Abstract
Evaluating nursing competence is challenging and among many instruments the Nurse Competence Scale is one of the most used. This integrated literature review aimed to describe how ontological and contextual nursing competence becomes evident in evaluations done with it and the value of using it for professional development in nursing. The starting point was a former systematic review and additional searches were carried out using electronic databases with keywords and Boolean operators. The search followed the PRISMA search strategy and the articles were appraised against the JBI Critical Appraisal Checklist. Thirty-four original research articles published between January 2004 and April 2020 were included. The data were displayed and analyzed descriptively. Results showed that the Nurse Competence Scale covers both ontological and contextual competence, that the competence profiles vary in different cultures, cohorts and contexts, but that it is suitable for evaluating and following up competence development in nursing.
Highlights
In a world of changes, new competencies are needed
This article aimed to describe how ontological and contextual competence becomes visible in evaluations done with the Nurse Competence Scale in different settings and in different stages of professional development, and further to consider how it could be used in nursing education and in planning further education for nurses
The Nurse Competence Scale evaluates what nurses do in a broad perspective and covers both ontological and contextual features of nursing competence
Summary
In a world of changes, new competencies are needed. Mobility between countries is encouraged, and within the European Union, the educational aim is to ensure comparable and compatible systems and a competence that enables mobility within Europe. This has led to considerable changes in nursing education.[1] New knowledge and skills enter nursing, and one needs to consider what students need to learn during education and what kind of further education is needed in practice. Defining, evaluating and developing competence in nursing is crucial. But the trend shows a move against a holistic view of competence.[2,3]
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