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Published on: June 21, 2010
Developing clinical nurse specialist practice competencies
Kathleen M Baldwin1, Brenda L Lyon, Angela P Clark
1Texas Christian University College of Nursing and Health Sciences, Fort Worth, TX 76129, USA. k.baldwin@tcu.edu
Background:
In 1998, the National Association of Clinical Nurse Specialist (NACNS) developed the first ever core competencies for clinical nurse specialist (CNS) practice.
Purpose:
This article describes the method used to develop, validate, and revise CNS core practice competencies.
Methods:
The stepwise method of identifying core CNS competencies included content analysis of CNS position/job descriptions, extensive literature review, development by role experts, first-tier corroboration, second-tier corroboration encompassing stakeholder review, final review/editing, approval by the board of directors, and dissemination.
Discussion:
The process used by professional organizations to develop competencies and standards varies; however, it should be transparent and consist of adequate review and validation for accuracy and applicability by members of the representative group for whom the standards and competencies apply.
Conclusions:
The stepwise method used by the National Association of Clinical Nurse Specialist generated valid CNS core competencies and may be instructive to professional organizations interested in developing competencies and standards.
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