A Sisyphean task : Developing and revising public health nursing competencies

© 2022 The Authors. Public Health Nursing published by Wiley Periodicals LLC..

BACKGROUND: Competencies are intended to enhance the public health workforce's skills. Competencies used to evaluate public health nursing (PHN) practice and education have been promoted by several nursing organizations. Having multiple sets of competencies raises questions about redundancies and their usefulness in evaluating PHN, as well as the central question about the value of the competencies themselves.

METHODS: A literature review of psychometric evaluation research of the competencies was performed. Qualitative content analyses were conducted of seven documents: Association of Community Health Nursing Educators', 2000 and 2010 essentials; Quad Council Coalition's 2004, 2011, and 2018 competencies; and the American Nurses Association's, 2013 and the 2021 draft of PHN scope and standards of practice with respect to competency definition, conceptual basis, and use of an established taxonomy.

RESULTS: No psychometric evaluations of the competency sets were found. Textual content analysis revealed inconsistent and or missing competency definitions and theoretical frameworks with competencies proliferating over time. Taxonomy analysis identified minimal competencies at higher complexity levels according to Bloom's revised taxonomy.

CONCLUSIONS: Analyzed competencies lack reliability and validity testing, making assessment difficult for PHN educators and practitioners. Multiple and competing competencies further erode PHN's visibility, even among public health nurses. With unending revisions of PHN competencies and lack of supporting evidence regarding their effect and their integration into education or practice, recommendations for future efforts are offered.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Public health nursing (Boston, Mass.) - 39(2022), 5 vom: 08. Sept., Seite 1078-1088

Sprache:

Englisch

Beteiligte Personen:

Canales, Mary K [VerfasserIn]
Drevdahl, Denise J [VerfasserIn]

Links:

Volltext

Themen:

Bloom's revised taxonomy
Competency
Content analysis
Journal Article
Public health nursing
Review

Anmerkungen:

Date Completed 13.09.2022

Date Revised 12.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/phn.13077

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339247711