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Competence versus performance: which is more important?

A E While1

  • 1Department of Nursing Studies, King's College, London, England.

Journal of Advanced Nursing
|September 1, 1994
PubMed
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This paper reviews nursing competence and performance literature, finding significant confusion between the two. It argues that nurse education should prioritize real-world clinical performance over theoretical competence for high-quality patient care.

Area of Science:

  • Nursing Education
  • Healthcare Quality
  • Professional Competency

Background:

  • Extensive literature exists on nurse competence and performance.
  • Significant confusion and overlap are noted between these constructs in current research.
  • This ambiguity impacts the effectiveness of nurse pre-registration education.

Purpose of the Study:

  • To review and clarify the distinct concepts of competence and performance in nursing.
  • To analyze the implications of this distinction for nurse pre-registration education.
  • To advocate for a shift in educational focus.

Main Methods:

  • A comprehensive review of existing literature on competence and performance in nursing.
  • Critical analysis of the definitions and applications of these terms.

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  • Synthesis of findings to identify areas of confusion.

    • Main Results:

    • The paper identifies substantial overlap and confusion in the literature regarding competence and performance.
    • Current definitions and assessments often fail to differentiate adequately between the two constructs.
    • This lack of clarity poses challenges for educational and practice standards.

    Conclusions:

    • Nurse pre-registration education must differentiate between competence and performance.
    • Greater emphasis should be placed on assessing and developing real-world clinical performance.
    • This shift is crucial for ensuring consistent, high-quality patient care by newly qualified nurses.