title: A competency-based approach to nurses' continuing education for clinical reasoning and leadership through reflective practice in a care situation.
abstract: Newly graduated nurses need to demonstrate high levels of competencies when they enter the workplace. A competency-based approach to their education is recommended to ensure patients' needs are met. A continuing education intervention consistent with the competency-based approach to education was designed and implemented in eight care units in two teaching hospitals. It consists of a series of 30-min reflective practice groups on clinical events that newly graduated nurses encountered in their practice. It was evaluated using a descriptive longitudinal evaluative research design, combining individual and group interviews with stakeholders, the analysis of facilitators' journal entries, and a research assistant's field notes. The results suggest that issues associated with the implementation of the continuing education intervention revolved around leadership for managers, flexibility for nursing staff, and role shifting for the facilitators. Newly graduated nurses who participated in the study noted that the reflective practice sessions contributed to the development of both clinical reasoning and leadership. Nursing managers stated the advantages of the intervention on nurses' professional development and for the quality and safety of care. Following the end of the study, participants from two units managed to pursue the activity during their work time.
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7. Electronic address: johanne.goudreau@umontreal.ca.
authors.forename: Johanne
authors.initials: J
authors.lastname: Goudreau
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7. Electronic address: jacinthe.pepin@umontreal.ca.
authors.forename: Jacinthe
authors.initials: J
authors.lastname: Pepin
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7. Electronic address: caroline.larue@umontreal.ca.
authors.forename: Caroline
authors.initials: C
authors.lastname: Larue
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Centre hospitalier de l'Université de Montréal, Pavillon S, 850 rue Saint-Denis, porte S06-258, Montreal, QC, Canada H2X 0A9. Electronic address: sylvie.dubois.chum@ssss.gouv.qc.ca.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Dubois
authors.affiliation: Centre Hospitalier Universitaire Sainte-Justine, 3175 Chemin de la Côte-Sainte-Catherine, Montreal, QC, Canada H3T 1C5. Electronic address: renee.descoteau.hsj@ssss.gouv.qc.ca.
authors.forename: Renée
authors.initials: R
authors.lastname: Descôteaux
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7; Center for Innovation in Nursing Education (CIFI), Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7. Electronic address: patrick.lavoie.1@umontreal.ca.
authors.forename: Patrick
authors.initials: P
authors.lastname: Lavoie
authors.affiliation: Faculty of Nursing, Université de Montréal, C.P. 6128 succ. Centre-Ville, Montreal, QC, Canada H3C 3J7. Electronic address: katia.dumont@crhsc.rtss.qc.ca.
authors.forename: Katia
authors.initials: K
authors.lastname: Dumont
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003162:Competency-Based Education; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators; D009740:Nursing Staff / Q000523:psychology; D013192:Staff Development
keywords: Competency-based approach to education; Continuing education; Newly graduated nurses; Reflective practice