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Competency standards for critical care nurses: do they measure up?

Murray J Fisher1, Andrea P Marshall, Tina S Kendrick

  • 1Faculty of Nursing and Midwifery, University of Sydney, Australia. mfisher@nursing.usyd.edu.au

The Australian Journal of Advanced Nursing : a Quarterly Publication of the Royal Australian Nursing Federation
|February 25, 2006
PubMed
Summary

The Australian College of Critical Care Nurses (ACCCN) competency standards require revision as their current structure does not accurately assess specialist critical care nursing practice. A modified four-factor model showed better fit, suggesting improvements for validity.

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Area of Science:

  • Nursing Education
  • Healthcare Professional Standards
  • Clinical Competency Assessment

Background:

  • The Australian College of Critical Care Nurses (ACCCN) developed competency standards to guide and assess specialist critical care nursing practice.
  • Ensuring the validity of these standards is crucial for accurate professional evaluation and development.

Purpose of the Study:

  • To determine the construct validity of the ACCCN competency standards for assessing specialist critical care nurses in Australia.
  • To examine the structural integrity of the ACCCN competency standards and their constituent elements and domains.

Main Methods:

  • A comparative descriptive design was employed, utilizing a 7-point Likert scale questionnaire.
  • Systematic sampling selected 1000 critical care nurses, with 532 completing the survey.

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  • Two structural models were examined to assess the fit of elements to competencies and competencies to domains.

    • Main Results:

    • The current structure of ACCCN competencies lacked statistical support, as elements were multidimensional and loaded across multiple competencies and domains.
    • A modified four-factor competency model demonstrated a reasonable fit, indicating potential for improved structural validity.

    Conclusions:

    • Significant concerns exist regarding the validity of the ACCCN Competency Elements and Standards for assessing critical care nursing practice.
    • The study highlights issues with the current structure, necessitating a review and potential modification of the competency standards.