Using knowledge, skills and assessment (KSA) framework to standardise nursing clinical practice

Journal of Nursing & Care

ISSN: 2167-1168

Open Access

Using knowledge, skills and assessment (KSA) framework to standardise nursing clinical practice

World Congress on Pediatrics and Neonatal Nursing

September 16-17, 2019 Tokyo, Japan

Zaid Al Zu’bi

Prince Mohammad Bin Abdulaziz Hospital, Saudi Arabia

Scientific Tracks Abstracts: J Nurs Care

Abstract :

Problem: It was identified that competency assessment required re-structuring to enhance a standardise approach to competency assessment using the knowledge, skill and attitude (KSA) approach.

Background and aim: A new tool of competency assessment was implemented in a small hospital and this project was led by Nursing Services Department. It was the vision of Nursing Servicesto achieves national distinction as a magnet facility where nursing embraces an evidenced-based professional practice model that places patient and the families as the focus of quality care within the domains of clinical practice, administration, education, research, innovation and technology. The project was led by Nursing Education Department; Consisting of Nurse Educators & Clinical Resource Nurses. The competency assessment project was designed to reflect CBAHI & JCI standards, standardize the assessment approach by the assessor, as well as minimise the time taken for each assessment to be performed.

Methods: Competency assessment was divided into three particulars that were given individual attention to create templates that would support each area of assessment. A taskforce was created to support this project due to the scale of changes that were required to be made. The task force consisted of various disciplines within Nursing as well as staff from specialities of Adult, Paediatric, Critical and L&D. The initial phase of the project focused on assessment of nursing skills followed by clinical behaviour and then knowledge assessment. Generic Nursing practices, that required a standardise approach by the hospital, were identified and then by using Nursing Key Skills as a reference a template of clinical check list was created for each Nursing Practise. New templates were created for each practice such as airway management, physical assessment and IV Cannulation. In order to ensure the aim of the competency project would be met a questionnaire was created for feedback purposes. The questionnaire would be completed by the members of the education team.

Results: In total (13) members of the educational team completed the survey. 100% of the feedback agreed that time consumed for competency assessment become less than 45 minutes. 90% agreed they have more time to conduct other education activity in their clinical area. 70%-80% observed change in the staff skill and knowledge and about 80% noticed Improvement in patient care and safety too. Overall it was noted with the new competency framework the nursing staff across the hospital were observed to be more confident when performing competency at any given time.

Conclusion: The findings of this study highlighted hat the new competency framework model supported the clinical resource nurses to:

• Standardise generic nursing skills,

• Standardise competency performance by CRN’s and by staff

• Reduced the time taken for competency assessment

• Improved Nursing staff confidence during competency assessment

• Improved Nursing staff confidence during clinical practice

Biography :

Zaid Al Zu’bi working as an Associate Executive Director in Prince Mohammad Bin Abdulaziz Hospital.



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