Developing criterion-based competencies for tele-intensive care unit
Sarah Joy Schleifer1, Karen Carroll, Marthe J Moseley
1Sarah Joy Schleifer, MSN, RN, ACNS-BC, CCRN, is a critical care CNS at Sharp Grossmont Hospital in La Mesa, California. She obtained her BSN and MSN from Point Loma Nazarene University in San Diego, California. She teaches new critical care RNs at a county-wide critical care intern program and is the marketing chair for the San Diego chapter of the AACN. Her areas of research interests include patient education, improvement of the patient experience, nurse/provider communication and patient centered care coordination. Karen Carroll, MS, RN, CCNS, CCRN, PCCN, is a critical care CNS at VA Medical Center San Diego Healthcare System. Both of Karen's graduate and undergraduate degrees are from San Diego State University (SDSU). She teaches undergraduate and graduate courses at SDSU in addition to PCCN review courses in the community. Ms Carroll's is currently working on research regarding inpatient cardiopulmonary arrests and the impact of a performance improvement based resuscitation training program to decrease cardiopulmonary arrests and improves survival at the VA San Diego Healthcare System. Marthe J. Moseley, PhD, MSN, RN, CCNS, is associate director of Clinical Practice in the Office of Nursing Services with the Department of Veterans Affairs. She holds a full Professor position at Rocky Mountain University of Health Professions in Provo, Utah and an Adjunct Professor position at the University of Texas Health Science Center School of Nursing at San Antonio, Texas. Dr Moseley obtained her BSN from Jamestown College and her MSN and PhD at the University of Texas Health Science Center in San Antonio, TX. She is on the editorial board for several critical care journals and is one of the team of three who write the "Introduction to Critical Care," a premier textbook for undergraduate students with course work in the ICU environment.
Telemedicine nursing roles require new competency models beyond task completion. Developing these tele-intensive care unit registered nurse competencies needs stakeholder input and focuses on behaviors for clear expectations and patient safety.
Area of Science:
- Nursing Science
- Healthcare Management
- Telehealth Technology
Background:
- The rapid evolution of telemedicine has created new nursing roles distinct from traditional bedside care.
- Existing competency development models, often task-focused, may be insufficient for validating proficiency in these evolving telemedicine nursing positions.
- The tele-intensive care unit (tele-ICU) registered nurse role exemplifies this transition, necessitating a re-evaluation of competency assessment.
Purpose of the Study:
- To propose an effective process for creating competencies for tele-intensive care unit registered nurses.
- To emphasize the need for a shift from task-based to behavior-based competency validation in telemedicine nursing.
- To ensure that competency development processes are robust, stakeholder-approved, and lead to clearer expectations and improved patient safety.
Main Methods:
- A thoughtful, stakeholder-driven process involving institutional leadership and frontline staff was employed.
- Concept stimulation focused on expected behaviors, rather than rote task memorization, was utilized.
- Stakeholder approval was integrated to ensure buy-in and adherence to agreed-upon criteria.
Main Results:
- The process facilitates the development of criterion-based competency statements tailored to telemedicine nursing roles.
- Focusing on behaviors provides a clearer framework for expectations compared to task-based lists.
- Stakeholder involvement ensures the relevance and applicability of the developed competencies.
Conclusions:
- A standardized, behavior-focused approach to competency creation is essential for tele-intensive care unit registered nurses.
- Continuous review and revision of competencies are critical for maintaining relevance, ensuring competence, and safeguarding patient safety in telemedicine.
- Effective competency validation in telemedicine nursing requires a departure from traditional, task-oriented models.
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