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Clinical competence in nursing: A concept analysis.

Ippolito Notarnicola1, Cristina Petrucci2, Maria Rosimar De Jesus Barbosa1

  • 1PhD, MSN, RN. Nursing Science Doctorate School, University of L'Aquila, Italy.

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Summary

This study defines clinical competence in nursing as a crucial mix of skills, knowledge, attitudes, and abilities essential for nurses to provide acceptable patient care and advance the nursing profession.

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Area of Science:

  • Nursing Science
  • Healthcare Education
  • Professional Development

Background:

  • Clinical competence is a core concept in nursing, vital for patient care quality.
  • A clear understanding of clinical competence is essential for nursing education and professional standards.
  • The concept's definition and application in nursing require thorough examination.

Purpose of the Study:

  • To analyze the concept of clinical competence in nursing.
  • To clarify the meaning and components of clinical competence for improved nursing practice and education.

Main Methods:

  • Utilized Walker and Avant's concept analysis model.
  • Conducted a systematic literature review across major international databases (1993-2015).
  • Examined the utilization of "clinical competence in nursing" in retrieved scholarly articles.

Main Results:

  • All 8 steps of the Walker and Avant model were applied to the literature findings.
  • Identified and discussed attributes, antecedents, consequences, and empirical referents of clinical competence.
  • Constructed model, borderline, and opposite cases; debated the concept's relevance to education and professionalism.

Conclusions:

  • Defined clinical competence in nursing as a blend of skills, knowledge, attitudes, and abilities.
  • This competence is necessary for nurses to perform patient care duties acceptably within specific contexts.
  • The defined concept supports the promotion, maintenance, and restoration of patient health.