initiated through the unit-based team. The clinical RN was required to bring forth the information that he or she had met the competency requirements. Rubrics provided consistency in evaluation.
The process was perceived to have evaluated actual performance and allowed demonstration of performance. For patient outcomes, anticoagulation safety measures were sustained, pressure injury measures were improved, and pain outcome measures were not improved during and after the competency period.
A peer-review process for clinical RN competency assessment enhanced professionalism through professional practice evaluation, was perceived as favorable, and was associated with positive patient outcomes. J Contin Educ Nurs. 2018;49(3):119-126.
护理教育工作者必须以影响患者安全护理的方式指导能力评估。这项创新能力评估的目标是让注册护士使用同行评审的形式展示与抗凝药物、压疮和疼痛管理相关的合理实践表现。
该过程由基于科室的团队启动。临床注册护士需要提供其已达到能力要求的信息。评分标准确保了评估的一致性。
该过程被认为评估了实际表现并允许展示表现。对于患者结局,在能力评估期间及之后,抗凝安全措施得以维持,压疮措施有所改善,而疼痛结局措施未得到改善。
临床注册护士能力评估的同行评审过程通过专业实践评估提高了专业性,被认为是有利的,并且与积极的患者结局相关。《护理学继续教育杂志》。2018年;49(3):119 -