title: Neoliberalism and the government of nursing through competency-based education.
abstract: Competency has become a key concept in education in general over the last four decades. This article examines the development of the competency-based movement with a particular focus on the significance it has had for nursing education. Our hypothesis is that the competency movement can only adequately be understood if it is analyzed in relation to the broad societal transformation of the last decades-often summarized under the catchword neoliberalism-and with it the emergence of managerial models for Human Resource Management (HRM) for the reorganization of social services. Classical professions, which were characterized under welfarism by an esoteric knowledge based on ethical norms, have now become marketable commodities that can be evaluated in the same way as other commodities. We want to underline that while this development is still under way, it is the concept of competency that was the decisive political instrument enabling this profound change. With the widespread implementation of competency-based education that now governs nursing knowledge, the development of a critical, oppositional perspective becomes more challenging, if not entirely impossible. We will be focusing primarily on nursing education in Canada, although we maintain that it has relevance for nursing internationally.
authors: Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada.
authors: Thomas
authors: T
authors: Foth
authors: Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada.
authors: Dave
authors: D
authors: Holmes
mesh_terms: D002170:Canada; D002983:Clinical Competence; D003162:Competency-Based Education / Q000458:organization & administration*; D004506:Education, Nursing / Q000458:organization & administration*; D006076:Government; D006291:Health Policy; D006801:Humans; D011361:Professional Competence
keywords: Foucault; competencies; governmentality; health policy; managerialism