Developing professional competence among critical care nurses: An integrative review of literature.

ABSTRACT

BACKGROUND: Professional competence is the ability to base clinical decisions on prior experiences with particular clinical situations. METHODS: An integrative review of the literature using the methodology of Whittemore and Knafl. The guiding question was What is the extent and nature of the published literature on intensive care nurses developing professional competence? RESULTS: This review analysed 21 peer-reviewed articles obtained from electronic databases. The three main domains of professional competence were managing situations, decision-making and teamwork. Three instruments, the Critical Care Competency Assessment instrument, the Self-Assessment Competence Tool, and the Intensive and Critical Care Nursing Competence Scale (intensive care unit), measure professional and/or clinical competence. Demographic factors are experience, education, age, figure tow near here certification status, gender and location. CONCLUSION: Perception of self-competence, seeing beyond the technical aspects of care to the patient, and perceptions of and bonding with intensive care patients and their families are other facets of professional competence that warrant further study.