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A new view: tele-intensive care unit competencies.

Critical Care Nurse

|October 4, 2011

Summary

Many tele-intensive care unit (tele-ICU) programs assess remote nurses

Area of Science:

Nursing
Healthcare Management
Remote Patient Monitoring

Background:

Traditional nursing competency assessments are designed for bedside roles.
Tele-intensive care unit (tele-ICU) nursing practice requires distinct competency evaluations.
The need for formal competency assessment for remote nursing staff is growing.

Purpose of the Study:

To investigate the existence and nature of formal competency assessment programs for tele-ICU nurses.
To identify the methods and timing of competency validation in tele-ICU settings.
To determine key competencies prioritized for tele-ICU nursing practice.

Main Methods:

A national survey of 44 tele-intensive care unit (tele-ICU) programs.
A 20-question survey instrument was utilized.

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Convenience sampling was employed to gather data.

Main Results:

85% of tele-ICU programs have formal competency assessment policies for nurses.
Competency is assessed at hire, during orientation, and ongoing.
Performance appraisal, observation, peer review, and self-assessment are common validation methods.
Priority competencies include listening, prioritization, collaboration, and use of tele-ICU tools.

Conclusions:

Many tele-ICU programs have established competency assessment processes for remote nurses.
These programs are in place despite the absence of formal professional practice standards.
Existing programs utilize various methods to validate tele-ICU nurse competence.