Developing criterion-based competencies for tele-intensive care unit.
Over the last 5 years, telemedicine has developed nursing roles that differ from traditional bedside care. In the midst of this transition, current competency development models focused on task completion may not be the most effective form of proficiency validation. The procedure of competency creation for the role of tele-intensive care unit registered nurse requires a thoughtful process using stakeholders from institutional leadership to frontline staff. The process must include stakeholder approval to ensure appropriate buy-in and follow-through on the agreed-upon criteria. This can be achieved using a standardized method of concept stimulation related to the behaviors, not a memorized list of tasks, expected of a telemedicine registered nurse. This process serves as the foundation for the development of criterion-based competency statements that then allows for clearer expectations. Continually reviewing the written competencies, ensuring current applicability, and revising as needed are necessities for maintaining competence and, therefore, patient safety.
Sarah 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.
Sarah Joy
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Marthe J
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D002983:Clinical Competence; D006787:Hospitals, Veterans; D006801:Humans; D007362:Intensive Care Units; D055817:Telenursing / Q000592:standards*; D014481:United States